Safeguarding adults: national developments and future directions

1. Safeguarding adults: national developments and future directions Jill.manthorpe@kcl.ac.uk richmond june 09

2. A decade of development • what has gone well with No Secrets? • what changes might result from the review? • roles & responsibilities, • recording & legal matters, • personalisation richmond june 09

3. Climate of concern? Decline in trust ? Public expectations heightened Increase in anxiety ? Interest and approach of media ‘Victims’ & ‘perpetrators’ Concern about unsupported carers (Comic Relief study) richmond june 09

4. The era of No secrets brought… • Rules: • Appointments and vetting (CRB) • Checking (POVA List) • Inspection focus • Renewed interest in domestic violence • Attention to bullying & fear of crime • Development of ‘hate crime’ richmond june 09

5. ‘No Secrets’ itself • Adult protection committees (safeguarding) • Adult protection coordinators • Multi (limited) agency partnerships • Policies & procedures eg joint investigations • Training and induction • (but no money) richmond june 09

6. And more • Lawyers • Law and regulation • Care Standards Act 2000 + POVA • Sexual Offences Act 2002 • Human Rights Act • Mental Capacity Act 2005 & offences • Whistle blowing & complaints • Equalities – Commission & law richmond june 09

7. 2 Recording & legal matters: practice feedback? • Legal but what? (duties? powers of entry? mandatory reporting? duty to co-operate? whistleblowing!) • Resources - how much and what for? • Social changes (what?) • Engagement of other agencies? (which and how?) • Postvention – what, who and how? richmond june 09

8. 3) Personalisation: New kid on the block • Vital that all agencies know what social care transformation is all about • High level acceptance of risk • Duty of care remains to be seen – Hounslow case • Who will take the responsibility? • What are the specific issues? richmond june 09

9. Personalisation: specific issues • Not defending the current system as risk free • Direct Payments – not the only deployment option • Building safeguarding into the support plan & monitoring • How to say no, maybe and no longer • Safety nets –what are these locally? richmond june 09

10. Summary: What has gone well? • Issues higher profile • Having policies & procedures • Having local coordinators • Council responsibility • Joint investigations, witness support.. • Human rights approach developing • Maintaining learning approaches eg SCR • Implementation funds eg MCA richmond june 09

11. Future developments: National steer • Key questions around organisational relationships and funding Rights to safeguarding • Development of agreed outcomes • NB Review of law and adult social care richmond june 09

12. Local agendas? • Support maps • Police – assurance re contacts & transferring skills eg collecting evidence • DV – building bridges • Adult services – specialist teams? Or everyone’s business? • NHS – building on primary care to reach into acute richmond june 09

13. Task extension • Sustaining and developing sources of support, information and advice (possibly Adult Safeguarding team/leads) • Participating in local activities eg skills development, consultation, the ‘business’ • Constructing thresholds • Building up expert evidence • Leaning from near misses and incidents richmond june 09

14. Local potential? • What are local responses? • And which work? • Responding and relating to CQC • Looking carefully at prevention- what works? • Look out for neglect and self-neglect richmond june 09

15. Good luck! richmond june 09