Page 4 - 20180222 - Minutes - TSAB v4 - Public

 Performance Indicators have been incorporated into the report in line with
the TSAB Business Plan. Two KPI's are currently showing as amber
however significant improvements have been observed in one of the areas
in comparison to 2016/17.
 Overall, Safeguarding Concerns and Section 42 Enquiries have continued
to increase across Tees during Q3. An overall increase in the number of
Concerns and Section 42 Enquiries is anticipated at the end of this reporting
year.
 Neglect & Acts of Omission and Physical continue to be the two highest
categories of abuse this quarter. More than half of the Section 42 Enquiries,
within both of these categories occurred in Care Homes.
 The two main locations of risk are 'Care Home' and 'Own Home’. An
increase in the number of Section 42 Enquiries has been recorded in each
quarter of 2017/18.
 The Hospital / Health Setting category has also seen a significant increase
in the number of Section 42 Enquiries recorded in each quarter of 2017/18.
 Three of the LAs reported figures against the new sub-categories within the
Neglect and Acts of Omission & Physical categories. This data highlights
that a significant proportion of the Section 42 Enquiries reported within the
Physical category relate to incidents between residents in care settings.
Assurance has been provided that all 4 LA's will be providing the data in
these sub categories by the end of the year.
 A new section of the report highlights the source of concerns that are
submitted to a LA; Care Homes and NHS Staff submit nearly 50% of the
concerns.
 From the Trusts’ perspective, one trust has recorded a decrease in the
number of contacts reported into Safeguarding in comparison to others. It
was suggested that further detailed analysis should be carried out in this
area.
 Focus continues on discharge related issues within the Trusts and work
continues to provide further improvements.
 The total recorded crimes this quarter with a QL52 flag has decreased when
compared to the same time period last year.
 Adult Safeguarding concerns were identified and referred into the Tees LA's
during Q3 by Cleveland Fire Brigade. The main area of abuse identified was
Self-Neglect.

Questions/Queries Raised:
 Increases in Concerns and Enquiries were discussed, members deemed
this as a positive trend however questions were raised as to whether the
increase in concerns was due to the significant amount of
training/awareness sessions that are currently occurring across Tees or a
real increase in recorded concerns.
 Barbara Potter (BP) commented that within health and social care
awareness programmes have been implemented and there is a lot of
integrated working to support services.
 Erik Scollay (ES) commented that through new initiatives such as
Transforming Care individuals are now discharged out in the community
with one to one care, whereas previously individuals perhaps would have
gone into a community hospital before going home.
 Jill Harrison (JH) noted that providers are facing an increase in the
complexity of needs from individuals. This places extra pressures on
providers and may have a direct impact on the number of residents and
physical incidents data.

Minutes Approved 24.4.2018 4