Richmond june 09 Safeguarding adults: national developments and future directions...

richmond june 09

Safeguarding adults: national developments and future directions

Jill.manthorpe@kcl.ac.uk

richmond june 09

A decade of development

what has gone well with No Secrets?

what changes might result from the review? roles & responsibilities, recording & legal matters, personalisation

richmond june 09

Climate of concern?

Decline in trust ?Public expectations heightenedIncrease in anxiety ?Interest and approach of media‘Victims’ & ‘perpetrators’Concern about unsupported carers

(Comic Relief study)

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1) The era of No secrets brought…

Rules: Appointments and vetting (CRB) Checking (POVA List)

Inspection focus Renewed interest in domestic

violence Attention to bullying & fear of crime Development of ‘hate crime’

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‘No Secrets’ itself

Adult protection committees (safeguarding)

Adult protection coordinators Multi (limited) agency partnerships Policies & procedures eg joint

investigations Training and induction (but no money)

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And more Lawyers Law and regulation Care Standards Act 2000 + POVA Sexual Offences Act 2002 Human Rights Act Mental Capacity Act 2005 & offences Whistle blowing & complaints Equalities – Commission & law

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2 Recording & legal matters: practice feedback? Legal but what? (duties? powers of

entry? mandatory reporting? duty to co-operate? whistleblowing!)

Resources - how much and what for? Social changes (what?) Engagement of other agencies?

(which and how?) Postvention – what, who and how?

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3) Personalisation: New kid on the block

Vital that all agencies know what social care transformation is all about

High level acceptance of risk Duty of care remains to be seen –

Hounslow case Who will take the responsibility? What are the specific issues?

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Personalisation: specific issues Not defending the current system as

risk free Direct Payments – not the only

deployment option Building safeguarding into the

support plan & monitoring How to say no, maybe and no longer Safety nets –what are these locally?

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Summary: What has gone well? Issues higher profile Having policies & procedures Having local coordinators Council responsibility Joint investigations, witness support.. Human rights approach developing Maintaining learning approaches eg SCR Implementation funds eg MCA

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Future developments: National steer

Key questions around organisational relationships and funding Rights to safeguarding

Development of agreed outcomes NB Review of law and adult social

care

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Local agendas? Support maps Police – assurance re contacts &

transferring skills eg collecting evidence

DV – building bridges Adult services – specialist teams? Or

everyone’s business? NHS – building on primary care to

reach into acute

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Task extension Sustaining and developing sources of

support, information and advice (possibly Adult Safeguarding team/leads)

Participating in local activities eg skills development, consultation, the ‘business’

Constructing thresholds Building up expert evidence Leaning from near misses and incidents

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Local potential?

What are local responses? And which work? Responding and relating to CQC Looking carefully at prevention-

what works? Look out for neglect and self-

neglect

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Good luck!