As the title suggests, this contribution is an exploratory “work in progress” towards better understanding of the issues, rather than a definitive review. Updates will be added here, or referenced and linked to elsewhere, as they appear in future.
Guidance on Safeguarding for NHS Professionals
Guidance on Safeguarding for Nurses
Garrett, D. (2015). Safeguarding adults : everyone’s responsibility. RCN guidance for nursing staff. London : Royal College of Nursing (RCN), May 26th 2015.
Guidance on Safeguarding for GPs
Safeguarding vulnerable adults: a tool kit for general practitioners. London: British Medical Association (BMA), October 6th 2011.
Update on the CQC’s Roles in Safeguarding Adults and Children (CQC)
The following Care Quality Commission (CQC) document presents an interim statement concerning the latest legislation regarding the safeguarding of adults’ and childrens’ rights, and summarises the CQC’s methodology for inspecting, monitoring and rating health and care services.
“The legal framework to protect children is contained in ‘Working together to safeguard children’ (2015). For adults, the ‘Care Act 2014’ gave safeguarding adults a legal framework for the first time… the overarching objective for both is to enable children and adults to live a life free from abuse or neglect.” (p.3)
Health and care services must not:
- Discriminate on the grounds of protected characteristics defined in the Equality Act 2010 (i.e. age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex or sexual orientation).
- Involve acts intended to control or restrain an adult or child which are unnecessary to prevent, or not a proportionate response to, a risk of harm.
- Involve degrading adults or children.
- Disregard significantly the needs of adults or children for care or treatment.
The CQC’s relevant key lines of enquiry (KLOEs), relating to safeguarding in the monitoring or inspection of services across different sectors, are discussed.
Statement on CQC’s roles and responsibilities for safeguarding children and adults. London: Care Quality Commission (CQC), June 29th 2015.
Adult Safeguarding Improvement Tool
The following document is an “improvement tool”, based on Adult Safeguarding Standards. It was developed jointly by the Association of Chief Police Officers (ACPO), the Association of Directors of Adult Social Services (ADASS), the Local Government Association (LGA), the NHS Confederation, and NHS Clinical Commissioners.
Adult Safeguarding: improvement tool. London: Local Government Association (LGA), March 3rd 2015.
Relating to the Mental Health Crisis Care Concordat
The Mental Health Crisis Care Concordat is the 2014 national agreement between services / agencies working together to support people in mental health crisis. The following briefing presents suggestions for good practice and a checklist for safeguarding adults boards to use in the assessment of local progress on implementation of the concordat.
Note for adult safeguarding boards on the Mental Health Crisis Concordat. London: Local Government Association (LGA) and Association of Directors of Adult Social Services (ADASS), June 29th 2015.
Improving Safeguarding Between Hospital Services and Children’s Social Care
Multi-agency working to improve detection of (and information sharing about) children at risk is a complicated business, as the following NIHR SDO report testifies.
White, S. Wastell, D. [and] Smith, S. [et al] (2015). Improving practice in safeguarding at the interface between hospital services and children’s social care: a mixed-methods case study. Health Service Delivery Research. February 2015; 3(4).
There is also an Executive Summary.