Multi Agency Safeguarding Hub MASH National Adult Support amp Protection Conference 2 nd October 2019 Dovecot Studios Edinburgh Caroline Ronaldson Team Manager Social Work Elaine Wylie ASP Adviser NHS Dumfries amp Galloway ID: 769613
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Multi Agency Safeguarding HubMASH National Adult Support & Protection Conference2nd October 2019 – Dovecot Studios, EdinburghCaroline Ronaldson – Team Manager – Social WorkElaine Wylie – ASP Adviser – NHS Dumfries & Galloway
Demographics Region wide remit over four localitiesAt 30 June 2017, the population of Dumfries & Galloway was 149,200 - the 13th highest population in 2017 out of all 32 council areas in ScotlandPopulation by age:15.7% of the population aged between 0 and 15 59.2% aged between 16 and 6425% aged 65 and over
Life Before MASH
Dumfries & Galloway Statistics and Trends 2011 - 2015 2011/122012/13 2013/14 2014/15 Average 2011/15 Number of Adult Referrals 6474 6808 7809 7637 7182 How many went to Inquiry 1380 1676 1666 1279 1500 How many went to investigation 49 63 43 57 53 How many went to AP Conference 16 17 12 17 16
Why was MASH created? To improve our overall multi-agency approach to protecting and safeguarding adults at risk of harm by bringing together all essential partners i.e. Police, Health and Social Work.Considering key messages and recommendations from:Report of a joint inspection of adult health and social care services, Services for older people in Dumfries and Galloway (Care Inspectorate, 2016);Report of a joint inspection, Services for children and young people in Dumfries and Galloway (Care Inspectorate, 2014);National and Local Significant Case Reviews in relation to vulnerable adults and children.
Remit / Core Functions Protect and safeguard individuals who may be at risk of harmProvide a single point of entry for screening referralsIdentify and assess riskFacilitate Initial Referral Discussions (IRDs)Assess and share information timeously and securelyImplement interim safety plansProvide joint performance reporting to evidence outcomes and support Quality Assurance
Consultation / Challenges Practitioner / Strategic consultation – pre and post inspectionsChief Officers GroupAdult and Child Protection CommitteesResource, finance, location (vetting within Police HQ)Agreement of remit / functions and hoursEscalation processes
Implementation September 2016:Soft launch of Adult MASHCo-located within Crichton Hall (NHS property)Remit for only the East of the regionFebruary 2017:Full implementation of both Adult and Child MASHCo-located within Police Headquarters, Cornwall Mount
Structure / Key Partners Social Work:Adult – Senior Social Worker x 2; Care-Coordinator; Council Officer, Admin.Police Scotland:Detective Inspector; Detective Sergeants x 2; Detective and Police Constables; Admin.NHS:Health AdvisorNurse Consultant for Clinical Risk – 2-3 mornings per week.Direct links to other partner professionals within Social Work, Police and NHS.
Referral Process / Triage
Adult Initial Referral Discussion An Adult Initial Referral Discussion (aIRD) is a formal face to face tripartite meeting between Social Work, Health and Police to: Consider the concerns raised Source and share single agency information (including information from relevant partner agencies) Analyse information to support identification of risk factors and protective factors (using the Risk Matrix Tool) Inform decision making as to whether or not action needs to be taken to protect an adult from harm Agree actions
IRD Outcomes Potential outcomes from an IRD:Adult Support & Protection InvestigationPlanning Meeting (exceptional)Self Directed Support planningSignposting / referring on to other agenciesNo further action
Governance The Adult MASH has, since implementation, been subject to regular multi-agency scrutiny – performance and governance is monitored to improve / acknowledge good practice. Also, ensuring policies and procedures are adhered to:Quarterly and annual reporting – data collated within MASHMASH Steering Group / IRD Review GroupPublic Protection Committee
What works well? Shared understanding of riskFaster and more effective joint decision makingInformation sharingEarlier and more effective co-ordinated interventionCollaborative commitment to continuous improvementMore effective use of public resourcesLinks with MARAC / MATAC / DSDASA shared understanding of thresholdsSimple structure: 1 x NHS Board and 1 x Local Authority
ChallengesInformation sharing IT SystemsThresholdsMulti-agency management decision makingWorkload within MASH
What are we continuing to explore? Enhanced knowledge and skillsAdditional input from partner agencies / professionalsMulti-Agency training both within MASH and from MASH to partner agencies / professionalsFeedback to referrers for all ASP concernsChronologiesIdeas for change
Questions?