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TRANSCRIPT
06/12/2017
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Welcome and Housekeeping:
TIM BISHOP
Independent Chair
Northamptonshire Safeguarding Adults Board
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COUNCILLOR BILL PARKER
Cabinet Member for Adult Social CareNorthamptonshire County Council
Opening Remarks:
ANNA EARNSHAW
Director of Adult Social ServicesNorthamptonshire County Council
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Social work with adults to ensure bestsafeguarding practice
Lyn Romeo
Chief Social Worker for Adults
Twitter: @LynRomeo_CSW
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5 Adult Safeguarding
Safeguarding Adults - changing landscape
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What is Making Safeguarding Personal?
Making Safeguarding Personal means adult safeguarding:
• is person-led
• is outcome-focused
• enhances involvement, choice and control
• improves quality of life, wellbeing and safety
= a ‘culture and practice change’ or
approach to adult safeguarding
Adult Safeguarding
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Personalisation and MCA Principles
• .
Adult Safeguarding
8 Adult Safeguarding
What does this mean for social work?
Need to further refine and develop core skills, knowledge and application
Critical assessment and analysis of risk and ability to make defensible, professional decisions
Working with people and their families/carers in complex situations and networks
Centre on the needs and wishes of the individual, including referral to an Independent Mental Health Advocate (IMCA), if necessary
Knowledge and direct work skills in complex situations including exploitation; manipulation; modern slavery &trafficking; institutional abuse; radicalisation; self neglect & hoarding; domestic abuse; financial scamming
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What does this mean for social work… Outcome focused: appropriate balance between supporting the
safety of adults whilst not over-intervening ;management of risk /risk enablement /rights/autonomy
Capacity : Unwise decisions v dangerous decisions
Degree of risk taking for people, social workers, service leaders, organisations
Legal literacy – understand and accessing appropriate legal interventions
Permission to use full range of social work and legal interventions.
Adult Safeguarding
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Three key learning points from safeguarding adults
Adult Safeguarding
Person centred practice is essential- start where the person is at. What do they want as an outcome?
Tailor your response, taking into account theories, methods, models and other sources of knowledge to personalise the response you give to the person’s situation.
Balancing the tightrope between autonomy and protection; human rights vs duties of care.
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Strengths-based social work approaches
Adult Safeguarding
12 Adult Safeguarding
“What good is it making
someone safer if it merely
makes them miserable?”
Lord Justice Munby, ‘What Price Dignity?’ (2010)
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Thank you and any questions?
Lyn Romeo
Adult Safeguarding
Time for a Break
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Making Safeguarding
Personal (MSP), a Local
Perspective
MAUREEN CAMPLING
Head of Safeguarding and Quality
Adult Social Care Services
How did we get started?
Learning from complaints
ADASS question and probes for peer reviews
Peer review recommendations
Actions from the NCC safeguarding Steering Group
Lessons learned from safeguarding investigations
Staff and Customer consultation
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Training:
Three Modules look at:
Making Safeguarding Personal and Care Act requirements
Two sessions regarding Safeguarding practice around social care values
Revised CareFirst process and pathway
What is MSP?
The Care Act 2014 confirms Adult Safeguarding as a statutory function for a
local authority.
The Care Act Statutory Guidance sets out certain requirements a local
authority must comply with and states clear aims a local authority should
work to.
It also identifies the following six key principles that should be considered
during the decision making process.
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EMPOWERMENT - People being supported and encouraged to make their own decisions and informed consent
PREVENTION - It is better to take action before harm occurs
PROPORTIONALITY - The least intrusive response appropriate to the risk presented
PROTECTION - Support and representation for those in greatest need
PARTNERSHIP - Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse
ACCOUNTABILITY - Accountability and transparency in delivering safeguarding
“Nothing About Me Without Me”
Making Safeguarding Personal is a person-led and outcome-focused approach
Engagement with the person in a conversation about how best to respond to their safeguarding situation in a way that enhances involvement, choice and control as well as improving quality of life, wellbeing and safety
MSP is closely linked to the principles that underpin personalisation
Linked to prevention and with people receiving the correct support
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MSP and the Care Act
MSP approach encouraged (14.15)
The adult should be involved at the beginning of the enquiry, and their views and wishes ascertained (14.77, 14.78)
The wishes of an adult who lacks mental capacity ‘are of equal importance’ to someone with mental capacity (14.80)
Safeguarding plans involve joint discussion, decision making and planning with the adult for their future safety and wellbeing (14.90)
Safeguarding Adult Boards should ‘gain assurance of the effectiveness of its arrangements’ (14.110) and seek feedback from adults who have been involved in an enquiry (14.116)
… and the Wellbeing Principle throughout
What MSP can do: Enable safeguarding to be done with, not to, people
Focus on achieving meaningful improvement to people’s circumstances, rather than ‘investigation’ / ‘conclusion
Utilise social work (and other professional) skills
Shift a process supported by conversations to a series of conversations supported by a process. Talking through options, and what people want to do about their situation
Help focus on what would improve quality of life as well as safety, by developing a real understanding of what people wish to achieve (and how), recording their desired outcomes and then seeing how effectively these have been met.
Enable practitioners, families, teams and SABs to know what differences have been made in outcomes for people as a consequence of safeguarding activity
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MSP: A Service User’s Views
Asked what they want to change / have achieved their negotiated outcomes at each stage of the process
Self-advocacy organisations can encourage people to speak up, and support people to say what outcomes they want
What people want – to be listened to, to have things explained, to be presented with options, to be told when things should happen, to be supported to move on
What helped us implement MSP?
‘Permission’ to work differently
Development of the right skills / training
Revise policy, procedures and systems to be Care Act and MSP compliant
Sharing good practice
Effective use of the Mental Capacity Act
Emphasis on and confidence in, professional judgement and curiosity
Support from NSAB and involve partners
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What have we learned so far?
Developed a more inclusive approach
Proportionate responses
Increase in Duty Visits
Decrease in lengthy investigations
Decrease in complaints
Increase in the proportion of enquiries completed within timescales
Next Steps:
NCC Internal Review – twelve months on
Understanding and analysis of customer outcomes
Broaden MSP to be adopted and delivered by all providers
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Is a Care Act compliant document to support the initial decision making process when a notification is received.
Replaces the Threshold Criteria
Implements both MSP and the 3 Step Test into practice
Decision making Framework:
3 Step Test
1. The adult has needs for care AND support (whether or not the authority is meeting any of those needs)
2. The adult is experiencing, or is at risk of, abuse or neglect
3. As a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it
Where an adult meets ALL of the 3 Step Test Criteria this will be a Section 42 enquiry
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1. The adult has needs for care and support:Does the person have the mental capacity to make a specific decision about their own safety?
Is the person’s independence affected by illness or disability?
What are the views of the alleged victim? If the person lacks capacity, what are the views of family, advocate, attorney or appointee?
How vulnerable is the individual?
What personal and social factors may contribute to that vulnerability?
Is the person socially isolated?
What setting/environment are the alleged victim and perpetrator in? What are the relationships and interdependencies between them?
Are they aware of the referral and have they consented to information sharing?
Does the person have significant communication difficulties?
Does the person have a history of being abused?
2. The adult is experiencing, or is at risk of, abuse or neglect:
What is the nature and extent of the alleged abuse or neglect?
How serious are the potential consequences of the alleged abuse or neglect?
If not serious: Is the frequency a consideration?
Is there the potential for escalation?
Are there any issues of coercion or intimidation that may affect the person’s mental capacity to make a specific decision?
Is there a child under 18 years of age at risk? Does consideration need to be given to referral to the relevant children’s team?
Is the person’s communication or access to support being controlled?
Does the person show recent character or behavioural changes, or exhibit low self esteem?
Does the person show an awareness of their risk
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3. As a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it:
Does the person have the mental capacity to make a specific decision?
Can the person seek help/remove themselves from the environment if needed?
What other support mechanisms are in place? How robust are they? Will the person use them?
What impact is the abuse having on the person themselves or others around them?
Does the nature of the abuse put other vulnerable people at risk? Is this risk significant enough to warrant continuing to a section 42 enquiry even if this is against the person’s wishes?
Is there a requirement for Organisational abuse notification or further escalation regarding a provider?
Has the person or their representative initiated an investigation or complaint by another organisation?
Does the perpetrator continue to have access to the person?
Are there social factors that may affect the persons response, such as unemployment, low income, marginalisation or cultural issues?
Safeguarding Enquiries
A Safeguarding enquiry starts when the initial information gathering has established that all 3 of the Section 42 criteria are met, or where the criteria are not met the decision has been made that it is necessary and proportionate to respond as a safeguarding enquiry (Other Safeguarding enquiries). We expect that the date the safeguarding enquiry starts will be the same date that the initial information gathering took place to establish whether or not the Section 42 criteria were met
Other Safeguarding Enquiry - The enquiries where an adult does not meet all of the Section 42 criteria but the council considers it necessary and proportionate to have a safeguarding enquiry
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A N Y Q U E S T I O N S
Linking Making
Safeguarding Personal and
Mental Capacity
Rose Lovelock: Safeguarding Clinical Lead
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Decision making
• Ensuring the patient is at the center of decision making process
• Patient-centered approaches to working with risk
• Enable practitioners to work in a way that is recognising the needs
of the patient and past wishes and views are taken into
consideration when care planning.
Case scenario 1
• 78 year old female patient on physical rehabilitation ward due to recent
fracture neck of femur
• Son visited ward, staff raised concern due to his behaviour and attitude
towards his mother
• Lady visibly frightened of son
• MDT early discharge planning without views of patient and merely on
concerns regarding son as desire to ‘keep her safe’
• No consideration of patients ability to make decisions in regards to future care
needs
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Case Scenario 1
• How did we make safeguarding personal for her?
• In collaboration with safeguarding team the staff confirmed that she had
mental capacity in relation to decision of future care needs and discharge
destination
• Patient had awareness and able to articulate how her son treated her.
• She was able to weigh up the impact of his behaviours against her desire to
still see him
• She was provided with information that would support her to make decisions
e.g Police and Domestic abuse support
Case Scenario 2
• 59 year old female
• Mental Health issues since age of 17
• Safeguarding raised by CPN regarding financial abuse and neglect from
partner
• Concerns raised by Police as reported anti social behaviour by local shops
and pubs
• Presented as inappropriately dressed and unkempt
• Was a target of ridicule by local youth
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Case Scenario 2
• Assumed mental capacity
• CPN concerned she did not have capacity and insight regarding lifestyle,
relationships and management of finances
• Multi agency response: meeting to discuss concerns
• Mental Capacity assessment carried out by GP and Safeguarding lead
• Involvement of Independent Mental Capacity Advocate (IMCA)
Case Scenario 2
• Patient liked her respite care.
• Best interest decision to extend care whilst investigations on-going by police
• Alleged perpetrator disengaged and disappeared once he had no access to
money or accommodation
• Patient supported to be involved in new activities to which she flourished
• Health improved and is ‘doing well’
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TA B L E E X E R C I S E
Making Safeguarding Personal
Case Scenarios
MARTIN SCOFIELD
Team Manager for Safeguarding Adults, Northamptonshire County Council
Look at the notification, and using the Decision Making Framework decide whether:
A section 42 enquiry is required, or
An ‘other safeguarding enquiry’ is required, or
A safeguarding enquiry is not required.
And what actions would you take next?
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“A and her husband are believed to beexploited by local children. I have taken areport of a theft from a dwelling from A.
I have limited details of the incident due toher severe mental health, but intel suggeststhat local children are going to her addressand exploiting her for money.
During this incident A states that ten childrenhave entered her address and taken £170.00in cash and 120.00 euros.
After speaking to neighbours, they confirmedthat children are coming to the addressregularly but they do not know why.”
Case A Story
“A” is a 58 year old lady living with her husband
The case was referred by the Northamptonshire Police
Picture posed by models
Case A Response
Duty visit to establish mental capacity and wishes
Capacity was established
A wanted no further safeguarding action as police had resolved issue
Checking with police issue not fully resolved, therefore unwise decision and VARM process initiated
Duty visit also found evidence of missed calls by domestic care agency visiting husband
Therefore not section 42 or other safeguarding enquiry
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Case B Story
B suffers from Multiple Sclerosis and is also analcoholic. He lives in a one bedroom flat.
Numerous drug and alcohol users frequent hisflat, use his bedroom and consume his food. Hisbank cash card has been found in the possessionof these individuals as has his mobile phoneduring a Drugs Act warrant at another localaddress. Both items were returned to him,however it is likely that they will go missing again.
Victim refuses to make any complaint against anyindividual for taking his items and it is believedthat his mental and physical health hasdeteriorated to such a point that he may not havefull capacity to make objective decisions tosafeguard himself from exploitation
“B” is a 51 year old man living alone with physical disability
The case was referred by the Northamptonshire Police
Picture posed by model
Case B Response
Duty visit confirmed mental capacity and B stated that there was no abuse
B was struggling with personal care tasks and supporting himself, and requested further assessment
Therefore not a Section 42 or other safeguarding enquiry
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Case C Story
Organisational abuse
The case was referred by the CQC following an inspection
The provider does not have systems or processes in place to manage people's medicines safely. Doses have been omitted or overdoses given across a sample of people we looked at on inspection. The provider does not have prescriptions to match with MAR charts and it has been evidenced that the provider does not always know what medicines people should be taking.
Some people have prescribed medicines 4 times a day but the provider is only contracted to visit twice; there is no evidence that alternative arrangements have been made for the other 2 doses to be administered. Medicine audits have not picked up that people have missed or overdosed, or that medicine is not being administered at the correct time.
Some of these medicines are critical, for example, for blood thinning and chemotherapy. MAR charts are poorly written and do not contain enough information. For example; MAR states as per rheumatology - but there is no rheumatology information. One person had an omission of 15 doses in 1 month.
Staff are not always observing medicines being taken and families have complained they have found medicine on the floor. The staff have received recent medication administration training but this has not proved to be effective. Our concerns are urgent.
Ongoing unmanaged urgent risk
Organisational abuse
Unknown how many people at need of care are at risk
Therefore Section 42 enquiry
Case C Response
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“Numerous complaints being made aboutpossible domestic violence at victim'saddress. I have previously worked with thevictim and there was concerns over domesticviolence. Police also in attendance moreoften.”
Case D Story
22 year old lady living with partner
Referred by housing provider
Case D Response
Unable to determine level of current ongoing risk
History of reported domestic violence
Duty visit undertaken as not enough information to make decision
At visit boyfriend prevented access, raising concerns, and full Section 42 enquiry initiated
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A N Y Q U E S T I O N S
Lunch Break!
Lunch grab bags are available in the foyer different sandwich fillings on each table – meat, fish and
vegetarian options are available.
If you have notified us of special dietary requirements, please speak to Fiona, Bea or Alex.
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Tackling Modern Slavery
From the Office of the Police and
Crime Commissioner
PAUL FELLDirector of Delivery
Aims
• A bit of history
• What is slavery and what does it look like?
• Painting the picture
• An introduction to what to look for
• Advice on what to do
• A local problem?
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Slavery no longer exists – Does it?
Slavery no longer exists – Does it?
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Or does it just look different?
A B I T O F T H E L AW … … …
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Section 1 – Slavery, Servitude and Forced or Compulsory Labour
A person commits an offence if
a) the person holds another person in slavery or servitude and the circumstances are such that the person knows or ought to know that the other person is held in slavery or servitude, or
b) the person requires another person to perform forced or compulsory labour and the circumstances are such that the person knows or ought to know that the other person is being required to perform forced or compulsory labour.
Section 2 – Human Trafficking
• A person commits an offence if the person arranges or facilitates the travel of another person (“V”) with a view to V being exploited.
• It is irrelevant whether V consents to the travel (whether V is an adult or a child).
• A person may in particular arrange or facilitate V’s travel by recruiting V, transporting or transferring V, harbouring or receiving V, or transferring or exchanging control over V.
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WHAT DOES TRAVEL MEAN?
“Travel” means:
a) arriving in, or entering, any country,
b) departing from any country,
c) travelling within any country.
This can mean from one house to the house next door…
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National
Picture
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1. The UK Government estimates there are tens of thousands people in slavery in Britain today
2. Only 1% of enslaved people in the UK have the chance of seeing their exploiter brought to justice
3. In 2015, over 3,000 people, including nearly 1,000 children, were referred to British authorities as potential
victims of slavery
4. But nearly 40% of them were still awaiting a decision about their victim status at the end of the year
5. From those who have received a final decision, only less than half were recognised as victims
6. Victims of slavery are four times less likely to be acknowledged as victims if they are non-European
7. Up to 34% of victims of slavery are estimated to be re-trafficked
8. Children are often deliberately targeted for their vulnerability
9. One in four victims of slavery in the UK is a child
10. 2016 saw the first conviction and sentencing of a British businessman for human trafficking
10 Key Facts
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• IDENTIFICATION
• PHYSICAL APPEARANCE / THREATS OF HARM
• ISOLATION / LACK OF FAMILY TIES & SOCIAL INTERACTION
• POOR LIVING CONDITIONS
• RESTRICTED FREEDOM OF MOVEMENT
• PERSON BEING INSTRUCTED OR COACHED (SILENCE / NOT SPEAKING)
• BOUND BY DEBT / NO SOURCE OF INCOME
• DEPRIVATION – FOOD / WATER / SLEEP
• UNUSUAL TRAVEL TIMES AND PRACTICES
• RELUCTANCE TO SEEK HELP AND ASSISTANCE
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A Local Study (2)
• Car wash in Daventry- Owner organising travel from a small town in Romania- Travel debt enforced- Less than minimum wage- Unsanitary living conditions
• 6 individuals “rescued” as a result of enforcement
• No prosecution over slavery offences
• DWP, Fire and Rescue service and HMRC interventions led to asset seizures
The Salvation Army
Human Trafficking and Modern Slavery
National Referral Mechanism
Lieutenant Colonel Diane Payne
Programme Development Officer
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For a person to be a victim of human trafficking there must have been:
ACTION – [recruitment, transportation, transfer, harbouring or receipt, which can include either domestic or cross-border movement];which is achieved by a
MEANS – [threat or use of force, coercion, abduction, fraud, deception, abuse of power or vulnerability] for the
PURPOSE OF EXPLOITATION: [e.g. sexual exploitation, forced labour or domestic servitude, slavery, financial exploitation, illegal adoption removal or organs].
What is Human Trafficking?
The person may not have been ‘moved’ as in trafficking.
There must have been:
MEANS – being held through either physical means or through threat of penalty. This may be by use of force, coercion, abduction, fraud, deception, abuse of power or exploiting vulnerability.
SERVICE – As a result of the ‘Means’ an individual provides a service for benefit. This could be begging, sexual service, manual labour, domestic service.
Indicators of Modern Slavery, Servitude, and Compulsory Labour
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European Convention on Action against Trafficking (ECAT)
• Appropriate and secure accommodation
• Psychological and material assistance
• Access to emergency medical treatment
• Translation and interpreting services
• Information and guidance
• Assistance to take part in criminal proceedings
• Access to education for children
Trafficking Indicators
- Is the victim in possession of identification and travel documents; if not, who has control of the documents?
-Can the victim freely contact friends or family?
-Has the victim been harmed or deprived of food, water, sleep, medical care or other life necessities?
-Does the victim have freedom of movement, or is the victim always accompanied by someone who may speak for them?
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Data
-An estimated 45.8 million people are held in slavery worldwide, meaning there are more slaves in the world than were taken from Africa during 300 years of the trans-Atlantic slave trade. (2016 Global Slavery Index)
-More slaves are alive now than at any other time in history.
-After drug trafficking, human trafficking is the second largest criminal industry in the world, and it is the fastest growing. (UNODC - TOC)
Data (cont’d)
- It is estimated that there are currently between 10,000 and 13,000 victims of trafficking in the UK
-Between July 2011 and June 2017 The Salvation Army has managed the support for 5,868 victims of trafficking in England and Wales
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The Salvation Army’s History
Since the 19th Century, The Salvation Army has
been committed to stopping the trade in human
beings. In 1885, Florence and Bramwell Booth
campaigned to raise awareness of women and
girls being bought and sold for exploitation in
Victorian England.
The Salvation Army TodayThe Salvation Army is present in 128 countries and is combatting trafficking and caring for victims all around the world.
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Combating Trafficking Together
Since 1 July 2011, the Salvation Army has been the prime contractor for managing the support for adult victims of trafficking in England and Wales.
The support is designed to restore the dignity of victims, protect and care for them helping them begin to rebuild and gain control of their lives.The support for victims includes:
Safe Accommodation
Counselling
Medical Care
Legal Advice
Training Opportunities
Outreach support
Salvation Army Roles
• National coordination of victim care services
• Runs a 24/7 referral line – 0300 303 8151
• First Responder into National Referral Mechanism (NRM)
• Conducts Initial Assessments (IA) – a risk assessment - including for police operations
• Direct service provision
• Provides volunteer drivers and chaperones to carry victims from the place of rescue to a place of safety
• Salvation Army fund – Victim Care Fund – provides added support to victims in service
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Partners
• Medaille
• Migrant Help
• BCHA
• Ashiana
• Hestia
• Unseen
• City Hearts
• Sandwell WA
• The Salvation Army
• BAWSO
• Palm Cove
• Midland Heart
• Ollalo House
Effects on Victims of Trafficking and SlaveryVictims of human trafficking and slavery are affected by the emotional and physical abuse they suffer.
Victims may be raped, beaten, lied to, starved, threatened, silenced, isolated, kidnapped, imprisoned…
Some of the effects of a victim’s experience can be:
-Trauma
-Fearful for the safety of their family or themselves
-Physical injuries
-Medical problems
-Lack of trust
-Shame and humiliation
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Eligibility
To be eligible for the service, an individual must be:
• Referred into the NRM process
• Granted a positive RG decision or
• Destitute with RG decision pending
Eligibility
In addition, the individual must have:
• No other accommodation entitlement
or
• High-level needs that would not be met by accommodation
available to them (e.g. support or security needs)
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NRM Process
First stage is Reasonable Grounds decision
• Should be made within five working days
• Threshold is ‘I suspect but cannot prove’
• Outcome can be positive or negative
• Positive outcome entitles PVoMS to a minimum of 45-day reflection
and recovery period
Second stage is Conclusive Grounds decision
• Should be made after 45 calendar days
• Threshold is ‘on balance of probabilities’
• Outcome can be positive or negative
NRM Process cont’d
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Moving On
• Support to disengage and move on safely
– Mainstream services
– Asylum system
– Voluntary return
• Support can be extended in some cases
– Positive CG decision
– Ongoing needs related to trafficking
NRM Pilot Process
In West Yorkshire and the South West NRM a pilot scheme
was tried where forms can be completed by any frontline
worker and then referred to a local Slavery and Safeguarding
Lead [SSL] for the Reasonable Grounds decision and entry to
the NRM [where the decision is positive]This process should
happen on the same day as referral
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Referrals by AgencyAgency
• Home Office
• Police
• NGO
• UKVI
• Legal Representative
• Self Referral
• Local Authority
• Slavery Safeguarding Lead
• Other
• Immigration Detention
Entered During Year 6
• 484 - 31.15%
• 340 - 21.88%
• 230 - 14.80%
• 213 - 13.71%
• 119 - 07.66%
• 50 - 03.22%
• 30 - 01.93%
• 25 - 01.61%
• 19 - 01.22%
• 13 - 0.84%
Referral Areas• London
• North East
• West Midlands
• North West
• South East
• Wales
• East Midlands
• South West
• Eastern
• 42%
• 11%
• 11%
• 10%
• 9%
• 5%
• 4%
• 4%
• 3%
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Making Appropriate Referrals
• Are the three elements of trafficking present?
– Recruitment/harbouring/transit
– Coercion/deception
– Exploitation/intention to exploit
• Are there additional indicators of trafficking?
• Has the client given their informed consent to enter the NRM
process?
Information ChecklistThe following details information that law enforcement agencies may find useful. It will also assist partner organisations to provide the victim with appropriate care and assistance.
• detailed descriptions of those involved
• where the victims are working and/or living
• other relevant locations
• Methods used to control/manipulate the victim
• the length of time this has been happening for
• details of any transport used
• travel routes/methods
• financial information
• documents used
• method of recruitment
• national ties
• relations with the exploiter
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Year 6 Statistics – Number of Clients Supported
• Women – 1,002
• Men – 549
• Transgender – 3
• Total Clients Supported – 1554
This represents an increase of 300% on the number of victims supported in Year 1.
• Sexual Exploitation – 48%
• Labour Exploitation – 39%
• Domestic Servitude – 13%
Year 6 Statistics – What Type of Exploitation
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Year 5 Statistics Top 7 Source Countries & Number of Clients
The service has supported clients from 95 different countries.
Country of
Origin
Female Male Total
Albania 346 13 359
Vietnam 82 101 183
Nigeria 140 17 157
Poland 9 89 98
China 43 33 76
Romania 30 45 75
UK 19 25 44
Further Advice and Guidance
The Salvation ArmyUK charity providing support and advice. Key contact for victims in England and Wales.
Telephone: 0300 303 8151 (24 hour referral line) www.salvationarmy.org.uk
Gangmasters Labour Abuse AuthorityPO Box 10272, Nottingham, NG2 9PB
Telephone: 0115 959 7052 (Intelligence Team) Email: [email protected] www.glaa.gov.uk
Modern Slavery HelplineTelephone: 0800 0121 700
Modern Slavery Human Trafficking Unit (MSHTU)Telephone: 0844 778 2406 (24 hour advice and support)
www.nationalcrimeagency.gov.uk/about-us/what-we-do/specialist-capabilities/uk- human-trafficking-centre
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Further Advice and Guidance
Migrant HelpUK charity providing support and guidance. Key contact for victims in Scotland and male victims in Northern Ireland.
Telephone: 07766 668781 (24 hours hotline) www.migranthelp.org
Trafficking Awareness Raising Alliance (TARA)For female victims of sexual exploitation in Scotland
Telephone: 0141 276 7724 www.saferglasgow.com/.../support-to-victims-of-human-trafficking.aspx
NSPCC Child Trafficking Advice CentreSpecialist service providing information and advice.
Telephone: 0808 800 5000 Email: [email protected]
www.nspcc.org.uk/Inform/research/ctail/ctail_wda84866.html#how
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Time for a Break
Tina SwainHead of Nursing and SafeguardingNHS Nene CCG & NHS Corby CCG
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What is modern slavery?• Modern slavery is the illegal use of human beings for the purposes of commercial
sexual exploitation, human trafficking, slavery, servitude, forced & compulsory labour
• Human trafficking is the fastest growing form of slavery today and is prohibited under international law, as well as under the criminal laws of the United Kingdom and other countries.
Who is trafficked?• British and foreign nationals can be trafficked into, around and
out of the UK.
• Children, women and men can all be victims of modern slavery.
The common theme for these individuals is vulnerability!
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Why are people trafficked?
Children, women and men are trafficked for a wide range of reasons including:
• Sexual exploitation;
• Domestic Servitude;
• Organ harvesting;
• Forced labour including in the agricultural, construction, food processing;
• Hospitality industries and factories;
• Criminal activity including cannabis cultivation, street crime, forced begging and benefit fraud; and
• Forced marriage
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The Home Office estimates there are 13,000 victims and survivors of modern slavery in the UK; 55% of these are female and 35% of all victims are trafficked for sexual exploitation.
Its closer then you think…When we hear the word slavery, we often think of something overseas. They are often hidden in domestic service, in our high streets working in nail bars, food outlets car washes, factories, fields and in the fishing industry.
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On our doorstep………WARNING: Know of the signs of modern slavery in nail bars”
Daventry Express
Monday 23 October 2017
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NHS Staff
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Health & Public Sector StaffModern slavery touches ALL areas of healthcare:
• Primary Care
• Urgent Care
• Maternity services
• Ambulance Services.
Health issues• Multiple injuries
• Sexually transmitted infections
• Pregnancy/late terminations
• Fatigue
• Malnutrition
• Mental Health-anxiety, PTSD, depression
• Physical trauma
• Undiagnosed/treatment for LT conditions
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Health & Public Sector StaffConsequences:
• Serious health implications for victims
• Significant ramifications for all public sector staff
• Even more victims have contact with health professionals after they’ve escaped exploitation
SIGNS & INDICATORS• Children not in education
• Children living with non-relevant familiarises or relationships
• Signs of branding/ownership
• Injuries apparently as a result of assault or ill treatment, as a result of work, or from restraints such as shackles or rope
• Limited access/not registered with medical or dental care
• Fearful of police or authority figures
• Evidence of fear towards a dominant male or female (fear, shying away, overly suggestive)
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SIGNS & INDICATORS
• Lifestyles they cannot afford e.g. new mobile, clothes, money etc.
• Having no personal/official identification-passport/documents held by someone else
• Lack of money/control over own finances or excessive wage reductions
• Multiple occupancy living accommodation
• Living or found in ‘degrading’ conditions
• Limited contact with family and/or limited social contact
• Evidence of control of movement either as an individual or a group
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Professional Curiosity Professional curiosity is thecapacity and communication skillto explore and understand whatis happening rather than makingassumptions or accepting thingsat face value
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Professional curiosity In the Climbié inquiry, LordLaming suggested social workersneeded to practice “respectfuluncertainty”, applying criticalevaluation to any informationthey receive and maintaining anopen mind.
Finally…Remember
• Speak out
• Always have Professional curiosity/respectful uncertainty
• Seek advice/support
REPORT
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TA B L E E X E R C I S E
Modern Slavery
CASE SCENARIOS
Tina Swain
Head of Nursing and SafeguardingNHS Nene CCG & NHS Corby CCG
Q U E S T I O N S F O R T H E
PA N E L ?
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Closing Remarks and
the Annual Report
TIM BISHOP
Independent Chair
Northamptonshire Safeguarding Adults Board
Thank you for coming today – have a safe journey home
PLEASE DON’T FORGET TO COMPLETE YOUR EVALUATION FORMS