BIRMINGHAM SAFEGUARDING ADULTS BOARD (BSAB)

ANNUAL REPORT 2012/13

ALAN LOTINGAService Director Health and Wellbeing,

and Chair of BSAB

Health and Social Care Scrutiny Committee

26TH March 2014

What is Abuse?

“…a violation of an individual’s human and civil rights by any other person or persons. Abuse may consist of single or repeated acts. It may be physical, verbal or psychological, it may be an act of neglect or an omission to act, or it may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented, or cannot consent. Abuse can occur in any relationship and may result in significant harm, or exploitation of, the person subjected to it” (No Secrets, paragraph 2.5, p 9).

By Whom?

It may be caused by anyone who has power or influenceover the person whether they are a carer, a paid memberof staff or professional. It can be caused by a persondeliberately intending to harm, failing to take the rightaction or through their ignorance. It can involve one ora number of people. Institutional abuse can occur when theabuse arises as a result of persistently poor care or a rigidand oppressive regime. Defining abuse is complex and canbe subject to wide interpretation. Many instances of abusewill constitute criminal offences, involving intent,recklessness, dishonesty or negligence by the perpetrator. Note - Abuse as defined above can also be acted out as self-harm by the vulnerable person on themselves.

Who is Responsible?

• A concern to the whole community.

• "No Secrets" (2000) national framework, Care and Support Bill intends to make statutory.

• Adult social services expected to lead, national outcomes framework.

• Safeguarding Boards (LAs, NHS, Police, Probation).

• Birmingham in line with proposed legislation - Annual Reports, annual plans, information protocols, etc.

• NHS moving responsibilities to CCGs + other changes e.g. Mental Capacity Act/Deprivation of Liberty.

Key Messages from 2012/13 Annual Report

• 9% increase in referrals (3,056) via "Eyes and Ears" public campaign and other awareness-raising.

• Further development of well-used Bsab.org website

• Excellent performance maintained on key performance indicators - speed of assessments and packages. Backed up by better management information.

• Improved engagement with and involvement of service users – “Making It Real” agenda, clear and easy to follow information.

• Development of Serious Case Review approach and publication of “A2” case – issues around understanding of Mental Capacity Act, quality and use of risk assessments, working with reluctant service users, supervision and support for staff that agencies provide.

• Improvement of processes in response to allegations of institutional abuse.

Safeguarding Performance

Safeguarding PerformanceShowing the year to date performance, by month, for Safeguarding Referrals, Assessments and Case Conferences

80.0%

85.0%

90.0%

95.0%

100.0%

Apr

-11

May

-11

Jun-

11

Jul-1

1

Aug

-11

Sep-

11

Oct

-11

Nov

-11

Dec

-11

Jan-

12

Feb-

12

Mar

-12

Apr

-12

May

-12

Jun-

12

Jul-1

2

Aug

-12

Sep-

12

Oct

-12

Nov

-12

Dec

-12

Jan-

13

Feb-

13

Mar

-13

Apr

-13

May

-13

Jun-

13

Jul-1

3

Aug

-13

Sep-

13

Oct

-13

Nov

-13

Dec

-13

Jan-

14

Feb-

14

Referrals in 24hrs

Referrals Target

40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Apr

-11

May

-11

Jun-

11

Jul-1

1

Aug

-11

Sep-

11

Oct

-11

Nov

-11

Dec

-11

Jan-

12

Feb-

12

Mar

-12

Apr

-12

May

-12

Jun-

12

Jul-1

2

Aug

-12

Sep-

12

Oct

-12

Nov

-12

Dec

-12

Jan-

13

Feb-

13

Mar

-13

Apr

-13

May

-13

Jun-

13

Jul-1

3

Aug

-13

Sep-

13

Oct

-13

Nov

-13

Dec

-13

Jan-

14

Feb-

14

Assessments in 28 days

Assessments target

40.0%50.0%60.0%70.0%80.0%90.0%

100.0%

Apr

-11

May

-11

Jun-

11

Jul-1

1

Aug

-11

Sep-

11

Oct

-11

Nov

-11

Dec

-11

Jan-

12

Feb-

12

Mar

-12

Apr

-12

May

-12

Jun-

12

Jul-1

2

Aug

-12

Sep-

12

Oct

-12

Nov

-12

Dec

-12

Jan-

13

Feb-

13

Mar

-13

Apr

-13

May

-13

Jun-

13

Jul-1

3

Aug

-13

Sep-

13

Oct

-13

Nov

-13

Dec

-13

Jan-

14

Feb-

14

Conferences in 38 days

Conferences Target

Priorities for Current Year 2013/14 Working productively with GPs and Clinical Commissioning Groups and their new

responsibilities Running a focussed winter “eyes and ears” campaign (mate crime) A conference and other means to help develop, train and express importance to

professionals of Mental Capacity Act issues. Close monitoring of Deprivation of Liberty Safeguards responsibilities Quality of safeguarding practice – case file audits, more service user involvement. Improving our data recording. More Board member challenge as equal professionals. Self-assessment and

assurance. Preparing for SABs being made statutory and other aspects of Care Bill. Closer working with Children’s Safeguarding Board on cross-cutting issues.

Suggested Reading/Guidance

• Adult Safeguarding Scrutiny Guide April 2010 (Centre for Public Scrutiny/IDeA).

•NHS Commissioning Board - Arrangements to Secure Children's and Adult Safeguarding in the Future NHS.

• LGA Councillors’ Briefing: safeguarding adults 2013. March 2013.