1. National and Local Developments Adult Safeguarding

2. SAFEGUARDING – CHANGES POST CARE ACT 2014 Adult safeguarding now a statutory duty, just like child safeguarding and a key departmental priority for Hampshire Adult Services Prevention is crucial to the vision of the Care Act so we have been refocusing resources to give prevention and early intervention equal priority Emerging types of abuse – ‘honour’ based violence, human trafficking, modern day slavery, ‘mate’ crime and extremist activities Enhanced role around market stability and provider failure This has resulted in a wider range of approaches to ensure sustainable, safe services are available in Hampshire

3. SETTINGS – rankings Own home Residential/nursing home Other Health setting Supported accommodation Alleged perpetrators home

4. SAFEGUARDING POST CARE ACT

5. TYPES OF ABUSE 2014-2015 Neglect 37% Physical 29.1% Financial 16.5% Psychological 9% Sexual 7% Institutional 1.3% Discriminatory 0.1% 2015-2016 Neglect 40.3% Physical 23.2% Financial 15% Psychological 8% Sexual 6% Self Neglect 4% Domestic Abuse 2.6% Institutional 0.7% Discriminatory 0.2%

6. Safeguarding activity pre Care Act Year 2011 – 2012 2012 - 2013 2013 – 2014 2014 - 2015 2015 - 2016 Incidents 2145 2516 3197 3223 3324

7. Reporting Increase in reporting year on year due to increased awareness Over 500 incidents a month reported Increase in reports from partners including Police, NHS and Ambulance Service Less converting to section 42 as different approaches to managing quality

8. Causing enquiries Care Act brings a new approach to responding to concerns which in some ways is a subtle difference but a shift in practice Local authority role is now to ‘undertake enquiries’ in response to allegations or ‘cause enquiries to be made’ Local authority can now ask other agencies to lead enquiries or investigations

9. Example A patient in a hospital known to be at risk of swallowing is seen by a Speech and Language Therapist who advises a soft diet and writes it in the care plan. The care plan is not followed and the patient chokes on solid food. Previously, the local authority may have led an investigation. Now the hospital will be asked to lead in line with their governance processes to ensure lessons are learned. Commentary It is the hospital who are accountable for the issue and therefore they need to amend their practices to reduce the risk of a repeat event.

10. Example A young person with a learning disability is allegedly taken advantage of by a support worker who takes the service users money to buy his own shopping. The agency who employs the support worker is asked to ‘undertake an enquiry’ and report back to the local authority. Commentary The HR policies and procedures of the agency need to be applied including decisions on suspension pending investigation, hence why they are asked to take the lead.

11. EXPANDING SCOPE OF SAFEGUARDING

12. What’s New? Counter Terrorism and Security Act 2015 – PREVENT duties in respect of radicalisation Serious Crime Act 2015 – controlling and coercive behaviour Criminal Justice and Courts Act 2015 (section 20) applies to individuals such as doctors, dentists and nurses - an offence for an individual who has the care of another individual by virtue of being a care worker to ill-treat or wilfully to neglect that individual

13. CARE ACT GUIDANCE – March 2016 New information on the role of principal social workers Changes and revisions throughout the guidance to reflect postponement of the care cap Additions regarding local authorities’ responsibilities to monitor and oversee local care markets and manage provider failure Clarification of rules governing charging for social care and changes to make clear local authority discretion regarding charging for home care Updates to the safeguarding chapter - including responding to allegations about people in positions of trust, removal of the requirement for a Designated Adult Safeguarding Manager Additions to guidance on transition from child to adult services

14. ADULT SERVICES DEPARTMENT UPDATE More alignment between quality, safeguarding and governance – new roles & broader responsibilities of safeguarding and governance team Strategic work with CQC – CQC Enforcement Guidance Provider Failure Policy Quality work with NHS – consistent approach to management of quality Engaging Hampshire Communities Project PREVENT Learning from deaths following Mazars Review

15. HSAB UPDATE Publication of multi-agency policy, guidance and toolkit Range of practice guidance Briefings and learning events Co-sponsor of Engaging Hampshire Communities Refresh of website New Independent Chair in 2016