This would change the way in which safeguarding alerts are ‘triaged’ at the initial stage of the process. We are updating key of the safeguarding guidance in relation to large scale investigations, thresholds guidance and how NHS and Council systems can work in a coordinated way where both agencies are involved. We intend to improve safeguarding processes including greater use of technology to reduce the need for face to face meetings, minute taking and more structured agendas and minutes. We are considering how the specialist safeguarding function should develop as part of a wider consideration of the role of social workers in Wiltshire. We are expanding our involvement in the national Making Safeguarding Personal programme with the aim of fully embedding this approach as the way we work with people who are subjects of safeguarding investigations. United Hospital Bath NHS Trust Structure and approach to safeguarding adults work The Director of Nursing is the Executive Lead for Adult Safeguarding within the Royal United Hospital, supported by the Deputy Director of Nursing. There is strong leadership around adult safeguarding issues provided by the Senior Nurses for Adult Safeguarding, who support clinical staff raising concerns and making safeguarding integral to care. Assurance about matters relating to adult safeguarding, Mental Capacity and Deprivation of Liberty Safeguards is provided to the Trust Board by the Safeguarding Adults Forum via the Operational Governance route. The Safeguarding Adults Forum is a multi-agency forum chaired by the Deputy Director of Nursing. Membership includes: Operational lead, Matron for Critical Care Services Medical Lead, Consultant Geriatrician Senior Nurse Adult Safeguarding Sister for Quality Improvement for Mental Health & Learning Disability Senior Nurse for Quality Improvement & Adults at Risk Lead for Quality Assurance Representatives from Social Services The Royal United Hospital continues to play an active role within the Wiltshire Safeguarding Adults Board with Executive representation from either the Director of Nursing or the Deputy Director of Nursing. There is RUH representation at the Quality Assurance sub group, which is attended by one of the Senior Nurses for Adult Safeguarding. Over the past 5 there has been a consistent rise in the number of alerts made to the safeguarding leads. A total of 300 safeguarding alerts have been raised by the Royal United Hospital April 2013- March 2014, of which 166 were regarding patients in Wiltshire. During this period a total of 56 Deprivation of Liberty Safeguards urgent authorisations were sought, of which 29 were for patients from Wiltshire. Achievements in 2013-14
Independent Margaret Sheather Wiltshire Council DCS James Cawley A A A Wiltshire Council Safer Communities Pippa McVeigh A Wiltshire Council Commissioning George O’Neill (to Sept 2013) Phil (from Dec 2013) Wiltshire Council Cabinet Member Cllr Jemima Milton (to Sept 2013) Cllr Humphries (from Dec 2013) A Wiltshire Care Partnership Matthew A Wiltshire Police Supt. Jerry Dawson (to Sept 2013) Supt Caroline (from Dec 2013) Ap-R Ap-R Ap-R CCG Wiltshire Jacqui Chidgey Clark (to June 2013) Littlewood (from Sept 2013) Ap-R Ap-R NHS England Elliott A A Great Western Ambulance Service Sue Smith (to June 2013) Thompson (from Sept 2013) A A Great Western Hospital Robert Nicholls A RUH Bath Mary Lewis (to June 2013) Helen Blanchard (from Sept 2013) Mary (from March 2013) Ap-R Ap-R Ap-R A Salisbury NHS Foundation Trust Fiona Hyett A AWP Julie Hankin AP-R Ap-R Wiltshire Probation Trust Taylor (to Dec 2013) Liz Hickey (from Mar 2014) A A A Wiltshire Fire & Rescue Service John Popowicz A A Ap-R Ap-R CQC (annual only) Alison McDonald n/a A A n/a n/a Attended A Sent apologies Ap-R Sent apologies & replacement attended Appendix 3
Consider and respond to specific guidance/ reports including SCIE report on Safeguarding in housing Mental Health Crisis Care concordat Positive and Safe programme TBC Agenda MS / JH Outcome Safeguarding Board is fit for purpose and effective, meeting statutory requirements and responding to good practice advice. 2.2 There are robust and current Policies & Procedures for safeguarding adults that are in accordance with statutory requirements Re-establish an effective Policy and Procedures sub-group, appropriately chaired in order to: Update policy and procedures in the of the Care Act 2014 and regional developments re thresholds large-scale investigation procedures Develop an stage procedure for providers, including addressing employment issues. Ensure that all agencies contribute appropriately to investigations and assessments Receive report of council review of its safeguarding function and organisational arrangements for carrying out investigations September ‘14 March ’15 December ’15 Chairs of Wiltshire and Swindon boards Policy and procedures P & P sub-group/ MA and others WSAB Phil Cawley Agenda
carers are aware of their safeguarding responsibilities Outcome 3. Access & Involvement: People are of what to do if they suspect or experience abuse; Local practice and the commissioning of services and support are informed by feedback and satisfaction levels of those who have had experience of the safeguarding process Key Objective Actions required to address / meet the objective By When Lead Responsibility 3.1 is a comprehensive accessible public information and advice about keeping safe and what constitutes abuse of adults at risk Agree actions from the report of the Communications and Publicity Task Group including: Overall Communications Strategy Proposals for improved publications Proposals for website development Review implementation Agree arrangements for maintaining good quality information. June ’14 December ’14 December ’14 Implementation + 6 months ‘15 WSAB WSAB WSAB WSAB WSAB
part of the Quality Assurance arrangements Outcome Safeguarding services are identifying and responding to service user wishes, and the WSAB can monitor this. Outcome 4. Responding to & Neglect: People in need of safeguarding support feel safer and further harm is prevented Key Objective Actions required to address / meet the objective By When Lead Responsibility 4.1 Prompt action is taken and appropriate support is provided in response to concerns raised by staff, clients, patients, carers or members of the public Establish Quality Assurance reporting arrangements to the WSAB, as proposed by the QA sub-group, so that the WSAB can monitor this objective and take action as necessary. Conduct agency self assessment audits and hold challenge events out deep dive case audits across partner agencies to examine quality of practice Include opportunities to good practice Assurance systems to challenge poor practice June ’14 November ‘14 October ’14 WSAB