Contacts

GP Practice Liaison Leads Safeguarding - Practice Liaison Contact Details

The CCG Safeguarding Team can help you, for example, escalating cases with the Adult Social Care Team, tackling systemic problems or helping you to address a practice issue. 

Tel: 0300 421 1540 or email: glccg.onegloucestershiresafeguardingteam@nhs.net

Named/Designated Professional details can be found here

Gloucestershire Safeguarding Adults Board (GSAB) – Useful Contacts

How to make a referral/Adult safeguarding processes

If URGENT or you need to make a referral call the Adults Social Care Help Desk on:

01452 426868 (9am - 5pm Monday to Friday)  or Email gsab@gloucestershire.gov.uk

Out of Hours – Emergency Duty Team 01452 614758  Email: socialcare.enq@gloucestershire.gov.uk

The online Safeguarding Adults Referral Form is available to assist professionals with the decision on whether or not to raise an adult safeguarding concern.

If you think someone is breaking the law phone the police on 101 or in an emergency always dial 999

Safeguarding Adults processes and further advice can be sought by accessing the Gloucestershire Safeguarding Adults Board (GSAB) website. A Guide To: Recognising and Responding to Abuse

Sign up for alerts – Gloucestershire Safeguarding Adults Board (GSAB)

Training

Check your training requirements to fulfil your obligations set out within the SAAF (4.3.1) and by CQC. The training requirements for all health care staff are set out within the Intercollegiate Documents: Safeguarding Children and Young People: Roles and Competencies for Healthcare Staff 2019 and Adult Safeguarding: Roles and Competencies for Health Care Staff 2018.

The following table is a summary from the RCGP supplementary guide to safeguarding training requirements for all primary care staff (2019) from induction and on a three yearly basis.

   

Safeguarding Adults Roles Competencies

Safeguarding Adults Roles Competencies Reflection page

Films:

Abuse can be hard to spot  - Safeguarding Adults training film

Was Not Brought Training Film

End FGM Campaign Animations-'The Words Don't Come'

Get checked, stay well  - Health checks
 

Forums:

Future SGA GP forum dates:
The Pavilion, Hatherley Lane, Cheltenham, GL51 6PN
22nd April 2020  13:00 -15:00
4th November 2020 13:00 – 15:00

Previous SGA Forum presentations:

Competencies covered in forum - see here
 

Resources:

Prevent e-learning

Modern Slavery Training Resource

GSAB Learning & Development Resources - Self Neglect

 

Domestic Violence Posters

 

The responsibilities of all Doctors

The GMC good practice guidance aims to help doctors to protect adults at risk and the public. It covers some areas which can be difficult and challenging for any practitioner encountering safeguarding concerns. These include

  • working jointly with other agencies
  • confidentiality
  • capacity, consent and best interest decision making (Mental Capacity Act 2005)
  • sharing information
  • record keeping
  • giving evidence in court

Advice on raising and acting on concerns can be found in the GMC Good Practice Guidance by viewing the resource.

GMC Ethical Guidance - Raising concerns
 

Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DOLS) Training

A multi-agency training strategy was agreed in Gloucestershire to develop and implement Mental Capacity Act 2005 (MCA) & Deprivation of Liberty Safeguards (DoLS) training for all staff in Social Care, Health and Independent and Voluntary sectors. 

Please follow the resource link below to the training information.

MCA 2005 & DoLS training

Topics

Self-neglect

Self-neglect is a behavioral condition in which an individual neglects to attend to their basic needs, such as personal hygiene, appropriate clothing, feeding, health needs or surroundings and includes behaviour such as hoarding. Please follow the links below for further information.

Gloucestershire Domestic Abuse and Sexual Violence

Please click on resource link below to be taken to Domestic Abuse, Stalking and Harassment and Honour Based Violence (DASH) 2018 Risk Assessment Form.

For further resources about MARAC and the DASH form click here.

GDASS, Gloucestershire Domestic Abuse Support Service: Self-referral for free and confidential advice please contact www.gdass.org.uk to make an online referral or contact the GDASS helpdesk service Mon-Fri 9-5pm on 01452 426570 or Email: support@gdass.org.uk

Professional advice line: 01452 726561

Please note there is also a service which provides a programme for perpetrators: Turnaround-Splitz: 01242 226150  for enquiries Email: PRGGloucester@splitz.og
 

Emotional Support Services for survivors of Rape, Sexual Assault and Childhood Sexual Abuse

Hope House Sexual Assault Referral Centre (SARC), Gloucestershire Rape & Sexual Abuse Centre (GRASAC), Gloucestershire Counselling Service (GCS) & TICplus (TIC+) Partnership are working together to provide counselling and emotional support to children and young people, families and adults via a self-referral route. This pathway offers a range of potential options to support mental health and emotional wellbeing needs.

Emotional Support Services for survivors of Rape, Sexual Assault & Childhood Sexual Abuse
 

Honour based violence, Forced Marriage and Female Genital Mutilation monitoring

The monitoring form (see resource link below) is for Honour based violence, Forced Marriage and Female Genital Mutilation. No action is taken on receipt of these forms, because they are not referral forms. Should staff identify any concerns they should report formally to the police (particularly when considering mandatory reporting of FGM, or refer, when appropriate, to support services or social care. The monitoring form can be completed and sent to Sophie.Jarrett@gloucestershire.pnn.police.uk to assist in data collection to understand the prevalence of these issues in the county.

End FGM Campaign Animations-'The Words Don't Come'

These short animated films have been developed to create awareness around the health and physiological consequences of FGM and cut through much of the inaccurate and misleading information circulating in the public sphere about FGM.

FGM Monitoring Form

Please follow the links below for Gloucestershire's Anti-slavery Partnership (GASP) resources;

Modern Slavery Helpline (24 hours) 0800 0121 700

Prevent is part of the Government’s counter-terrorism strategy that aims to stop people becoming terrorists.  It is a multi-agency approach to safeguard people at risk of radicalisation.

Prevent E-learning can be accessed here. This offers an introduction to the Prevent duty and explains how it aims to safeguard vulnerable people from being radicalised to supporting terrorism or becoming terrorists themselves. The training addresses all forms of terrorism and non-violent extremism, including far-right wing and Islamist extremism threatening the UK. It has been developed by HM Government following consultation with a range of individuals and organisations.

For more information please see resources listed below:

Admin

 

Blank chronology form

GPPB Partnership Prevent referral document

Honour Based Violence, Forced Marriage and Female Genital Mutilation Monitoring Form

MARAC

Safe and Well online request form

Safeguarding Adults Roles and Competencies

Safeguarding Adults Roles and Competencies Reflection page

Adult Safeguarding: Roles and Competencies for Health Care Staff August 2018

BMA SG Adults toolkit

CQC registration

Domestic Violence RCGP Guidance on recording information

Escalation flowchart

GMC confidentiality

GMC Ethical Guidance - Raising concerns

Hoarding Centre - Clutter Image Ratings

Lone Patient and Routine Enquiries about Domestic Abuse protocol

MARAC RCGP guide for GPs

Recognising and Responding to Domestic Abuse

Safeguarding Children, Young People and Adults at Risk in the NHS: Safeguarding Accountability and Assurance Framework (SAAF) August 2019 NHSE / NHSI

Safeguarding Adults procedure

Safeguarding Adults with care and support needs. A toolkit for GPs - RCGP

Was not brought policy

BASIC PRINCIPLES:

The coding and documentation of safeguarding information on a patient’s record is as important as the coding and documentation of any other significant medical issue such as cancer, diabetes, depression or learning disability for example.

Safeguarding information needs to be immediately obvious on a patient’s notes to all health practitioners* who may access those medical notes for the purposes of direct patient care.

Suffering abuse or neglect is as threatening to the health and well-being of a patient as other major medical conditions are and therefore should be treated in the same manner. By coding and documenting this in the same way as we do other medical conditions, we highlight patients who are vulnerable and who are at risk which enables us to offer appropriate support.

When coding and recording any safeguarding information, good questions to ask yourself are:

  1. Would someone who doesn’t know this family, e.g. a locum, be instantly aware from first glance at the notes/Summary Care Record that there are safeguarding concerns for this child/family/adult?
  2. Would a member of the administrative team who is printing out a complete set of this patient’s notes for an insurance company be instantly aware that there is sensitive safeguarding information that needs to be redacted?
    a. E.g. Child Protection Conference Reports or MARAC information – these DO NOT BELONG TO PRIMARY CARE and therefore primary care do not have authorisation to share these notes with anyone.
    b. This also applies to safeguarding information held in consultation notes or 3rd party references.
  3. If this patient moved practice, would the new primary care team be able to instantly identify from the summary that there are safeguarding concerns?

Adult Safeguarding Information
There are fewer codes available to use to record adult safeguarding information compared with children’s safeguarding information but an appropriate code should be added for any adults for which there are safeguarding concerns.

Consideration should be given to other adults/children in the household/family of the adult for whom there are safeguarding concerns, as to whether something should be recorded in their notes also – this will need to be done on a case-by-case basis.

Adult Safeguarding Conference Invitations and Reports
These should be added onto the patient notes and consideration given as to whether they should be scanned onto any other patient’s notes e.g. family members, children, partners or whether a short summary should be added.

The following tables show codes which should be used for coding safeguarding information in the patient’s electronic record.

ADULTS

EMIS

SYSTMONE

Adult Safeguarding Concern

9Ngj

XaXP4

Adult no longer safeguarding concern

9Ngk

XaXP7

Safeguarding adults protection plan agreed

8CSC

XabzB

Vulnerable adult

133P

XaKXv

Adult no longer vulnerable

13IU

XaX97

Referral to Safeguarding Adults Team

8Hkc

XaQok

DOMESTIC ABUSE

History of Domestic Abuse

14XD

XaN21

SEXUAL EXPLOITATION

At risk of sexual exploitation

13VX

XabRV

Victim of sexual Exploitation

14XH

XaXrY

CAPACITY

Lacks capacity to give consent (MCA 2005)

9NdL

XaPpE

Lacks Mental Capacity to make decision (MCA 2005)

2JR

XaXvr

IMCA instructed

9Ng6

XaP9k

DoLS

Subject to DoLS

-

Xafhr

Standard Authorization DoL given

9NgzG

-

No longer subject to DoLS

9NgzW

XaeYf

MAPPA

Subject of Multi-agency Public Protection Arrangements

13Hl-1

XaQGW

 

MODERN SLAVERY

Victim of modern slavery

14XL

Xaerb

 

OTHER CODES

EMIS

SYSTMONE

CASE CONFERENCES

 

 

If attended a conference for adults or children use the 2 codes below:

 

 

Initial Case Conference

387A

XaXH9

Review Case Conference

3879

XaXHB

Conference Report (when filing the report)

9Ee01

XaX2k

DRUG / ALCOHOL MISUSE

 

 

Family history of alcohol misuse

12X0

XaN28

FH: Drug Dependence

1283

1283

MENTAL HEALTH / LEARNING DISABILITY

 

 

Family history of mental disorder

ZV1A

128

Maternal Postnatal Depression

12K8

Xaeft

Paternal / Maternal learning disability

12L5/12K6

Xaec5 / Xaec7

Family history of learning disability

12W1

XM1Je

Carer of a person with learning disability

918W

XaKBe

Parent of

133E

133E

HOMELESS

 

 

Homeless

13D-1

Xa8O5

Homeless Family

13D1

13D1

MARAC

 

 

Subject of MARAC

13Hm

XaX96

Referral to MARAC

8T0b

Xacv1

PREVENT

 

 

No specific codes available yet for either system –

suggest use ‘Adult Safeguarding concern’ or ‘Child is cause for safeguarding concern’ (codes above)

 

 

In response to Sir Robert Francis’ Freedom to Speak Up report and his recommendation to review primary care separately, NHS England has published specific guidance for colleagues in general practice, optometry, community pharmacies and dental practices. This follows a consultation with staff working in primary care. As of 1 April 2016, primary care staff can raise concerns directly with NHS England. The guidance sets out who can raise a concern, the process for raising a concern, how the concern will be investigated and what will be done with the findings of the investigation. 

Please follow the resource link below to the full document.

https://www.england.nhs.uk/wp-content/uploads/2016/11/whistleblowing-guidance.pdf

  • Advertisements-adverts should include reference to your work place commitment to safeguarding and (Disclosure and Barring Service (DBS) checks).
  • Interviewing- Practice Safer Recruitment techniques. See www.cwdcouncil.org.uk/safeguarding/safer-recruitment. References- Get references prior to interview for shortlisted candidates and ensure concerns are discussed. Don't accept photocopies or undated references.
  • DBS- all staff who start a new job or have a break in service of more than 3 months, who are working or volunteering with adults with care and support needs should have a DBS if they are in a regulated activity.
  • The new Disclosure and Barring Service came into force in 2012. Updates on progress can be found here.

Enabling police to access a person’s health and social care information quickly and efficiently can be crucial when trying to trace a missing person. The concept of sharing data in relation to missing persons’ cases is well established. However, when information requests are received, NHS organisations, GPs and other healthcare providers can struggle to navigate decisions about confidentiality, and when it is appropriate to make a person’s data available to the police (and—if they do share it—on what legal basis they are able to do so). Decisions aren’t always black and white, and organisations frequently seek an opinion from the UK Caldicott Guardian Council (UKCGC). 

The UKCGC recognised that there was a need for clearer, more consistent advice from an authoritative source in respect of patient data sharing for potential homicide investigations, proof of life enquiries and more general enquiries to trace missing persons. To this end, UKCGC Vice Chair, Sandra Lomax met with Joe Apps of the National Crime Agency’s UK Missing Persons Unit, and together they embarked upon a project to develop joint guidance – for the benefit of both the individuals making the requests, and those receiving them.

Guidance

To reduce health inequalities and improve awareness of the importance of getting health checks for people who have a learning disability please find below a link to the published films which have been co-produced with Inclusion Gloucestershire as part of our series of films “Get checked, stay well"

Please also refer to the following resource links:

Learning Disabilities Care Pathway - Overview

GSAB Learning Disabilities Mortality Review (LeDeR)

 

Organisations/Agencies

MAPPA Gloucestershire Contact Details

MAPPA Coordinator
Vacancy 

Detective Inspector Simon Goodenough
Email: simon.goodenough@gloucestershire.pnn.police.uk

Kirsty Ridge, MAPPA Administrator
Tel: 01452 753180
Email:kirsty.ridge@probation.gsi.gov.uk

Referrals to be sent toSWSCNPS.gloucestershire.MAPPA@probation.gsi.gov.uk  

For further information, please visit www.mappa.justice.gov.uk        

Hope House Sexual Assault Referral Centre (SARC), Gloucestershire Rape & Sexual Abuse Centre (GRASAC), Gloucestershire Counselling Service (GCS) & TICplus (TIC+) Partnership are working together to provide counselling and emotional support to children and young people, families and adults via a self-referral route. This pathway offers a range of potential options to support mental health and emotional wellbeing needs.

Emotional Support Services for survivors of Rape, Sexual Assault & Childhood Sexual Abuse

Safe and Well Checks

                                                                          

Gloucestershire Fire and Rescue Service has a dedicated team of operational firefighters and Community Safety Advisors (CSA's) that conduct 'Safe and Well' visits at people's homes throughout Gloucestershire.

The CSA's have received additional training to give people in their homes not only fire safety advice, but advice on their general wellbeing. This additional training ensures the CSA's can recognise winter-related illnesses and issues, such as falls, cold homes, flu and social isolation during health and wellbeing checks for the over 65s.  If the fitting of smoke alarms is recommended during a 'Safe and Well' visit, these will be supplied and fitted free of charge.

Fire Service staff have received training and have been working with local services to help their understanding of the services available.

To refer anyone over 65 who you think may benefit from a home safety check, please ring: 0800 1804140 or use the online request form.

Further information can be found on the Gloucestershire Fire and Rescue Service website.

 “The definition of homelessness means not having a home.  You don’t have to be living on the street to be homeless – even if you have a roof over your head you can still be without a home.  This may be because you don’t have any rights to stay where you live or your home is unsuitable for you.“ www.scotland.shelter.org.uk

Safeguarding issues in homeless population could include:

  • Self-neglect
  • Modern day slavery
  • Domestic abuse
  • Physical abuse/emotional abuse/ Bullying
  • Financial abuse

Summary of useful contacts:

Homeless Healthcare Team
01452 521898
Hours:  09:30 to 15:30 Monday to Friday
Out of hours: For medical healthcare contact

Gloucester Health Access Centre (GHAC)
01452 336290
Hours: 08:00 to 20:00

For emergency out of hours Homeless Assistance
01452 614194
edt@gloucestershire.gov.uk
Hours: 16.45 to 08.45 Monday to Thursday
16.45 Friday to Monday 08.45 (including bank hols, Xmas Day and New Years Day)

Street link
www.streetlink.org.uk

Green Square
www.greensquaregroup.com

Expand all