All staff within health services have a responsibility for the safety and wellbeing of patients and colleagues.
Living a life that is free from harm and abuse is a fundamental human right of every person and an essential requirement for health and well-being. Safeguarding adults is about the safety and wellbeing of all patients, but providing additional measures for those least able to protect themselves from harm or abuse.
North Central London Clinical Commissioning Group (CCG) is committed to safeguarding the well-being of adults in receipt of services that it commissions. As a member of the local Safeguarding Adults Board, North Central London CCG ensures that staff have appropriate policies, procedures, training and access to expert advice to ensure that adults at risk are identified and, where necessary, in receipt of appropriate protection.
What is an adult at risk?
An adult is defined in the Care Act 2014 as someone over 18 years old who has care and support needs: (whether or not the local authority is meeting any of those needs) and;
is experiencing, or at risk of, abuse or neglect; and
as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect.
An adult at risk’s vulnerability is determined by a range of interconnected factors, including personal characteristics, factors associated with their situation or environment and social factors.
Abuse can happen anywhere including in someone’s home or a care home, a day centre or a hospital. Those responsible for abuse can be relatives, friends, neighbours, paid care workers, volunteers, professional staff and strangers. Some adults may be afraid to, or may be unable to tell anyone they are being abused.
Abuse may be a single event or repeated events or, as in the case of neglect, it may be a process going on over time. Abuse may occur as a result of deliberate intent, negligence or ignorance or as a result of a developed poor practice.
Types of abuse:
Including hitting, slapping, pushing, misuse of medication or procedures, restraint or inappropriate physical sanctions.
Including rape and sexual assault or sexual acts to which the adult has not consented or was pressured into consenting.
Including emotional abuse, threats of harm or abandonment, deprivation of contact, humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, isolation or unreasonable and unjustified withdrawal of services or supportive networks.
Any incident or pattern of controlling, coercive, threatening behaviour, violence or abuse including so-called honour based violence and forced marriage.
Including theft, fraud, exploitation, coercion in relation to an adult’s financial affairs or arrangements, including in connection with wills, property , inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits.
Slavery, human trafficking, forced labour and domestic servitude. Perpetrators use whatever means they have to force, coerce and deceive people in to a life of abuse, servitude and inhumane treatment.
Including ignoring medical or physical care needs, failure to provide access to appropriate health, care and support or educational services, the withholding of the necessities of life, such as medication, adequate nutrition and heating.
This covers a wide range of behaviour including neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding. It should be noted that self-neglect does not always require a safeguarding enquiry and a case by case approach may involve a variety of approaches.
Including discrimination on grounds of race, gender and gender identity , disability, sexual orientation, religion, and other forms of harassment, slurs or similar treatment
Including neglect and poor care practice within an institution or specific care setting like a hospital or care home, for example. This may range from isolated incidents to continuing ill-treatment.
Abuse or neglect may be deliberate, or the result of negligence or ignorance. Unintentional abuse or neglect arises, for example, because pressures have built up and/or because of difficult or challenging behaviour which is not being properly addressed.
Domestic abuse is a term that is used to describe a wide range of violent and abusive behaviours. These include many forms of physical violence, but also include many forms of sexual abuse (including rape), emotional and psychological abuse and other varieties of abuse such as financial control and deprivation.
The Care and Support Statutory Guidance 2015 identifies types of abuse, but also emphasises that organisation should not limit their view of what constitutes abuse or neglect.
What to do if an adult is experiencing abuse and he /she tells you about it
If an adult experiencing abuse or neglect speaks to you about this:
All staff (professionals and volunteers) of any service involved with adults at risk should inform the relevant manager if they are concerned that an adult has been abused or may be at risk of harm.'
If you hear about an incident of abuse from a third party (this is when someone else tells you about what they have heard or seen happen to a vulnerable adult at risk), encourage them to report it themselves or help them to report the facts of what they know. However if the third party refuses to report the abuse then Haringey CCG staff must report it.
How to Report suspected abuse
Contact the Haringey Council Safeguarding Adults Referral and Advice Line:
Office hours: 020 8489 1400 Out of hours: 020 8489 0000 If you or an adult is immediate danger, you should always phone 999.
GP FOR ADULT SAFEGUARDING
Dr Dee Hora
DESIGNATED PROFESSIONAL FOR SAFEGUARDING ADULTS: CAMDEN
SAFEGUARDING ADULT LEAD
SAFEGUARDING LEADS DESIGNATED DOCTOR
Dr Raju Raithatha
SENIOR SAFEGUARDING ADMINISTRATOR