Page 7 - 20181101 - Minutes - TSAB v2 - PUBLIC
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  ‘Neglect & acts of omission’ and ‘physical’ continues to be the two main categories of abuse.
                 Further analysis of the sub-categories indicates that more than half of cases within the physical
                 category occurred in care homes, 44% of which relates to incidents between residents.
               The main locations of abuse for Tees continues to be ‘care home’ and ‘own home’ respectively –
                 this differs from the national trend where ‘own home’ is the main location. The national data report
                 is due for publication in November which may provide more detail. It was noted that Redcar &
                 Cleveland Borough Council (RCBC) does match the national trend.
               The  performance  indicators  shows  1  rated  as  ‘green’  and  4  as  ‘amber’  –  this  indicates  good
                 progress
               The care home data is becoming more sophisticated and all LAs are now able to record sub-
                 categories for medication errors and incidents between residents. ‘Physical’ is the main type of
                 abuse recorded from care homes. It was noted that self-neglect has also been recorded under
                 care homes.
               Across  Tees  there  are  6  care  homes  subject  to  the  Responding  to  and  Addressing  Serious
                 Concerns Protocol
               The NHS Trust data has become more comparable and incorporates the number of referrals to
                 the LA by type of abuse.
               Tees Esk & Wear Valleys (TEWV) NHS Foundation Trust data shows a decrease in referrals and
                 believe that this is due to a focus on training
               NTHFT and South Tees Hospitals NHS Foundation Trust (STHFT) shows a substantial increase
                 in the ‘neglect and acts of omission’ category
               Cleveland Police data shows that crime is up across all LA areas. Domestic Abuse has increased
                 substantially in Middlesbrough and Stockton areas. This may be due to incidents being recorded
                 from the point of phone call rather than at the point of an incident. AL to include this information
                 within the narrative. The Vulnerable Adults Unit has seen a decrease in referrals and this could be
                 attributed to the Cleveland Police Referral Criteria.
               Cleveland Fire Brigade (CFB) continues to engage with vulnerable adults and to train staff to spot
                 the signs of abuse.

          BP informed that the North East Ambulance Service (NEAS) are able to provide data on safeguarding
          referrals and can be incorporated into future performance reports.

          Steve Rose (SR) noted that the figures for modern slavery are very low and queried why the Board are
          looking to deliver a conference on this subject. It was acknowledged that modern slavery and human
          trafficking is also linked to sexual exploitation and is very much under reported. It is thought that the LA
          do not necessarily receive Concerns and that these cases are reported through the National Referral
          Mechanism or the Vulnerable Exploited Missing and Trafficked (VEMT) group. MC explained that the
          conference is also an opportunity to do some joint working across children/adult services and the police
          as this issue does not have age restrictions. It was noted that this is a new category of abuse and that the
          Board has already delivered conferences on domestic abuse and self-neglect. This type of abuse also
          has a very high profile nationally, particularly if a large number of victims are uncovered and there is often
          scrutiny of how agencies manage this crisis. Cllr JB acknowledged that there seems to be disconnect
          between the different systems and queried if there are some other statistics that could be pulled together
          to look at the interface between the different referral mechanisms and to get a clearer picture of modern
          slavery cases in Tees. MC reminded members that Anne-Marie Salwey from Cleveland Police provides
          a link from VEMT and the Anti-Slavery Network to the Board.
          Action Points                                                        Action Owner        Deadline
             1.  Include narrative within police data regarding recording of         AL            26/11/18
                 domestic abuse
             1.  BP to liaise with AL regarding NEAS data                            BP            26/11/18
             2.  AL and MC to pull together data on modern slavery                 AL / MC         18/12/18
             3.  CE Sub-Group to discuss future priorities for categories of         SR            03/12/18
                 abuse

          Agenda Item 5        Annual Report                                   Presenter: Martin Crow


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