Dudley Clinical Commissioning Group is committed to safeguarding children and adults across the organisation
Safeguarding Vulnerable Children and Adults is Everyone’s Responsibility
It depends on people understanding and doing the following things:
- Being aware of the risks of abuse and neglect that children, young people and adults can face
- Knowing what help is available
- Understanding their responsibilities
- Working together to report and investigate concerns
- Working together to prevent abuse and neglect
Recent cases including Mid Staffordshire NHS Foundation Trust, Winterbourne View, and Jimmy Saville, have highlighted the importance of having robust Safeguarding policies and procedures in place. It is NHS Dudley CCG’s statutory responsibility to ensure that the services that it commissions provide a safe system that safeguards vulnerable children young people and adults.
The Government reforms of the NHS put patients and the quality of their care at the heart of the NHS. The Government’s commitment to patient choice, control and accountability includes support and protection for those in the most vulnerable situations.
NHS Dudley CCG is responsible for fulfilling safeguarding responsibilities for people living within the Dudley Borough.
In addition to working with those who provide commissioned services, CCGs have a statutory duty under the Children Act 2004 & Care Act 2014 to be members of the local Safeguarding Boards (LSBs), working in partnership with local authorities to fulfil their safeguarding responsibilities.
We have Designated Safeguarding Nurse for Children, Lead Nurse for Safeguarding Adults and a designated Nurse for Looked After Children and Young People . We have a policies and procedures for safeguarding both Vulnerable Children and Adults which is linked to Local Authority procedures. Please see below.
We continue to progress a programme of safeguarding training for staff to ensure that all eligible staff have received the right level of training relevant to their roles and responsibilities.
Safeguarding Vulnerable Adults
The following are key elements of NHS Dudley CCG’s role in ensure that there are effective safeguarding systems in place within the providers of the services that it commissions:
- Use the safeguarding principles to shape strategic and operational safeguarding arrangements across Dudley to ensure a consistent approach across all commissioners and providers
- Set safeguarding adults as a strategic objective when commissioning health care
- Use integrated governance systems and processes for assurance to act on safeguarding concerns in services. Also, to act on intelligence to prevent safeguarding incidents from occurring
- Work with the local Safeguarding Adults Boards, patients and community partners to create safeguards for patients
- Provide leadership to safeguard adults across the health economy of Dudley
- Ensure accountability and use learning within the service and the partnership to bring about improvement.
Safeguarding Adults Documentation
- Safeguarding People Partnership Arrangements
- Dudley Safeguarding Adults Board – Main Website
- Safeguarding Policies & Procedures
- Safeguarding Adults – How to Report Abuse
- Cyberbullying Workforce Guidance
- Older Victims of Domestic Abuse
- Safeguarding Alerts Policy
- Managing Safeguarding Allegations Against Staff: Policy & Procedure
- Safeguarding vulnerable people in the new NHS
- Keeping Adults Safe from Abuse and Neglect
- What happens after you report abuse
- Safe & Well Visit Referral Form
- Modern Slavery Statement
Dudley CCG is committed to safeguarding children across the organisation. The welfare of children who come into contact with our services either directly or indirectly is paramount and all staff have a responsibility to ensure that best practice is followed, including compliance with statutory requirements.
Following the publication of the Care Quality Commission (CQC) report into the arrangements in the NHS for safeguarding children, we have reviewed our arrangements against the priority areas highlighted by the CQC.
The CCG meets all statutory requirements in relation to Disclosure and Barring Service (DBS) checks and the process of pre-employment checks is managed through a robust centralised process.
The Child Protection and Safeguarding policies and procedures have been updated in line with changes to legislation and are widely available to staff. They are reviewed and monitored via the Quality and Safety Committee, a formal sub-committee of the Trust Board.
The CCG has a Designated Senior Nurse for Children’s Safeguarding who liaises closely with the Clinical Lead and the Chief Nurse. We will also have a Named GP for Safeguarding Children and the CCG has also secured the expertise of a Designated Doctor via a service level agreement who liaises closely with the Designated Senior Nurse.
We have dedicated CCG policies for the provision of safeguarding vulnerable children. The policies are linked to West Midlands Child Protection and Safeguarding Procedures Manual which are available via the links on the right.
Safeguarding Children Documentation
- Safeguarding People Partnership Arrangements
- Dudley Safeguarding Children Board – Main Website
- Child Sexual Exploitation GP pack Sept 13
- Child Sexual Exploitation Videos
- Serious Case Reviews
- Managing Safeguarding Allegations Against Staff
- Protecting Children who Move Across Local Authority Borders
- Record Keeping for Professionals
- Resolution and Escalation Procedures
- Safeguarding Children Board Procedures
- Safeguarding and Looked After Children Policy – Including Practice Guidance V3.0
- Safeguarding and Looked After Children and Adults at risk – Commissioning Policy V2.0
- Safeguarding Supervision Policy – Child and Adult V3.2
- Safeguarding Children’s Core Competency V3.2
- Safeguarding Children – Threshold Guidance
- Working Together
- Managing Allegations Against Staff
- Perinatal Mental Health Toolkit
Looked After Children
In UK law, children in care are referred to as “looked after children”. A child is “looked after” if they are in the care of the local authority for more than 24 hours. Legally this could be when they are:-
- Living in accommodation provided by the local authority with the parents’ agreement
- The subject of an interim or full care order
- The subject of an emergency legal order to remove them from immediate danger
- Detained in a secure children’s home, secure training centre or young offender institution
- Unaccompanied asylum seeking children
Although Children looked after have many of the same health issues as their peers, the extent of these is often greater because of their past experiences. Almost half of children in care have a diagnosable mental health disorder and two-thirds have special educational needs. Delays in identifying and meeting their emotional well-being and mental health needs can have far reaching effects on all aspects of their lives.
Under Section 10 of the Children Act 1989, CCGs and NHS England have a duty to comply with requests from a local authority to help them provide support and services to looked-after children to promote their health and well-being. CCGs and NHS England have a duty to cooperate with requests from local authorities to undertake health assessments and help them ensure support and services to looked-after children are provided without undue delay.
Local authorities, CCGs, NHS England and Public Health England must cooperate to commission health services for all children in their area.
The CCG has a Designated Nurse for Looked After Children and Young People. The Designated Nurse will support commissioners in determining commissioning priorities, monitoring performance delivery and quality and supports CCG in providing assurance to LSCB’s. They will also provide expert advice to health & Local Authority regarding the health of LAC.
Looked After Children – knowledge, skills and competence of health care staff Intercollegiate Role Framework ( RCN, RCPCH) 2015
Serious Case Reviews (SCR) and Safeguarding Adult Reviews (SAR)
Serious Case Reviews
A serious case review (SCR) takes place after a child dies or is seriously injured and abuse or neglect is thought to be involved. It looks at lessons than can help prevent similar incidents from happening in the future.
A SCR should take place if abuse or neglect is known, or suspected, to have been involved and
- a child has died
- or a child has been seriously harmed and there is cause for concern about how organisations or professionals worked together to safeguard the child
- the child dies in custody
- or a child died by suspected suicide
Safeguarding Adult Reviews
The purpose of SARs is described very clearly in the statutory guidance as to ‘promote effective learning and improvement action to prevent future deaths or serious harm occurring again’. The aim is that lessons can be learned from the case and for those lessons to be applied to future cases to prevent similar harm re-occurring.
These reviews are undertaken to establish whether there are lessons to be learnt from the case about the way in which local professionals and organisations work together to safeguard and promote the welfare of children and adults. Dudley Safeguarding Boards have also been committed to undertaking smaller scale partnership reviews for instances where the case does not meet the criteria for a SCR/SAR but it is considered that there are lessons for multi-agency working to be learnt.