THE INDEPENDENT SAFEGUARDING AUTHORITY A PRACTICAL GUIDE Background murders Bichard report Replaces PoVA, PoCA, List 99 Safeguarding Vulnerable Groups Act 2006 (England, Wales, NI) Protection of Vulnerable Groups Act (Scotland) 2007 (Scotland) Soham Rationale All people working with Children & Vulnerable Adults should be subject to Enhanced CRB regime People working with children & vulnerable adults should be registered Register should be regularly updated Recommendation 19 “need for a single agency to vet all individuals who want to work or volunteer with children or vulnerable adults and to bar unsuitable people from doing so” Differences from PoVA/PoCA Applies to NHS Applies throughout UK Whitelist (as opposed to blacklist) so you have to register Dates 12th Oct 2009 Barring list into force July 2010 Registrations begin Autumn 2010 New workers will be required to register July 2015 Existing workforce will have been phased on to the scheme Process Applications handled by CRB Fee payable by applicant (£28 ISA & £36 CRB) Fee waived for volunteers ISA decides if applicant suitable Applicant is either registered or put on barred list Whose decision? Not Secretary of State ISA independent of Government Not Courts Does not incorporate tribunal How is decision made? By ISA’s employees Automatic Barring If person has been convicted of an offence of the most serious kind against children/vulnerable adult no right to make representations If person has been convicted of an offence which indicates ‘probable risk of harm’ to children/vulnerable adult can make representations as to why they should not be barred BUT Burden of proof is on applicant to prove they do not pose a risk Otherwise ISA assesses if “Relevant Conduct” present? conduct which endangers vulnerable adult or is likely to endanger an adult if repeated; Conduct “endangers a vulnerable adult” if: (a) harms a vulnerable adult, (b) causes a vulnerable adult to be harmed, (c) puts a vulnerable adult at risk of harm, (d) attempts to harm a vulnerable adult, or (e) incites another to harm a vulnerable adult. Repercussions of being listed Barred from Regulated activity for 10 years End of nursing career Exclusion from voluntary activities (parent groups, Sunday school etc) Relevant Conduct Type of Harm to Vulnerable Adult Meaning Examples Neglect Failure to identify and/or meet care needs Untreated weight loss, failing to administer reasonable care resulting in pressure sores or uncharacteristic problems with continence. Pool hygiene, soiled clothes not changed, insufficient food or drink, ignoring resident’s request, unmet social or care needs. Verbal Any remark or comment by others that causes distress Demeaning, disrespectful, humiliating, racist, sexist or sarcastic comments. Excessive or unwanted familiarity, shouting, swearing, name-calling Relevant Conduct Type of Harm to Vulnerable Adult Meaning Examples Emotional/Psychological Action or inaction by others that causes mental anguish Inflexible regimes and lack of choice. Mocking, coercing, denying privacy, threatening behaviour, bullying, intimidation, harassment, deliberate isolation, deprivation Physical Any physical contact that results in discomfort, pain or injury Hitting, slapping, pushing, shaking, bruising, failing to treat sores or wounds, under or overuse of medication, un-prescribed or inappropriate medication, use of restraint or inappropriate restraint, inappropriate sanctions Problems If person barred following decisionmaking process at ISA, can appeal to Care Standards Tribunal but Under ISA, appeal can be only on grounds of mistake of fact or error in law No right to full hearing at any stage A word of Caution Be very careful about accepting a Police Caution for a minor offence! Deemed to have made a full admission Police will inform CRB/ISA ISA will inform employer If not already registered, might affect ability to do so Duty to refer to ISA Local authority child/adult protection teams Named professional bodies and supervisory authorities (see SVGA 2006 s41), includes NMC, HPC. Employers of care personnel Agencies providing care personnel Police Duty to refer (2) Following may refer: All other employers of people working with children/vulnerable adults Private employers (via statutory agency) Penalties/sanctions For seeking regulated work For offering regulated work For engaging in regulated work Failure to check – hefty fine Failure to refer information – hefty fine Crown Court – five years in prison/fine Magistrates Court – one year/fine Challenging a decision to bar to CST – but remember, only on point of law or mistake of fact Judicial review – takes years and is expensive and distressing Legal cover included in RCN membership. Contact local steward/regional office who will refer you as necessary Call RCND 0845 772 6100 Appeal Further information on the scheme www.isa-gov.org.uk Safeguarding Vulnerable Groups Act 2006 Vulnerable Groups (Scotland) Act 2007 Contact info Roz Hooper, RCN HQ Rosalind.hooper@rcn.org.uk 020 7647 3544