Contents
1 Policy summary
This policy is based on the Care Act (2014) and the Care and Support Statutory Guidance (2015) to provide a framework for managing allegations made against a person in a position of trust (PiPoT). As with all safeguarding concerns, it is everybody’s responsibility to report. This policy applies whether the incident is current or historical and whether the PiPoT is in paid or unpaid work.
2 Introduction
This policy provides the framework for managing cases where allegations have been made against a person in a position of trust (PiPoT) and is focussed on the management of risk. It provides guidance to ensure appropriate actions are taken to manage allegations against people who are employed, or volunteer for the trust.
This policy is based on the Care Act (2014) which requires that partner agencies and commissioners of services should have clear recording and information sharing guidance set explicit timescales for action and are aware of the need to preserve evidence. It builds upon the existing statutory provision and local safeguarding adults board procedures.
The trust recognises its responsibility to ensure safe working systems are in place for colleagues working with children and adults. Having a clear process in place to manage allegations against persons in positions of trust forms one part of this process but needs to sit alongside safe recruitment and selection policies, robust disclosure procedures and training for colleagues to ensure they understand their responsibilities in terms of safeguarding.
As such, this policy should be read in conjunction with the following trust policies:
- disciplinary policy
- appointment of staff policy
- freedom to speak up policy: raising concerns (whistleblowing)
- grievance and dispute procedure
- relationships at work policy
- incident management policy
- information governance policy and management framework
- safeguarding adults manual
- safeguarding children manual (LADO)
- volunteering policy
- domestic abuse policy
This is not an exhaustive list and reference to additional policies will be considered on a case-by-case basis.
All of the above are available for reference on the intranet under policies. Additional information, for example the South Yorkshire safeguarding procedures, North Lincolnshire policy and procedure, and regional guidelines for PiPoT, are also available on the intranet under clinical information, safeguarding (staff access only) (opens in new window).
3 Purpose
- Set out clear reporting requirements and the arrangements for the management of allegations against persons in positions of trust, with concise recording, information sharing arrangements and explicit timescales for action.
- Ensure that allegations are dealt with expeditiously and in a fair, proportionate and transparent way, adopting the just culture principles.
- Ensure that appropriate systems are in place to support and provide regular updates to the employee concerned in respect of any investigation.
- Ensure that the control of information in respect of individual cases is in accordance with data protection and confidentiality requirements in line with the general data protection regulation (GDPR).
- Ensure that where colleagues, students and volunteers are found to have had allegations substantiated against them, appropriate governance procedures are followed, including a referral to the individual’s professional body (for example, the nursing and midwifery council (NMC)), the disclosure and barring service (DBS) and the police, where appropriate.
This guidance must be applied when concerns are raised about a person in a position of trust in a work (professional) context and if any relevant concerns arise from a person’s personal life, if there are implications for the safety of people with care and support needs. This guidance applies whether the allegation or concern is current or historical.
When considering a referral relating to a person in a position of trust, a distinction should be made between an allegation, a concern about a person’s quality of care or practice and a complaint.
Where there are potential risks to adults with care and support needs who use the trust’s services, these risks need to be assessed, and if necessary, action should be taken to safeguard those adults.
Examples of concerns that can arise either in a professional or personal context:
- person has behaved in a way that has harmed or may have harmed an adult or child
- person has committed a criminal offence against, or related to, an adult or child
- person has behaved towards an adult or child in a way that indicates they may pose a risk of harm to adults with care and support needs
- person may be subject to an investigation by police as a perpetrator of domestic harm
- a person has behaved (or is alleged to have behaved) towards children in a way that indicates that they may pose a risk of harm to adults with care and support needs
- a person is subject of a formal safeguarding enquiry into allegations of abuse or neglect which have occurred in one setting. However, there are also concerns that the person is employed, volunteers or is a student in another setting where there are adults with care and support needs who may also be at risk of harm
4 Scope
As a relevant partner to a number of local authorities and an organisation providing care and support services to adults; the trust is required to have a clear process in place for dealing with allegations against ‘persons in positions of trust’.
This policy sets out the trust’s process when allegations are made against a PiPoT at the trust.
The Care Act (2014) defines people in positions of trust as: “people who work, in either a paid or unpaid capacity with adults with care and support needs”. Therefore, although this guidance uses the words “employee”, “employees” and “colleagues” this guidance applies to all colleagues, volunteers and students working at the trust, who have contact with children, young people and adults with care and support needs.
4.1 What is excluded from the procedure?
Section 14 of Care Act and support statutory guidance states safeguarding is not a substitute for:
- the providers’ responsibility to provide safe and high-quality care and support
- the commissioners regularly assuring themselves of the safety and effectiveness of commissioned services
- the Care Quality Commission to ensure providers comply with the standards of care or by taking enforcement action
- the core duties of the police to prevent and detect crime, and protect life and property
Therefore, careful consideration should be given to distinguish clearly between:
- a complaint about a professional or volunteer
- concerns raised about the quality of practice provided by a person in a position of trust that do not meet the criteria for a safeguarding enquiry
Other relevant bodies and their procedures should be used to recognise, respond to and resolve these issues.
5 Procedure and implementation
5.1 Quick guide
5.1.1 Key point 1
- A concern has been identified regarding a PiPoT.
5.1.2 Key point 2
- Safeguarding team to be notified using the referral form and forward to rdash.safeguardingadults@nhs.net
5.1.3 Key point 3
- Safeguarding team to convene a scoping meeting with the director of nursing for the relevant care group, head of service, patient experience team and head of safeguarding or their representatives. A decision will be made using the evidence submitted to see if the case meets the criteria. The director of nursing and patient experience representative will agree the actions to be taken for the PiPoT, for example unsubstantiated, management investigation.
5.1.4 Key point 4
- The head of safeguarding will review any key learning and disseminate to appropriate staff. The director of nursing and patient experience representative will agree the actions to be taken for the PiPoT, for example unsubstantiated, management investigation.
5.1.5 Key point 5
- PiPoT data will be collated and reported to the respective safeguarding adult board and the trust safeguarding and mental capacity operational group.
5.2 Information sharing and confidentiality
Information sharing should comply with the trust’s legal obligations, including under the General Data Protection Regulation and Data Protection Act (2018) (principally that sharing should be fair and lawful, but the legislation should not be a barrier to sharing information where a failure to do so would cause the safety or well-being of a child or adult to be at risk).
To maintain the confidentiality of all parties, no matters related to the PiPoT should be discussed outside the process.
5.3 Record keeping
- A referral form must be fully completed, and any relevant information gathered before a case can be a presented at a PiPoT scoping meeting.
- The referrer must also complete an IR1.
- All records will be kept in accordance with the trust’s record keeping policies.
All documentation relating to the PiPoT will be kept in a confidential file on the “L: Drive”.
5.4 Process
If a person in a position of trust is alleged to have abused or harmed an adult with care and support needs, or who may pose a risk of abuse to an adult with care and support needs, it is essential that the concerns are appropriately reported and responded to in accordance with the local safeguarding adults board multi-agency safeguarding adults policy and procedure.
Once the allegation has been reported it is important that the welfare and safety of adults and children is paramount, however, the trust should ensure that any colleagues who have had an allegation made against them are treated proportionately, fairly and are provided with appropriate support. They should be kept fully informed of the progress of any investigation (unless sharing information would give rise to a risk, see above).
There may be several components to an allegation. This can be one or a combination of the following:
- adult safeguarding procedures (including a section 42 safeguarding enquiry)
- local authority designated officer (LADO), where a person’s conduct towards an adult may impact on their suitability to work with or continue to work with children
- notify the police of the allegation
- internal trust human resources management investigation
- not met the threshold for a PiPoT
- no decision on the next steps until further clarity is received
A scoping meeting chaired by the PiPoT lead (or delegated person) should be convened as soon as practically possible following the disclosure of the allegation.
If the allegation is raised out of hours, then the matter should be escalated to on call manager.
See appendix E for the scoping meeting agenda.
The purpose of this meeting is to provide a decision-making framework in order to manage the allegation that has been raised.
The colleagues involved should be:
- head of safeguarding or other person with appropriate level of authority
- care group director of nursing (or other person with appropriate authority)
- people experience team representative
- alleged individual’s line manager
- administration support
5.5 Purpose of the scoping meeting
Is to:
- determine whether the PiPoT threshold has been met
- the process that will be followed
- identify an action plan with delegated responsibilities and time frame, including informing and support plan for individuals subject to the PiPoT
- if there is public interest then the trust’s Communication team should be informed to manage any potential publicity matters
- if, at the scoping meeting, it is determined that a criminal act may have occurred then the subsequent internal investigations may be suspended until the police confirm that these investigations can commence, but permission to commence our own internal investigations is not required
from the police. An individual should be appointed to regularly liaise with the police to ensure that the investigation proceeds in a timely manner. Updates should be reported back to the PiPoT lead, to ensure that no delays occur - risk assessment and management
- redeployment or suspension
- referral to the professional body if deemed appropriate at this time
- Care Quality Commission (CQC) notification
5.6 Local authority designated officer
The local authority designated officer (LADO) is responsible for managing and overseeing allegations against adults who work with children. This involves working with police, children’s social care, employers and other involved professionals.
The LADO must be contacted within one working day in respect of all cases in which it is alleged that a person who works with children has:
- behaved in a way that has harmed, or may have harmed a child
- possibly committed a criminal offence against or related to a child
- behaved towards a child or children in a way that indicates they may pose a risk of harm to children
- Behaved in a way which raises concerns as to their suitability to work with children
The LADO is responsible for:
- providing advice, information and guidance to employers and voluntary organisations around allegations and concerns regarding paid and unpaid workers
- managing and overseeing individual cases from all partner agencies
- ensuring the child’s voice is heard and that they are safeguarded
- ensuring there is a consistent, fair and thorough process for all adults working with children and young people against whom an allegation is made.
- monitoring the progress of cases to ensure they are dealt with as quickly as possible
- recommending a referral and chairing the strategy meeting in cases where the allegation requires investigation by police and or social care
The LADO is involved from the initial phase of the allegation through to the conclusion of the case. The LADO is available to discuss any concerns and to assist you in deciding whether you need to make a referral and or take any immediate management action to protect a child.
If during the PiPoT process it is alleged that an individual has harmed a child, may have harmed a child, or behaved in a way that indicates they may pose a risk to children a referral to the LADO must be made. This includes referrals where the victim may now be an adult, but the alleged offence happened whilst the individual was a child and, or young person. Please see link below for locality LADO:
- Doncaster (opens in new window)
- North Lincolnshire
- Rotherham (opens in new window)
5.7 Support for the person against whom an allegation has been made
Alongside the trust’s duty of care towards any individuals who are (potentially) at risk, the trust has a duty of care to the employee against whom the allegation has been brought. Support should be provided to minimise any potential stress associated with the process, which could usually include:
- supporting the individual to understand the procedures being followed and any investigations being carried out
- providing updates on developments of any procedures or investigations
- giving the individual an opportunity to respond to allegations or concerns
- supporting the individual to raise questions or concerns about their circumstances
- referring the individual to occupational health
- advising the individual that he or she may wish to seek support from their union or professional body, or independent advice. It should be noted that in some cases, limited information may only be able to be shared in order not to prejudice any enquiry, investigation or place anyone at risk
5.8 Conclusion
At the conclusion of the PiPoT scoping meeting it will be determined whether the allegation was:
- false, there is insufficient evidence to either prove or disprove the allegation. The term therefore does not imply guilt or innocence
- unsubstantiated, there is sufficient evidence to disprove the allegation
- malicious, there is sufficient evidence to disprove the allegation and there has been a deliberate act to deceive
- substantiated-there is sufficient evidence to prove the allegation
Standard of proof is the balance of probability, not beyond reasonable doubt.
Recommendations will be made in respect of any further actions associated with the individual subject to the PiPoT including:
- no further action
- referral to professional body
- referral to Disclosure and Barring Service (DBS)
- informing involved partner agencies
- duty of candour
If the PiPoT is removed by either being dismissed or permanently redeployed to a non-regulated activity because they pose a risk of harm to adults with care and support needs, the employer has a legal duty to refer the person to the Disclosure and Barring Service (DBS). In addition, where appropriate, employers should report workers to the statutory and other bodies responsible for professional regulation such as the general medical council and the nursing and midwifery council. The individual must be informed of any action undertaken against them.
If a person subject to a PiPoT investigation attempts to leave their employment by resigning in an effort to avoid the investigation or disciplinary process, the employer is entitled not to accept that resignation, conclude whatever process has been utilised and, if the outcome warrants it, dismiss the employee or volunteer instead. This would also be the case where the person intends to take up legitimate employment or a course of study. A referral to DBS must be made if it is not possible to complete the disciplinary process.
The outcome will be documented on the PiPoT closure form (appendix G).
6 Lesson learned
The head of safeguarding will review any key themes and trends from the PiPoT meetings and ensure that the learning is embedded into front line practice via ongoing training, supervision and sharing across the organisation through established groups.
7 Reporting to trust boards and safeguarding adult board (SAB)
The head of safeguarding and the Safeguarding team will ensure that data from PiPoT activity will be reported to the safeguarding assurance group on a quarterly basis and to the respective safeguarding adults boards as and when required.
8 Training implications
8.1 All colleagues
- Training or course name: L1 and L2 eLearning and L3 core safeguarding adult training.
- Frequency: 3 hours every year.
- Length of training: 3 hours.
- Delivery method: eLearning and face to face.
- Training delivered by whom: Safeguarding team.
- Where are the records of attendance held: Electronic staff record.
9 Equality impact assessment screening
To access the equality impact assessment for this policy, please email rdash.equalityanddiversity@nhs.net to request the document.
9.1 Privacy, dignity and respect
The NHS Constitution states that all patients should feel that their privacy and dignity are respected while they are in hospital. High Quality Care for All (2008), Lord Darzi’s review of the NHS, identifies the need to organise care around the individual, “not just clinically but in terms of dignity and respect”.
Consequently, the trust is required to articulate its intent to deliver care with privacy and dignity that treats all service users with respect. Therefore, all procedural documents will be considered, if relevant, to reflect the requirement to treat everyone with privacy, dignity, and respect, (when appropriate this should also include how same sex accommodation is provided).
9.1.1 Indicate how this will be met
No issues have been identified in relation to this policy.
9.2 Mental Capacity Act (2005)
Central to any aspect of care delivered to adults and young people aged 16 years or over will be the consideration of the individuals’ capacity to participate in the decision-making process. Consequently, no intervention should be carried out without either the individual’s informed consent, or the powers included in a legal framework, or by order of the court.
Therefore, the trust is required to make sure that all colleagues working with individuals who use our service are familiar with the provisions within the Mental Capacity Act (2005). For this reason, all procedural documents will be considered, if relevant to reflect the provisions of the Mental Capacity Act (2005) to ensure that the rights of individual are protected, and they are supported to make their own decisions where possible and that any decisions made on their behalf when they lack capacity are made in their best interests and least restrictive of their rights and freedoms.
9.2.1 Indicate how this will be achieved
All individuals involved in the implementation of this policy should do so in accordance with the guiding principles of the Mental Capacity Act (2005).
10 Associated documents
- Disciplinary policy
- Respect, civility and resolution
- Freedom to speak up (whistleblowing) policy
- Grievance and dispute policy
- Incident management policy
- Information governance policy and management framework (includes Data Protection Policy content)
- Being open (duty of candour)
This list is not exhaustive. Refer to trust intranet.
11 References
12 Appendices
12.1 Appendix A Responsibilities, accountabilities and duties
Safeguarding adults and children is everybody’s responsibility whatever role you may have within work or outside work.
12.1.1 How might persons in position of trust (PiPoT) concern be identified?
Concerns about a PiPoT’s behaviour may be identified by the following people or procedures:
- police intervention
- providers alerting commissioners investigation of services
- whistleblowing disclosure
- commissioner’s contract
- safeguarding adults enquiry monitoring activity
- safeguarding children
- Safeguarding Adults Board (SAB) partner investigation
- Care Quality Commission (CQC)
- complaints
- any other source of reports from members of the public
12.1.2 Employee
12.1.2.1 When an employee of the trust raises a concern
Employees are responsible for conducting themselves in a professional manner at all times to patients, relatives, colleagues, and any other individuals they may come into contact with during the course of their work for the trust.
Any colleague with knowledge or information that an individual is involved in the actual or potential abuse of an adult or a child, whether in the course of their work, or leisure and personal time, or their family and carer responsibilities, must report it to their line manager or on call manager and the Safeguarding team.
Some employees may feel uncomfortable doing this, however, the needs of the adult or child should be paramount. For professional colleagues this duty will also fall under their professional code of conduct. It should be noted that failure to report concerns could indicate collusion; along with malicious allegations, this would be viewed seriously by the trust and the police may need to be informed.
Employees disclosing information should be listened to and advised that their concern will need to be taken further, where appropriate. Employees should be aware that it may not be possible for their anonymity to be maintained.
12.1.3 Line managers
12.1.3.1 Line managers of employees raising concerns
Are responsible for:
- ensuring that any concern raised with them is listened to and taken seriously
- informing employees that it may not be possible for their anonymity to be maintained
- documenting the concern
- referring to the trust’s Safeguarding team as soon as possible
Line managers will be responsible for populating the PiPoT referral form and gathering all information, prior to the scoping meeting which may have a bearing on the allegation for example, any previous concerns. This information is to readily accessible during the meeting.
12.1.3.2 Line manager of an individual who is the subject of a concern or allegation
- The manager will attend any meetings as appropriate.
- The manager will liaise with the nurse consultant, the Safeguarding team and human resources.
- The manager will be responsible for notifying and supporting the individual.
12.1.4 Safeguarding team
On receiving concerns, the Safeguarding team will:
- ensure that the incident is measured against the PiPoT decision-making tool and that the appropriate person is designated to complete the PiPoT referral form. The safeguarding administrator will record the data in a secure folder
- then liaise with the care group or corporate director, line manager and HR and instigate a PiPoT scoping meeting as soon as practically possible
- if the concern is raised out of hours, then advice is to be sought from the manager on call and action taken accordingly
- if the concern involves children, then the child local authority designated officer (LADO) should be informed immediately
- f the adult or child who is the subject of the concern is believed to be at risk of immediate harm, then steps should be taken to safeguard the individual concerned, and the police should be informed without delay
12.1.5 Person in position of trust (PiPoT) lead (deputy director of nursing, delegated to the nurse consultant for safeguarding)
The PiPoT lead will have the overarching responsibility for the management of the investigation into the allegations and will delegate responsibility for actions to be undertaken.
The responsibilities include:
- ensuring colleagues and managers have access to expert advice and guidance to enable them to fulfil their responsibilities when responding to allegations, which may include legal and human resources guidance
- escalating to the director of nursing and allied health professionals
- responding promptly to allegations regarding colleagues and for undertaking necessary action in line with internal processes and agreed timescales
- the communication strategy if the allegations is in the public domain
- reviewing the information gathered to assess if the allegations are substantiated or not
- ensure that the appropriate person is identified to inform the police as appropriate
- deciding whether a safeguarding concern should be raised and forwarded to the Local Authority Safeguarding team in accordance with section 42 (Care Act (2014)) adult safeguarding enquiry
- arranging a scoping meeting with key personnel as detailed in section 5.3 to identify which process, if any, should be followed
- monitoring the progress of cases to ensure they are dealt with as quickly as possible, with a consistent, thorough, fair and transparent process
- ensuring appropriate recording systems are in place to provide a clear audit trail about the decision-making process and any recommendations arising from an investigation and subsequent actions
- assess if this is a serious incident and report as per the trust incident management policy
The PiPoT lead will ensure that records are maintained regarding the number and nature of allegations made.
12.2 Appendix B Monitoring arrangement
12.2.1 Adherence to policy and process
- How: Training.
- Reported to: Adherence to policy and process.
- Frequency: Training.
12.2.2 Number of person in positions of trust (PiPoT) cases
- How: Safeguarding assurance group report.
- Who by: Safeguarding team.
- Frequency: Number of PiPoT cases.
12.3 Appendix C Decision-making support tool for making a person in positions of trust (PiPoT) referral
Consider | No concern | Some concerns, require further inquiry | Significant cause for concern |
---|---|---|---|
Has the person behaved in a way that has harmed or may have harmed an adult with care and support needs. | No concerns of harm or potential harm. | Some concerns of harm or potential harm. | Serious harm or potential harm. |
Has the person possibly committed a criminal offence against or related to an adult at risk. | No. | No harm towards an adult with care and support needs, but a crime has been committed. | Yes. |
Has the person behaved towards an adult at risk in a way which indicates unsuitability to work with adults with care and support needs. | No. | Yes. | Yes. |
Has the person behaved in a way that has harmed or may have harmed children which means their ability to provide a service to adults with care and support needs must be reviewed. | No. | Yes. | Yes. |
Has the person behaved in a way which questions their ability to provide a service to adults with care and support needs which must be reviewed, for example; conviction for assault outside the work environment. | No. | Yes. | Yes. |
Outcome | Safeguarding or PiPoT criteria not met for referral. | PiPoT referral completed. | PiPoT referral completed. |
12.4 Appendix D Person in a position of trust (PiPoT) referral form
12.5 Appendix E Allegations against a person in a position of trust (PiPoT)
12.5.1 What is a person in positions of trust (PiPoT)?
The Care Act (2014) and supporting care and support Statutory guidance requires local authorities and partner agencies (Including health providers) to have in place a framework and process for the management of allegations against “people in a position of trust”.
The meaning of the term people in a position of trust is “people who work in either a paid or unpaid capacity with adults with care and support needs.
A PiPoT is at risk of allegations being made against them at any time and, as an organisation, we need to ensure clear and safe working practices are in place. An allegation against a PiPoT must be taken seriously and dealt with in a way that protects both the adult and the PiPoT
12.5.2 Person in positions of trust (PiPoT) referral criteria
A PiPoT referral should be made of any allegations that have been made which indicates they may pose a risk to adult with care and support needs because in their work environment or in their life outside of work they are alleged to have:
- behaved in a way that has harmed or may have harmed an adult with care and support needs
- possibly committed a criminal offence against or related to an adult at risk
- behaved towards an adult at risk in a way which indicates unsuitability to work with adults with care and support needs
- behaved in a way that has harmed or may have harmed children which means their ability to provide a service to adults with care and support needs must be reviewed
- behaved in a way which questions their ability to provide a service to adults with care and support needs which must be reviewed for example, conviction for assault outside the work environment
The referral criteria apply whether the allegation or concern is current or historical.
If a risk to children is identified then the local authority designated officer (LADO) is to be notified.
12.5.3 Safeguarding enquiry
Safeguarding duties apply to adults who:
- has needs for care and support (whether the local authority is meeting these needs)
- is experiencing or at risk of abuse or neglect
- as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect
An adult with care and support needs who have alleged to have been harmed will need to be subject to safeguarding procedures. The focus of the safeguarding enquiry will be the adult. Any immediate safeguarding concerns will need to be addressed by the employer.
12.5.3.1 The safeguarding process will run alongside the person in positions of trust (PiPoT) process
The employer should not ask any questions that would interfere with a criminal investigation. However, the PiPoT should be informed of concerns or allegations as soon as possible.
There are occasions when concerns, incidents or allegation are reported and do not involve an adult at risk or with care and support needs but indicate a potential risk of harm occurring. On these occasions the PiPoT process should be followed.
12.5.4 Person in positions of trust (PiPoT) referral process
A PiPoT referral form should be completed and sent to the RDaSH Safeguarding Adults team via email rdash.safeguardingadults@nhs.net.
On receipt of the referral and a fully completed scoping tool, a PiPoT scoping meeting will be convened ASAP. The need for a formal meeting will be decided on a case by case basis depending on what further action is required.
In each case balance between the duty to protect the adult with care and support needs from harm and abuse and the effect on the adult from information about them being shared is required (for example, Article 8 human rights, right to private family life) this may include a referral to the police if it is believed a crime has been committed.
Any HR management investigation should be conducted alongside the adult safeguarding policy and procedures and any police investigation. A police investigation will take priority over other investigations. Internal investigations and safeguarding enquiries may run concurrently.
12.6 Appendix F Agenda for person in positions of trust (PiPoT) meeting
12.7 Appendix G Person in positions of trust (PiPoT) closure form
12.8 Appendix H summary of person in positions of trust (PiPoT) process
- Concern raised by colleague, patient, partner agency, local authority designated officer, member of the public, the list is not exhaustive.
- Safeguarding team to be notified, PiPoT referral form to be completed and forwarded to rdash.safeguardingadults@nhs.net
- Safeguarding team to arrange for a PiPoT initial scoping meeting to be convened
- PiPoT outcome meeting to be convened. To review the findings of any investigation, enquiry or disciplinary process. One of the following outcomes should be clearly documented in order to conclude the process:
- false
- unsubstantiated
- malicious
- substantiated
- Head of safeguarding to review any key learning points and disseminate to the deputy director of nursing and to all care group senior management teams
- PiPoT data to be reported to the respective Safeguarding Adults Board on a quarterly basis and trust safeguarding assurance group.
Document control
- Version: 3.
- Unique reference number: 502.
- Approved by: Clinical effectiveness meeting.
- Date approved: 1 April 2025.
- Name of originator or author: Lead professional or head of safeguarding.
- Name of responsible individual: Chief nurse.
- Date issued: 16 April 2025.
- Review date: 30 April 2028.
- Target audience: All colleagues within the trust.
Page last reviewed: April 22, 2025
Next review due: April 22, 2026
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