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Self Neglect and Adult Safeguarding: News & Updates

The need to protect people from abuse and neglect is a key element of the Care Act 2014. This conference focuses on the difficult issue of self neglect and adult safeguarding.

Through national updates, practical case studies and extended masterclasses the conference will cover self neglect under the Care Act 2014, meeting the new statutory safeguarding guidance in March 2016, the legislative framework for self neglect, safeguarding people who self neglect: the evidence and what works, developing guidance for professionals when dealing with self neglect and resistance to engage with services, an extended session on hoarding, and an extended session on dealing with the underlying causes of self neglect working in partnership with service user.

Michael Mandelstam Author Safeguarding Vulnerable Adults and the Law opens the conference with an extended session on The Legislative Framework & Implications of the Care Act 2014 and discusses:

  • the Care Act revised regulations and guidance: what has changed with regard to self neglect?
  • legal issues for intervention
  • the key legislation which is helpful for when considering intervention in self neglect cases
  • mental capacity considerations
  • issues to be aware of

Michael Mandelstam Full Presentation

In his presentation Michael stated: 

“Care Act 2014. section 1: general duty: promote individual well being states: The general duty of a local authority, in exercising a function under this Part in the case of an individual, is to promote that individual’s well-being.”

“Local Authority must co-operate with relevant partners, and partners must co-operate with the LA, for adults in need and carers”

“If it appears to Local Authority an adult may need care and support, Local Authority must assess whether adult has those needs and what they are”

“When carrying out a needs assessment, Local Authority must also consider— (a) whether, and if so to what extent, matters other than the provision of care and support could contribute to the achievement of the outcomes that the adult wishes to achieve in day-to-day life, and(b) whether the adult would benefit from the provision of anything under section 2 (preventative services) or 4 (information/advice) or of anything which might be available in the community.”

“If it appears to LA that carer may have needs for support (currently or in the future), LA must assess— whether carer does have needs for support (or is likely to in future) and what those needs are (or likely to be future).”

“Assessment must include whether a) carer is able, and will continue to be able, to provide care, b) carer is willing and will continue to be willing, c) impact of carer’s needs on well-being, d) outcomes carer wishes to achieve, whether, and if so to what extent, e) provision of support could contribute to achievement of outcomes.”

Michael Mandelstam Biography

Michael Mandelstam provides independent legal training in health and social care. He has written many widely legal books, including Safeguarding Adults and the Law (2nd edition, 2013).

Professor Suzy Braye Professor of Social Work & Social Care University of Sussex continues the day with an extended session on Safeguarding people who self neglect: What Works?. This session draws on evidence from the presenter’s recent research (with David Orr and Michael Preston-Shoot) into effective practice in self-neglect (commissioned by the Department of Health and published by SCIE) to consider:

  • what is known about the range and scope of self-neglect work nationally
  • what challenges are experienced by practitioners and managers in adult social care when working in self-neglect
  • what goes wrong – findings from serious case reviews in cases of self-neglect
  • what goes right - building an effective strategic infrastructure for interagency communication, decision-making and shared risk-management
  • what goes right – practitioners’ perspectives on approaches that support positive outcomes

Professor Suzy Braye Full Presentation

In her presentation Suzy stated: 

"Self neglect may not prompt a section 42 enquiry"

"Section 42 reinforces the concept of wellbeing is very important"

"Respecting someone’s autonomy doesn’t mean walking away"

"Mental capacity involves decisional capacity and executive capacity"

"To achieve a positive outcome, service users need respectful, timely engagement"

"A robust multi agency infrastructure is required"

Professor Suzy Braye Biography

Suzy Braye is Emerita Professor of Social Work at the University of Sussex, and a Fellow of the Academy of Social Sciences. She now practises as an independent consultant. Her professional background is in social work, and in local authority management.

Future events of interest:

Implementing the NICE Quality Standard for Domestic Violence & Improving the effectiveness of MARACs
Tuesday 20 September 2016 
Hallam Conference Centre, London

Legal Masterclass: Social Circumstance Reports Preparation & Presentation
Tuesday 4 October 2016 
Hallam Conference Centre, London

Masterclass: Deprivation of Liberty Safeguards
Tuesday 22 November 2016 
Hallam Conference Centre, London

4 July 2016


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
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