Learning Pool Social Care Seminar - Safeguarding Adults

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Adult, Health and Community Services

Safeguarding Adults in Warwickshire

Carol Judge

Strategic Lead for Safeguarding Vulnerable Adults

Mental Capacity Lead

Deprivation of Liberty Safeguards Manager

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The Changing Face of Safeguarding VulnerableAdults

• Safeguarding Adults - Government Policy On Adult Safeguarding

• What is Warwickshire doing to meet the demands of the possibility of New Legislation?

• e-learning for GP’s

Adult, Health and Community ServicesAdult, Health and Community Services

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Warwickshire County CouncilAdult, Health and Community Services

Safeguarding Adults

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National Policy Background

• Primary policy- “No Secrets” (DoH, 2000)

- Sets out the requirement to establish

a multi-agency framework for the

Protection of Vulnerable Adults.

– Legal requirement on Local Authorities to

follow this guidance under Section 7 of the

Local Authority Social Services Act 1970.

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No Secrets National Consultation

• One of the biggest in recent years

• Key Message from the consultation – People want a system that is Empowering which will cover 7 areas:-

1. Access and Empowerment

2. Clarity of Outcomes

3. What People wanted from the Process

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National Consultation

4. Working with People who lack Mental Capacity

5. Information Sharing

6. Working with people during safeguarding

7. Working with people after safeguarding

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National ConsultationPeople experiencing safeguarding reported

1. They go lost in the system

2. Safeguarding should not be at the cost of other qualities of life

3. Wanted to be listened to & to make choices

4. They were not children

5. Prevention – pro-active safeguarding system

6. Balance protection and levels of intervention-enable people to take considered risk

7. Difficulty with language – very ‘social care’

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• The Government’s policy objective is to prevent and reduce the risk of significant harm to vulnerable adults from abuse or other types of exploitation, whilst supporting individuals in maintaining control over their lives and in making informed choices without coercion.

• The Government believes that safeguarding is everybody’s business with communities playing a part in preventing, detecting and reporting neglect and abuse. Measures need to be in place locally to protect Those least able to protect themselves. Safeguards against poor practice, harm and abuse need to be an integral part of care and Support. We should achieve this through partnerships between local organisations, communities and individuals.

Government Policy On Adult Safeguarding

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The State’s role in safeguarding is to provide the vision and direction

and ensure that the legal framework, including powers and duties, is

Is clear, and proportionate whilst maximising local flexibility.

We need local authorities and local multi-agency partnerships to

provide leadership in moving to less risk-averse ways of working, and

to concentrate on outcomes instead of focusing on compliance.

These solutions will be different in different places, reflecting, for

example, local demographics and environmental characteristics.

However, they should all reflect the key Principles.

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Principles

• Empowerment - Presumption of person led decisions and informed consent.

• Protection - Support and representation for those in greatest need.

• Prevention - It is better to take action before harm occurs.


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• Proportionality – Proportionate and least intrusive response appropriate to the risk presented.

• Partnership - Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse.

• Accountability - Accountability and transparency in delivering safeguarding.


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These Principles are not separate but integral to wider Government policy.

Links to:-No Secrets • This document builds on “No Secrets”, which will remain as statutory

guidance until at least 2013.

• In the principles described above, we have taken account of the responses to the public consultation on “No Secrets” in 2008/09, the implementation of the Mental Capacity Act 2005 and the drive towards increasing personalisation of services.

• The Government intends to seek to legislate for Safeguarding Adults Boards (SABs) Making existing Boards statutory, while maintaining their freedom to operate in locally flexible ways, will secure a transparent and locally accountable mechanism for local communities to ensure the protection of vulnerable adults.


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• Research commissioned by the Department of Health has shown that specific legislation for statutory Safeguarding Adults Boards would help to hold agencies accountable in ways which guidance, differentially binding on the partners, has not so far been able to do. Such a move is widely supported by stakeholders.

• The Law Commission has now published the

final report of its review of adult social care law and has recommended making SABs statutory.


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Learning from Serious Case Reviews, Inquests, Past Experiences & Research

• Steven Hoskins 2006• Fiona Pilkington• Margaret Panting• Mid Staffordshire• Death by Indifference• Cornwall Partnership NHS Trust 2006• Shipman Inquiry 2004• Kerr & Haslam 2005

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What is Warwickshire doing to meet the demands of the possibility of New

Legislation?

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Warwickshire County Council

Work we are undertaking


• The production of a three year Safeguarding Strategy

• Sub-groups taking more responsibility & ownership

• Joint training with the PCT, Police, Housing, Service Users, Carers and external partners

• Integrated working within Mental Capacity Act & Deprivation of Liberty Safeguards

• Introduction of Lead Practitioners for Safeguarding and the introduction of a Safeguarding Adults Short Term

• Introduction of a dedicated safeguarding telephone number

• e-learning for GP’s

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We did some work on publicity

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150 Referrals in June 11

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Vulnerable Adult Abuse in Warwickshire

Safeguarding Adults referrals received by Adult Social Care

241 256

600

826

985

0

200

400

600

800

1000

1200

2006-7 2007-8 2008-9 2009-10 2010-11(Projected outturnbased on first 4months data)

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E-learning for GP’se-learning was introduced to GP’s surgery in the North of the county where referrals are generally low. This was abig success where we had 80% uptake and only two staffhave not yet completed the e-learning course. Feedback was “that it was a good way to learnespecially if you could not access face to face training”.“That it was a good way to take your time and not feelrushed” “as part of a large group not feeling that youmight get an answer wrong and look silly”.“Support was always at the end of the telephone”.

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Making it happen

Leadership and Workforce

YOU!

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Abuse is abuse is abuse – we need to start telling it

like it is.

The message needs to get out there whether it is

supported by legislation or not that abuse will not be

tolerated regardless of who the abuser might be.

Doing NOTHING is not an OPTION

Safeguarding is Everybody's Business!

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Any Questions

?Any Questions

?

Health & Medicine

Learning Pool Social Care Seminar - Safeguarding Adults