Learning from safeguarding issues

We take the issue of safeguarding very seriously, and are always looking for ways to improve the policies and procedures that are linked to it.

Below are detailed some of the lessons that we have learned as an organisation, along with examples of the outcomes of individual incidents.


Strategic lessons

  • A review of safeguarding activity identified instances of ambulance staff making a safeguarding referral some time after the incident which prompted the referral. Whilst feedback was offered to the staff involved, it became apparent that operational pressure (to attend another emergency call) was preventing a referral being made in a more timely manner. Policy has now been introduced so that a referral is considered as part of the dispatch cycle, so that a crew are not deployed to another 999 call until it has been completed.
  • Work is underway to identify improved liaison with health and social care agencies where ambulance staff attend a child aged under the age of two who is not conveyed to hospital. This is to help ensure joined up access to information about a patient’s wellbeing.
  • Liaison is being undertaken with the 32 local London authorities to introduce a systematic process to improve the feedback loop on the action taken when a referral has been made, in accordance with best communications practice.
  • Liaison is being similarly carried out towards the Trust having access to information about children who have been deemed to be ‘At Risk’, so that this information can be made available to the attending ambulance staff.

Individual incidents

  • The care provided at a care home was the subject of a local authority investigation. The evidence of safeguarding referrals made by the attending ambulance staff contributed to a number of changes and improvements being put into place as regards the care home’s policy and practice.
  • Increased domiciliary care provision for an elderly patient who was vulnerable to falls was put into place as a consequence of a referral by the attending ambulance staff.
  • A family were offered a variety of support measures following a safeguarding referral where it was identified that the lone parent was experiencing difficulties in coping.
  • Arrangements were put into place for a patient with a history of acute mental illness to be conveyed to the facility who was managing his long-term care rather than the local A&E department, on any occasion that the patient experienced a relapse whilst on home leave. 
  • The evidence of the referral made by the attending ambulance staff contributed to care proceedings undertaken by a local authority.
  • When a child was conveyed to hospital, the ambulance crew expressed concerns to the A&E nurse but didn’t complete a referral themselves. Feedback was provided on the need to do this.


 

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