Guidance for safeguarding children & vulnerable adults in community pharmacy practice

Transcription

1 Safeguarding Children Service and Pharmaceutical Public Health Team Guidance for safeguarding children & vulnerable adults in community Authors: Safeguarding Task and Finish Group For further enquiries please contact: Rosemary Allgeier: or Daphne Rose: Kevin Hogan: Date: 04 April 2013 Publication/ Distribution or Chief Pharmaceutical Officer, Welsh Government Community pharmacists Safeguarding leads, health boards in Version:1 Welsh Centre for Professional Pharmacy Development Public Health internet and intranet websites Chief Pharmacists, health boards in Royal Pharmaceutical Society General Pharmaceutical Council Community Pharmacy Review Date: 2014 Review Body: Safeguarding Children Service & partner organisations Purpose and Summary of Document: The purpose of this guidance is to clarify the roles and responsibilities of pharmacy professionals and their support staff in promoting the safety and well being of children, young people and vulnerable adults in community pharmacy practice. This guidance also supports pharmacy professionals in meeting the Welsh Government s Standards for Health Services in (standard number 11, Safeguarding children and safeguarding vulnerable adults) and the General Pharmaceutical Council s guidance and standards. This document should be read alongside the All Child Protection Procedures) and the Interim Policy and Procedures for the Protection of Vulnerable Adults from Abuse.

2 Guidance for Safeguarding Children & Vulnerable Adults in Community Pharmacy Practice Contents Acknowledgements Introduction Definitions What is a safeguarding issue? Definition of a child and young person Definition of a vulnerable adult Neglect and abuse of children, young people and vulnerable adults Children and young people Vulnerable adults Indicators of maltreatment Roles and responsibilities Pharmacy owners and superintendent pharmacists Pharmacy professionals Provision of a safe and appropriate environment Safe recruitment practice Safe working practice Allegations of professional abuse and whistle blowing Safeguarding training Confidentiality and information sharing Record keeping References...14 Appendix 1: Contact details for safeguarding professionals...16 Appendix 2: Safeguarding vulnerable groups flowchart...17 Appendix 3: Task & finish group members...18 List of abbreviations CRB DBS GPhC LHB MUR POVA WCPPE Criminal Records Bureau Disclosure and Barring Service General Pharmaceutical Council Local health board Medicines Use Review Protection of vulnerable adults Centre for Pharmacy Professional Education Date: 04 April 2013 Version: 1 Page 2 of 18

3 Guidance for Safeguarding Children & Vulnerable Adults in Community Pharmacy Practice Glossary General Pharmaceutical Council (GPhC) Pharmacy professionals The independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain. Pharmacists and pharmacy technicians registered with the General Pharmaceutical Council, Acknowledgements The authors would like to thank all those who contributed through consultation to support the development of this guidance Public Health NHS Trust. Material contained in this document may be reproduced without prior permission provided it is done so accurately and is not used in a misleading context. Acknowledgement to Public Health NHS Trust to be stated. Date: 04 April 2013 Version: 1 Page 3 of 18

4 Guidance for Safeguarding Children & Vulnerable Adults in Community Pharmacy Practice 1. Introduction There is an expectation that there is good safeguarding practice in place for children, young people and vulnerable adults within any health care setting. Pharmacy professionals and their support staff should fully understand their duties in protecting the welfare of these population groups. All health professionals, including pharmacy professionals, have a statutory duty of care to their patients and clients. This duty extends to ensuring safeguarding arrangements are in place to promote the health of, and protect, the most vulnerable members of society. Furthermore, Section 28 of The Children Act 2004 makes it clear that all staff in the public, private and voluntary sectors have a duty to safeguard the welfare of children and young people. 1 This includes staff working in community. Pharmacy professionals and their support staff are in a key position to become aware of safeguarding concerns at an early stage given their relationship with individual patients/clients, their families and communities. Professional developments in community mean that pharmacy teams are increasingly likely to come into contact with children, young people and vulnerable adults during the course of their work who are in need, or in need of protection. Therefore pharmacy teams should: Be alert to the potential indicators of abuse and neglect, Be familiar with local procedures for promoting and safeguarding the welfare of children, young people and vulnerable adults, and Understand the principles of patient confidentiality and information sharing. The Welsh Government s Doing well doing better: standards for health services in 2 (standard number 11, Safeguarding children and safeguarding vulnerable adults) states that organisations and services promote and protect the welfare and safety of children and vulnerable adults by: Conforming to legislation and guidance; Ensuring effective multi-agency working and co-operation; Training and supporting staff to recognise and act on issues and concerns, including sharing of information; and Sharing good practice and learning. This guidance aims to support pharmacy teams in establishing and maintaining safeguarding arrangements for children, young people and vulnerable adults that they come into contact with during the course of their work. The emphasis and underlying principles inherent within this guidance are in regard to safeguarding. These support the preventative model of intervention promoted by recent child care legislation, moving the emphasis from abusive incidents on to more ongoing welfare needs of families. Date: 04 April 2013 Version: 1 Page 4 of 18

5 Pharmacy professionals should be aware of the Welsh Government s Clinical governance requirements for community pharmacies in, 3 available at: For further information plus case examples of children, young people and vulnerable adult safeguarding concerns, and information sharing please go to the Safeguarding Children Service, Public Health website, available at: 2. Definitions 2.1 What is a safeguarding issue? Safeguarding means preventing harm and acting to protect children, young people and vulnerable adults from actual or potential abuse, neglect or exploitation and ensuring they receive proper care that promotes health and welfare. Safeguarding concerns can arise within almost all areas of practice. It is important that the pharmacy team have an appropriate level of understanding of the signs and presentations of abuse and neglect and are able to implement appropriate child protection or protection of vulnerable adults (PoVA) procedures. 2.2 Definition of a child and young person The Children Act 1989 defines a child as being any person under 18 years old. 4 The term child includes children and young people. The fact that a child has reached 16 years of age, is living independently, is in further education, is a member of the Armed Forces or is in hospital, prison or a young offenders institution does not change their status or their entitlement to services or protection under the Children Act Definition of a vulnerable adult The term vulnerable adult has been amended recently as it was felt to be inappropriate to label an adult as vulnerable solely due to their circumstances, age or disability. In general terms, an adult (a person aged 18 or over) is classed as vulnerable when they are receiving one of the following services: 6 Health care; Relevant personal care; Social care work; Assistance in relation to general household matters by reason of age, illness or disability; Relevant assistance in the conduct of their own affairs; or Conveying (due to age, illness or disability in prescribed circumstances) Date: 04 April 2013 Version: 1 Page 5 of 18

6 People with learning disabilities or mental health problems, older people and disabled people may fall within this definition, particularly when their situation is complicated by additional factors such as physical frailty or chronic illness, sensory impairment, challenging behaviour, social or emotional problems, poverty or homelessness. In addition to information about the client group, pharmacists may wish to note whether patients or clients are from ethnic or minority communities and/or if they are Welsh speakers or if neither English nor Welsh is their first language as appropriate Neglect and abuse of children, young people and vulnerable adults Abuse is a violation of an individual s human rights and is a criminal act. It may be a single or repeated incident of neglect or abuse. It may be physical, verbal, psychological, financial or sexual. It can be an act of neglect or omission to act, or be the unintended result of a person s actions. Self-neglect or self-abuse is a failure to provide for oneself, through inattention or dissipation. The health board Named Doctor and Named Nurse for Child Protection and the Professional Lead for Protection of Vulnerable Adults are available to practice staff to provide guidance for specific concerns about individual cases and for general safeguarding advice. The Designated Doctors and Nurses (Safeguarding Children Service, Public Health ) are a further source of advice and support. Note: See Appendix 1 for a list of contacts for safeguarding professionals Children and young people A child or young person is abused or neglected when somebody inflicts harm or fails to act to prevent harm. Abuse may take place within the family or in an institutional or community setting by those known to them or more rarely by a stranger. Signs and symptoms will vary but may be indicated through injury, the child or young person s presentation, or the behaviour of parents or carers. Any observations or comments that lead to concerns or uncertainty about abuse or neglect should be acted upon by implementing the All Child Protection Procedures 8 or by seeking advice and guidance. For further information please go to the Safeguarding Children Service, Public Health website, available at: Vulnerable adults Suspicions of abuse, neglect or exploitation of vulnerable adults may also be triggered by observations of the person s presentation or by concerns or comments about the lack of appropriate care at their home or in a community or residential placement. It is important to note that a duty of care exists when duties or responsibilities are placed on paid carers. 9 The Department of Health (England) states that consensus has emerged identifying neglect and acts of omission as a form of abuse 10. This includes ignoring medical and physical care needs, failure to Date: 04 April 2013 Version: 1 Page 6 of 18

7 provide access to appropriate health services and withholding the necessities of life, such as medication, adequate nutrition and heating. The interim policy and procedures for the protection of vulnerable adults from abuse 11 provides detailed information and advice and guidance may be sought from the health board PoVA lead and should be applied when there are suspicions of abuse Indicators of maltreatment Indicators of concern regarding potential abuse or neglect in vulnerable groups may be difficult to detect and may be caused by inflicting harm or failing to protect the individual from harm. Abuse or neglect of a child, young person or vulnerable adult can include more obvious signs of physical abuse, such as bruises or other injuries, or less obvious concerns such as poor basic care, for example, poor hygiene. Domestic abuse has an adverse impact on family health and well being and is a major factor in child protection cases. 12 Domestic abuse includes all kinds of physical, sexual and emotional abuse and can occur within all kinds of intimate relationships including same sex relationships. Women and children are known to suffer and there is increasing awareness that teenagers and men can also be victims. Injuries to an adult indicating domestic abuse could also have implications for children in their care. Note: For further information on domestic abuse and the risks to adults and children in these situations please go to the Safeguarding Children Service, Public Health website, available at: Pharmacy teams may also experience concerns related to frequent attendance or non attendance (e.g. not collecting essential medicines) at a pharmacy with a child and/or vulnerable adult; or parental capacity issues, such as parents or carers whose behaviour is of concern and may be influenced by alcohol or substance misuse, learning disabilities, mental health issues domestic abuse or the risks of sexual exploitation. 3. Roles and responsibilities Pharmacy professionals and their support staff, should be aware of and comply with child and adult protection procedures, have safe recruitment practice and receive relevant training. They should also know how to respond if they are concerned for the health and welfare of children, young people and vulnerable adults who are their patients or clients; or if they hold concerns for children, young people or vulnerable adults who accompany patients or clients. Date: 04 April 2013 Version: 1 Page 7 of 18

8 3.1 Pharmacy owners and superintendent pharmacists Pharmacy owners and superintendent pharmacists are responsible for ensuring that the General Pharmaceutical Council s (GPhC) Standards for registered pharmacies 13 are met. They must are also make sure that all staff, including nonpharmacists, involved in the management of pharmacy services are familiar with the standards 13 and understand the importance of their being met. Community pharmacies should therefore provide a safe environment. This is particularly important where children are concerned. 3.2 Pharmacy professionals Pharmacy professionals and their support staff have a duty to safeguard but are not expected to be an expert in safeguarding or deal with all safeguarding issues. Pharmacy professionals must understand that they have a professional responsibility to raise concerns if they believe the standards are not being met. Pharmacy professionals should be familiar with guidance and standards relevant to safeguarding produced by the GPhC These include: Standards for registered pharmacies Standards of conduct, ethics and performance Guidance for responsible pharmacists Guidance on raising concerns Guidance on consent Guidance on maintaining clear sexual boundaries Guidance on patient confidentiality 3.3 Provision of a safe and appropriate environment It is important that community pharmacy premises are suitable for the services that are being offered to patients and clients, and that they protect and maintain their health, safety and well-being. The GPhC s Standards for registered pharmacies 13 are intended to create and maintain the right environment, both organisational and physical, for the safe and effective practice of pharmacy. Although responsibility for meeting the standards lies with the pharmacy owners and superintendant pharmacists, pharmacy professionals and their support staff should be aware of their duty to safeguard. The pharmacy team should be: Trained in safeguarding to an appropriate level, Familiar with local and national policies and procedures to safeguard children, young people and vulnerable adults, and Aware of who to contact locally in the health service, social services and the police in the event of a safeguarding concern Date: 04 April 2013 Version: 1 Page 8 of 18

9 Provision of a safe and appropriate environment is particularly important where children are concerned. Parents or carers should be encouraged to remain with their child, patient or client that they are accompanying at all times. Where this is not possible, or where a young person or vulnerable adult wishes to attend the consultation area alone, then a second member of the pharmacy team should be present to act as a chaperone for the person and to support the member of staff. Such safe practice should also apply if services are provided in settings outside community pharmacy premises. 3.4 Safe recruitment practice Employers must ensure that all staff engaged to work with children, young people and vulnerable adults are suitable to do so. All reasonable steps must be taken in the employment process including: Availability of a full employment history with satisfactory explanations for any gaps in employment history. Qualifications and professional registration are checked. Proof of identity is checked (birth certificate and passport). References are properly validated. A disclosure and barring check where appropriate. Under the Rehabilitation of Offenders Act 1974 (Exceptions) Order and the Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order , pharmacy professionals are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act Therefore pharmacy professionals are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and failure to disclose such convictions could result in disciplinary action. 22 Clarification on recruitment policy in relation to safeguarding can be sought from the Named Professionals for Safeguarding within health boards in, or the Designated Professionals/Safeguarding Children Service for Public Health. The Criminal Records Bureau (CRB) is now called the Disclosure and Barring Services (DBS). A DBS check may be needed for certain jobs relating to healthcare, and where required, they must be carried out in line with current legislation. It is a criminal offence for an employer to knowingly allow a barred person to work in regulated activity. Pharmacy professionals are required to disclose to the GPhC if they have been barred from regulated activity. 22 The Home Office provides further details about regulated activity, disclosure and barring, and the duty to refer to the DBS, available at: In relation to the community pharmacy contractual framework for England and : Date: 04 April 2013 Version: 1 Page 9 of 18

10 Essential services: There is currently no NHS regulatory requirement to undertake DBS checks on pharmacy professionals or their support staff providing essential services. Advanced services: There is currently no NHS regulatory requirement to undertake DBS checks on pharmacy professionals providing advanced services. However, health boards in potentially may require DRB checks as a precondition of providing an advanced service in certain circumstances e.g. if carried out the patient's home or within care homes. Enhanced services: Health boards in may require DRB checks as a precondition of providing a locally commissioned enhanced service e.g. pharmacists providing an emergency hormonal contraception supply service. 3.5 Safe working practice Pharmacy professionals and their support staff do not expect allegations of abuse to be made against them, but it is important they acknowledge such a possibility may exist. It is important that all staff in contact with any patient or the public always act in a professional manner and in ways in which their behaviour cannot be misinterpreted or lead any reasonable person to question their suitability to work with children, young people or vulnerable adults. Staff should also be aware that behaviour in their personal lives and actions of their partner or other family members drawn to the attention of other agencies may raise questions about their suitability to work with children, young people and vulnerable adults Allegations of professional abuse and whistle blowing Pharmacy professionals should be familiar with the guidance on raising concerns produced by the GPhC. 16 Any allegations of abuse of children or vulnerable adults by a member of staff should be taken seriously and managed in accordance with the All child protection procedures 8 and relevant procedures for safeguarding vulnerable adults. If someone is dismissed or removed from regulated activity, or they would have been had they not already left, because they harmed or posed a risk of harm to vulnerable groups including children, the employer is legally required to forward information about that person to the DBS. 23 It is a criminal offence not to do so. If the person is believed to have committed a criminal offence, the DBS strongly advise that the information to the police. 23 The employer should also make a referral to the GPhC. The health board Named Professional for Child Protection or the Professional Lead for PoVA should be contacted for advice and support when concerned about professional abuse. The Designated Doctor or Nurse for Safeguarding, Public Health, can provide further sources of advice and support. (See appendix 1). Date: 04 April 2013 Version: 1 Page 10 of 18

11 3.5.2 Safeguarding training The intercollegiate document Safeguarding Children and Young people: roles and competences for health care staff 24 states that in order to protect children and young people from harm all healthcare staff must have the competences to recognise child maltreatment and to take effective action as appropriate to their role. Pharmacy professionals and their support staff must also clearly understand their responsibilities and should be supported by their employing organisation and health board to fulfil their duties. To fulfil these responsibilities, the pharmacy team should have access to appropriate safeguarding training, learning opportunities, and support to facilitate their understanding of the clinical aspects of child welfare and adult protection, including information sharing. Safeguarding training can be accessed by pharmacy teams through the Welsh Centre for Professional Pharmacy Education (WCPPE) and may be available through other organisations such as health boards or the Safeguarding Children Service, Public Health. Training and development guidance for healthcare organisations and healthcare providers across will also be informed by competences for health care staff outlined in the intercollegiate document. 24 Table 1: Levels 1 and 2 safeguarding training Level 1: All relevant pharmacy staff must have completed, or be in the process of completing, safeguarding training at level one or equivalent. 3 For pharmacy staff unable to access the interactive training, including those staff that cannot access WCPPE online, materials can be downloaded by the responsible pharmacist. Training should be completed every three years. Level 2: Health boards in often require pharmacists to provide evidence of safeguarding training before being able to provide some services such as domiciliary medicines use reviews (MURs). 3 Since April 2011 pharmacists providing the National Enhanced Service for Provision of emergency hormonal contraception have been required to complete safeguarding training at level two. Any member of the pharmacy team that has completed safeguarding training at level two is not required to complete level one. 3 Training should be completed every three years. In addition to this level of training, pharmacy professionals should ensure that they keep up to date with safeguarding developments. An up-to-date record should be maintained in each community pharmacy of the safeguarding training undertaken by every member of staff. The intercollegiate document provides further guidance on competences and assessment criteria and details of higher levels of training and is available at: ldren%20and%20young%20people% pdf Date: 04 April 2013 Version: 1 Page 11 of 18

12 4. Confidentiality and information sharing Legislation and professional guidance concerned with confidentiality protect individual patients, but they are not intended to prevent exchange of information between the professionals and agencies that have a responsibility for ensuring the protection of children, young people and vulnerable adults. In cases where there are safeguarding concerns, there is a duty to share all relevant information with the professionals and agencies that need to know. This may include disclosing information with or without the permission of the child, young person or vulnerable adult, or the parents or carers, to other professionals who need access to that information for the purposes of safeguarding. Vulnerable adults and children aged 16 to 17 years old are entitled to the same duty of confidentiality as everyone else, provided that, in the case of those under 16 years of age, they have the ability to understand the choices and their consequences relating to any intervention. In the case of vulnerable adults there is a presumption of mental capacity unless assessed as otherwise. The vulnerable adult s wishes should be taken into account at all times. In exceptional circumstances confidentiality may be breached following discussion with the individual concerned. There may be occasions when it is believed that informing the parents/ carers may place the individual at further or additional risk. In such circumstances consent should not be sought and the parent or carer should not be informed of the referral. Therefore while consent is desirable it is not necessary for safeguarding referrals. If no consent is given by the parent or carer to share information, a risk assessment of the child, young person or vulnerable adult concerns should be undertaken and further advice sought. Pharmacy professionals should be aware of the GPhC Guidance on consent. 17 In the process of any subsequent investigations by the police and social services it should be expected that the referral and its source will be made known to parents or carers. Therefore any concerns about the impact of this on pharmacy professionals and/or their support staff should be shared with the police or social services departments at the time of referral. The Carlile review: Too serious a thing: review of safeguards for children and young people treated and cared for by the NHS in, stated: 25 There is nothing within the Caldicott Report, the Data Protection Act 1998, or the Human Rights Act 1998, which should prevent the justifiable and lawful exchange of information for the protection of children or prevention of serious crime. Pharmacy professionals and their support staff have a legal duty to share concerns and take action to safeguard the welfare and safety of children, young people and vulnerable adults. Date: 04 April 2013 Version: 1 Page 12 of 18

13 Safeguarding is dependent on raising concerns and on sharing information appropriately. However, healthcare professionals are frequently uncertain as to whether their concerns reach a threshold for action. In these circumstances advice should be sought from a professional with expertise in safeguarding. Contact details of local child protection and PoVA health and social care professionals should be readily available within each community pharmacy. Note: See appendix 2 for a flowchart on actions to be taken when there are safeguarding concerns. 5. Record keeping Accurate record keeping is an essential part of good safeguarding practice. It is an extremely important element in assisting with effective inter-agency working. Pharmacy professionals should ensure that appropriate, accurate, legible and contemporaneous records of safeguarding concerns are made. Records should be stored securely in accordance with the Data Protection Act Where possible records should include: The name, address and age of the person who the safeguarding concern relates to. A brief description of the concern including any injury observed. Diagrams may be used where appropriate. The name of the person who recorded the concern Who the concerns were shared with Advice and/or action taken e.g. making a referral Signposting details, if applicable e.g. confidential help lines such as ChildLine, NSPCC and Welsh Women s Aid. Concerns may also be raised in respect of how a parent or carer has related to, or behaves towards, a child, young person or vulnerable adult. These should be recorded along with any actions taken including seeking advice and noting the advice given. It may also be relevant to record concerns about observations, presentation or comments of anyone accompanying the child, young person or vulnerable adult. Professional judgement is required to determine how records are best stored and updated in community given that the information contained is likely to be sensitive. Consideration needs to be given to the following: Sufficient access as well as restriction of access Protecting records from inappropriate deletion The need to maintain contemporaneous records. Date: 04 April 2013 Version: 1 Page 13 of 18

14 6. References 1. Children Act Chapter 31. [Online]. Available at [Accessed 3 rd Jan 2013] 2. Welsh Assembly Government. Doing well, doing better: standards for health services in. Cardiff: WAG; Available at: [Accessed 3 rd Jan 2013] 3. Welsh Government. Clinical governance requirements for community pharmacies in. Information for pharmacy contractors and local health boards. Cardiff: WG; Available at: [Accessed 3 rd Jan 2013] 4. Children Act Chapter 41. [Online]. Available at: [Accessed 3 rd Jan 2013] 5. Welsh Assembly Government. Safeguarding children: working together under the Children Act [Online]. Cardiff: WAG; Available at: ng=en [ Accessed 3 rd Jan 2013] 6. Disclosure and Barring Service. Referral guidance: frequently asked questions. [Online]. Available at: [Accessed 3 rd Jan 2013] 7. Welsh Government. In safe hands: implementing adult protection procedures in. Cardiff: Welsh Government; Available at: pdf/safehands_e.pdf [Accessed 4 th Jan 2013] 8. All Child Protection Procedures Review Group. The All child protection procedures. [Online] Available at: [Accessed 3 rd Jan 2013] 9. Ashton GR, Ward AD. Mental handicap and the law. 1 st ed. London: Sweet and Maxwell; Home Office, Department of Health. No secrets: guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse. London: DH; Available at: pdf [Accessed 3 rd Jan 2013] 11. Adult Protection Fora in. Interim policy and procedures for the protection of vulnerable adults from abuse. [Online] Available at: [Accessed 3 rd Jan 2013] 12. Welsh Assembly Government. Domestic abuse guidance: supporting people and multiagency working. Cardiff: WAG; Available at: /?lang=en [Accessed 3 rd Jan 2013] 13. General Pharmaceutical Council. Standards for registered pharmacies. London: GPhC; Available at: [Accessed 3 rd Jan 2013] Date: 04 April 2013 Version: 1 Page 14 of 18

15 14. General Pharmaceutical Council. Standards of conduct, ethics and performance. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 15. General Pharmaceutical Council. Guidance for responsible pharmacists. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 16. General Pharmaceutical Council. Guidance on raising concerns. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 17. General Pharmaceutical Council. Guidance on consent. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 18. General Pharmaceutical Council. Guidance on maintaining clear sexual boundaries. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 19. General Pharmaceutical Council. Guidance on patient confidentiality. London: GPhC; Available at: [Accessed 3 rd Jan 2013] 20. General Pharmaceutical Council. Declarations. [Online] Available at: [Accessed 3 rd Jan 2013] 21. The Rehabilitation of Offenders Act 1974 (Exceptions) Order SI 1975/1023. Available at: [Accessed 3 rd Jan 2013] 22. The Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order SI 2003/231. Available at: [Accessed 3 rd Jan 2013] 23. HM Government. Changes to disclosure and barring: what you need to know. London: HM Government; Available at: [Accessed 3 rd Jan 2013] 24. Royal College of Paediatrics and Child Health. Safeguarding children and young people: roles and competences for health care staff. Intercollegiate document. London: RCPCH; Available at: 20Children%20and%20Young%20people% pdf [Accessed 3 rd Jan 2013] 25. National Assembly for. The review of safeguards for children and young people treated and cared for by the NHS in. Too serious a thing. Cardiff: NAfW; Available at: [Accessed 3 rd Jan 2013] Date: 04 April 2013 Version: 1 Page 15 of 18

16 Appendix 1: Contact details for safeguarding professionals Web links to additional information and guidance: Safeguarding Children Service, Public Health internet website, available at: Safeguarding in community pharmacy internet website, available at: Safeguarding in community intranet website, available at: Contact details: Contact details for the following services are available via the above Safeguarding Children Service, Public Health web links: PoVA Leads and Named and Designated Professionals for Safeguarding Children, specific to each NHS health board and region in Children s Social Services and Emergency Duty Team Adult Social Services contact details for Local Authorities across Disclosure and Barring Service (DBS) check contact: Contracts Liaison Supervisor NHS Shared Services Partnership The Oldway Centre 36 Orchard Street Swansea SA1 5AQ Telephone: Date: 04 April 2013 Version: 1 Page 16 of 18

17 Guidance for Safeguarding Children & Vulnerable Adults in Community Pharmacy Practice Appendix 2: Safeguarding vulnerable groups flowchart Date: 04 April 2013 Version: 1 Page 17 of 18

18 Guidance for Safeguarding Children & Vulnerable Adults in Community Pharmacy Practice Appendix 3: Task & finish group members Rosemary Allgeier Sarah Bailey Andrew Evans Lynne Hill Kevin Hogan Chair, Principal Pharmacist in Public Health, Public Health Superintendant Pharmacist, SR Bailey Pharmacies Ltd. Principal Pharmacist, Welsh Government Policy Director, Children in Child Protection Training and Development Facilitator, Safeguarding Children Service, Public Health Jocelyn Parkes Principal Policy Advisor, Royal Pharmaceutical Society in Debra Roberts Daphne Rose Dana Tait Head of Programme Development, Welsh Centre for Pharmacy Professional Education Designated Nurse, Safeguarding Children Service, Public Health Pharmacist, Community and Custodial Date: 04 April 2013 Version: 1 Page 18 of 18