Service Specification No. Service NHS Health Checks (General practices) Authority Lead Provider Lead Period 1st April 2015 – 31st March 2016 Date of Review 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities 1.1.2 Public Health Outcomes Framework The sets out a vision for public health, desired outcomes and the indicators that will be used to monitor how well public health is being improved and protected. The Framework includes two indicators relating to NHS Health Checks: - Take up of NHS Health Check Programme by those eligible - health check offered - Take up of NHS Health Check programme by those eligible - health check take up 1.2 LOCAL CONTEXT Cardiovascular disease continues to be a major cause of morbidity and mortality in Salford and is a significant factor towards the current wide levels of health inequalities in the city.
the expectation that this will be made public. 5 An adverse incident reporting system is in place which identifies circumstances/incidents which have compromised the safety and welfare of children and or vulnerable adults Commissioners provided with a quarterly report of key themes/learning from SUIs that involve safeguarding children and vulnerable adults. All complaints that refer to the safety of children and vulnerable adults are referred and investigated thoroughly 6 A programme of internal audit and review is in place that enables the organisation to evidence the learning from review, incidents and inspections Audits of safeguarding arrangements to include progress on action to implement recommendations from: Serious Case Reviews Internal management reviews as a consequence of SUI’s compromising the safety/welfare of service users Reports from national bodies e.g. Ofsted, Care Quality Commission. 7 Staff at all levels, have easy access to safeguarding policies and procedures. These policies and procedures must be consistent with statutory, national and local guidance (policies as per Appendix 1). Policies and procedures are updated regularly to reflect any structural, departmental and legal changes Policies take account of the Mental Capacity Act. LSCB and LSAB policies can be accessed at:
Training takes account of emerging messages from national and local reviews of safeguarding 19 All staff who are required to work within the legislation associated with the MCA receive sufficient training to enable implementation. Where appropriate, this will incorporate training in relation to the use of physical intervention. Staff understand when different types of restraint are or are not appropriate, prioritizing or positive behaviour support over restraint where possible Know whether and what type of restraint should be used in a way that respects dignity and protects human rights where possible Understand that restraint should only be used as a last resort where it is necessary and proportionate, and that restraint used should be the least restrictive and for the minimum amount of time to ensure that harm is prevented and that the person, and others around them are safe 20 There is clear guidance as to the discharge of children for whom there are child protection concerns. No child about whom there are child protection concerns is discharged from hospital without a documented plan for the future care of the child. This plan must include follow up arrangements and involve partner agencies as required. The need to safeguard a child should always inform the timing of their discharge, so that the likelihood of harm can be assessed while he or she is in hospital. 21 The child’s GP and health visitor/school nurse is notified of Where a child is not registered with a GP the parent/carer should be advised to register the child