PAPER C2

Purpose : for Decision

                        REPORT TO THE EXECUTIVE

 

Date :              3 DECEMBER 2003

 

Title :               TO CONSULT ON THE PROPOSED APPROACH TO DEALING WITH THE ADULT PROTECTION AGENDA

                       

REPORT OF THE PORTFOLIO HOLDER FOR SOCIAL SERVICES AND HOUSING

 

IMPLEMENTATION DATE : 1 APRIL 2004

 

SUMMARY/PURPOSE

 

1          The Executive is asked to endorse the approach suggested  in managing the protection of vulnerable adults agenda and the appointment of an adult protection co-ordinator.

 

BACKGROUND

 

2                    For many years there has been increasing concern about the abuse or potential abuse of vulnerable adults. The Government signaled an intent to provide better protection for vulnerable adults in the 1998 White Paper “Modernising Social Services” followed up by the “No Secrets” document in March 2000 and (guidance issued under section 7 of the Local Authority Social Services Act 1970).  This requires Local Authorities in their Social Services function to act under the general guidance of the Secretary of State, as such this does not have the full force of statute but should be complied with unless exceptional local circumstances apply.  

 

3                    No Secrets gives clear guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse.  Within this prevention of abuse is key, but if this fails then underlying principles are crucial to ensure that appropriate action is taken and lessons learned.

 

STRATEGIC CONTEXT


 

4                    This is a high priority area with a recent Government select committee on “Elder Abuse” headed by the ADSS chairperson Sue Finnes.  Furthermore, better Government for Older People have set up a task group with campaigning groups and representatives from Local Authorities and there is a possibility of “No Secrets 2“ being issued as a follow on from “No Secrets” guidance of March 2000.

 

5                    Within this guidance Local Authorities must:

 

§         Play a coordinating role in developing local and inter-agency policies and procedures, joint protocols and coherent strategies.  A range of stakeholders should be included in this.

 

§         Support and initiate programmes to raise awareness of abuse issues

 

§         Actively Promote Empowerment and the well-being of vulnerable adults through services provided directly and through others.

 

§         Act in a way that supports the rights of the individual and recognises those people who are unable to make their own decisions. 

 

§         Ensure that the Law and Statutory requirements are known and used appropriately.

 

6.                 The island’s multi-agency Adult Protection Committee (APC) are reviewing referrals and processes on the island and there are clear gaps.  There has been a significant increase in the number of referrals and whilst we have a current adult protection practice guidance document and procedural policy, these need to be reviewed and there are examples from other areas of good practice which we can draw on.  

 

7.                 The current lead officer is the Team Manager of the Duty Team and the designated chair of the APC is the Head of Service for Adults.  The former currently undertakes tasks as an add-on to his main job.  Attendance at South East Regional Networking Group of Adult Protection co-ordination has highlighted the fact that the Isle of Wight Local Authority is the only one without a dedicated worker out of 19 Local Authorities. 

 

8.                 The APC has no budget and comes up against other competing priorities and targets.  It is clear that a greater priority and commitment is needed from all the agencies involved if the protection of vulnerable adults on the island is to be preventative and robust.  This would start with the agreement to appoint an adult protection coordinator.

 

9.                 There are clear implications for information/publicity, training, workforce development and management of staff.   A number of other Local Authorities have employed an Adult Protection Coordinator to carry out all these tasks and we would wish to do the same in the next financial year. 

 

CONSULTATION

 

10.             We have a duty to provide information for public, user and staff working in this area, which is currently in hand and will be available shortly in accessible formats and pitched appropriately so that feedback is received. 

 

11.             We also need to ensure that all parties with whom we contract for adult service are aware of and have received copies of our policy and procedure information and have an opportunity to comment, this is also in hand.

 

FINANCIAL/BUDGET IMPLICATIONS

 

12.             The cost of the adult coordinator post, which will be funded by savings elsewhere within the Directorates budget.

 

13.             Cost of production of abuse awareness material for service users, public and

staff working in this area, which it is anticipated will be found from existing budgets.

 

LEGAL IMPLICATIONS

 

14.             The legislative framework is identified in paragraph 2.

 

OPTIONS

 

15.       Essentially there are 2 separate issues each with 2 options

 

·        To carry on without specific designated resources or appoint an adult protection coordinator to lead this area

·        To endorse the existing approach or request an alternative be devised

 

EVALUATION/RISK MANAGEMENT

 

16.       Failure to grasp this agenda and drive forward practice and procedure would leave us exposed both under the Human Rights Act and the Disability Discrimination Act.

 

17.      We are able to implement this at no cost from existing resources.

 

 

RECOMMENDATIONS

 

18.             That the Executive endorse the proposed management of this agenda

 

19.             That the Executive agree to the appointment of a dedicated adult protection coordinator to be funded from existing budgets.

 

BACKGROUND PAPERS

 

·        No Secrets (2000)

·        Adult Protection Procedural Policy and Adult Protection Practice guidance document  (revised 2002).

·        Human Rights Act (1998)

·        Disability Discrimination Act (1995)

·        Valuing People (2000)

·         Better Government for Older People

 

ADDITIONAL INFORMATION

 

Monitoring Records for Adult Abuse Incidents - Appendix A  (attached)

 

Contact Point :           Sandy Weller, Head Of Adult Services, Social Services Headquarters, 01983 520600 Ext 2247               Email:[email protected]


 

 

S WELLER

Head Of Adult Services

G KENDALL

Portfolio Holder Social Services And Housing

 


APPENDIX A

 

ADULT REFERRAL FORM 1 RECEIVED FOR

JULY 2002 TO MAY 2003

 

 

Gender of Abused

 

 

July to January

February

March

April

May

Total

Female

60

8

16

10

7

101

Male

39

8

 11

3

6

67

Not specified

0

0

0

0

2

2

Total

99

16

 27

13

15

170

 

 

Source of Referral

 

 

July to January

February

March

April

May

Total

Self Referral

4

1

 2

0

3

10

GP/District Nurse

5

0

 0

1

0

6

Healthcare Worker

13

1

2

0

1

17

Hospital

1

0

 0

0

0

1

Family/Friend/Neighbour

7

0

 1

0

1

9

Other

24

9

 16

7

7

63

Day Service

10

0

 2

0

0

12

Not Known

3

0

 2

1

1

7

Organisation

32

5

 2

4

2

45

 

 

 

 

 

 

 

Total

99

16

 27

13

15

 170

 

 

Age of Abused

 

 

July to January

February

March

April

May

Total

18 to 24

8

1

 2

0

1

12

25 to 34

      10

3

 2

1

0

16

35 to 44

17

2

 3

1

1

24

45 to 54

13

1

 5

2

4

25

55 to 64

7

4

 1

1

3

16

65 to 74

4

0

 2

2

0

8

75+

40

4

 11

5

4

64

Not Specified

0

1

 1

1

2

5

 

 

 

 

 

 

 

Total

99

16

 27

13

15

170

 

 

 

Category of Vulnerable Adult

 

 

July to January

February

March

April

May

Total

Learning Disability

32

6

5

2

4

49

Mental Health

15

4

 6

1

1

27

Mental Health/Other

4

1

 1

0

1

7

Older Person

22

3

 5

4

1

35

Older Person Mental Health

17

0

 3

3

1

24

Older Person/Other

3

0

 1

0

0

4

Physical Disability

2

1

 3

2

5

13

Physical Disability/Other

2

0

 0

0

0

2

Other/Not specified

2

1

 2

0

2

7

Member of Staff

0

0

1

1

0

2

 

 

 

 

 

 

 

Total

99

16

 27

13

15

170

 

 

Police Contacted

 

 

July to January

February

March

April

May

Total

No

69

9

17

9

10

114

Yes

17

4

 8

1

3

33

Not Specified

13

3

 2

3

2

23

 

 

 

 

 

 

 

Total

99

16

27

13

15

170

 

 

Alleged Abuser a family member?

 

 

July to January

February

March

April

May

Total

No

62

13

 18

8

10

111

Yes

31

2

 5

5

5

48

Not Known

6

1

 4

0

0

11

 

 

 

 

 

 

 

Total

99

16

 27

13

15

170

 

 


 

Is Alleged Abuser known to Social Services

 

 

July to January

February

March

April

May

Total

No

28

1

 5

1

3

38

Yes

55

10

 10

9

5

89

Staff Member/Other

11

4

5

3

7

30

Not Known

5

1

 7

0

0

13

 

 

 

 

 

 

 

Total

99

16

 27

13

15

170

 

 

Category of Alleged Abuse

 

 

July to January

February

March

April

May

Total

Psychological

1

0

0

1

1

 3

Sexual

8

2

 3

0

2

15

Physical

44

8

 8

7

5

72

Verbal

4

1

 0

0

0

5

Financial

14

1

 5

1

0

21

Neglect

3

0

 1

0

1

5

Discrimination

0

0

 0

0

0

0

Multi Abuse

25

4

 8

3

6

46

Not specified

0

0

 2

0

0

2

Other

0

0

0

1

0

1

 

 

 

 

 

 

 

Total

99

16

27

13

15

170