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Prevention, Managing and Responding & Learning Lessons and Improving Future Practice

In 2019 we made an important change to NSAB's subgroup structure.

Like other SABs, we had several subgroups focusing on different streams of work. At the board development day in September 2018 we discussed ways that we could streamline this.

The consensus was that we could do things differently.  Work to restructure our eight subgroups saw fruition at the first meeting of our new subgroup - Prevention, Managing, Learning (PML) in August 2019.  Our new architecture has reduced eight subgroups to four, using the three ‘pillars’ in NSAB’s 2018-21 strategic plan.

Three of these subgroups focus on:

  • preventing abuse and neglect (Prevention)
  • managing and responding to concerns (Managing)
  • learning lessons and shaping future practice (Learning lessons)

 This new model for Norfolk has in part been inspired by the principles of Holacracy – a contemporary organisational methodology which distributes power, increases autonomy and reduces hierarchy.

This exciting approach to our work means that the three subgroups now meet on the same day, in the same room, at the same time to all work on the same safeguarding problem. Trigger questions are used to focus discussion and work on a particular 'knotty' problem we have not been able to solve or improve.

Topics that have been worked on so far include:

  • Why is MCA a recurring challenge in adult safeguarding?
  • The Suffolk Safeguarding Adults Framework – can we adopt it for Norfolk?
  • Delivering learning from SARs and making it stick

 Whilst we cannot currently get together in a room for more debate, discussion and hard work, we can do it virtually!

Health Executive Safeguarding Adults Alliance (HESAA)

The purpose of the alliance is for health organisations to meet collectively, to work in partnerships and to recognise their responsibility to provide safe care for all patients as outlined in the Care Act.  Also, to recognise and support those who are less able to protect themselves from neglect, harm and abuse and to ensure that they have appropriate choices and control within their lives and the support to manage risk.

This group isn't meeting currently.

Safeguarding Adults Review Group

The safeguarding adults review group (or SARG as it is often known) meets every month and is attended by senior representatives from health, Norfolk Constabulary and adult social care, as well as the NSAB board manager, chairperson and administrator.   The group also has legal representation from Nplaw.  During meetings, the group will consider any SAR referrals that have been received and also discuss any ongoing SARs, multi-agency and single agency reviews.  It's an opportunity for representatives to share and discuss any evidence that their agency has on the particular cases that have been referred.  Conversation and debate can be quite lively as the details of the cases are discussed. Sometimes it can take several months in order to receive all of the information required from agencies to enable the group to reach a decision on whether a Safeguarding Adult Review should be carried out.  

All referrals and investigations are captured and actions from them are recorded on a composite action plan.  The group will meet approximately three times a year to discuss recommendations and actions from completed SARs to ensure that learning from them is rolled out.