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10 out of 13 sub actions have been completed which cover:
- Full external peer review of all eight Trust Safeguarding polices
- LADO peer review of allegation case pre and post safeguarding changes
- Participation and completion in a short task and finish group, which ensured the updated Disciplinary process, with the introduction of a new PRE-ARM process, complimented the Safeguarding Allegations Against Staff Policy. The new PRE-ARM process now has defined areas within the pro-forma to determine Safeguarding concerns and thresholds
- Development and delivery of Safeguarding Management Passport Training.
The three remaining actions required be completed are:
- Undertake and analyse staff survey/feedback post Passport training (due December 2021)
- Introduce a patient safeguarding survey through PPI team (scheduled October 2021)
- Introduce a Safeguarding advocacy role across the Trust (pilot site go live Norfolk October 2021).
- Monitoring of the three remaining actions is currently scheduled to be tabled at the Trust Safeguarding Group in November 2021 by the Safeguarding Lead
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Full external peer review of all eight Trust Safeguarding polices
- LADO peer review of allegation case pre and post safeguarding changes
- Participation and completion in a short task and finish group, which ensured the updated Disciplinary process, with the introduction of a new PRE-ARM process, complimented the Safeguarding Allegations Against Staff Policy. The new PRE-ARM process now has defined areas within the pro-forma to determine Safeguarding concerns and thresholds
- Development and delivery of Safeguarding Management Passport Training.
The three remaining actions required be completed are:
- Undertake and analyse staff survey/feedback post Passport training (due December 2021)
- Introduce a patient safeguarding survey through PPI team (scheduled October 2021)
- Introduce a Safeguarding advocacy role across the Trust (pilot site go live Norfolk October 2021).
Monitoring of the three remaining actions is currently scheduled to be tabled at the Trust Safeguarding Group in November 2021 by the Safeguarding Lead (attached is the evidence of the proposals).
- Interpretation of policy update and passport training will be fully understood after the survey planned for Q3. There have been over 180 managers who have undertaken the management training since February 2021 when it was launched.
- Training sessions have been postponed during REAP 4, however these will continue in to 2022 starting again in October 2021. Whilst formal training has been paused due to operational pressures, a number of other training opportunities are currently on offer for staff to join, which focuses on managing allegations against staff, essential learning from cases, which either forms part of level 3 safeguarding training or ‘masterclasses’ in safeguarding e.g. Sexual Safety in Ambulance Services or Uncomfortable Conversations: abuse of position of trust, a joint training opportunity with AACE and the College of Paramedics.
- Management of allegation cases has reduced from 28 to 12 weeks?? since the focussed CQC inspection was undertaken last year. Cases are closed following an outcome at a hearing and since the focussed inspection, the lowest number of open cases was 8. At present, the caseload sits between 10-12.
- However, to assist measuring impact, the Trust Internal Auditors TIAA are undertaking a Case review and oversight audit of the Safeguarding function including managing allegations in October 2021 and their findings will help rate the level of assurance and impact once the report is received – estimated November 2021.
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The PRE-ARM approach is relatively new, and no internal review has taken place to measure impact. There was recently a review of open safeguarding allegation cases (September 2021), where the Director of Workforce led the review to progress outstanding cases as much as possible. A number are undergoing investigations and will be heard at panels in the very near future. These cases receive regular review with the HR team and Director of Nursing, Clinical Quality, and Improvement. Several cases – approx. 50% are awaiting a meeting and will then be taken to a hearing.
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