elder abuse: some implications for health professionals
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Transcript of elder abuse: some implications for health professionals
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RSM june 19 2009
elder abuse: some implications for health professionals
Jill Manthorpe
King’s College London
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RSM june 19 2009
Elder abuse, neglect and mistreatment and loss of dignity
1. Concern is unlikely to dissipate
2. Professional regulation – extensions
3. Legal developments
4. Review of No Secrets
5. Self-audit
6. Useful resources
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Concerns abounding
• ‘Care home worker stole £20k from residents’ Caring Times, April 2008.
• ‘Conmen who earn a fortune by preying on the old’, Daily Telegraph, 29 October 2002
• ‘Family of elderly woman who was robbed on her deathbed face red tape nightmare to see crime investigated’, Mail Online 26 June 2008
• ‘Daughter’s pleas over mother’s care home death’, Mail Online, 14 July 2008
• ‘Half a million ‘forgotten’ elderly victims of crime’, Mail Online, 7 November 2007
• ‘Police probe six deaths of care home residents’, Daily Telegraph, 24 September 2008
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The implications are
• Fear – huge under-reporting
• Anxious relatives
• Mistrust
• Staff shortages?
• ‘Managing’ with reduced quality of life
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2. Professional regulation
• Lessons from POVA List (vetting and barring)
• Safeguarding Vulnerable Groups Act 2006 extending to Health
• Changes to social care through personalisation – registration of some but not all – fears about transferring of risk
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The implications for health
• Employment and human resources work
• The importance of records
• Not stopping at checks
• Interface with professional regulation
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3 Legal developments
• New offences under Mental Capacity Act 2005 of mistreatment and wilful neglect
• Role of IMCA and Mental Health Advocates
• Use of Lasting Powers of Attorney and Advance Decisions to refuse treatment
• DOLS - Deprivation of Liberty Safeguards
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The implications for health
• Finding sources of support, information and advice
• Personal and professional indemnity
• Constructing thresholds
• Providing, seeking & challenging experts
• Working with colleagues
• Casting the law as obstructive or empowering
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4. Review of No Secrets
• Key questions around organisational relationships and funding
• What are the interfaces with NHS systems?
• NB Review of law and adult social care
• Development of agreed outcomes
• Ministerial view awaited
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Self-audit
• I know where the policies are on elder abuse in my organisation
• I know who to contact if I have a query
• I know what to do if I have suspicions
• I know how to support staff who are uncertain, distressed, under pressure
• I know how to communicate with an older person who is fearful.
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resources
• Review of No Secrets DH
• Action on Elder Abuse
• Ministry of Justice (MCA & Code of Practice)
• DH DOLS Code of Practice
• Home Office (SVG, hate crime, distraction burglary, victim support)