Safeguarding children and adults - PowerPoint Presentation

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Safeguarding children and adults

Public health workshop

Karen Rees

Independent Safeguarding Consultant

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AimThe aim of today’s workshop is to develop your confidence, knowledge and skills to be able to deal professionally with a safeguarding issue should one arise in the course of your practice.

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Learning objectives

Summarise the background and policy surrounding the safeguarding of children and adults and the issues this raises for pharmacy professionalsConvey the importance of pharmacy professionals increasing their awareness of abuse, neglect and child sexual exploitation (CSE) and developing ways of working with other health professionals to promote best practice to deal with situations involving suspected abuse, neglect or CSE

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Learning objectives continuedHighlight situations in which you are best placed to observe signs of abuse, neglect and CSE and the legal issues to consider when making a referral

Identify sources of useful information and contacts for the development of local procedures for dealing with suspected abuse, neglect or CSE observed in the pharmacy settingConfidently make a referral to the appropriate local contacts should the need ever arise4Slide5

Types of child abuse

Physical, including female genital mutilation (FGM)Sexual abuseEmotional abuseNeglectChild sexual exploitation

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Significant harmSignificant harm

is any abuse or neglect, accident or injury attributable to lack of adequate parental care or control, that is sufficiently serious to adversely affect progress and enjoyment of life.  There are no absolute criteria on which to rely when judging what constitutes significant harm. Sometimes a single violent episode may constitute significant harm but more often it is an accumulation of significant events, both acute and longstanding, which interrupt, damage or change development.

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Serious risk of immediate harmWhere you have a reasonable belief that a child is at serious risk of immediate harm, you should act immediately to protect the interests of the child by making contact with the following:

named or designated nurse/other local authority contactout-of-hours contactpolice.

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Update Legislation and Guidance Safeguarding Adults

Care Act 2014- Section 42- 47Care and Support Statutory Guidance Chapter 14No Secrets (2000)8Slide9

Adult Safeguarding Duty Applies to:

Have need for care and support (whether or not the local authority is meeting those needs)Is experiencing or at risk of abuse or neglectIs unable to protect themselves from the risk of or the experience of abuse or neglect.Section 42 Care Act 20149Slide10

Abuse of adults- Post Care Act

Physical abuseDomestic violenceSexual abuse Psychological abuse Financial or material abuse Modern slavery Discriminatory abuse Organisational abuse Neglect and acts of omission Self-neglect

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Information sharing‘the amount of confidential information disclosed, and the number of people to whom it is disclosed, should be no more than is strictly necessary to meet public interest in protecting the health and well-being of a child’

‘What do if you are worried a child is being abused’

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Points to consider when sharing information

Can the person be identified from the information? Is it confidential?Do you have consent?Do you have a statutory obligation or court order requiring you to share the information?Is there sufficient public interest to override the above: would they or others be at risk of significant harm if you did not share?

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ConfidentialityAs a healthcare professional you have a responsibility to maintain patient confidentiality; however, you can breach this if you would be putting the victim or other vulnerable people at risk by not sharing information.

Don’t let confidentiality issues put you off reporting – if you are sure you are acting in the best interests of the victim and they are at risk of significant harm, then you should be prepared to share confidential information.

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ConsentIn a case of possible child abuse, you should seek parental consent to share information, unless they are the alleged perpetrator and therefore you would be putting the child at increased risk.

In the case of adults, as long as they have mental capacity they can give consent to you sharing information. If they decide not to give consent the only time you can choose to share is if by not doing so you would be putting them or others at risk of significant harm.

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Local procedures

Each clinical commissioning group (CCG) and NHS trust has a designated and/or named professional who has been trained to provide support and advice to any healthcare professional who has concerns about a childThey are your first point of contact with any concern you may have

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Local safeguarding contacts: Hereford

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Local safeguarding contacts Worcestershire

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Ellen FootmanHead of Safeguarding, Designated Nurse for Safeguarding

  01527 482919 Ext 32919    07885265970 ellen.footman@worcestershire.nhs.uk 

David LewisDesignated Doctor for Safeguarding Children 01562 514608 david.lewis5@nhs.net Sue Griffiths,Named Professional Safeguarding Adults and Children 01527 482919 Ext 32919 07834172271 susan.griffiths@worcestershire.nhs.uk  susan.griffiths3@nhs.netJez (Jeremy) NewellAdult Safeguarding Lead01527 482919

Ext 32919  07730 029810 jeremy.newell@worcestershire.nhs.ukjeremynewell@nhs.net   Slide18

Recording your concerns

Listen and communicate in a way the victim can understandDo not ask leading questionsReassure, do not promise confidentialityRecord as much factual information as you haveRecord all your concerns, actions and discussions

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Referral

Discuss your concerns with a colleague or contact your local named professional for advice then decide whether to referSeek agreement from the victim to refer or in the case of a child, their parents, unless this would put them at risk of significant harmIf referring by phone, you must provide a written report within the locally agreed time

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Referral Process and Documentation: Hereford

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https://www.herefordshire.gov.uk/health-and-social-care/adult-services/report-a-concern-about-adult-abuse Slide21

Referral Process and Documentation: Hereford

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Complete Multi Agency Referral Form (MARF)https://herefordshiresafeguardingboards.org.uk/herefordshire-safeguarding-children-board/for-professionals/multi-agency-referral-form-marf/

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Referral Process and Documentation: WORCS

22ADULThttps://ylyc.worcestershire.gov.uk

/working-out-your-needs/raising-an-adult-safeguarding-concern/adult-safeguarding-professional-reporting-form/Online ReportingOr via Access Centre if you can’t access the online form

on 01905 768053Slide23

Referral Process and Documentation: WORCS

23CHILDRENOnline Reporting

Contact the Police on 999 if there is an immediate risk of dangerOtherwise contact the Family Front Door on 01905 822 666 from Monday to Friday 8.30am to 5.00pm (until 4:30pm on a Friday)Out of office hours (5.00pm to 8.30am weekdays and all day weekends and bank holidays) contact the 

Emergency Duty team on 01905 768020Then complete the Cause For Concern Notification, via the Professionals Portal (registration required).http://www.worcestershire.gov.uk/info/20263/advice_information_and_guidance_for_professionals.html Slide24

In any case of suspected abuseDO NOT:

Ignore your concernsAttempt to investigate suspicions or allegations of abuseAsk probing questionsDiscuss your concerns with the suspected/alleged perpetratorAssume someone else will recognise and report it

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In summary

Seek advice from your local safeguarding expertsFollow local procedures and report your concerns appropriatelyKeep accurate records of your concerns and any actions you take

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A final thought

If you ever have cause for concern, doing nothing is not an optionNever assume that someone else will recognise and report what you have seen or heard It takes many pieces of a jigsaw before you can see the full picture

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