Safeguarding Adults at Risk
Document type:
Policy
Version:
Three
Author (name):
Sandra Crompton
Author (designation):
Lead Nurse, Safeguarding Adults
Validated by
Safeguarding Committee
Date validated
4th August 2015
Ratified by:
Executive Directors
Date ratified:
3rd September 2015
Name of responsible
Safeguarding Committee
committee/individual:
Name of Executive Lead (for policies
Trish Armstrong - Child
only)
Master Document Controller:
Date uploaded to intranet:
Key words
Safeguarding
Adults at Risk
Review date:
August 2017
Equality Impact
Bolton NHS Foundation Trust strives to ensure equality of opportunity for all
service users, local people and the workforce. As an employer and a provider
of healthcare Bolton NHS FT aims to ensure that none are placed at a
disadvantage as a result of its policies and procedures. This document has
therefore been equality impact assessed to ensure fairness and consistency
for all those covered by it regardless of their individuality. The results are
shown in the Equality Impact Assessment (EIA).
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Version Control Schedule
Version Type of Change
Two
Date
Changes to the main June
text.
2015
Revisions from previous issues
Changes to the main text to clarify how
staff should respond to any allegations of
abuse.
Additional
information
regarding
multiagency procedures.
To ensure ‘Care Act’2014 Compliance
Change in terminology From Safeguarding
Vulnerable Adults Policy to Safeguarding
Adults at Risk Policy as per Care Act 2014
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Contents
1
Version
Date
Introduction
Page 4
Flow Chart
Page 5
2
Purpose of Policy
Page 6
3
Terminology and Definitions
Page 6
4
Duties and responsibilities of individuals and groups
Page 7
5
Policy implementation
Page 7
6
Responding to a concern/allegation
Page 8
6.2.
Immediate action
Page 8
6.3.
Responding to an adult at risk making a disclosure
Page 8
6.4.
Making a record
Page 8
7
Informing relevant manager
Page 9
8
Process to follow once a concern is raised
Page 10
9
Concerns relating to trust staff
Page 11
10
Confidentiality
Page 11
11
Associated procedures
Page 12
11.1 Prevent
Page 12
12
Multi agency panel safeguarding adults
Page 12
13
Monitoring and review
Page 13
14
References
Page 13
15
Appendix 1 Alert Documentation
Page 14
16
Appendix 2 Body Map
Page 16
17
Appendix 3 Equality Impact Assessment
Page 17
18
Document Control Checklist
Page 18
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1. INTRODUCTION
1.1. This policy is based on the directions issued by the Department of Health
‘Care Act’ 2014 and the Bolton Safeguarding Policy 2015.
The ‘Care Act’ informs us that safeguarding duties apply to an adult aged 18
years or over who:
• Has needs for care and support( 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 risk of or the experience of abuse and neglect.
1.2. The Trust recognises that abuse may have occurred before admission to
hospital but that it may become evident during a hospital stay.
1.3. Bolton NHS Foundation Trust is committed to working in partnership with
Bolton Safeguarding Adults Board (BSAB) to help protect ‘adults at risk’ from
abuse and have in place systems and processes to support the BSAB
interagency policy and procedures.
1.4. The Trust recognises that its first priority should always be to ensure the
safety, wellbeing and protection of adults at risk in its care and that it is the
responsibility of all
staff working with patients is to act on any suspicion or evidence of abuse or
neglect,
and to report their concerns to their line manager and adult safeguarding
team.
1.5. The Trust has a duty to participate fully in any Serious Care Review
(SCR) or Independent Management Review (IMR). SCR's and IMR's are
initiated by Bolton Safeguarding Adult Board.
Any recommendations from SCR/IMR's, recommendations will be discussed
at the BSAB and appropriate action taken. The Director of Nursing in
conjunction with safeguarding professionals will ensure recommendations are
responded to by the Trust.
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Flow Chart
IF YOUHAVE
• A concern/suspicion that abuse is happening
• Been told abuse is happening
• Witnessed abuse happening
•
•
•
Ensure immediate safety/medical attention,
Preserve evidence
Document initial observations and conversations
•
•
Report concern to line manager/ Lead Nurse Safeguarding Adults
Out of hours Site Co-coordinator/Senior Manager on call
The line manager will:
• Assess the seriousness of the situation
• If patient is being discharged to suspected unsafe environment contact the relevant
social work dept. prior to discharge with consent of patient.
• If patient has not got the capacity to consent then this must not stop referral
• In case of staff involvement seek advice from a senior manager
• Consider using other Trust Procedures or signpost the person to local sources of
help if the adult is not thought to be vulnerable.
• Ensure all findings and actions are appropriately documented.
• Collect statements from witnesses.
If you are uncertain about what to do and require confidential advice please do not hesitate to
contact
Lead Nurse, Adult Safeguarding Ext 4176
or Hospital Social Work Team Leader. Ext 5614
Out of Hours
Site Coordinator or Senior Manager On- Call via switchboard
Domestic Violence Unit
0161 856 5788
To report a crime
0161 872 5050 or 101
Police Vulnerable Adults Unit
0161-856-5581
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2. PURPOSE OF THE DOCUMENT
2.1. The policy provides defined responsibilities and guidance for staff working
within the Bolton NHS Foundation Trust and must be adhered to by all Trust
employees.
2.2. This policy applies to all staff in all areas of the Trust and is applicable to
any patient aged 18 and over. For issues relating to people under the age of
18 refer to safeguarding children and young people procedures.
3. TERMINOLOGY AND DEFINITIONS
3.1 For the purpose of this policy, an Adult at risk is defined by the ‘Care Act’
2014 as a person 18 years or over who is unable to take care of him/herself,
or is unable to protect him/herself against significant harm or exploitation
3.2. Abuse is defined as behaviour towards a person that either deliberately or
unknowingly, causes them harm or endangers their life or their human or civil
rights. An individual, a group or an organisation may perpetrate abuse.
The categories of abuse as recognised by the Care Act 2014 are:• Physical abuse
• Domestic Violence
• Sexual abuse
• Neglect and acts of omission
• Institutional /organisational abuse
• Discrimatory abuse or hate crimes
• Financial abuse
• Emotional or psychological abuse
• Human Trafficking/Slavery
For issues of domestic abuse follow procedure for MARAC (multi-agency risk
assessment conference) which can be found on intranet under safeguarding.
3. 3. Forced marriage should be seen as a form of domestic abuse and child
abuse under the Human Rights Universal Declaration of Rights Article 16 (2).
Although there is no specific criminal offence of “forcing someone to marry”
within England and Wales, criminal offences may nevertheless be committed.
If staff are concerned that a person may be subject to a forced marriage they
should contact the social work team for advice or the Forced Marriage
Helpline Telephone : 020 7008 0151 which is a confidential helpline can be
given to any patient who may be at risk.
3.4 For any suspected incidents of Human Trafficking or slavery – all
referrals should be made to the Police by contacting 101 and the Lead Nurse
for Safeguarding should be informed. If the identified person is at risk of
imminent harm both Security and Police should be informed immediately.
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4. DUTIES AND RESPONSIBILITIES OF INDIVIDUALS AND GROUPS
4.1. The Director of Nursing has delegated responsibility for ensuring that the
health contribution to safeguarding and protecting the welfare of adults at risk
is discharged effectively.
4.2. The Trust Board and Directors have responsibility and overall
accountability
for ensuring that the Trust contribution to safeguarding and protecting the
welfare of adults at risk is discharged effectively.
4. 3. Senior Managers in the Divisions are responsible for ensuring that staff
are aware of the policy, their responsibilities in identifying and reporting any
possible abuse of patients and should monitor attendance of staff on statutory
training requirements.
4.4. The Trust adult safeguarding named nurse will provide advice and
expertise to fellow professionals and has a key role in promoting good
professional practice through a variety of activities e.g. facilitating training and
supervision, contributing to decisions made at strategy meetings and audit of
safeguarding processes. This may include giving advice to partner agencies.
4.5. Implementation of the Safeguarding Adult's at Risk Policy is the
responsibility of Divisional Management teams. Managers have a
responsibility and a duty to ensure suspected or actual abuse is reported,
using the reporting process outlined in this policy.
4.6. Every member of staff working with patients has a responsibility to act
and a duty to report actual or suspected abuse to their line manager.
5. POLICY IMPLEMENTATION
5.1. The Director of Nursing and Deputy Director of Nursing have overall
responsibility for the implementation of this policy.
5.2. Professional Leads and Matrons are responsible within their area for
ensuring that this policy is implemented and that staff familiarise themselves
with the policy. They are also responsible for ensuring that staff are up to date
with attendance on Mandatory training on safeguarding adults.
5.3. Team managers/Ward Managers are responsible for ensuring that this
policy is adhered to and that staff are familiar with the policy.
5.4. The Named Nurse for Safeguarding Adults is responsible for supporting
staff in practice and providing education in relation to the policy.
5.5. The Trust Safeguarding Committee is responsible for reviewing and
monitoring progress in implementing this policy.
5.6. The policy will be communicated via Team Brief, and will be cascaded to
the Divisional Governance meetings for implementation. A PINUP newsletter
will be placed on the Trust Intranet to inform staff of the revised policy.
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6. RESPONDING TO A CONCERN/ALLEGATION
6.1. All staff should be aware of the signs and symptoms of abuse and have a
duty to report any concerns about the abuse of adults at risk. Refer to the flow
diagram in (appendix 1). Use the Body (Appendix 3) map to record shape,
colour and location of bruises, injuries or wounds if appropriate. Please attach
any additional information on a separate sheet.
6.2. IMMEDIATE ACTION
• Take an immediate evaluation of the risk and ensure the adult is in no
immediate danger
• Escalate within the care team to ensure appropriate medical & nursing
care
• Were appropriate contact the police if a crime is suspected to have
been committed
• Do not disturb articles that might be considered evidence
• If possible, make sure that other patients are not at risk
6.3. RESPONDING TO AN ADULT AT RISK MAKING A DISCLOSURE
• Assure them that you are taking them seriously
• Listen carefully to what they are saying, stay calm, get a clear a picture
as possible but avoid direct questions
• Do not promise complete confidentiality
• Explain that you have a duty to tell your manager and that their
concerns may be shared with others who could have a part to play in
protecting them.
• Do not be judgemental or jump to conclusions
• Do not discuss the concern with the person alleged to have caused
harm, unless the immediate welfare of the vulnerable adult makes this
unavoidable.
6.4. MAKING A RECORD
• It is vital that a written record is any incident or allegation is made as
soon as possible after the information is obtained.
• Records must reflect as accurately as possible what was said and
done by people initially involved in the incident.
• All records must be factual.
• In addition to ensuring the relevant record reflects the concerns
identified complete an incident form, complete a Safeguarding Alert
form (Appendix 2).
6.5. Record what the concern is as simply and clearly as possible, recording
the exact words the abused person and the alleged perpetrator used.
Information relating to medical and nursing assessments and examinations
should be documented in the medical notes.
All other information should be recorded separately using the alert document
and provide additional statements as necessary. These records are strictly
confidential.
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6.6. Inform the patients Consultant/Team particularly where immediate
medical attention is required. Ask the patient’s Consultant, or senior member
of the medical team if the consultant is unavailable, to see the patient and
also to assess the condition of the patient and if necessary determine whether
the patient is capable of giving informed consent.
6.7. In cases of physical or sexual assault the person must be encouraged not
to wash, bathe or shower where they might have a medical examination.
Where the abuse has involved oral sex the person should be encouraged not
to drink until they have been seen by the police or forensic doctor. It is
important not to tidy, wash clothes, bedding or other items. The police should
be contacted and any evidence must be preserved.
7. INFORMING RELEVANT MANAGER
•
•
•
The alerter must inform the relevant manager immediately
If you are concerned that your line manager has abused an adult at risk
you must inform a senior manager in the Hospital
If you are concerned that an adult at risk may have abused another
adult at risk inform your line manager
7.1.A safeguarding alert must be completed via the ‘Safeguard’ incident
reporting system on the intranet and choosing the Safeguarding Adult option
on the drop down box. It will be immediately sent to the relevant line
manager/ lead nurse for adult safeguarding. If the concern is raised out of
hours/week-ends contact the site coordinator/senior manager on call. If the
concern requires immediate social work involvement please contact the
hospital team on ext 5614 or out of hours- Duty Social Worker 01204 337777.
This must be followed up with completion of a Safeguarding Alert Form (
appendix 2)which must be sent to the social work department and copied to
the Lead Nurse for Safeguarding Adults.
7.2. Where there is an adult at risk of, or is suspected of being a victim of
abuse this must be reported immediately to the appropriate line manager or
any other senior manager in their absence.
7.3. The adult safeguarding named nurse is available to respond to concerns
during office hours. In their absence contact line manager or any other senior
manager .If an immediate out of hour’s response is required the Senior
Manager on Call or duty Social Worker must be contacted on 01204 337777
7.4. Safeguarding Named Nurse to liaise with Local Authority Adult Services
regarding decision making in respect of the Safeguarding Alert as to whether
the situation is to be managed via an initial strategy meeting, ‘no further
action’ or other procedures.
7.5. There is a requirement that staff will share relevant information,
participate in safeguarding meetings and be required to undertake actions and
meet timescales agreed within the safeguarding meeting. In some
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circumstances staff may be required to write a report at any stage during the
safeguarding process.
7.8. If an adult at risk is an inpatient in the Bolton Hospital and the alleged
abuse did not occur in Bolton the relevant local authority social work
department should be informed.
7.9. Managers must ensure all alerts are acted upon, contact social services
as appropriate, take necessary action to ensure safety and well -being of the
patient, staff and visitors. Serious allegations may constitute a ‘’Serious
Untoward Incident Panel‘’ in this case the Manager must follow the Trust
policy for serious untoward incident reporting.
8. PROCESS TO FOLLOW ONCE A CONCERN IS RAISED
8.1. The Manager is responsible for keeping staff appropriately informed and
up to date on what is expected of them as an investigation proceeds and must
advise staff of their rights to representation when being interviewed and
providing statements.
8.2. The Manager may be invited to represent the Trust at Safeguarding
Strategy Meetings or Protection Planning meetings, if an investigation is
undertaken.
8.3. If the adult at risk does not have capacity: and is unable to give consent a
strategy meeting will be arranged. This will be led by the Hospital Social Work
Team Leader or the Safeguarding Named Nurse.
8.4. Staff may be asked to attend an initial safeguarding strategy meeting to
report on what the person disclosed.
8.5. Staff must not discuss matters relating to any safeguarding concerns to
media representatives, if approached staff should inform their line manager
immediately who should inform Head of Communications.
8. 6. Staff must seek advice from the Manager and patient’s named Social
Worker prior to discussing concerns with relatives or carers.
8.7. Discharge Plans should be agreed and implemented by the MultiDisciplinary Team, and must take into account any recommendations or
advice from the outcome of any Strategy meetings to ensure a safe
discharge.
8.8. The manager in collaboration with Social Work department will decide
whether the allegation/incident needs to be reported to the Police and decide
whether the allegation/incident should be classified as a Serious Untoward
Incident.
8.9. Outside normal working hours Site Co-ordinators and the Manager on call
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are responsible for coordinating referrals to the relevant social services
department or dealing with any concerns relating to Trust employees.
8.10. Allegations and complaints made by patients or their relatives/carers
should be carefully recorded and shared with other relevant agencies, not with
-standing any internal complaints or investigations that are under way.
8.11. Care must be taken that in any allegations of serious abuse there is no
unnecessary delay in investigating the allegation, and that by conducting an
internal investigation the Trust does not affect the chance of a successful
investigation being conducted by the Police (e.g. by interfering with potential
evidence or prematurely alerting the alleged offender). A decision therefore
has to be taken, at a Senior Manager level, about when to inform the Police.
If Police involvement is considered likely, the patient must not be interviewed
prior to the Police interview.
8.12. There may be occasions when a manager is unsure whether to report or
not. (e.g. the vulnerability of the adult is uncertain, whether there is a duty to
intervene contrary to the adults expressed wishes). The manager should seek
further advice from Hospital Social Work Team Leader/Safeguarding Named
Nurse.
9. CONCERNS RELATING TO TRUST STAFF
9.1. Concerns which implicate members of Trust staff must be reported
immediately to the person in charge of the ward/department. Outside normal
working hours the Site Co-coordinator and On Call Manager must be
informed.
9.2. If the Manager is implicated in the abuse, a more Senior Manager must
be informed or use the Trust ‘’Raising Concerns’’ Policy.
9.3. All allegations or complaints against staff must be dealt with promptly and
follow the Trust’s Disciplinary Procedure. The incident/allegation should be
reported to the manager/on call manager in the first instance, who should then
discuss the incident with their Divisional HR Business Manager
9.4. Any complaint that involves a member of staff should be managed in line
with the Trusts Disciplinary procedure and parallel with, but separate to, an abuse
investigation. The manager must contact the Human Resources (HR) department
to consider any immediate action to be taken of the staff member/members in line
with Trust disciplinary procedures.
10. CONFIDENTIALITY
10.1. Staff will be expected to share relevant information for the purpose of
protecting a vulnerable adult. Decisions to share information about the abused
person must be made by the Trust and not any member of staff acting on their
own. Staff must never confuse confidentiality with secrecy.
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10.2. The abused person and when relevant their carers must be advised why
and with whom information will be shared. Information must be shared on a
need to know basis only. All decisions made in terms of withholding or sharing
information must be recorded.
10.3. Disclosure of information applies to patients who lack capacity, in these
circumstances where appropriate, consent should be obtained from the
person with legal authority to act on the person’s behalf. If there is no legal
representative referral to an IMCA (Independent Mental Capacity Advocate)
may be necessary details on how to contact the IMCA service is available on
trust intranet safeguarding page.
10. 4. Staff cannot give assurances of absolute confidentiality in cases when
there are concerns about abuse, particularly when other people may be at
risk. There may be circumstances when a duty to protect others will outweigh
the responsibility to any one individual.
10. 5. The consent of the adult at risk to refer on to Social Services must be
obtained, except where the person lacks the mental capacity to make a
decision. If the person is lacking capacity a formal assessment must be
completed and documented.
10.6. If the patient agrees, the nurse in charge must inform the
relatives/carers of the allegation/incident and keep them informed of the
progress and outcome as soon as possible.
10.7. If the patient does not want their relatives/carers informed of the
allegation/ incident, the manager/nurse in charge must discuss this decision
with the patient and point out the possible implications of not informing them.
11. ASSOCIATED PROCEDURES
Prevent
11.1. Prevent is part of the Government’s counter terrorism strategy, it aims to
stop people becoming terrorists or supporting terrorism. The strategy
promotes collaboration and cooperation among public service organisations.
The NHS is a key partner in Prevent.
11.2. Prevent focuses on working with vulnerable adults who may be at risk of
being exploited by radicalisers and being drawn into terrorism.
11.3. If staff are concerned about a vulnerable adult becoming involved in
such activity they should raise concerns in the same way as they would raise
a safeguarding alert.
12. MULTI-AGENCY PANEL-SAFEGUARDING ADULTS (MAP-SA)
A referral to MAP-SA (see criteria below) must be discussed with and
completed by the Lead Nurse for Safeguarding Adults or the Matron for
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Accident and Emergency who are the designated panel members for Bolton
NHS Foundation Trust
12.1. We know there are some people who fall outside the definition of an
‘adult at risk’ but who do have some degree of vulnerability or are at risk of
harm or of causing harm to others. The MAP-SA panel which is a multiagency panel has been established to consider how local agencies can
respond and support such individuals.
12.2. The criteria for referral to the panel are:
• The person appear to be at significant risk of harm or exploitation from
others
• The person poses a significant risk to others
• The person frequently calls emergency services, or are identified
through agency duty systems 6 times in a month
• The person is involved in one off, high risk incidents which caused
significant harm or had the potential to cause significant harm.
12.3. The MAPSA Panel will review such cases and work together to identify if
any agency can provide help and support to the individual to try to reduce the
risk.
13. MONITORING AND REVIEW
13.1. This policy will be reviewed in three years or earlier in line with
publication of any new guidance and or findings locally, regionally or
nationally. The table below summarises the monitoring and reporting
arrangements for this policy.
Indicator
Measure
Frequency
95 % of all clinical staff based on in- Report
from Quarterly
patient areas will have safeguarding Learning
&
awareness training.
Development
Department
Evidence of Staff reporting incidents Random audit of Annually
and raising alerts
incidents and alerts
Responsible
Group
Trust
Safeguarding
Committee
Trust
Safeguarding
Committee
14. REFERENCES
Care Act 2014 – Department of Health .London
Bolton Safeguarding Policy 2015. Bolton Safeguarding Partnership.
http://www.proceduresonline.com/bolton/asg/index.htm.
Department of Health (2011), Safeguarding Adults: The role of health
services. DOH, London
Department of Constitutional Affairs (2005), Mental Capacity Act 2005 Code
of practice, London TSO.
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Appendix 1
Adult Safeguarding Alert Form-Confidential
Name of Person Concern relates to
Name /Initials
Address
Vulnerability;
Supply initials if subject has refused
to disclose personal details)
D.O.B
Ethnicity
Gender
Telephone No
Circle relevant category
Learning Disability
Physical Disability
Mental Illness
Vulnerable Adult
Over 65
Sensory Impairment
Substance Misuse
Alerter Details (i.e. the person raising the concern)
Name
Relationship to subject, e.g. job role,
relative, neighbour etc.,
Address
Telephone No
Type of Abuse
Sexual
Fax No
email
Psychological
Physical
Neglect
Institutional
Discriminatory
Financial
Brief Details of Concern (e.g. what has been disclosed /alleged, where did it occur)
Relationship of Alleged Abuser to the Person
Partner/Husband/ Family, same
Wife
household
Paid Carer
Other
Professional
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Other Family/
Associate
Neighbour
Other
resident/Patient
Stranger
Safeguarding Adults at Risk
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Volunteer
Self
Page 14 of 19
Give Details of any Immediate Action Taken that has been taken;
Is person aware of this alert
Have they expressed any view on what
they want to happen
Have you referred this to manager/social
worker
Give Details
Name of manager/social worker
Referred to Safeguarding Team
Yes/No
Yes/No
Yes/No
Date
Yes/No
Telephone
Email
Response from Manager /Social Worker
Fax
Advice &
Information given
Instigate
investigation
Further information to be gathered
Give details
No further action
Other
Name of Person Completing this Alert
Job Title
Organisation
Date
Telephone No
Email
Circle relevant section
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Appendix 2
Body Map
Name of Vulnerable Adult _________________________________________
Person completing this form ______________________Dept____________
Use this diagram to shade and label clearly any visible injuries. E.g. cuts, bruises,
burns,
soft tissue injury, including neck, under-arms, stomach, genitals and inner thighs.
Label any internal injuries that have been identified through medical examination.
Use separate diagram if recording additional or new injuries.
Date:
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APPENDIX 3
EQUALITY IMPACT ASSESSMENT TOOL
To be completed and attached to any procedural document when submitted to the
appropriate committee for consideration and approval
Yes/No
1.
Comments
Does the document/guidance affect one group NO
less or more favourably than another on the
basis of:
Race
NO
Ethnic origins (including gypsies and travellers)
NO
Nationality
NO
Gender (including gender reassignment)
NO
Culture
NO
Religion or belief
NO
Sexual orientation
NO
Age
NO
Disability - learning disabilities, physical disability, NO
sensory impairment and mental health problems
2.
Is there any evidence that some groups are NO
affected differently?
3.
If you have identified potential discrimination, NO
are there any valid exceptions, legal and/or
justifiable?
4.
Is the impact of the document/guidance likely to NO
be negative?
5.
If so, can the impact be avoided?
6.
What alternative is there to achieving the NIL
YES
document/guidance without the impact?
7.
Can we reduce the impact by taking different NO
action?
If you have identified a potential discriminatory impact of this procedural document, please
refer it to the Equality and Diversity Co-ordinator together with any suggestions as to the
action required to avoid/reduce this impact.
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Document Development Checklist
Type of document
Lead author:
Is this new or does it replace an
existing document?
Policy
Sandra Crompton
Replaces – Safeguarding Vulnerable Adults
What is the rationale/ Primary
purpose for the document
(Motivation for developing the
document)?
What evidence/standard is the
document based on?
Is this document being used
anywhere else, locally or
nationally?
Who will use the document?
Adherence to ‘Care Act 2014’ Legislation
Is a pilot run of the document
required? (optional)
NO
Has an evaluation taken place?
What are the results? (optional)
What is the implementation and
dissemination plan? (How will
this be shared?)
How will the document be
reviewed? (When, how and who
will be responsible?)
Are there any service
implications? (How will any
change to services be met?
Resource implications?)
Keywords (Include keywords for
the document controller to include
to assist searching for the policy
on the Intranet)
Staff/stakeholders consulted
EIA
Signed and dated
NO
By validator
Trish Armstrong-Child, Safeguarding Committee
4th August 2015
‘Care Act 2014’
NO
Bolton NHS Foundation Trust
Safeguarding Adults Page
Safeguarding Committee August 2017
No – existing service
Safeguarding
Adults at Risk
YES
YES
By ratifying officer
Executive Directors’ Meeting
3rd September 2015............................................
.................................................................................
Version
Date
3
August 2015
Document
Next Review Date
Safeguarding Adults at Risk
August 2017
Page 18 of 19
Version
Date
3
August 2015
Document
Next Review Date
Safeguarding Adults at Risk
August 2017
Page 19 of 19