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)

richmond june 09

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’

richmond june 09

‘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)

richmond june 09

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

richmond june 09

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?

richmond june 09

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?

richmond june 09

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?

richmond june 09

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

richmond june 09

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

richmond june 09

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

richmond june 09

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

richmond june 09

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

richmond june 09

Good luck!