⚡ Safeguarding Reflective Report

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Safeguarding Reflective Report

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5 Minute Masterclass: Reflective Supervision

Alliance members can access the course by logging into the EduCare learning platform. To produce this course, the Alliance has worked with Lorna Taylor, Chartered Physiotherapist, who works within primary and early years settings and a campaigner for improved back health at Jolly Back. This Alliance CPD-recognised online course will benefit anyone working in a setting or supporting families in the early years.

One of our most popular courses, Managing your Early Years Inspection has been revised and is available to members. Please note: Before you can take part in EduCare courses you will need to ensure you have registered with EduCare's learning platform. The purpose of local arrangements is to support and enable organisations and agencies across Derby and Derbyshire to work together to ensure that:. Children are at the heart of the work of this Partnership and I welcome the commitment being shown by all Partners, statutory and non-statutory, to challenge each other to ensure that the lives of all children in Derby and Derbyshire happy and safe.

Briefing notes about the government review into sexual abuse in schools and access to schools by staff from other agencies are now available. Updates about important changes to our multi-agency safeguarding arrangements to ensure that children at kept safe during the challenge of coronavirus COVID Home Worried About a Child? In many of these, such as aerospace, more emphasis is now put on assuring the reliable functioning of systems prior to commissioning than on post-accident review and remedial action. No one model is prescribed. SABs therefore need to know what options are available to choose from, and think about the basis on which they would choose. How you conduct a review will affect the kind of learning you get from it, and whether the process is constructive and educative for those involved.

The choice of approach is therefore significant. Industry, transport and military fields have lead the way in developing methods for investigating and analysing incidents and accidents. Industry methods have the benefit of being explicitly designed to understand why accidents have happened, and what can be extrapolated from them to improve future safety. They take a broad approach to accident causation looking at the organisational environment, culture and ways of working that affect individual actions and decisions.

To understand these influences, they involve the professionals who were directly involved in the incident. Lastly, they provide a systematic approach to gathering information and a transparent process for analysing that information gathered. By this means they reduce the extent to which you only get the perspectives and views of the individual leading the review. It should not be a surprise therefore that industry accident investigation methods have been taken up in health care, and multi-agency child and adult safeguarding spheres.

And it is for these reasons that SCIE presents them here as the available models to choose from. Figure 1 below gives an idea of the familial links across the different domains. More recently, SCIE has been at the forefront of developing these models for use in the multi-agency child protection field, resulting in a model called Learning Together Fish, Munro et al. Figure 1. How industrial models have influenced models in health and safeguarding. The traditional approach stipulates lots of the process whereby a review should occur a comprehensive integrated chronology, Individual Management Reports IMRs brought together in an Overview Report as well as the key personnel a Panel with its own Chair, Overview Report authors and IMR authors.

What it does not include is any specification of how analysis occurs, what techniques or tools support this. Hilary Brown has, for example, recommended developing a shared methodology between Serious Untoward Incidents in the NHS and SARs, by including root cause analysis with a focus on multi-agency working Brown SILP is less developed in this aspect.

SABs will want to consider the cost effectiveness of developing in-house expertise initially in a single approach as against trying out the range of options. There is another alternative which would require a longer term strategic plan. A useful review of industry investigation methods conducted by health care academics highlighted further, that a broader range of potentially useful techniques exist that have not been wrapped up into particular models. They concluded therefore that:. This opens the way to an alternative way of thinking about different approaches available for SARs, which would distinguish stages of the process from different analytic techniques. Which analytic techniques and tools are potentially helpful at which stages in the review would need to be clarified.

SABs may therefore want to consider research and development options in parallel with use of the pre-packaged approaches detailed above. The protocol outlined a process of incident investigation and analysis for use by clinicians, risk and patient safety managers, researchers and others wishing to reflect and learn from clinical incidents. This approach has now been refined and developed in the light of experience and research into incident investigation both within and outside healthcare.

This chapter consists of the guide for the investigation and analysis of critical incidents and adverse events in healthcare and its development and piloting. The process of developing and piloting was conducted in three specialties: acute care, mental health and primary care. The guide is a self-contained document with accompanying case analyses in the appendices designed to assist clinicians, risk managers and others in investigating and learning from clinical incidents. The purpose of the guide is to permit a comprehensive and thoughtful investigation and analysis of an incident, going beyond the more usual quick identification or assumption of fault and blame.

Case examples from three specialties are given in Appendix 11 to illustrate the approach and a simple format for presenting the analysis and recommendations. The cases have been fictionalised to preserve the anonymity of all involved. Fictional cases are always based on real events, but incorporate events and details from more than one case from different locations. Download: The investigation and analysis of critical incidents and adverse events in healthcare. Every day a million people are treated safely and successfully in the NHS. However, when incidents do happen, it is important that lessons are learned to prevent the same incident occurring elsewhere. Root Cause Analysis investigation is a well recognised way of doing this. Investigations identify how and why patient safety incidents happen.

Analysis is used to identify areas for change and to develop recommendations which deliver safer care for our patients. Learning from patient safety incidents. Alternative training providers may be sourced from an internet search. Learning Together supports learning and improvement in safeguarding adults and children. Through a range of activities, Learning Together helps local safeguarding children boards, safeguarding adults boards, and their equivalent organisations to:. SILP is a tried and tested approach to reviewing cases, whether in the context of a serious case review or other form of learning activity. It analyses significant events and deals not only with what happened but why it happened.

The SILP approach is rooted in systems methodology, with each review being scoped to offer a proportionate approach according to the requirements of the case. The systems focus reduces any notion of blame, and our trained SILP Lead Reviewers offer an expert approach to ensuring practitioner events invite participation without fear of being blamed for actions taken in good faith. Families and significant others are offered opportunities to engage with our reviews in a variety of ways. SILP reviews see equal value in learning from good practice highlight what went well.

About SILP. Safeguarding Adults Reviews under the Care Act: implementation support. Introduction How to keep a focus on learning not blaming? How to identify non-death or injury reviews that are of value? What approaches or models are available to choose from? Short-term options Longer-term options References Download this resource. The Protocol is free to download. Brown, H. The process and function of serious case review. The Journal of Adult Protection 11 1 :

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