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Learn about the multi-agency review process undertaken by the Worcestershire Safeguarding Adults Board to prevent harm or death. This process promotes effective learning and improvement without apportioning blame.
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Worcestershire Safeguarding Adults BoardBridget BrickleyBoard ManagerBbrickley@worcestershire.gov.uk01905 846572http://www.worcestershire.gov.uk/wsab Because Safeguarding is everybody’s business
Statutory Requirements Care act (2014) Statutory Partners Local Authority, National Health Service (Hospital, CCG, and Community and Mental Health Trust) Police 3 core duties: Publish strategic plan (3 years) Publish annual report (How we have done that year) Undertake Safeguarding Adults Reviews (SARs) Because Safeguarding is everybody’s business
Care Act (2014) Safeguarding Adults Review (SAR) -Commissioned when: • there is reasonable cause for concern about how WSAB members or other agencies providing services, worked together to safeguard an adult, and • The adult has died, and WSAB knows or suspects that the death resulted from abuse or neglect (whether or not it knew about or suspected the abuse or neglect before the adult died) or • The adult is still alive, and WSAB knows or suspects that the adult has experienced serious abuse or neglect. Because Safeguarding is everybody’s business
Safeguarding Adults Reviews A multi-agency review process which seeks to determine what relevant agencies and individuals involved could have done differently that could have prevented harm or a death from taking place. The purpose of a SAR is not to apportion blame. It is to promote effective learning and improvement to prevent future deaths or serious harm occurring again. Because Safeguarding is everybody’s business
SAR ProcessOverseen by Case Review Sub-group Scoping (establish if meets criteria and provides information of who was involved and level of involvement) Appoint an Author Draw up Terms of Reference Author and Board Manager meet with family Author undertakes review Author and Board Manager meet with family SAR signed off by Board SAR and/or Learning Brief Published SAAPs and MAAPs– implemented and reviewed Family notified when completed Further possible learning and reviews Because Safeguarding is everybody’s business
Thematic Review Rough Sleeper DeathsCurrent Status and Approach Author appointed – Social Care and Housing background Drafting Terms of Reference and Key Lines of Enquiry Approach: Pathways to Hope / Safety (systems approach) Identifying family and relevant parties (e.g. People with lived experience) Specialist advice Meetings and Interviews Learning events – with practitioners involved in cases – reflective and test hypothesis –’hindsight bias’ Because Safeguarding is everybody’s business