Welcome to the Merseyside Safeguarding Adults Board pages for professionals.
The NHS Pocket Guide contains 13 headings- please see below for a brief overview:
The link contains the full details:
Age UK have produced an evidence review and is part of a series produced by Age UK , in order to provide evidence to underpin decision-making for people involved in commissioning, service development, fundraising and influencing. Please click on the link below.
Community Action Group Agenda (FYI) Please click on the links below:
The Community Care group is firmly placed at the heart of the social care sector, offering a range of products to help social workers and other professionals meet the demands of an ever-changing sector. These include a multi award-winning news website, as well as online learning tools, informative events and innovative recruitment solutions.
Please click on the link below to find out more:
The Care Act 2014
The Care Act 2014 sets out statutory responsibility for the integration of care and support between health and local authorities. NHS England and Clinical Commissioning Groups are working in partnership with local and neighbouring social care services. Local Authorities have statutory responsibility for safeguarding. In partnership with health they have a duty to promote wellbeing within local communities.
All staff within health services have a responsibility for the safety and wellbeing of service users and colleagues. Living a life that is free from harm and abuse is a fundamental human right and an essential requirement for health and well-being. Safeguarding adults is about the safety and well-being of all people but providing additional measures for those least able to protect themselves from harm or abuse. Safeguarding adults is a fundamental part of service user safety and wellbeing and the outcomes expected. Safeguarding adults is also integral to complying with legislation, regulations and delivering cost effective care. Definition of an adult at risk:
Aged 18 years or over; Who may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation.
Your Role as the Person Raising Concern
The person who raises a safeguarding concern within their own agency should follow their own policy and procedures
• This concern may result from something that you have seen, been told or heard
• Make a Safeguarding Adult referral where this is necessary.
Where there are safeguarding concerns staff have a duty to share information. It is important to remember that in most serious case reviews, lack of information sharing can be a significant contributor when things go wrong. Information should be shared with consent wherever possible. A person’s right to confidentiality is not absolute and may be overridden where there is evidence that sharing information is necessary to support an investigation or where there is a risk to others e.g. in the interests of public safety, police investigation, implications for regulated service.
The Mental Capacity Act
In order to protect those who lack capacity and to enable them to take part, as much as possible in decisions that affect them, the following statutory principles apply:
- You must always assume a person has capacity unless it is proved otherwise
- You must take all practicable steps to enable people to make their own decisions
- You must not assume incapacity simply because someone makes an unwise decision
- Always act, or decide, for a person without capacity in their best interests
- Carefully consider actions to ensure the least restrictive option is taken
Deprivation of Liberty Safeguards
The Deprivation of Liberty Safeguards 2009 (DoLS) are an amendment to the Mental Capacity Act 2005. They provide a legal framework to protect those who lack the capacity to consent to the arrangements for their treatment or care, for example by reason of their Dementia, Learning disability or Brain Injury and where levels of restriction or restraint used in delivering that care for the purpose of protection from risk/harm are so extensive as to potentially be depriving the person of their liberty. Deprivation of Liberty Safeguards goes beyond the actions permitted under section 5 of the Mental Capacity Act (MCA) 2005.
Pressure Ulcer Staging
A pressure ulcer is a localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. A number of contributing or confounding factors are also associated with pressure ulcers.
The Government’s counter-terrorism strategy is known as CONTEST. Prevent is part of the strategy and its aim is to stop people becoming terrorists or supporting terrorism. The strategy promotes collaboration and co-operation among public service organisations. The Office for Security and Counter Terrorism in the Home Office is responsible for providing strategic direction and governance on CONTEST. You can read the CONTEST strategy in full at www.homeoffice.gov.uk. CONTEST has four key principles:
Pursue: to stop terrorist attacks
Prevent: to stop people becoming terrorists or supporting terrorism
Protect: to strengthen our protection against a terrorist attack
Prepare: to mitigate the impact of a terrorist attack.
Domestic Violence and Abuse
One woman in three (and one man in five) in the UK will be a victim of domestic abuse during their lifetime, according to research estimates. Two women a week are killed by a current or former male partner. Domestic abuse is officially classified as “any incident of threatening behaviors, violence or abuse between adults who are or have been in a relationship together, or between family members, regardless of gender or sexuality”. We think of domestic abuse as hitting, slapping and beating, but it can also include emotional abuse as well as forced marriage and so-called “honour crimes”. It’s abuse if a partner, ex-partner or a family member:
- Threatens, frightens an individual
- Shoves or pushes an individual
- Makes an individual fear for their physical safety
- Puts an individual down or attempts to undermine their self-esteem
- Controls an individual, for example by stopping them seeing friends and family
- Is jealous and possessive, such as being suspicious of friendships and conversations
Female Genital Mutilation (FGM)
FGM comprises all procedures involving partial or total removal of the external female genital organs or any other injury to the female genital organs for nonmedical reasons. FGM is most often carried out on young girls aged between infancy and 15 years old. It is often referred to as ‘cutting’, ‘female circumcision’, ‘initiation’, ‘Sunna‘ and ‘infibulation’.
Involves men, women and children being brought into a situation of exploitation through the use of violence, deception or coercion and forced to work against their will. People can be trafficked for many different forms of exploitation such as forced prostitution, forced labour, forced begging, and forced criminality, domestic servitude, forced marriage, forced organ removal. When children are trafficked, no violence, deception or coercion needs to be involved: simply bringing them into exploitative conditions constitutes trafficking.
Pick pocketing, shoplifting, drug trafficking. 16% financial fraud (benefits or loans)
Forced to work in private houses with restricted freedoms, long hours, no pay. 24% are children
Long hours, no pay, poor conditions, verbal and physical threats, 36% of cases, 1/5 children, ¾ are male
Prostitution and child abuse, 42% of all trafficking, 20% of which are children
Organ removal, forced begging, forced marriage and illegal adoption
Certain people are more at risk of going missing than others, possibly because of their situation (for example children in care) or medical issues (for example people with dementia or some people with mental health issues).
People who have gone missing before may be at risk of going missing again, especially if the issues which led to them going missing before have not been resolved.
This does not mean that every child in care, everyone with dementia or everyone who has gone missing before will go missing. But it makes sense to plan ahead to try to stop people going missing, and gathering information about the person ahead of time so you can quickly give it to us if they go missing.
If you care for someone with dementia, whether in a care home or in their own home, you can fill out a Herbert Protocol form which includes details about the person, their past, their habits and places they go. Then if they go missing you can give it to us and save time at the start of a search.