Learning Pool: What you ought to know about www.learningpool.com
Carol Judge, Warwickshire County Council
1. 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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3. Safeguarding Adults Warwickshire County Council Adult, Health and Community Services Safeguarding Vulnerable Adults Mental Capacity Act 2005 Deprivation of Liberty Safeguards
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14. So we did some work on publicity last year Warwickshire County Council Adult, Health and Community Services
15. Vulnerable Adult Abuse in Warwickshire Warwickshire County Council Adult, Health and Community Services
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Notas del editor
Hello, introduce self.
Safeguarding Adults in its widest sense encompasses a very broad range of activity and, really, describes any type of work that protects & promotes, people’s rights, choices and opportunities, health & wellbeing, security, and right to live free from abuse, harassment and discrimination. In real terms, we are talking about dealing directly with people who are at real risk of harm or who may have been seriously harmed- for example through sustained severe mistreatment & abuse, or as the victim of serious crime. And it is this type of serious risk & harm that we are usually talking about when we use the terminology “Safeguarding Adults” within a social care or healthcare environment. It is the reactive adult protection process we use when there are concerns of significant harm to a Vulnerable Adult through abuse by another person or persons.
And it was this premise that abuse of vulnerable adults has been a hidden issue that formed the basis for No Secrets – which made the challenge that there should be No Secrets & No Hiding Places for vulnerable adult abuse. No Secrets is statutory guidance issued by the Department of Health in 2000. It requires Local Authorities to take the lead in establishing local arrangements to Safeguard Vulnerable Adults who are at risk of harm through abuse. It requires us to have local multi-agency procedures to guide responses to issues of identified abuse, a local training package to raise awareness of adult abuse issues, and a multi-agency committee to manage this framework- in Warwickshire this is called the Warwickshire Safeguarding Adults Partnership Board. No Secrets also gave some important definitions – who are Vulnerable Adults for the purpose of the Safeguarding procedure, what is abuse, and when should public bodies take action.
Steven Hoskin - failures in identifying vulnerability & risk indicators; partnerships-information sharing; eligibility criteria; assessment of decision making capacity Fiona Pilkington 2007 – failures in identifying vulnerable & risk indicators; failure to share information and refer on Margaret Panting 2001 - self determination balanced with duty of care Mid Staffordshire – failures to focus on quality; failure to listen to patients; need for early warning systems; role of commissioning and regulators – failure to use intelligent information Death by Indifference – institutionalised discrimination led to deaths Cornwall Partnership NHS Trust 2006 – inadequate arrangements to protect vulnerable adults; staff largely unaware of what constituted abuse Shipman Inquiry 2004 Kerr & Haslam 2005
This image is around the county over the last year. The central No Secrets message of there can be no secrets and no hiding places for the abuse of vulnerable adults – “Don’t keep adult abuse in the dark”…. We didn’t really have any good quality publicity information in Warwickshire around Safeguarding Adults / Vulnerable Adult protection, and in general people from non-social care have very little idea what adult protection work is all about. So we updated the publicity information- which was well overdue- and had a concerted publicity push. Leaflets (over 30,000) and posters (over 3,000) and the magnetic concertina cards (over 9,000) went out around the county, and into social care providers, health settings, hospitals, all GP surgeries and housing. (NEXT SLIDE)
These are the referral figures in Warwickshire over the last few years, and as people have become more aware of the issue of abuse of vulnerable adults, the referral figures have increased significantly. But this doesn’t mean more people are being abused now than in 2006, but that more abuse is being identified, reported and addressed. Higher numbers are actually a good thing in this regard. Based on national research and local population, we estimate somewhere in the region of 4,000 Vulnerable Adults are experiencing abuse in Warwickshire. It is still to a large degree a “hidden” issue.
The next stage is to use the success of this pilot with other surgeries around the county over the next year and to engage more with GP’s
We need to make it happen We need good leadership and a confident workforce It is down you to make it happen
MOUSE CLICK Defn- Who it includes, but also, who it can exclude. Vulnerable groups such as care leavers, homeless people and other marginalised groups. Self-neglect not covered. MOUSE CLICK Defn abuse- Rightly so goes back to human and civil rights focussed approaches. Stressing the universal entitlement to basic rights.