Professionals area

 

In this section, you will find links to the North Lincolnshire Multi-Agency Safeguarding Adults Board Policies and Guidance.

You will also find national guidance and local resources to support effective safeguarding practice.

Safeguarding Adults Board

The Safeguarding Adults Board Strategic Plan 2019/22  lays out our shared goals and vision over the next three years. It covers how the Board will focus on the prevention of abuse and neglect as well as making sure that organisations work together to keep people safe when abuse has occurred; giving people choice, control and involvement. It emphasises our focus on the underlying principles of ‘making safeguarding personal’.

You can view all related Safeguarding Adults Board Documents by clicking on the tabs below.

 

 

North Lincolnshire Safeguarding Adults Board members produced a Partnership Agreement, which was signed by each partner’s Organisational Lead.

 

 

Safeguarding Adults Board Annual Report 2020 – 21 outlines the activities the North Lincolnshire Safeguarding Adults Board has undertaken to fulfil its statutory responsibilities for the strategic development and oversight of adult safeguarding across North Lincolnshire. The Report highlights the Board’s progress and achievement in delivering the priorities and objectives identified in the Strategic Plan.

Safeguarding Adults Board Annual reports (archived)

SAB Annual Report 2019 – 2020

SAB Annual Report 2018 – 2019

SAB Annual Report 2017 – 2018

SAB Annual Report 2016 – 2017

SAB Annual Report 2015 – 2016

 

 

 

 

  • Managing Allegations Against People in A Position of Trust (PiPoT) – This guidance provides a framework for managing cases where allegations have been made against a person in a position of trust (PiPoT) and is focussed on the management of risk. It provides guidance to ensure appropriate actions are taken to manage allegations against people who work, either in a paid or unpaid capacity, with adults with care and support needs. A Guide for professionals PiPoT

 

  • Organisational Abuse Policy and Procedure  – Multi Agency Safeguarding Adults Board. This policy and procedure applies to all care and support provision, whether directly commissioned or not by a local authority; NHS Clinical Commissioning Group (CCG) or NHS England/Improvement (NHS E/I); and irrespective of whether or not it is included in the Care Quality Commission (CQC) market oversight regime. This includes care which is paid for by individuals themselves as the same duty applies to people funding their own care as to care which is commissioned or purchased by the local authority and/or the NHS. Services managed by the local authority or NHS are subject to the same level of scrutiny as independent care providers.

 

 

 

  • Scrutiny And Assurance Framework The North Lincolnshire Safeguarding Adults Board Scrutiny and Assurance Framework has been developed to create an environment that is conducive to robust scrutiny and constructive challenge.  The arrangements include opportunities to work in partnership to learn and improve practice across the multi-agency adult safeguarding system.

 

  • Revisiting Safeguarding’ Practice Guidance – The guidance is designed for practitioners within local authority adult services, or those involved in safeguarding enquiries, it focusses on adult safeguarding and the statutory duties outlined within the Care Act 2014.
    The guidance seeks to reinforce roles and responsibilities when applying the duties, outlining key expectations and good practice as well as promoting consistency. Within the guidance are some useful tools and links to other sources of valuable information.

 

  • Pressure Ulcers: safeguarding adults Protocol The pressure ulcer protocol has been published with the aim of assisting practitioners and managers across health and care organisations to provide caring, speedy and appropriate responses to individuals at risk of developing pressure ulcers. Prevention of pressure ulcers is not only ideal but, in most cases, perfectly possible. Taking a proactive approach will reduce harm to individuals and secure efficiencies to the wider health and social care system.
  • Where pressure ulcers do occur this guidance offers a clear process for the clinical management of the removal and reduction of harm to the individual, whilst considering if an adult safeguarding response under section 42 of the Care Act 2014 is necessary.

 

  • Prevent-The Counter Terrorism Strategy

The Counter Terrorism Strategy involves many organisations, including the Police, emergency services, local authorities, businesses, voluntary and community organisations and other partners – working together across the UK to protect the public.

Prevent is a core part of the UK Counter-Terrorism strategy.

The strategy has four elements:

  • Pursue– to stop terrorist attacks
  • Protect– to strengthen our protection against terrorist attack
  • Prepare– where an attack cannot be stopped, to lessen its impact
  • Prevent – to stop people becoming terrorists or supporting terrorism

What does this mean?

Prevent is about identifying people who may be at risk of radicalisation and supporting them to change direction in a way that will help them.

It is about working with communities to help them support vulnerable people and build resilience against groups or individuals who seek to create divisions and cause harm.

There are only a very small number of people who support terrorist activity, or are likely to. The vast majority of people, in all communities, want to see terrorism prevented, and want to play their part as good citizens in helping to make that happen.

There is a range of PREVENT training is aimed at anyone who may be in a position to notice signs of vulnerability to radicalisation and aims to give them confidence in referring on for help if appropriate. It is also designed for those (for example line managers) who may receive these referrals and have to consider how to respond, whether that be establishing more context, or reaching out to partner agencies for support.

The New Referral form .

Prevent Safeguarding and presentation (Southbank MAP’s).

 

  • Domestic Homicide Review (DHR) – A DHR looks at the circumstances of a person’s death and the lessons that need to be learnt from it. The purpose of a DHR is not to apportion blame. It’s a process of investigation, re-evaluation, analysing, scrutinising and making recommendations when the death of a person aged 16 or over has, or appears to have, resulted from violence, abuse or neglect by:
    1. a person to whom they were related or with whom they were or had been in an intimate personal relationship, or
    2. a member of the same household, held with a view to identifying the lessons to be learnt from the death.

 

Safeguarding Adults Reviews (SAR)

Safeguarding Adults Boards must arrange a SAR when an adult it its area dies as a result of abuse or neglect, whether known or suspected, and there is a concern that partner agencies could have worked more effectively to protect the adult.

Safeguarding Adults Board must also arrange a SAR if an adult in its area has not died, but the Board knows or suspects that the adult has experienced serious abuse or neglect.

Safeguarding Adults Boards are also free to arrange a SAR in any other situations involving an adult in its area with needs for care and support.

The Safeguarding Adults Board should weigh up what type of ‘review’ process will promote effective learning and improvement action to prevent future deaths or serious harm occurring again. SARs may also be used to explore examples of good practice where this is likely to identify lessons that can be applied to future cases. You can access the Safeguarding Adults Board SAR Framework for more information.

National Safeguarding Adults Reviews – The National Network for Chairs of Adult Safeguarding Boards

Safeguarding Adults Reviews (SARs) are a statutory requirement for Safeguarding Adults Boards (SABs). SARs can inform adult safeguarding improvement, they can identify what is helping and what is hindering safeguarding work, and to tackle barriers to good practice. The National Network for Chairs of Adult Safeguarding Boards have begun collecting SAR Reports published from 01 April 2019 The reports and associated resources are to support those involved in commissioning, conducting and quality assuring SARs.

 

Safeguarding Adults Reviews – Shared Learning

North Lincolnshire Safeguarding Adults Review – Shared learning brief – ‘Adult A’

The Safeguarding Adults Board also share SARs from other areas so that learning can be applied to practise in the local area, there are some examples below. You can also access the National Network for Chairs of Adult Safeguarding Boards website  which is where you will find lots of useful information on SARs.

 

Working Principles when carrying out a Safeguarding Review (children or adults) or Domestic Homicide Review

To be used when managing a Safeguarding Adults Review (SAR), Child Safeguarding Practice Review (CSPR) or a Domestic Homicide Review (DHR) alongside a police investigation by Humberside Police.

It is accepted that there is a need to work in parallel processes when there is either a children’s or adults review or a domestic homicide review which meets any review criteria, and the Police also need to investigate the crime. Working Principles.

Coroner Prevention of Future Death Reports

Paragraph 7 of Schedule 5, Coroners and Justice Act 2009, provides coroners with the duty to make reports to a person, organisation, local authority or government department or agency where the coroner believes that action should be taken to prevent future deaths.  This section provides a link all Prevent Future Deaths reports, formerly known as Rule 43 Reports made since 25 July 2013.

 

 

Line of Sight to Practice – Improving Multi-Agency Practice.

The best local safeguarding arrangements are developed from a shared vision and shared values. It is about all agencies involved being ambitious to secure the very best responses to vulnerable adults at risk of harm in their community. Local safeguarding arrangements work well when there is a clear line of sight on both the operational and the strategic response locally. Agencies need to know the quality of their frontline practice.

The Line of Sight process is a key element of the North Lincolnshire Safeguarding Adults Board (NLSAB) Scrutiny and Assurance Framework mechanisms which provide robust scrutiny and constructive challenge. The mechanisms include opportunities to work in partnership to learn and improve practice across the multi-agency adult safeguarding system, providing improvement of outcomes for adults. The lived experience of the adult will be central to the line-of-sight process.

The Line of Sight process will help ensure that multi-agency working, process and procedures are effective in safeguarding adults, and will also identify any gaps or required changes to policies, procedures and practice guidance. We have published the outcomes and learning points.

 

Coronavirus – (Covid-19)

The Coronavirus (COVID-19) pandemic continues to change the way we live our lives and interact with each other, but safeguarding remains as much of a priority as it always has and we all have a role to play.

We will endeavour to include information on this website which may be helpful to you or someone else. It is important that we all come together to support and protect those who are most vulnerable.

If you have concerns about yourself, your neighbour or someone in your community, please see our list of resources below that can support you.

If you are concerned about an adult with care and support needs, or a child, who is experiencing, or at risk of, abuse or neglect, you should continue to raise your concerns through the usual reporting channels within the ‘Reporting abuse’ page on this website. For all the latest information visit the official UK government website to access data and insights on coronavirus (COVID-19).

Resources:

You can use these useful documents and links:

Use our Safeguarding Concern Form if you would like to report a concern – download and submit electronically to the Safeguarding Adults Team at adultprotectionteam@northlincs.gov.uk

Risk Matrix including threshold – North Lincolnshire Safeguarding Adults Team measure the risks and concerns received against our Risk Matrix and Threshold tools which aids preventative practices. Here you can access the Safeguarding Plan, including the risk assessment.

Partner Presentations – Learning Resources

The Learning Disabilities Mortality Review (LeDeR) programme (up until May 2021) produced annual reports by the University of Bristol. The reports gave anonymised information about all deaths four year old and above who had a learning disability that was referred to the LeDeR.  You can access all the annual reports at NHS England.

In 2018 North Lincolnshire Safeguarding Adults Board invited John Trevains, from NHS England, to the Annual Conference to speak about the LeDeR programme.

There are a number of useful links and resources available for professionals and families relating to Learning Disabilities.

In June 2019 North Lincolnshire Safeguarding Adults Board members participated in a ‘Learning Disabilities’ themed development session. This linking into Learning Disabilities Week (17 – 23 June 2019), it also fed into the publication of the LeDeR Annual Report.

The Learning Disabilities’ development session also fit timely with the BBC Panorama documentary relating to Whorlton Hall, Hospital County Durham and the shocking exposure of abuse to patients in their care, which led to the hospital being closed.

 

Mental Capacity Act 2005

The Mental Capacity Act 2005 is a law that protects and supports people who do not have the ability to make decisions for themselves. It also provides guidance to support people who need to make decisions on behalf of someone else.

The Act covers important decisions relating to an individual’s property, health and social care and financial affairs. The Act also applies to everyday decisions, such as personal care, what to eat and what to wear. It also allows us to plan ahead for a time when we are not able to make decisions for ourselves.

We all can have problems making decisions at some time, but the Mental Capacity Act 2005 is more than that. It is there for situations where someone is unable to make a decision because of the way their brain works, for example, it might be due to illness, a brain injury, a disability or because of the effects of drugs or alcohol.

In law a person is said to lack capacity if they cannot do one or more of the following things;

  • Understand the information given to them
  • Retain the information for long enough to make a decision
  • Weight up all the information available to make a decision
  • Communicate their decision

Someone might have capacity to make decisions about some things and not others. For example, they might be able to make a decision about what they would like to eat and wear but not about where they would like to live. If the person lacks mental capacity to make a specific decision, then it must be made in their ‘best interests’ taking into account the persons wishes, feelings, beliefs and values.

Here professionals can access a handy Mental Capacity Prompt to use when assessing capacity.

Other useful documents and links:

 

Mental Health Act 1983 

 When it applies:

In most cases when people are treated in hospital or another mental health facility, they have agreed or volunteered to be there. You may be referred to as a voluntary patient.

But there are cases when a person can be detained, also known as sectioned, under the Mental Health Act (1983) and treated without their agreement. The Act:

  • Is the main piece of legislation that covers the assessment, treatment, and rights of people with a mental health disorder.
  • means people detained under the Mental Health Act need urgent treatment for a mental health disorder such as depression or bipolar and are at risk of harm to themselves or others.
  • ensures that if a person is detained under this act, the health professionals must follow this act when making decisions for the person.

The term “mental health disorder” is used to describe people who have:

  • a mental illness
  • a learning disability
  • a personality disorder

Conditions for sectioning under the Mental Health Act 1983

  • The person must be assessed, or being treated, for a mental health problem
  • Their health would be at risk of getting worse if the treatment was not given
  • The safety of the person and / or others would be at risk if treatment was not given
  • A doctor thinks an assessment is needed for treatment in hospital

The team in charge of the persons treatment can’t give their family information about them without asking the person first. The person can choose what the professionals share. This is called giving consent.

Key facts

  • Normally the people involved in the care will not share information unless people say they can
  • There are times they can share some things without the person saying they can
  • The person can also have / speak to an Independent Mental Health Advocate

It is important to remember…

The person should be fully involved in decisions about their care, support, and treatment. That includes how information about them is shared.

Other useful documents and links:

Deprivation of Liberty Safeguards (DoLs)

The DoLS are part of the Mental Capacity Act 2005. They aim to make sure that people in care homes and hospitals are looked after in a way that does not inappropriately restrict their freedom.

The safeguards set out a process that hospitals and care homes must follow if they believe it is in a person’s best interests to deprive them of their liberty, in order to provide their care plan. The department of health issued this guide DHguide_for_relevant_representatives

The current Situation – the changes to the Bill

Select Committees of both Houses of Parliament have criticised the Deprivation of Liberty Safeguards (DoLS) and called for the system to be reviewed. In addition, the Supreme Court’s judgment in the case of Cheshire West has led to a 10 fold increase in DoLS applications. In light of this, the Department of Health decided to fund the Law Commission to undertake a fundamental review of the DoLS legislation. This began in autumn 2014.

The final report on the consultation and draft Bill recommends that the DoLS be repealed with pressing urgency and sets out a replacement scheme for the DoLS – which has been called the Liberty Protection Safeguards (LPS). In addition the draft Bill makes wider reforms to the Mental Capacity Act which ensure greater safeguards for persons before they are deprived of their liberty. For the latest update on this you can visit the GOV.UK website.

 

 

Free Suicide Prevention Training

The North Lincolnshire Council, Public Health Team have secured funding from’ Humber, Coast and Vale Health Care Partnership’ to provide ‘Suicide Prevention Training’ delivered by LivingWorks, you can visit their website on why suicide prevention matters. 

The two courses are SafeTalk and ASIST, these courses are specifically for North Lincolnshire organisations and their professionals. Details of the courses and how to book is below.

  • LivingWorks SafeTalk (3.5 hours) Develop suicide alertness and safety connection skills. This course provides in-depth skills to recognise signs of suicide, engage someone, and ensure a connection to safety. By the end of the workshop those trained can recognise those with thoughts of suicide and take action by connecting them with life-saving intervention resources
  • LivingWorks ASIST (2 days) Learn the gold standard in suicide intervention training. ASIST teaches trainees to provide a skilled intervention and develop a collaborative safety plan to keep someone safe and alive. Trusted by professionals yet learnable by anyone, LivingWorks ASIST is the world’s leading suicide intervention model.

How to Book

To find out dates available and to book onto the training, please email your name, telephone number and email address, with your professional role and the organisation you work with, to: Elizabeth.borrill@northlincs.gov.uk

  • e-Learning – Zero Suicide Training

You can also complete the online 5-10 minute ‘Zero Suicide Alliance training session’ which will help you to help and approach someone who may be considering taking there own life.

 

Other Safeguarding Training for Professionals

 

PREVENT Counter Terrorism Training – e-Learning -Humberside Police have developed three new e-learning packages around , referrals and channel awareness.

     1. PREVENT Awareness – e-Learning

The Prevent awareness e-Learning has recently been refreshed. It includes updates to reflect the recommendations from the Parsons Green review, updated        information following the change in threat and attacks of 2017, and new case studies. Prevent training awareness e-Learning.

     2. PREVENT Referrals – e-Learning on referrals is for anyone who has been through the Prevent awareness e-Learning or a Workshop to Raise Awareness of Prevent (WRAP), and so already has an understanding of Prevent and of their role in safeguarding vulnerable people. The training follows on from the Prevent awareness training which introduces users to the NOTICE-CHECK-SHARE procedure for evaluating and sharing concerns relating to radicalisation. The package shares best practice on how to articulate concerns about an individual, and ensure that they are robust and considered.

Included in the e-learning are videos of example referrals (good & bad), reminder of partners responsibilities to follow existing safeguarding procedures before referral is made a discussion around the 3M’s (misguided, malicious and misinformed).

     3. Channel Awareness – Training

This training package is for anyone who may be asked to contribute to, sit on, chair a Channel Panel or simply find out more about what Channel panels are. It is aimed at all levels, from a professional asked to input and attend for the first time, to a member of staff new to their role and organising a panel meeting.

The Channel Awareness Training Covers:

  • an introduction to what Channel is
  • how it operates in the user’s region
  • how to organise a Channel Panel for the first time

In response to feedback, the training now covers information sharing, including how, when and with whom to share information of a Channel case. You can access the training here.

 

 

 

Seven minute briefings are based on a technique borrowed from the FBI. It is based on research, which suggests that seven minutes is an ideal time span to concentrate and learn. Learning for seven minutes is manageable in most services, and learning is more memorable as it is simple and not clouded by other issues and pressures.

There are increasing pressure on services, which can make it difficult to release staff to attend training, as well as the need to keep learning and developing to maintain a skilled workforce, and that these short, team based learning events might be a helpful way to support learning. What is a 7 Minute Briefing?

The content of the briefings will be a mixture of new information (such as learning from Serious Case Reviews) or a reminder/repeat of basic information with challenge to think about the application to practice in the team.

 

7-Minute Briefings