Transcript NHS Kent and Medway presentation template

Adult Safeguarding
Andrew Coombe
Associate Director, Safeguarding
LMC 24 October 2012
Adult safeguarding
• The protection of vulnerable adults from
abuse, where abuse can include:
• Physical; Sexual or Psychological abuse
• Financial or Material abuse
• Neglect and Acts of Omission (which if
repeated can lead to institutional abuse)
• Discriminatory abuse
Adult safeguarding
• What are the statutory requirements?
• Safeguarding Vulnerable Groups Act (2006)
• Mental Capacity Act 2005 (amended by Mental
Health Act 2007)
• Deprivation of Liberty Safeguards
• Statutory guidance: “No Secrets: Guidance on
developing and implementing multi-agency policies and
procedures to protect vulnerable adults from abuse” (2000)
(Consultation in 2009/10)
• Draft social care white paper promised in Queen’s
speech.
Section 44
• Section 44 of the MCA creates an offence of
ill-treating or wilfully neglecting a person who
lacks capacity. This applies to anyone
helping a person who lacks capacity to make
his or her own decisions and also to deputies
and attorneys. If a person is found guilty of illtreatment or neglect they may face a prison
sentence of up to five years and/or a fine.
•
http://www.mind.org.uk/help/rights_and_legislation/briefing_1_overview_and_ke
y_provisions_of_the_mental_capaci
Adult safeguarding
• Kent activity 2011/12
• 2,600 contacts
• 420 Learning Disability contacts
• 15.5% repeat alerts
• Categories:
• Physical 39.6%
• Neglect 33.9%
• Financial 20.9%
• Emotional/Psychological 16.3%
Adult safeguarding
• 66% over the age of 65 (13.5% dementia)
• 42.5% occurred in own home
• 36.6% occurred in care homes
• 10.1% occurred in care homes (nursing)
• In care homes, main categories neglect and
physical abuse, over half record alleged
perpetrator as “other professional”
• Outcomes – 33% confirmed, 22%
discounted, 17% insufficient evidence
NHS Kent and Medway
• Director of Nursing is the accountable executive.
• Nursing and Quality Directorate.
• Safeguarding Team.
• Complex provider landscape:
4 Acute Trusts
Independent Contractors:
2 Community Providers
1,488 General Practitioners
1 Mental Health Trust (K&M) 794 Dentists
1 Ambulance Trust (SEC)
336 Optometrists
NHS reform
• National Commissioning Board
• Kent and Medway Local Area
Team (LAT)
• Clinical Commissioning Groups (8
across K&M)
• Health and Well Being Boards
Issues and priorities
• Care Homes
• Neglect, omission, institutional abuse
• Implementation of Mental Capacity Act
• Mental capacity assessments, DNAR, best
interest decisions, deprivation of liberty
• Dementia Care
• Dementia strategy, end of life care
CQC registration
“Essential Standards of Quality and Safety”
• Outcome 7: Safeguarding people who use services
from abuse
• The registered person must make suitable arrangements to
ensure that service users are safeguarded against the risk of
abuse by means of—
• (a) taking reasonable steps to identify the possibility of
abuse and prevent it before it occurs; and
• (b) responding appropriately to any allegation of abuse.
(Regulation 11 of the Health and Social Care Act 2008)
Safeguarding leads
• Eastern and Coastal Kent
• Tina Draper ([email protected])
• 07769 627359
• West Kent
• Rosetta Lancaster ([email protected])
• 07545 934548
• Medway
• Pauline Dineen ([email protected])
• 07841 522718
Links
•
KCC multi-agency policies and procedures
•
http://www.kent.gov.uk/adult_social_services/social_services_professi
onals/service_information/adult_protection.aspx
•
PCT independent contractor website
•
http://www.easternandcoastalkent.nhs.uk/home/independentcontractors/adult-protection/
•
DH safeguarding adults – the role of health services
•
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publicat
ionsPolicyAndGuidance/DH_124882
•
BMA: Safeguarding vulnerable adults – a tool kit for general
practitioners
•
http://bma.org.uk//media/Files/PDFs/Practical%20advice%20at%20work/Ethics/safeguar
dingvulnerableadults.pdf
Questions?
Thank you
[email protected]
07796 675014