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Safeguarding

One of our key priorities at The Royal Orthopaedic Hospital NHS Foundation Trust is to ensure we safeguard our patients and families to protect them from harm. We have a safeguarding team who provide support to all staff and have strong links with many other professional services such as; social services, community teams and the police to ensure adults, children, young people and families are safe and supported.

We strive to work with you and your family to address any concerns you have.

Safeguarding is everyone’s responsibility. If you have concerns about the safety of a child, young person or vulnerable adult while visiting our hospital, please speak to a member of staff who will contact the Safeguarding Team.

Contact the Safeguarding Team: This email address is being protected from spambots. You need JavaScript enabled to view it.
If you think someone may be at immediate risk, danger or harm, contact the police on 999.

Statutory Safeguarding requirements

How we meet the statutory Safeguarding requirements
  • Staff receive Safeguarding training appropriate to their roles and responsibilities as per the Inter-collegiate documents for adults and children, Working Together to Safeguard Children (2018) and The Care Act (2014). The training assists staff in confidently identifying children, young people and adults at risk of abuse and/or neglect and following internal/external safeguarding procedures.
  • The Trusts Executive Director and Lead Nurse for Safeguarding provides assurance for the organisation in relation to Safeguarding.
  • The Trust has a Lead, Named Nurse and Safeguarding Nurse who provide support, advice and supervision to staff.
  • The Safeguarding Team regularly undertake audits to ensure there are no gaps in service provision and report outcomes to the Safeguarding Committee.
  • The Lead Safeguarding Nurse completes an annual Safeguarding Report to the Trusts Board and Birmingham Safeguarding Boards/Partnership.
  • The Trust has Safeguarding policies and guidance in line with local and national guidance which are regularly reviewed and updated. These include: Safeguarding Children and families, Safeguarding Adults at Risk, PREVENT, Domestic Abuse, Managing Allegations Against Staff -Person in Position of Trust, Was Not Brought and Did Not Attend.
  • Staff are encouraged to raise any concerns regarding a Person in Position of Trust in line with statutory guidance and our Trust has a Position of Trust Lead who will sensitively manage allegations against staff.
  • Robust safer recruitment process which include monitoring Disclosure and Barring Service (DBS) checks to ensure appropriate staff are suitable for the positions.
  • All staff engage with multi-agency working and appropriate information sharing to ensure we safeguard children, young people and adults. This includes identifying children who are subject to child protection plans (CP), Child in Need plans (CIN), Early Help plans (EH), Care Orders via the Trusts First Contact Forms.
  • Staff may be required to contact external organisations such as social care, mental health services, education establishments (school/nursery), health visitors and GPs to gather information or share Safeguarding concerns.

Information for Adults

Adults who are worried or concerned about their safety and require support can speak to a member of staff at The Royal Orthopaedic Hospital or contact:

Birmingham Adult Social Care: 0121 3031234 between 9-5pm or out of hours 0121 6754086 (If you are vulnerable adult with care and support needs)

National Domestic Abuse helpline: 0800 2000 247 (confidential, non-judgemental information and support 24/7)

Samaritans: 116123 (whatever you are going through, you can contact the Samaritans for support)

Police: 999 if you or someone else is at immediate risk

Information for Children and Young People

Children and Young People under 18 years old who are worried about their safety and require support or advice can speak to a member of staff at the Royal Orthopaedic Hospital or contact:

Birmingham Safeguarding Childrens Partnership: 0121 3031888 between 9-5pm or out of hours 0121 6754806

Child Line: 0800 1111

Police: 999 if you or someone else is at immediate risk

Samaritans: 116123 (whatever you are going through, you can contact the Samaritans for support)

YoungMinds Textline: 85258 (Provides free 24/7 text support for young people across the UK experiencing mental health crisis)

Our 8 commitments to safeguarding

Have a safe and effective workforce
  • Mandatory training
  • Clinical supervision guidelines
  • Protected time
Ensure safeguarding is given high priority
  • Safeguarding included in all job descriptions and contracts
  • Designated staff
  • Executive and Non-Executive walk-abouts and assurance visits
Making safeguarding personal; the voice of adults and children
  • Listening to the patients and carers about their experience of safeguarding
  • Making information easy to access for all staff
  • Sharing good news stories
Responsive to changes in safeguarding legislation requirements
  • Care Act information to be circulated to all staff
  • Amend safeguarding policies
  • Regular reporting to CCG
Work in partnership to deliver effective safeguarding externally and internally
  • Trust representation at safeguarding Children Board and Safeguarding Adult Board
  • Trust responsive to participate in Serious Case Reviews and domestic homicide reviews
  • Active participation in CQC action plan group
Effective system for reporting, prevention, reporting, recording and learning
  • Review of safeguarding incidents reporting and feedback to reporter and wider team
  • Trust responsive to findings and recommendations from Savile enquiry
  • Safeguarding database maintained
  • Proactive in taking learning disabilities care forward
  • Training for staff on disabilities awareness
Link with BCH to help educate staff and assist in patient needs access
  • Close partnership working with local health facilitation team, community team for learning disabilities
Improve awareness and practice with regard to female genital mutilation and domestic violence
  • Raise awareness of FGM among staff
  • FGM and DV included in training
  • Additional training delivered

We understand that Safeguarding processes can be stressful and sensitive for families and carers, we will ensure that our patients, families and carers are informed about the process, investigations and outcome.

The Royal Orthopaedic Hospital Modern Day Slavery and Human Trafficking statement

Current policies and initiatives

The Royal Orthopaedic Hospital supports the Government’s objectives to eradicate modern slavery and human trafficking and recognises the significant role that NHS providers play in both combatting it and supporting victims. This is part of our safeguarding strategy and arrangements.

Modern slavery is a hidden crime that encompasses slavery, servitude, human trafficking and forced labour. We are committed to ensuring that all of our employees are aware of the Modern Slavery Act 2015 and their safeguarding duty to protect and prevent any further harm, and abuse when it is identified or suspected that the individual may be or is at risk of modern slavery/human trafficking.

We are committed to ensuring that no modern slavery or human trafficking takes place in any part of our business or our Supply chain.

This statement sets out actions taken by The Royal Orthopaedic Hospital to understand all potential modern day slavery and human trafficking risks and to implement effective systems and controls. In particular, we ensure our supply chains and business activities are free from ethical and labour standards abuses.

Steps taken to date include:

People
  • We confirm the identities of all new employees and their right to work in the United Kingdom
  • Our Freedom to Speak Up Guardian, Contact Officers, and Grievance Policies additionally provide a platform for our employees to raise concerns about poor working practices.
  • We use social media to raise awareness of safeguarding practices with internal and external stakeholders
  • We deliver comprehensive training to our staff on how to identify and support victims of human trafficking
  • We are working collaboratively with local providers and our safeguarding board to coordinate our efforts and create a network of support
Procurement and our supply chain
  • Our procurement approach follows the Crown Commercial Service standard and includes a mandatory exclusion question regarding the Modern Slavery Act (2015).
  • When procuring goods and services, we additionally apply NHS Terms and Conditions (for non-clinical procurement) and the NHS Standard Contract (for clinical procurement). Both require suppliers to comply with relevant legislation.

Review of effectiveness

In 2021/22, our anti-slavery programme will also:

  • Continue to support our staff to understand and respond to modern slavery and human trafficking, and the impact that each, and every individual working in the NHS can have in keeping present and potential future victims of modern slavery and human trafficking safe.
  • Safeguarding training is mandatory for all staff and includes information on trafficking and modern day slavery in order to promote the knowledge and understanding of escalating concerns via the Home Office national referral mechanism/duty to notify process.
  • Ensure our staff have access to training, supported by Health Education England (HEE), on how to identify those who are victims of modern slavery and human trafficking. This training will include the latest information and will help staff develop the skills to support individuals who come into contact with health services
  • Review all of our safeguarding policies and training programmes to ensure that Modern Day Slavery and human trafficking reflect potential requirements in pending reforms relating to the pre-criminal needs of people involved in human trafficking and modern slavery.

Garry Marsh
Executive Director of Patient Services, Governance and DIPC
The Royal Orthopaedic Hospital
July 2021