1. Presentation to Bolton’s Local Pharmaceutical Committee January 2015 Helen Bolton Specialist Safeguarding Practitioner Bolton CCG

2. The What and Why of Safeguarding?  Children: The Children Act 2004 (Section 11 guidance)/Working Together to Safeguard Children (2013): protecting children from maltreatment; preventing impairment of children's health or development; ensuring that children grow up in circumstances consistent with the provision of safe and effective care taking action to enable all children to have the best outcomes.

3. The What and Why of Safeguarding?  Adults: Safeguarding Adults: The role of Health Service Practitioners (DOH 2011) states  “Safeguarding adults covers a spectrum of activity from prevention through to multi agency responses where harm and abuse occurs. Multi agency procedures apply where there is concern of neglect, harm or abuse to a patient defined under No Secrets guidance as ‘vulnerable’.  Safeguarding adults is an integral part of patient care. Duties to safeguard patients are required by professional regulators, service regulators and supported in law. “

4. Defined by the Department of Health (2000) as a person aged 18 years or older:  “ 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 unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation”. Adults at Risk

5. Categories of abuse  Both Children and adults – Physical abuse: bite, scalds, punch, slap – Sexual abuse: penetration, inappropriate touching, exposure to/involvement in pornography – Neglect: of physical, emotional, health needs, education, stimulation – Emotional abuse: intimidation, lack of warmth, humiliation will usually occur in conjunction with other forms of abuse

6. Categories of abuse  Additional categories for adults: – Financial abuse: theft, fraud, coercion – Discriminatory abuse: discrimination, harassment, hate – Institutional abuse, neglect and poor practice

7. Who is Responsible for Safeguarding? Everyone

8. Standards for Registered Pharmacies (General Pharmaceutical Council 2012)  All 5 principles refer to arrangements being made to safeguard the health, safety and wellbeing of patients and the public – 1) Governance arrangements 1.8 Children and vulnerable adults are safeguarded – 2) Staff empowered and competent – 3) Environment and premises – 4) Pharmaceutical services, including management of medicines and medical devices – 5) Equipment and facilities

9. Practice requirements (as per NHS Standard Contract 2014/14 – service conditions)  SC32 – Safeguarding – Safeguarding policies: updated “from time to time” – Provide evidence on request that safeguarding concerns raised through multiagency systems are being addressed – Have a safeguarding lead and a Prevent Lead  SC33 – Incident reporting as per NHS Serious Incident Framework

10. Within the policies:  Be familiar with the common signs and symptoms of abuse or neglect and the term ‘looked after child’  Be aware of the heightened risks to children and vulnerable adults from parents or carers  Consider professional abuse  Consider training requirements  Know how to recognise, respond and refer

11. Accessing Training Adultsvia the Area Team http://www.e- lfh.org.uk/programmes/safeguarding- adults/ via Bolton Safeguarding Adult Board who currently offer three free e-learning packages available on Safeguarding Adults at Risk, Mental Capacity Act and Deprivation of Liberty Safeguards http://www.bolton.gov.uk/website/Pages/S afeguardingvulnerableadults.aspx#elearning Childrenvia the Area Team http://www.e- lfh.org.uk/projects/safeguarding-children/ via Bolton Safeguarding Children Board who deliver an annual multiagency safeguarding training programme open to anyone working with children, young people and their families/carers in Bolton and is free to access http://boltonsafeguardingchildren.org.uk/d ocuments/2013/10/multi-agency- safeguarding-training-brochure-2013- 2014.pdf

12. Future developments  The Safeguarding Team (Bolton CCG) are developing a safeguarding section of the website for practitioners to access which will share new and revised information, local and national  NHSE/Bolton CCG are developing a Primary Care Tool Kit, intended to be a one stop shop: will share links to the GM Partnership, policies etc.

13. What can we do for one another?  The SGT CCG is here to help, advise and support you  We will share any information you require: just ask  If we have a single point of contact or distribution list for your members we can ensure you receive up to date information: both local and national (pending website development)

14. Safeguarding Contacts: Bolton CCG – Safeguarding Team NameTitleContact Pam Jones Associate Director Safeguarding /Designated Nurse pam.jones8@nhs.net 01204 463389 07920 478715 Helen Bolton Safeguarding Specialist Practitioner (children) helen.bolton2@nhs.net 01204 462203 07920 477223 Vacant Safeguarding Specialist Practitioner (adults) Gabi Lipshen Designated Doctor gabi.lipshen@boltonft.nhs.uk gabi.lipshen@nhs.net 01204 463500 Charlotte McManusSafeguarding Team Administrative Support/PA to Designated Nurse charlottemcmanus@nhs.net 01204 463390

15. Safeguarding Contacts: Bolton FT – Safeguarding Team  safeguardingchildren@boltonft.nhs.uk safeguardingchildren@boltonft.nhs.uk  01204 463388  Covers both community and acute services provided by the Trust

16. Social care – adults ServiceAreaContact Vulnerable adults - North Stars team Post code areas: BL1, BL2, BL6, BL7 01204 333410 Vulnerable adults - South Stars team Post code areas: BL3, BL4, BL5 01204 337000 Vulnerable adults Emergency Duty Team 01204 337777 Vulnerable Adults Advice Line 01204 333464

17. Social care – children ServiceAreaContact Referral and Assessment North Astley Bridge, Bradshaw, Breightmet, Bromley Cross, Tonge Moor 01204 337408 Referral and Assessment South Burnden, Daubhill, Farnworth, Harper Green, Kearsley, Little Lever 01204 337729 Referral and Assessment West Blackrod, Deane, Heaton, Halliwell, Derby, Smithills, Hulton Park, Horwich, Westhoughton 01942 634625 Emergency Duty Team6:00pm to 8.45am and Weekends 01204 337777

18. Police ServiceContact Domestic Violence Unit 0161 856 5009 Vulnerable adults team 0161 856 1539 Public Protection Investigation Unit 0161 856 7949

19. Further local information  http://www.bolton.gov.uk/website/Pages/Chil dprotection.aspx http://www.bolton.gov.uk/website/Pages/Chil dprotection.aspx  http://boltonsafeguardingchildren.org.uk/ http://boltonsafeguardingchildren.org.uk/  http://www.bolton.gov.uk/website/Pages/Saf eguardingvulnerableadults.aspx http://www.bolton.gov.uk/website/Pages/Saf eguardingvulnerableadults.aspx