Lecture 10 - Safeguarding

Question 1

Define safeguarding

Answer 1

Protecting people’s health, wellbeing, and human rights and enabling them to live free from harm, abuse and neglect

Question 2

In safeguarding what age does ‘children’ refer to

Answer 2

Those under the age of 18

Question 3

Define vulnerable adult

Answer 3

‘adult at risk’ is any person who is aged 18 years or over and at risk of abuse or neglect because of their needs for care and or support
sometime vulnerable adults lack capacity

Question 4

Give examples of a vulnerable adult

Answer 4

Is elderly or frail, has learning difficulties, suffers from mental illness, has physical stability. a substance manner, homeless

Question 5

Define physical abuse

Answer 5

includes assault, hitting, slapping, pushing, giving the wrong medication, restraining someone, or letting them do certain things at certain things at certain times

Question 6

Define domestic abuse

Answer 6

includes psychological, physical, sexual, financial, or emotional abuse

Question 7

Define sexual abuse

Answer 7

includes rape, indecent exposure, sexual harassment, inappropriate looking or touching, sexual teasing or innuendo, taking sexual photographs, making someone look at pornography or watch sexual acts, sexual acts, sexual assault or sexual acts the person didn’t consent to or was pressured into consenting

Question 8

Define psychological abuse

Answer 8

includes emotional abuse, threats of harm or abandonment, depriving someone of contact with someone else, humiliation, blaming, controlling, intimidation, putting pressure on someone to do something, harassment, verbal abuse, cyber bullying, isolation or unreasonable and unjustified withdrawal of services or support networks.

Question 9

Define financial or material abuse

Answer 9

includes theft, fraud, internet scamming, putting pressure on someone about their financial arrangements (including wills, property, inheritance or financial transactions) or the misuse or stealing of property, possessions or benefits.

Question 10

Define modern slavery abuse

Answer 10

Covers slavery (including domestic slavery), human trafficking and forced labour

Question 11

Define discriminatory abuse

Answer 11

includes types of harassment or insults because of someone’s race, gender or gender identity, age, disability, sexual orientation or religion.

Question 12

Define organisational abuse

Answer 12

includes neglect and poor care in an institution or care setting such as a hospital or care home, or if an organisation provides care in someone’s home. The abuse can be a one-off incident or repeated, on-going ill treatment. The abuse can be through neglect or poor professional practice, which might be because of structure, policies, processes and practices within an organisation.

Question 13

Define neglect and acts of omission

Answer 13

includes ignoring medical, emotional or physical care needs, failure to provide access to educational services, or not giving someone what they need to help them live, such as medication, enough nutrition and heating.

Question 14

Define self-neglect

Answer 14

covers a wide range of behaviour which shows that someone isn’t caring for their own personal hygiene, health or surroundings. It includes behaviour such as hoarding.

Question 15

What is parent/ carer signs of safeguarding issues?

Answer 15

delays seeking medical treatment or advice
detachment from the child
lacks concern at the severity or extent of injury to the child or vulnerable person
is reluctant to give information or information does not ‘add up’
aggressive towards child or other vulnerable persons

Question 16

What should you do if you suspect/ identify a safeguarding issue?

Answer 16

go with your ‘gut instinct’ - do not need proof
ignoring a concern because it seems ‘trivial’ is not good
do not try and investigate suspicions or allegations of abuse directly
you can seek advice from experts without disclosing identifiable details of a child or vulnerable adult - ring social services and ask for their opinion
where there is a decision to share information possibly break confidentiality - this should be proportionate but is allowable for safeguarding purposes
should obtain permission from the vulnerable adult before disclosing confidential information about them if they have capacity

Question 17

Where should you seek further advice regarding safeguarding issues?

Answer 17

• Named child protection professional within your organisation (hospital), CCG/Health Board
• Child/vulnerable adult’s general practitioner
• Peers or senior colleagues e.g. easier to do in hospital
• NSPCC have an advice line 0808 800 5000
  Adult social care – informal advice

Question 18

What key numbers should be readily accessible in the pharmacy?

Answer 18

○ Local named child protection professional (CCG for example)
○ Local children’s social care and adult social care services
Local police child protection officer

Question 19

How do referrals with social services work?

Answer 19

refer by telephone, confirm the referral in writing within 48 hours using standard local referral forms. An acknowledgement should be received within one working day of receipt and if this is not received within three working days then social services should be contacted again
make appropriate records of concerns and suspicions, decisions taken and reasons whether or not further action was taken on a particular occasion. You may chose at a later date to refer on increasing strength of concern