Safeguarding: Keeping Up To Date
Safeguarding: Training requirements
We all appreciate how important safeguarding is, both for children and adults.
We appreciate that:
- Health care organisations and healthcare providers have a duty outlined in legislation to be mindful of safeguarding requirements when delivering their services and that staff are suitably skilled and supported. This is also a requirement of CQC (Care Quality Commission) registration.
- Practitioners have a personal duty under their professional codes to maintain their knowledge, skills and competence and to recognise and act on safeguarding concerns in line with (intercollegiate guidelines), GMC good medical practice and RCN guidelines.
Words such as “mandatory” have been referenced to safeguarding leading to confusion about what constitutes as organisational, professional and appraisal requirements with respect to safeguarding.
The release of the updated inter-collegiate documents in January 2019 Safeguarding Children and Young People: Roles and Competences for Healthcare Staff - Intercollegiate Document and August 2018 Safeguarding Adults: roles and competences for health care staff - Intercollegiate Document has recommended an increased the number of required training hours for child safeguarding and also changes to the training requirement competency levels for primary care professionals. These are summarised in the documents below:
The LMC recognise that the updated requirements are quite onerous, but we would advise that you need to be prepared to meet the required standards of competency, as the intercollegiate documents are referenced in the GMC requirements (below):
Maintaining your knowledge and skills
71 You must develop and maintain the knowledge and skills to protect children and young people at a level that is appropriate to your role. Information about the level of child protection training that is needed for different roles, and how often doctors should receive that training, is provided in Safeguarding children and young people: roles and competences for health care staff . You should also take part in training on how to communicate effectively with a wide range of groups of parents, children and young people.
72 If you work with children and young people, you should reflect regularly on your own performance in protecting children and young people, and your contributions to any teams in which you work. You should ask for, and be prepared to act on, feedback through audit, case discussion, peer review and supervision. You should contact your named or designated professional or lead clinician for advice about opportunities to discuss and learn from child protection cases in your local area.
73 If you work with adults, you should make sure you are able to identify risk factors in their environment that might raise concerns about abuse or neglect and whether patients pose a risk to children or young people close to them.
 Reference is the 2014 not the 2019 intercollegiate document Royal College of Paediatric and Child Health, et al (2014) Safeguarding children and young people: roles and competences for healthcare staff: intercollegiate report (pdf) London, Royal College of Paediatrics and Child Health (likely to updated to reflect the current guidelines).
The LMC feels that the time specific requirement outlined in the intercollegiate document does not take into consideration the working role and pattern of the professional, nor their current level of knowledge and competence, but if questioned, a professional would need to demonstrate how they have maintained their knowledge and skills. It is noted that the learning hours can include case discussion, personal reflection, attendance at case-conferences and are not solely based on course learning.
Additional ways in which professionals can access learning to demonstrate their competencies are shown below.
There is no e-learning from ‘e-learning for health’ at Level 3 for Adults yet. Levels 1 & 2 are available for Adult Safeguarding https://www.e-lfh.org.uk/programmes/safeguarding-adults/ as well as Levels 1,2 & 3 for Children https://www.e-lfh.org.uk/programmes/safeguarding-children/ .
However, there are some excellent resources available for those needing Level 3 training:
PREVENT (free e-learning): https://www.elearning.prevent.homeoffice.gov.uk/edu/screen1.html
Liberty protection safeguards training: Blue Stream Academy have an e-learning module: https://www.bluestreamacademy.com/elearning-suites/gp-practices/modules/
Mental Capacity Act training: Blue Stream Academy have an e-learning module: https://www.bluestreamacademy.com/elearning-suites/gp-practices/modules/
Modern Slavery (free e-learning): https://www.e-lfh.org.uk/programmes/modern-slavery/
Domestic Violence - AVA Against Violence and Abuse (free e-learning): http://elearning.avaproject.org.uk/index.php
Local Adult Safeguarding Boards – most have training on offer