Sue Gunnion and Sarah Khalil
CCG City Wide Commissioning,
Quality and Safeguarding Team
cmccg.safeguardingpw@nhs.net
0161 765 4710
What is adult safeguarding?
‘Adult Safeguarding’ is a range of
activity aimed at upholding an adult’s
fundamental right to be safe, at the
same time as respecting people’s
rights to make choices
Adult Safeguarding is shaped by 6 principles:
Person led
decisions and consent
Empowerment
Protection
Prevention
Support and representation
for those in greatest need
Prevention of harm and
abuse is our primary objective
National
safeguarding
Principles
Proportionality
Accountability
Proportionality and least intrusive
response appropriate to the risk or
risks presented
Accountability and transparency
in delivering safeguarding
Partnerships
Local solutions through
services working with communities
Who does the adult safeguarding process apply to?
Inability to be
Resilient, including:
Risks, including:
To others
From others
From the environment
From the care delivered
From the support delivered
RISKS
LACK OF/NO
RESILLIENCE
Emotional
Physical
Psychological
Clinical
Circumstances,
including:
CIRCUMSTANCES
Mental ill health
Learning Disability/Difficulty
Physical Disability/ill health
Physical Frailty
Old Age
Mental Capacity
Department of Health
Strategic leadership and direction
CQC regulator of providers
e.g. dentists, GPs, NHS Trusts.
Look at the essential standard
of safeguarding
NHS England
(was NHS Commissioning Board)
Monitor
Assesses for Foundation Status.
Checks if health care is effective,
efficient and economical
National of NHS England
Responsible for policy
NHS Trust
Development
Authority
Regional of NHS England
Responsible for policy
LSABs & LSCBs
Agree how organisations will work together
and analysis of how well
this works through annual report
National Quality Board
Local Education &
Training Boards
Look at education
for designated
and
Specialist Professionals
Health Education England
Public Health England
Quality Surveillance
Groups
Memberships include all
commissioners
L.As
Public
Health
Teams
C.S.Us
Research procurement,
contract management
Local- Area Team of NHS England
Responsible for leadership , assurance,
day to day support,
annual review,
GP Safeguarding training
Health & Well Being Boards
JSNA, H&W strategies
Complements the safeguarding Boards
Dentists
CHC and FNC
(patients in care homes)
CMFT
UHSM
Community Health Services
Designated and Named Nurses are the source of advice to the CCGs, Providers and Others
NMGH
MMHSCT
The role of the CCG Adult
Safeguarding Nurses
• To provide expert advice to
commissioners and providers regarding
safeguarding incidents.
• To support a prevention commissioning
model with a particular focus on Care
Homes.
• To support the development and work plan
of MSAB and its subgroups
Medicines
Managem
ent Team
Informatio
n
Profession
al
Registratio
n
Investigati
on
Assessme
nt of Need
Fraud
Investigati
on
Audit
Reports
Child
Safeguardi
ng
Investigati
on
Contract
Complianc
e
Investigati
on
Provider
Quality
Repositor
y
Adult
Safeguardi
ng
Investigati
on
Complianc
e Reports
Health and
Safety
Investigati
on
Criminal
Investigati
on
PALS/Co
mplaints
Process
Regulatory
Investigati
on
Disciplinar
y
Investigati
on
Common Themes in
Manchester Care Homes
• Risk when home manager is also the
owner
• Recognition of and response to
deteriorating patients
• Staffing levels and dependency scores
• Health professionals not looking at the
holistic needs of the patient
• NMC record keeping standards
Themes continued
• Lack of escalation when care is
substandard
• Knowing how to refer safeguarding
concerns
• Training needs
• Actions taken with regards to weight loss
• An acceptance of poor standards of care
and response to health needs
Themes continued
Not using Capacity Assessments or the Best
Interests process appropriately
End of life care documentation
DNARs documentation
DOLS applications
Your role in safeguarding – 5 mins
to discuss:
• What challenges and/or issues face your
practice team when you are involved with an
adult safeguarding issue?
• What do you feel works well when you are
involved with an adult safeguarding issue?
• How do feel your role could positively
influence standards in the Care Homes?
Any questions?
Sarah Khalil and Sue Gunnion
Contact details
cmccg.safeguardingpw@nhs.net
0161 765 4710