Child protection has long been one of the core elements of children’s services. It is only relatively recently, however, that a similar focus on safeguarding adults who may be at risk of abuse has emerged; moreover the level of active collaboration and understanding across different professional groups varies considerably between localities. This column draws on the Safety Matters Change Project being conducted by research in practice for adults with its Partner agencies. Through detailed development and pilot work with practice teams, it seeks to provide a range of resources to enable development of high-quality practice. Reference to abuse is most likely to conjure up images of physical abuse, but this is only one of a number of forms of abuse that individuals may experience. The initial Department of Health guidance No Secrets (2000), currently under review, identifies in addition sexual abuse, psychological abuse, financial abuse, neglect and acts of omission, and discriminatory abuse. By its very nature, identifying the extent of abuse is not easy. For older people, the recent UK Study of Abuse and Neglect of Older People (2007) found that the proportion of people reporting mistreatment involving a family member, close friend or care worker in the previous year was 2.6%, broadly in line with other international research. This equates to 227,000 older people in the UK. When the definition was broadened to include incidents involving neighbours and acquaintances, the overall prevalence rate increased to four per cent, equivalent to a total of around 342,400 older people subject to some form of mistreatment. This figure is likely to be an underestimate, as a result of a conservative definition of abuse (it did not include neglect or discriminatory abuse) and the absence from the survey of people with severe dementia and those living in care homes, two groups particularly at risk. Currently the lead responsibility for responding to abuse lies with social services; indeed there is no statutory requirement for other agencies to be involved. Nonetheless, successful adult protection is critically dependent on multi-agency partnership working. The range of relevant agencies is wide: • police and criminal justice • a wide range of health professionals from GPs and emergency services to physiotherapists and dieticians • government agencies such as the Commission for Social Care Inspection and the Health and Safety Executive • statutory and independent service providers such as domiciliary care, supported employment and independent living schemes Safety Matters: The Role of Partnership Working in Safeguarding Adults
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