REPORT SUMMARY SHEET

Transcription

1 REPORT SUMMARY SHEET Meeting: Trust Board 27 th November 2014 Date: Title: Security Management Annual Report 2013/14 Lead Director: Corporate Objective: Purpose: Summary of key areas: Director of Acute Services Provide safe, high quality care Make the best use of resources For approval. This report sets out the Trust s position with regard to security management during the year 1 April 2013 to 31 March It also advises Trust Board of the controls and systems in place to support a secure and safe environment that protects all service users, staff and visitors as well as the physical assets of the organisation. The Trust s 2013/14 self-assessment score against the Security Management Controls Assurance Standard was substantive at 85%. Following the alleged incident at Craigavon Area Hospital on 8/1/2014 security has been reviewed on hospital sites and a range of measures initiated to improve safety for staff as well as visitors. Following an increase in vandalism reports in respect of the Lurgan Hospital site extra security measures were taken and as a result of an appeal issued by the PSNI and meetings between the Lurgan Neighbourhood Policing Team, representatives from the Trust and local residents, the number of incidents has significantly reduced. The Trust has reviewed the checklist contained in its Procedure on the Management of a Patient being Absent without Leave (Absconding) from a Hospital Environment in conjunction with the PSNI and a revised checklist has been piloted in Emergency Departments which has resulted in a reduction in the number of calls to PSNI in relation to missing patients.

2 Security Management Annual Report 2013/14 Page 2 of 14

3 SECURITY MANAGEMENT Annual Report 2013/14 Security Management Annual Report 2013/14 Page 3 of 14

4 CONTENTS PAGE Introduction Strategic Context Page Nos Operational Context Governance Arrangements Monitoring Arrangements Key Issues during 2013/ PSNI Intervention & Liaison Training Key Priorities for 2014/ Appendix 1 Statistics.. 11 Security Management Annual Report 2013/14 Page 4 of 14

5 1.0 INTRODUCTION The Trust remains committed to the delivery of a secure environment for those who use or work in the Trust so that the highest possible standard of care can be delivered; to this end security remains a key priority within the development and delivery of health services. All of those working within the Trust have a responsibility to assist in preventing security related incidents or losses. This approach underpins and directly links to the Trust s values and priorities of providing safe high quality care and valuing our staff. 2.0 STRATEGIC CONTEXT The Trust s strategic context is set out within guidance issued by the Department of Health in Northern Ireland (DHSSPSNI) and legislation, including the following:- Circular HSS (GEN) (3) 2007 Zero Tolerance on Abuse of Staff: Protecting Healthcare and Emergency Staff from Violence HSC Security Management Controls Assurance Standard 2009 Criminal Justice & Immigration (CJI) Act 2008 DHSSPS Hospital Lockdown Guidance for HSC Trusts 1/4/ 2011 The Health & Safety at Work (NI) Order 1978 Public Order (NI) Act 1987 ICO CCTV Code of Practice 2008 HSC Emergency Planning Controls Assurance Standard 2013 HCS Risk Management Controls Assurance Standard 2011 Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (NI) (RIDDOR) OPERATIONAL CONTEXT The Trust is responsible for the security of service users, staff and property. This includes: Protecting NHS staff from violence and abuse; Taking appropriate action against those who abuse, or attempt to abuse, NHS staff; Helping to ensure the security of property, facilities, equipment and resources. Security Management Annual Report 2013/14 Page 5 of 14

6 All managers, heads of departments, homes and facilities are responsible for the security of their own ward/department/facility and for developing local security procedures to meet security requirements specific to their area of responsibility. The Trust manages security by having a range of physical measures in place including building and personal alarms, CCTV, security lighting and access control, and systems and protocols for control of property and information. Lockdown procedures are in place for Craigavon Area Hospital and Daisy Hill Hospital which will enable the buildings to be partially or completely locked down in response to a situation or depending upon the type of incident threatening the staff or assets on our sites. Security Porters are employed at Craigavon Area Hospital and Daisy Hill Hospital and in addition, external security contractors are used by the Trust to provide key holding services and security guarding at some locations based on a risk assessed need. The external service is currently provided by Securitas and there is regular liaison between the Locality Support Services Managers and the company to ensure contract compliance and appropriate arrangements are in place. The Trust operates a Management of Violence and Aggression (MOVA) Policy and Procedure which regards all abuse against staff as unacceptable. 4.0 GOVERNANCE ARRANGEMENTS 4.1 Managerial Accountability The Trust s Chief Executive has overall accountability for security management within the Trust. The Director of Acute Services is the designated Executive Director with lead responsibility for security management. The Director of Human Resources and Organisational Development has lead responsibility for the Management of Violence and Aggression which includes provision of appropriate training for staff which is commensurate with their job role. The Director of Human Resources and Organisational Development has also responsibility for implementation of the Criminal Justice & Immigration (CJI) Act The Assistant Director of Acute Services, Functional Support Services is responsible for ensuring that adequate security manning levels are maintained and appropriate measures are in place to monitor and review security management arrangements. Locality Support Services Managers (LSSMs), who report to the Assistant Director of Acute Services, Functional Support Services, provide general advice and support in respect of security Security Management Annual Report 2013/14 Page 6 of 14

7 arrangements. They are also responsible for managing the contract for external security services. 4.2 Trust Security Management Committee The Trust s Security Management Committee ensures that appropriate and adequate arrangements are in place throughout the Trust, for the effective management of security. The Committee meets three times a year and it is chaired by the Assistant Director of Acute Services, Functional Support Services and includes representatives from Service Directorates as well as the Head of Health and Safety, Management of Violence & Aggression (MOVA) Specialist Advisor, and representation from the Trade Union and PSNI. The Security Management Committee is a sub-committee of Senior Management Team (SMT) and any security issues will be reported to SMT by the Director of Acute Services and escalated on to Trust Board if appropriate. 4.3 Trust Security Management Policy and Strategy The Trust has in place a Security Management Policy intended to give direction to staff members to promote a security culture and provide assurance to employees and others that the Trust will ensure, so far as is reasonably practicable, that the personal safety of service users and employees are addressed, maintained, improved and monitored. The Trust has developed a Security Strategy which helps the Trust protect service users, staff and property and is designed to: Minimise the security problems that occur Highlight and improve security awareness Assist with identifying actual or potential security risks 4.4 Security Management Controls Assurance Standard The DHSSPS published a Controls Assurance Standard on Security Management in April 2006 (updated April 2009) with a requirement for Trusts to achieve substantive compliance. 5.0 MONITORING & AUDIT ARRANGEMENTS 5.1 Controls Assurance Self Assessment In 2013/14, a self-assessment of the Trust s position against the Security Management Controls Assurance Standard was undertaken. The overall score for the self-assessment was substantive at 85%. An action plan has been developed which identifies the work required to be undertaken to further improve compliance with the Controls Security Management Annual Report 2013/14 Page 7 of 14

8 Assurance Standard and ensure that effective security management processes are in place across the Trust. 5.2 Security Incidents The reporting of incidents and breaches is encouraged as it allows the Trust to identify areas of weakness and take measures, where appropriate, to reduce or eliminate risk. Reported incidents are recorded on Datix and incidents are reviewed by the Locality Support Services Managers and members of the Trust Security Management Committee. Incident reporting is fundamental to the detection of crime and allows incidents to be investigated and lessons learned. Analysis gives a good indication of crime levels and trends within the Trust. It also facilitates the development or revision of policies and procedures to ensure that the risk of similar incidents occurring again can be minimised. An analysis of trends has resulted in actions taken by the Trust, for example at Lurgan Hospital (see 6.2). The table below shows the total number of incidents for the period 2013/14 compared to 2012/13. A breakdown of incidents for 2013/14 is provided at Appendix / /13 Security Incidents Absconders/ Missing Patients Violent/ abusive behaviour incidents During 2013/14 the external security contractors responded to 146 callouts and these mainly related to intruder alarm activations. 6.0 KEY ISSUES DURING 2013/ Incident at CAH 8/1/2014 On 8 January 2014, at approximately hours, a female staff member reporting for her shift in Craigavon Area Hospital was allegedly assaulted by two males close to the mortuary and car park 4 on the hospital site. The alleged incident was treated as a Series Adverse Incident and it was notified to the Health and Social Care Board and a full investigation was conducted. Following the alleged incident the PSNI put in place high visibility routine patrols on the Craigavon Area Hospital site and additionally Security Management Annual Report 2013/14 Page 8 of 14

9 the Trust arranged security patrols with Securitas (the external security provider used by the Trust). Security was reviewed on the site in conjunction with the PSNI and a range of measures to improve safety for staff as well as visitors were implemented to include the following: A review of all lighting on site and a comprehensive programme to replace, repair and install additional lighting. Six additional CCTV cameras were installed and two were repositioned. Contractors plant and equipment were re-located to compounds. PSNI information leaflet on personal safety was made available to staff. The Trust teamed up with the PSNI to raise awareness on crime prevention amongst staff and drop-in information sessions were held during February 2014 at Craigavon Area Hospital. Personal alarms have been made available to staff. Staff were encouraged to park in designated car parks where there was good lighting, perimeter fencing and where CCTV was in place. Following the alleged incident at Craigavon Area Hospital there were also security reviews conducted at Daisy Hill, St Luke s, Lurgan and South Tyrone Hospitals, and Tower Hill site. These reviews have resulted in improvements being made to CCTV systems, signage and repair/upgrade work in relation to lighting. 6.2 Lurgan Hospital During the period November 2013 to April 2014 there had been an increase in vandalism reports in respect of the Lurgan Hospital site. The PSNI increased patrols in the area and the Trust carried out a range of measures including the provision of extra security cover, improvements to CCTV, the permanent closure of the rear gate, the removal of shrubbery and the boarding up of unused buildings. A Health and Safety House Committee was established on the Lurgan Hospital site to engage with all site users. In April 2014 the PSNI issued an appeal to the general public through social media to stop using the hospital grounds as a short cut and to educate their children not to frequent the area in an effort to reduce the incidences of anti-social behaviour in the area. The Lurgan Neighbourhood Policing Team and representatives from the Trust also met with local residents to discuss the incidents. The number of incidents has significantly reduced as a result of these actions. Security Management Annual Report 2013/14 Page 9 of 14

10 6.3 Procedure on the Management of a Patient being Absent without Leave (Absconding) from a Hospital Environment The Trust in conjunction with the PSNI has reviewed the checklist contained in its Procedure on the Management of a Patient being Absent without Leave (Absconding) from a Hospital Environment (Acute and Non Acute). This checklist is completed by staff when a patient goes missing. The revised checklist has been piloted in Emergency Departments, Craigavon Area and Daisy Hill Hospitals and an analysis of the incidents during this period has showed a reduction in the number of calls to PSNI in relation to missing patients. 7.0 PSNI INTERVENTIONS AND LIAISON During police assistance and intervention remained strong; this assistance ranged from persons being arrested for assault or other public order offences, breach of the peace and drunk and disorderly. The Trust has established strong liaison with the PSNI in the Craigavon/Lurgan area and in Newry. These meetings provide a forum for sharing knowledge and information for mutual benefit. In addition, a representative from the PSNI sits on the Trust s Security Management Committee. 8.0 TRAINING The Trust, in line with the DHSSPS s commitment to protect staff to ensure that they can provide a quality service without fear of abuse, continues to deliver Management of Aggression or Potential Aggression (MAPA) training to front line staff on a risk and needs led basis. Therapeutic Crisis Intervention (TCI) training is provided to Residential Child Care and Children s Learning Disability Respite Services. The MAPA model is reviewed on a yearly basis and tailored to meet the needs of each group of staff. All Security Porters have received MAPA training and refresher MAPA training is delivered annually to Security Porters. This ensures that they have the knowledge and skills to deal with aggressive situations. 9.0 KEY PRIORITIES FOR 2014/ Work with line managers to ensure health and safety risk assessments are up to date at ward / department level. Where security risks cannot be mitigated at local level, provide support to line managers to escalate such risks via the Trust Risk Management process. Security Management Annual Report 2013/14 Page 10 of 14

11 9.2 Review the contractual arrangements for external security by November Review lockdown arrangements in the basement area, Craigavon Area Hospital by October Embed the learning from the pilot of the revised Absconding Patients checklist in Emergency Departments to all wards and departments by November Security Management Annual Report 2013/14 Page 11 of 14

12 Appendix 1 Number of security incidents, absconders/ missing patents and violent/abusive behaviour incidents for the period 1/4/ /3/2014 (Figures are taken from Datix which is the Trust s live incident reporting system and can be subject to change) Security Management Annual Report 2013/14 Page 12 of 14

13 Breakdown of Security Incidents Reported 1/4/13-31/3/14 Acute CYP [1] Finance HR Medical MHD [2] OPPC [3] Performance & Reform Total Security issue related to equipment Staff records or information Public order, Protests, Bomb scares, Riot, Disorder Security incident related to Premises, Land or Real Estate Security incident related to Personal property Security issue related to Vehicles Security other Totals [1] Children & Young People s Services [2] Mental Health & Disability [3] Older People & Primary Care

14 Breakdown of Absconding/ Missing Patients Reported 1/4/13-31/3/14 Acute CYP MHD OPPC Total Patients Absconded/ Missing The figures in relation to absconding/ missing patients include patients who leave Emergency Departments and Mental Health facilities before treatment and for Children and Young People s Services they include missing young persons from Children s Homes including those who are habitual offenders. Breakdown of Violent/Threatening Behaviour Incidents Reported 1/4/13-31/3/14 Acute CYP MHD OPPC Total Abuse by the staff to the patient Abuse etc of staff by patients Abuse etc of patient by patient Abuse of staff by other staff Abuse other Totals: Security Management Annual Report 2013/14 Page 14 of 14