Safeguarding Adults. Annual Report
|
|
- Aubrie Carr
- 5 years ago
- Views:
Transcription
1 APPENDIX I Safeguarding Adults Annual Report Authors Neil Boyland Sue Leathers
2 1. Definition All persons have the right to live their lives free from violence and abuse. This right is underpinned by the duty on public agencies under the Human Rights Act (1998) to intervene proportionately to protect the rights of citizens. These rights include Article 2 the right to life: Article 3 Freedom from Torture (including humiliating and degrading treatment); and Article 8 Right to family Life (one that sustains the individual) Any Adult at risk of abuse or neglect should be able to access named persons within the Royal United Hospital Bath for appropriate interventions which enable them to live a life free from violence and abuse. This report covers the period April 2009 to March It provides an update on Safeguarding Adults work in the Royal United Hospital Bath over this period. The Safeguarding Adults Team consists of the following: Francesca Thompson Executive Lead, Director of Nursing Neil Boyland Operational lead, Matron for Critical Care Services Sue Leathers Operational Lead, Matron for Older Persons Operational lead, Tissue Viability Nurse Specialist Kate Peacock Medical Lead Consultant Geriatrician 2. The Safeguarding Adults Team s main focus for : Setting up a robust system for quarterly reporting in line with the Quality Schedule. It is envisaged that this will be linked in with the incident reporting system. To redefine and restructure the approach to raising awareness training to all relevant hospital staff. This will aim for all staff on the RUH Trust induction. To continue to review all patients with Grade 3 and 4 pressure ulcers in line with the safeguarding adults framework. To establish an audit trail of vulnerable patients referred to the safeguarding adults operational team. To provide evidence for Care Quality Commission Standards Outcome 7 for Safeguarding Adults. To strengthen the systems more formally for lessons learnt. 3. Overview of Safeguarding Adults and the National Context. No Secrets (Department of health ) is mandatory guidance issued under the Local Authority and Social Services Act It says that all agencies working with vulnerable adults living within a local authority boundary, must work together to protect them from abuse. It defines a vulnerable adult as a person who is, or may be in need of community care services by reason of mental or other disability, age or illness; and who is, or may be Agenda Item: 12 Page 2 of 9
3 unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation. The Royal United Hospital Safeguarding Adults group has been established for 4 years and consists of the following group members: Name Francesca Thompson Neil Boyland Sue leathers Tricia Mills Dr Kate Peacock Andrew Guy Representative from Social Services in BANES and Wiltshire Title and area of Clinical Work Director of Nursing and Executive lead for Safeguarding Adults. Matron for Critical Care and Operational Lead for Safeguarding Adults. Matron for Older People and Operational Lead for Safeguarding Adults. Head of Organisational Development. (Previous lead in Safeguarding Adults) Consultant Geriatrician Medical Lead Operational lead and Tissue Viability Senior Nurse Police Constable Vulnerable Adult Wiltshire Police Force. This report will be the second report for the Trust Board since the group has been established. The safeguarding adults group continues to raise awareness amongst staff within the Royal United Hospital to enable them to recognise and report abuse and to understand their roles within the Safeguarding Adults procedures. The RUH Safeguarding Group are aware of the national developments that raise the profile of safeguarding adults work and sets its direction for the future. The National developments are: Raising the profile of the Mental Capacity Act (2007) and the introduction of the Independent Mental Capacity Advocacy (IMCA). The IMCA service that services the RUH is based in the city and offers a service 5 days a week. The Mental Capacity Act puts a duty on local authorities and health Trusts to provide an IMCA to vulnerable people who have no family or friends to speak on their behalf and who lack the mental capacity to make specific decisions. The future introduction of the new vetting and barring list that will replace the present protection of Vulnerable adults list. (POVA). Agenda Item: 12 Page 3 of 9
4 4. Royal United Hospital Bath Safeguarding Adults Group s approach and progress of Safeguarding Adults There is a well established Safeguarding Adults group to drive the focus in: An effective and workable Safeguarding Adults policy which was reviewed and ratified in March 2010 Improving communication with social services by attending sub group safeguarding adults meetings, this is mainly between Wiltshire and BaNES and these meetings usually occur every 3 months Representing the Royal United Hospital at Early Strategy meetings and case conferences with the relevant Social Services. Continuing to have a strong infrastructure of senior nursing staff to lead vulnerable adults. This group meets every 2 3 months and has terms of reference for the meeting. Maintaining weekly training for Vulnerable Adult awareness currently undertaken on the Trusts Mandatory Core Skills Training. This will be transferred to RUH Trust Induction from early Autumn 2010 Raising awareness of completing Incident Reports 5. Training The aim for is to transfer safeguarding Adults training to the RUH Trust Induction to capture all new staff starting in employment in the RUH. Core skills training will continue subject to resources from the Safeguarding Adults operational team. All staff will be alert to the potential abuse of vulnerable adults and the policy, through awareness raising, via nurse and Health care assistant local induction, and mandatory training. BaNES and Wiltshire continue to offer Safeguarding Adult Training throughout the year to all RUH staff. BANES led an awareness training event at the RUH regarding the revised Policy and procedures. 760 RUH Staff attended Safeguarding awareness training April st March RUH staff have attended Safeguarding adults investigators training Mental Health and Deprivation of Liberty training attendance numbers are to be validated 1. Vulnerable Adult Protection Process Agenda Item: 12 Page 4 of 9
5 An investigator trained in adult protection will lead the assessment assisted if necessary by the Consultant and/or Matron. The purpose of the assessment is to ascertain whether Social Services or the Police need to become involved. In any case of significant harm, Social Services and police must be alerted and further assessment stopped to prevent contamination of evidence which may be needed to allow the police to pursue a prosecution. If the assessment raises concerns but no evidence, the RUH care team (investigator, Matron and Consultant) will decide how to progress the situation. 6.1 Referrals There has been significant numbers of referrals since the operational leads have raised the profile of Safeguarding Adults Number of Referrals made to Royal United Hospital April 2009 March 2010 Social Services Referals N u m b ers Wiltshire Banes Somerset total Social Services 6.2 Number of Incidents / Serious Untoward Incidents (SUI s) Agenda Item: 12 Page 5 of 9
6 There have been no serious case reviews and 3 serious untoward incidents reported by the RUH (see section 8). 7. Outcomes and Evidence Currently there is limited data to quantify the outcomes of RUH Inpatients that have been referred to the Operational Leads, as once the referral is made to the Lead agency (social services) RUH involvement is reduced. This will however be addressed when the planned database, becomes operational. The safeguarding adults group with liaison with the relevant social work team will always aim for the following plan: To reduce the patient not to be at risk. Ensure that risks have been minimised Confirm that outcomes are conducive to the operational plans and social work team. To ensure that the patient is in a place of safety. 7.1 Lessons Learnt A formal process to address lessons learnt is required to be further strengthened than what currently exists, particularly multi agency partnership learning. Face to face meetings have been routinely held between staff and families where appropriate throughout the year. 7.2 Complaints There have been no formal complaints recorded relating to the safeguarding of adults within the RUH. 7.3 Actions following RUH completion of the BaNES Self Assessment Action Audit Complete audit proposal. Audit proposal to be agreed by clinical audit Strengthen incident reporting system by understanding any gaps as part of the above audit. Clinical Supervision Policy To formalise peer supervision for operational leads. Completion date September 2010 September 2010 Lead Boyland/Rob Eliot As above/alexandra Lucas Boyland Service Development Agenda Item: 12 Page 6 of 9
7 Introduce an assessment section on the Millennium admission document.this has already been planned and developed in preparation for the admission document. Awaiting finalisation from millennium steering group. Local resolution Case note review to be incorporated into clinical governance systems by operational leads Effective inter agency working. Referrals database Incident forms Clinical audit planning Spring 2011 November 2010 October 2010 Boyland Boyland Boyland Rob Eliot 8. Pressure Ulcer Reporting within the Royal United Hospital In line with NICE best practice and CQUIN, the RUH collects and reports data for grade 2, 3 and 4 pressure ulcers. For the period April 2009 March 2010, 27 in-patient areas submitted weekly pressure ulcer reporting forms which provide the data for pressure ulcer incidence monitoring. In line with the local safeguarding of adults frameworks, grade 3 and 4 pressure ulcers are cross referenced via the root cause analysis. During 2009/10 the total (RUH acquired and community) pressure ulcers determined 18% grade 3 and 3% grade 4. The total of 3 grade 4 RUH acquired pressure ulcers, accounted for 0.4% of all reported pressure ulcers and these were investigated as Serious Untoward Incidents. Although lessons were learnt there were no issues relevant to activating safeguarding procedures. 8.1 Tissue Viability Pressure Ulcer Reduction Strategy We aim to reduce RUH acquired grade 3 pressure ulcers by 50% during the coming year and zero grade 4. New strategies to help achieve this include a zero tolerance to pressure damage and prevention of all avoidable pressure ulcers (High Impact Actions 2009). The recent recruitment of a second Tissue Viability Nurse. This allows for more targeted pressure ulcer prevention and faster referral response times. All patients with grade 3 or 4 pressure ulcers are now seen by a Tissue Viability Nurse. Agenda Item: 12 Page 7 of 9
8 A Serious Untoward Investigation is completed for all Grade 4 RUH-acquired pressure ulcers and a Root Cause Analysis (RCA) is undertaken for RUH-acquired grade 3 pressure ulcers. The Tissue Viability service will continue to provide a comprehensive training/education programme to support pressure ulcer reduction. The Tissue Viability service launched a new pressure ulcer risk assessment tool in 2009 and the prevalence audit in December 2009 demonstrated that adherence to trust pressure ulcer prevention and management policy has significantly improved since it s introduction. The RUH will continue to provide high-specification pressure relieving mattresses and cushions for the prevention and management of pressure ulcers. We also provide over 20 different wound dressings and are currently reviewing these to ensure they are clinically and cost-effective. The Tissue viability service has recently produced a patient information leaflet which can be provided for any patient at risk of developing / with an existing pressure ulcer. A new pressure-ulcer prevention tool called PRIMED will be launched in June This is a simple tool to help staff deliver more effective pressure-relieving care. The pressure ulcer reporting form and database has recently been reviewed and revised in order to promote more accurate / sensitive reporting. Every patient with a pressure ulcer will be reported via the weekly pressure ulcer incidence reporting form. All RUH-acquired pressure ulcers are to be investigated as adverse clinical incidents and investigated locally by department managers as per trust policy. Ward sisters will ensure that all patients with grade 3 and 4 pressure ulcers are referred to the TVN within 24 hours of the pressure ulcer being identified. 9. Summary Agenda Item: 12 Page 8 of 9
9 The Safeguarding Adult group is active in working within the sphere of Safeguarding Adults. The group have developed partnership working within the PCTs, Police and Social Services. The increase in the number of safeguarding adult referrals demonstrates that the awareness training is proving effective. The safeguarding adult leads have had large complex safeguarding issues ranging from all of the categories of abuse identified in this report. The safeguarding adult group strive for best practice for patients and their families and will progress this work for Agenda Item: 12 Page 9 of 9
SAFEGUARDING ADULTS STRATEGY
SAFEGUARDING ADULTS STRATEGY Originator: Corporate Nursing Date Approved: May 2009 Approved by: Safeguarding Committee Date for Review: May 2011 Contents Page 1. Introduction 3 1.1 Vision 3 1.2 Scope 3
More informationSAFEGUARDING ADULTS COMMISSIONING POLICY
SAFEGUARDING ADULTS COMMISSIONING POLICY Director Responsible: Responsible person Target Audience: Name of Responsible Committee Nursing Matt O Connor Safeguarding Adults Lead All NHSBA staff and contractors
More information4. Risk (Threats or opportunities, link to a risk on the Risk Register, Board Assurance Framework etc) None.
Report to: Management Board Agenda item: 12 Date of Meeting: 22 July 2015 Title of Report: Annual Tissue Viability Report 2014/15 Status: To Note Board Sponsor: Helen Blanchard, Director of Nursing and
More informationPLASTER CASTS, APPLIANCES OR BRACES
PRESSURE DAMAGE: POLICY FOR PREVENTION IN PATIENTS WITH PLASTER CASTS, APPLIANCES OR BRACES To be read in conjunction with the Pressure Ulceration Policy and DVT and PE Policy Version: 2 Ratified by: Date
More informationWorcestershire Primary Care Trust. Safeguarding Adults Policy. Quality and Safety Committee Date ratified: March 2009
Worcestershire Primary Care Trust Safeguarding Adults Policy Version: Final Ratified by: Quality and Safety Committee Date ratified: March 2009 Name of originator/author: Vicky Preece Name of responsible
More informationSAFEGUARDING OF VULNERABLE ADULTS POLICY
SAFEGUARDING OF VULNERABLE ADULTS POLICY Practice lead: Dr Tim Sephton INTRODUCTION The purpose of this document is to set out the policy of the Practice in relation to the protection of vulnerable adults.
More informationSAFEGUARDING ADULTS POLICY
SAFEGUARDING ADULTS POLICY This document may be made available in alternative formats and other languages, on request, as is reasonably practicable to do so. Policy Owner: Approved by: POVA Operational
More informationPETERBOROUGH SAFEGUARDING ADULTS BOARD (PSAB) MULTI-AGENCY TRAINING STRATEGY
SAFEGUARDING ADULTS PETERBOROUGH SAFEGUARDING ADULTS BOARD (PSAB) MULTI-AGENCY TRAINING STRATEGY 2012/2013 Peterborough Safeguarding Adults Board Multi-Agency Training Sub-Group Training Strategy Introduction
More informationSafeguarding of Vulnerable Adults. Annual Report
of Vulnerable Adults Annual Report 2011-2012 April 2012 DOCUMENT CONTROL Version Author Date Change V0.1 Veronica Flood 20 April 2012 First draft V0.2 Mary Sexton 24 April 2012 Second Draft V0.3 Mary Sexton
More informationSafeguarding Annual Assurance Self-assessment Tool. Sheffield Health and Social Care NHS Foundation Trust
Safeguarding Annual Assurance Self-assessment Tool Sheffield Health and Social Care Foundation Trust Introduction - About this Self-assessment This self-assessment is an assessment of your own internal
More informationNorth East Hampshire and Farnham Clinical Commissioning Group Safeguarding Framework
North East Hampshire and Farnham Clinical Commissioning Group Safeguarding Framework North East Hampshire and Farnham Clinical Commissioning Group Safeguarding Strategic Framework Page 3 of 27 Contents
More informationThe Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy
The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy Version Number 3 Version Date vember 2015 Policy Owner Director of Nursing and Clinical Governance Author
More informationVisiting Celebrities, VIPs and other Official Visitors
Visiting Celebrities, VIPs and other Official Visitors Who Should Read This Policy Target Audience Healthcare Professionals Executive Team Version 1.0 May 2016 Ref. Contents Page 1.0 Introduction 4 2.0
More informationSafeguarding Vulnerable Adults Annual Report
Safeguarding Vulnerable Adults Annual Report 2014-2015 Author: Margaret Jolley, Head of Adult Safegaurding & Vulnerable Adults 1 Contents Executive Summary 3 Introduction 3 Responsibilities 3 Reporting
More informationSafeguarding Vulnerable People Annual Report
Safeguarding Vulnerable People Annual Report 2014-2015 1. Purpose of report The purpose of this report is to provide assurance that the Trust is fulfilling its responsibilities to promote the safety and
More informationJOB DESCRIPTION. Deputy Director of Nursing - Tissue Viability. Director of Nursing. Tissue Viability Support Tissue Viability Nurse
JOB DESCRIPTION Job Title: Reporting to (title): Tissue Viability Nurse Specialist Deputy Director of Nursing - Tissue Viability Professionally Accountable to (title): Responsible for Supervising (if appropriate):
More informationHeading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland
Place your message here. For maximum impact, use two or three sentences. F Heading Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland
More information(NAME OF HOME) 2.1 This policy is based on the Six Principles of Safeguarding that underpin all our safeguarding work within our service.
Title: SAFEGUARDING POLICY 1.0 INTRODUCTION 1.1 Safeguarding means protecting people's health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect. It's fundamental
More informationStaffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol
Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol SAR Process July 2014 (revised August 2017) Page 1 Contents 1. Introduction 2. Criteria 3.
More informationSafeguarding Vulnerable Adults Policy and Procedures
155-159 Freeman Street, Grimsby, North East Lincolnshire, DN32 7AR Tel: 01472 240440 Safeguarding Vulnerable Adults Policy and Procedures The CPO Media policy adheres to the multi-agency policy, procedures
More informationINFECTION CONTROL SURVEILLANCE POLICY
INFECTION CONTROL SURVEILLANCE POLICY Version: 3 Ratified by: Date ratified: July 2016 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Head of Infection
More informationLearning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.
Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss
More informationHeading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland
Place your message here. For maximum impact, use two or three sentences. Heading Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Follow
More informationHARTLEPOOL VULNERABLE ADULTS PROTECTION COMMITTEE SAFEGUARDING VULNERABLE ADULTS
Appendix A HARTLEPOOL VULNERABLE ADULTS PROTECTION COMMITTEE SAFEGUARDING VULNERABLE ADULTS BIENNIAL REPORT April 2005 March 2007 HARTLEPOOL VULNERABLE ADULTS PROTECTION COMMITTEE CONTENTS PAGE Introduction
More informationSafeguarding Adults Reviews Protocol
Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adults Reviews Protocol July 2016 SAR Process July 2014 (revised July 2016) Page 1 Contents 1. Introduction 2. Criteria
More informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationHEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:
HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN - UPDATED August 2010 RECOMMENDATION
More informationPressure Ulcer Policy - Tissue Viability Top Ten
Pressure Ulcer Policy - Tissue Viability Top Ten This procedural document supersedes: PAT/T 3 v.2 Pressure Ulcer Prevention and Management Policy and incorporates PAT/T 4 Guidelines for the Prevention
More informationVersion: 3.0. Effective from: 29/08/2012
Policy No: RM51 Version: 3.0 Name of policy: Learning from Experience Policy A systematic approach to incident, complaint and clai management, analysis and sharing safety lessons Effective from: 29/08/2012
More informationThe Care Values Framework
The Care Values Framework 2017-2020 1 States of Guernsey An electronic version of the framework can be found at gov.gg/carevaluesframework Contents Foreword from the Chief Secretary Page 05 Chief Nurse
More informationSafeguarding and Protection of Vulnerable Adults
Unit 14: Unit code: Unit number: Safeguarding and Protection of Vulnerable Adults P1 R/602/2856 QCF level: 5 Credit value: 5 Guided learning hours: 37 Unit summary The purpose of this unit is to assess
More informationHeading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland
Place your message here. For maximum impact, use two or three sentences. Heading Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Follow
More informationSafeguarding Adults Policy
Safeguarding Adults Policy Ratified Status Approved Final Issued December 2016 Approved By Consultation Equality Impact Assessment Distribution All Staff Date Amended following initial ratification November
More informationRoot Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted.
Root Cause Analysis for Pressure Ulceration This tool MUST be completed electronically paper copies will not be accepted. What is this for? This root cause analysis (RCA) tool is used when a patient acquires
More informationDate of publication:june Date of inspection visit:18 March 2014
Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of
More informationSurrey & Sussex Healthcare NHS Trust
Surrey & Sussex Healthcare NHS Trust An Organisation-wide Policy for Safeguarding Adults Version 2 Status Ratified Date Ratified 17 April 2013 Name of Owner Safeguarding Lead Name of Sponsor Group Safeguarding
More informationSafeguarding Adults Policy
Safeguarding Adults Policy Ratified Status Quality and Patient Safety Committee V2 Issued November 2015 Approved By Consultation Equality Impact Assessment Quality and Patient Safety Committee Safeguarding
More informationBOARD OF DIRECTORS. Quality. n/a. For information and assurance
BOARD OF DIRECTORS Meeting Date and Part: 30 September 2016 Part 1 Subject: Section on agenda: Supplementary Reading (included in the Reading Pack): Officer with overall responsibility: Author(s) of papers:
More informationSerious Incident Management Policy
Serious Incident Management Policy Standard Operating Procedure Version Version 2 Implementation Date 01 November 2017 Review Date 31 October 2019 St Helens CCG Serious Incident Management Policy Approved
More informationMULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY
MULTIDISCIPLINARY MEETINGS FOR COMMUNITY HOSPITALS POLICY (To be read in conjunction with Handover Policy) Version: 3 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible
More informationAgenda Item number: 8.1 Enclosure: 3. Discussion. Date reviewed. 22 nd September
Board meeting date: 27 th October 2011 Agenda Item number: 8.1 Enclosure: 3 Title Quality Report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Dr Alastair
More informationHealthwatch England Escalation Guidance
Healthwatch England Escalation Guidance This guidance provides information on how to do four things: 1) Collating people s views and experiences of care services from local Healthwatch 2) Highlighting
More informationCHILD PROTECTION. Reference Number: Beverley Boyd. Author / Manager Responsible:
CHILD PROTECTION Reference Number: 221 2007 Author / Manager Responsible: Beverley Boyd Deadline for ratification: (Policy must be ratified within 6 months of review date) December 2010 Review Date: June
More informationSafeguarding Vulnerable Adults Policy Statement
Safeguarding Vulnerable Adults Policy Statement (to be used in association with Staffordshire & Stoke-on-Trent Adult Safeguarding Partnership Board Policies and Procedures) DOCUMENT INFORMATION CATEGORY:
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 25th July 2016 Title: Executive Summary: Action Requested: Author: Contact Details: Resource Implications: Equality and Diversity Assessment
More informationPractice Guidance: Large Scale Investigations
Practice Guidance: Large Scale Investigations Version: Version 1: April 2014 Ratified by: Leeds Safeguarding Adults Board Date ratified: April 2014 Author/Originator of title Safeguarding Policy, Protocols
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT
Agenda item A5(iv) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST REDUCING HARM TISSUE VIABILITY PROGRESS REPORT EXECUTIVE SUMMARY The Tissue Viability Team assists wards and departments to reduce
More informationTRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013
TRUST BOARD SAFETY AND QUALITY MONTHLY REPORT SEPTEMBER 2013 1. EXECUTIVE SUMMARY As reported to the Board last month, the reporting on safety and quality to the Trust Board has changed. Each month a summary
More informationIQC/2013/48 Improvement and Quality Committee October 2013
Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee
More informationCare Leadership & Management Level Diploma
Programme Factsheet Page 1/5 This qualification is aimed at advanced practitioners in Health and Social Care. The qualification provides learners with the skills and knowledge required to manage practice
More informationBIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST TRUST BOARD TO BE HELD ON WEDNESDAY 30 JULY 2014
Item 8.2 BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST TRUST BOARD TO BE HELD ON WEDNESDAY 30 JULY 2014 SAFEGUARDING ANNUAL REPORT 2013 14 - Children Act 2004 - Working Together to Safeguard
More informationBOARD OF DIRECTORS MEETING (Open)
BOARD OF DIRECTORS MEETING (Open) Date: 11 October 2017 Item Ref: 12i TITLE OF PAPER Safeguarding Adults, Quarter 1 Report, April June 2017 TO BE PRESENTED BY Liz Lightbown, Executive Director of Nursing,
More informationPressure ulcers: revised definition and measurement. Summary and recommendations
Pressure ulcers: revised definition and measurement Summary and recommendations June 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that are
More informationCleaning of the Environment: Standard Operating Procedure
Facilities and Estates Cleaning of the Environment: Standard Operating Procedure Document Control Summary Status: New Version: v1.0 Date: September 2015 Author/Title: Author/Title: Author/Title: Owner/Title:
More informationHeading. The Regulation and Quality Improvement Authority
Place your message here. For maximum impact, use two or three sentences. Heading The Regulation and Quality Improvement Authority Safeguarding of Children and Vulnerable Adults in Mental Health and Learning
More informationSAFEGUARDING CHILDREN POLICY 2016
POL 022 SAFEGUARDING CHILDREN POLICY 2016 Version 3.0 Ratified By Date Ratified NHS Wirral Clinical Commissioning Group :Quality, Performance & Finance Committee Author(s) Responsible Committee / Officers
More informationMATERNITY SERVICES RISK MANAGEMENT STRATEGY
Trust Board Agenda Item 8.3 Enc 10 Appendix 1 January 2012 MATERNITY SERVICES NORTH CUMBRIA MATERNITY SERVICES RISK MANAGEMENT STRATEGY 2011-13 DOCUMENT CONTROL Author/Contact Head Of Midwifery / Clinical
More informationSafeguarding Vulnerable Adults Policy
POLICY & PROCEDURES PROTECTION OF VULNERABLE ADULTS This policy was written in conjunction with the Multi-Agency Safeguarding of Vulnerable Adults in Lincolnshire Policy STATEMENT The welfare of all vulnerable
More informationSafeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17
Safeguarding Adults & Mental Capacity Act (2005) Annual Report 2016/17 Author: Candy Gallinagh Designated Nurse for Safeguarding Adults Supported by: Soline Jerram, Director of Clinical Quality & Patient
More information12. Safeguarding Enquiries: Responding to a Concern
12. Safeguarding Enquiries: Responding to a Concern 1 12.1 Statutory Safeguarding Enquiries Section 42 Councils are required by law to carry out safeguarding enquiries for those individuals who meet the
More informationThe Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust Trust Board Report Meeting Date: 28 th July 2014 Title: Executive Summary: Safeguarding Annual Update The Trust s Joint Safeguarding Children Group and Safeguarding Adult
More informationREPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 26 November 2015 Agenda No: 6.2 Attachment: 06 Title of Document: Adult Safeguarding Annual Report 2014/15 Purpose of Report:
More informationSafeguarding in Sheltered Housing A Best Practice Guide. Ruth Batt, Head of Supported Housing
Safeguarding in Sheltered Housing A Best Practice Guide Ruth Batt, Head of Supported Housing Safeguarding National Context Organisations including Local Authorities, adult/child protection teams, voluntary
More informationAssociate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
More informationSafeguarding Adults Policy March 2015
Safeguarding Adults Policy 2015-16 March 2015 Document Control: Description Comment Title Document Number 1 Author Lindsay Ratapana Date Created March 2015 Date Last Amended Version 1 Approved By Quality
More informationNorth Herts Hospice Care Association. Job Description. Education and Practice Development Lead
North Herts Hospice Care Association Job Description Job Title: Education and Practice Development Lead Band: 7 Responsible to: Responsible for: Accountable to: Liaises with: Director of Patient Services
More informationMeeting of Bristol Clinical Commissioning Group Governing Body. Title: Bristol CCG Management of Serious Incidents Agenda Item: 17
Meeting of Bristol Clinical Commissioning Group Governing Body To be held on Tuesday 22 December 2015 commencing at 13:30 at the Greenway Centre, Doncaster Road, Bristol, BS10 5PY Title: Bristol CCG Management
More informationStaffordshire and Stoke-on-Trent Adult Safeguarding Partnership
and Stoke-on-Trent Adult Safeguarding Partnership Annual Report 2012 2013 CONTENTS Page No. Contents Foreword Statements from Executive Board Statutory Partners Executive Board Update Progress against
More informationSAFEGUARDING CHILDEN POLICY. Policy Reference: Version: 1 Status: Approved
SAFEGUARDING CHILDEN POLICY Policy Reference: Version: 1 Status: Approved Type: Clinical Policy Policy applies to : All services within SCH Serco Policy applies to (staff groups): All SCH Serco staff Policy
More informationPage 1 of 18. Summary of Oxfordshire Safeguarding Adults Procedures
Page 1 of 18 Summary of Oxfordshire Safeguarding Adults Procedures Page 2 of 18 Introduction This part of the procedures sets out clear expectations regarding the standards roles and responsibilities of
More informationSAFEGUARDING ADULTS STEERING GROUP ANNUAL REPORT
SAFEGUARDING ADULTS STEERING GROUP ANNUAL REPORT 2012 2013 Report of Paper prepared by Purpose of Paper Action/Decision required Link to Health Care Standards: Link to Health Board s Strategic Direction
More informationAdult Practice Review Report
Adult Practice Review Report North Wales Safeguarding Adults Board (NWSAB) Concise Adult Practice Review Re: APR2/2016/Conwy 1. Brief outline of circumstances resulting in the Review 1.1 Patient A died
More informationCOMMISSIONER SAFEGUARDING POLICY INCLUDING STANDARDS FOR PROVIDERS JANUARY 2017
COMMISSIONER SAFEGUARDING POLICY INCLUDING STANDARDS FOR PROVIDERS JANUARY 2017 Authorship: Designated Nurse Safeguarding Children Designated Professional Safeguarding Adults Committee Approved: Quality
More informationAchieving Consensus in Pressure Ulcer Reporting
Achieving Consensus in Pressure Ulcer Reporting Tina Chambers Chair of Tissue Viability Society 2013-2015 Co-Chair TVS Pressure Ulcer Reporting Group Purpose of Document This document is for all organisations
More informationDirector of Nursing and Patient Safety. Named Nurse Safeguarding Children & Head of Safeguarding
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST SAFEGUARDING CHILDREN ANNUAL REPORT Report to the Trust Board 26 September 2017 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:
More informationSAFEGUARDING ADULTS POLICY AND PROCEDURE
SAFEGUARDING ADULTS POLICY AND PROCEDURE Responsible director: Responsible officer: Target audience: Name of responsible committee Director of Collaboration Head of Safeguarding (Adults) All CCG staff
More informationBoard Sponsor: Helen Blanchard, Director of Nursing and Midwifery Michaela Arrowsmith Lead Tissue Viability Nurse Specialist Appendices None
Report to: Public Board of Directors Agenda item: 6 Date of Meeting: 26 July 207 Title of Report: Annual Tissue Viability Report 206/7 Status: To Note Board Sponsor: Helen Blanchard, Director of Nursing
More informationWiltshire Safeguarding Adults Board
Wiltshire Safeguarding Adults Board Annual Report 2016 2017 Table of Contents Chairman s foreword 1. Executive summary 2. Safeguarding adults - the national and local picture 3. The Board s work 2016/2017
More informationEDS 2. Making sure that everyone counts Initial Self-Assessment
EDS 2 Making sure that everyone counts Initial Self-Assessment Equality Delivery System for the NHS EDS2 Summary Report Implementation of the Equality Delivery System EDS2 is a requirement on both NHS
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7. Optional to use, detail for local determination
More informationSafeguarding Strategy
1 Safeguarding Strategy 2017-2020 2 Contents Section Page No. 1 1.1 1.2 2.0 2.1 Introduction Legal Framework for Safeguarding What does Safeguarding cover? Our Duties Statutory Compliance for Safeguarding
More informationTRUST BOARD 22 December Nursing, Quality & Patient Experience Directorate. TISSUE VIABILITY Update and Ambition
TRUST BOARD 22 December 26 Nursing, Quality & Patient Experience Directorate TISSUE VIABILITY Update and Ambition Executive Summary The aim of the Tissue Viability Service is to provide specialist assessment
More informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
More informationTRUST BOARD, 26 NOVEMBER 2009 LEARNING FROM THE CQC INVESTIGATION INTO WEST LONDON MENTAL HEALTH NHS TRUST (WLMHT)
TRUST BOARD, 26 NOVEMBER 2009 L LEARNING FROM THE CQC INVESTIGATION INTO WEST LONDON MENTAL HEALTH NHS TRUST (WLMHT) Summary In July 2009, the Care Quality Commission (CQC) published the above report.
More informationStage 4: Investigation process
Stage 4: Investigation process This Stage covers: Purpose of the investigation Roles and responsibilities Who should undertake the investigation? The investigator s report 16.17 Purpose of the investigation
More informationLOCKED DOORS AND DOOR CONTROL POLICY
LOCKED DOORS AND DOOR CONTROL POLICY Version: 3 Ratified by: Senior Managers Operational Group Date ratified: November 2013 Title of originator/author: Mental Health Legal Strategies Lead Title of responsible
More informationCLINICAL AND CARE GOVERNANCE STRATEGY
CLINICAL AND CARE GOVERNANCE STRATEGY Clinical and Care Governance is the corporate responsibility for the quality of care Date: April 2016 2020 Next Formal Review: April 2020 Draft version: April 2016
More informationJOB DESCRIPTION Safeguarding Lead
JOB DESCRIPTION Safeguarding Lead Job Title: Safeguarding Lead Reports to: Medical Director Location: Key Working Relationships: The post holder will work across Greenbrook sites, their main admin base
More informationNHS Bolton Clinical Commissioning Group Safeguarding Children, Young People and Adults at Risk. Contractual Standards
1 Appendix 2 NHS Bolton Clinical Commissioning Group Safeguarding Children, Young People and Adults at Risk Contractual Standards 2017-2018 A Collaborative Greater Manchester (GM) Document 2 Title DOCUMENT
More informationChoice on Discharge Policy
Choice on Discharge Policy Reference No: P_CIG_19 Version 1 Ratified by: LCHS Trust Board Date ratified: 13 th September 2016 Name of originator / author: Sarah McKown Name of responsible committee / Individual
More informationDocument Title Clinical Risk Assessment and Management Policy. Electronic Systems Development & Training Consultant Risk and Assurance Facilitator
Document Title Clinical Risk Assessment and Management Policy Document Description Document Type Policy Service Application Trust Wide Version 1.2 Policy Reference no. POL 025 Lead Author(s) Name Bob Yardley
More informationRUH End of Life Care Working Group Annual Report. April 2013 March 2014
RUH End of Life Care Working Group Annual Report April 2013 March 2014 Agenda Item: 11 Page 1 of 11 Contents 1. Introduction page 3 2. End of Life Care Working Group page 3 3. End of Life Care Work Plan
More informationTRAINING STRATEGY. Safeguarding Adults for Commissioning Staff and Independent Contractors
North Derbyshire Clinical Commissioning Group TRAINING STRATEGY Safeguarding Adults for Commissioning Staff and Independent Contractors Introduction NHS North Derbyshire CCG/PCT Cluster is committed to
More informationSafeguarding Adults Board Business Plan
Safeguarding Adults Board Business Plan 2014-16 Objectives 1 Improve the standards of care to support the dignity and quality of life of vulnerable people in receipt of health and social care, including
More informationPRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH The aim of this report is to provide NHS Borders Board with a thematic review of:-
Appendix-15-35 Borders NHS Board PRESSURE ULCER THEMATIC ADVERSE EVENT REPORT - MARCH 15 Aim The aim of this report is to provide NHS Borders Board with a thematic review of:- Avoidable hospital developed
More information2. Audience The audience for this document is the London NHS Commissioner MCA Steering Board.
Commissioner MCA and DoLS responsibilities checklist Version 1.6 05/02/2016 1. Purpose The purpose of this document is to outline commissioner Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards
More informationENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report
ENCLOSURE: J Date of Trust Board 29 February 2012 Title of Report Purpose of Report Abstract Pressure Ulcer Clinical Improvement Programme This paper provides a progress report on our work in support of
More informationKeeping Adults Safe in Shropshire Board. Competency Framework for Safeguarding Adults October 2016
Keeping Adults Safe in Shropshire Board Competency Framework for Safeguarding Adults October 2016 Competency Framework for Safeguarding Adults October 2016 The Competency Framework for Safeguarding Adults
More informationSafeguarding & Wellbeing Policy
Safeguarding & Wellbeing Policy 4.0 June 17 June 19 (unless an earlier review is required by legislative changes) All Midland Staff, Contractors and Volunteers Rebekah Newton, Director of Retirement Living
More informationSAFEGUARDING ADULTS POLICY
SAFEGUARDING ADULTS POLICY (Working with adults who have care and support needs to keep them safe from abuse or neglect) Version Ratified By Date Ratified Author(s) FINAL APPROVED NHS Wirral CCG Commissioning
More information