Page 5 - TSAB Board Minutes - 23 September 2019

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Since conducting her research the national crime survey has now increased the age to 74, although this
is an improvement, it still does not capture the whole population. It also excludes people in care homes,
who may potentially be more vulnerable to abuse.

JG commented that sometimes DHRs focus on a short time frame and that perhaps going further back
may reveal further insight, particularly for older people.

Cllr Dorothy Davison (CD) wondered if there was a connection between people retiring and an increase
in abuse and it would be interesting to see how many perpetrators were carers.

Agenda Item 5 End of Year Performance Report Presenter: Angela Legg
Angela Legg (AL) highlighted the key points from the End of Year Report 2018/19:
 During 2018/19 the overall number of Concerns reduced slightly, however numbers are still high
 The number of Section 42 Enquiries increased by 10% - this can be attributed to the changes in
reporting by 2 of the Local Authorities.
 Although the data remains similar to previous years, 2018/19 has seen a shift in the main location
of risk. In the past, Tees has differed to the National Data with Care Homes being the main
location of risk. This year has seen increased reporting from ‘friend’, ‘family’ and ‘self’ category
which could have contributed to the increase in the ‘Own Home’ category. Domestic abuse saw a
significant increase with most incidents occurring in an adults’ own home. The improved reporting
from 2 Local Authorities has also contributed to an increase in the ‘Own Home’ category.
 The Domestic Abuse category saw a substantial increase during 2018/19 with a 77% increase in
the number of Section 42 Enquiries being undertaken. This also correlates with an increase in
recorded crime data from Cleveland Police for Domestic abuse across the Force area. Cleveland
Police informed that during this reporting year they had made significant improvements in the data
recording mechanisms which will have impacted these figures. It is not yet known if the increase
is due to improved recording or if there are in fact more domestic abuse cases being highlighted.
 In 2017/18 the main type of abuse was Neglect & Acts of Omission (36%) followed by Physical
(31%). 2018/19 has seen the Physical (29%) category being the main type of abuse followed by
Neglect & Acts of Omission (26%).
 Medication incidents have reduced by 20% during this year. This could be linked to the focused
work to develop the Medication Guidance for Providers and Commissioners.
 The Board should have achieved 3 out of 5 Key Performance Indicators by the end of year.
 Training has been well utilised this year will have contributed to raising the awareness of
Safeguarding.
 Twelve services have been subject to Responding to and Addressing Serious Concerns (RASC)
and seven Safeguarding Adult Review (SAR) notifications have been received, which helps to
highlight the level of activity over the year.
 Data over the last 3 years shows how the Own Home category has increased each year since
2016/17 – 2018/19 which would indicate that awareness is up and more reporting seems to be
taking place.
 The Multi-Agency data has improved and there are similar themes being reported from the Health
Trusts. Both North and South Tees Health Trusts have seen an increase in the number of concerns
against the Trust.
 Reporting levels for Concerns against TEWV are low compared to the other Health Trusts, this
could be explored further.
 The majority of the allegations against both North & South Tees Health Trusts related to Neglect
& Acts of Omission. The main type of abuse for TEWV was Physical, but this would be expected
due to the nature of patients that TEWV support.
 Cleveland Police have recorded an increase in crime, which may be due to improved reporting
mechanisms
 The Vulnerable Adults Unit has continued to see a decrease in the number of referrals received
during the year. The Police referral criteria was re-circulated at the end of the previous reporting
year, and may have helped to contribute to the decrease with more appropriate referrals being
received.
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