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You are here: Home / Resources / SystmOne Resource Centre / SystmOne Safeguarding System / Safeguarding Adults

Safeguarding Adults

Safeguarding Adult Register 

Adults are included in the organisation’s Safeguarding Adult Register via the presence of a Read code indicating they are at risk WITHOUT a subsequent code of Adult no longer vulnerable. 

Read codes that indicate possible risk include: 

  • Domestic abuse 
  • Physical, sexual, emotional abuse 
  • FGM 
  • Honour-based violence and forced marriage 
  • Exploitation and trafficking 
  • Any other form of abuse 
  • Vulnerable adult 

Adults on these lists can be found in the following searches: CDRC > Safeguarding 

Flags 

Adults on the safeguarding register will be flagged with the following icon: 

Systematic Review 

Adults on the register can be given a Safeguarding recall to allow systematic review. The review date is shown on the safeguarding template. 

The following search identifies children on the register who do not have a review date: 

CDRC > Safeguarding > *Adult with Safeguarding issues but no safeguarding review date 

The following search identifies children whose review is pending or overdue. This can be used for clinical or other review meetings. 

CDRC > Safeguarding > * Adult due for safeguarding review 

Safeguarding Adult Template

How to Access

In the lower left hand corner use the search bar, type in ‘Safeguarding Adults CDRC’ and select the following template:

Alternatively, press F12 and search for ‘Safeguarding Adults CDRC’, this will open the aforementioned template.

The Safeguarding Adults CDRC template provides an overview of safeguarding for the selected patient. A thumbnail sketch can be entered at the top of the page to provide an aide-memoir for meetings etc. This is added by clicking the Safeguarding Summary button or right clicking the current thumbnail and choosing Copy Questionnaire. 

Safeguarding 
Adults 
Sa feguar ding Summar y 
Add Safeguarding Recall 
Discussion 
MDT Meeting 
Entered by 
FORBES, 
Child Safeguarding Summary 
Summary of Concerns/Events 
Safeguarding Recall Not Recorded 
Gareth (Dr) (General Medical Practitioner) 
Victim of domestic violence - attacked by 
fractured ribs 
Fox-y Lox-y 2016 
- and hospitalised with 
Show All Safeguarding !pformation 
AddFemove From Register 
Familyyousehold Concern 
Domestic Abuse 
Domestic Incident Police Repon 
MARAC 
Vulnerable Adult Referral 
Record of current SAFEGUARDING CONCERN 
NO record ofvulnerable people in famitymousehold 
NO record of Domestic Abuse Information 
Domestic Incident Police Report Recorded 
MARAC Information Recorded 
NO record of FGM Information 
Adult Safeauardina Risk Threshold Tool

The Safeguarding Recall panel shows when the adult is next due to be reviewed for safeguarding issues. This can be set to reflect the level of concern e.g. needs to be discussed in 2 weeks or in 6 months. Reports in CDRC reporting identify adults with safeguarding issues who have a pending/overdue recall or no recall. 

The Discussion box is used to record important narrative. Previous discussions can be followed down the right hand side of the template. 

The Show All Safeguarding Information button opens a template that shows all coded information that might be relevant to safeguarding, including out of hours attendance and DNAs. 

30 Jul 2015 
Notes 
22 May 2017 
Notes 
04 Jun 2017 
Notes 
Discussion about child health [XaPJc) 
No further concerns 
Discussion about child health [XaPdc) 
further episode of domestic violence disclosed 
Discussion about child health [XaPdc) 
Referred for section 47 assessment 
Child Protection ListPlan Codes 
Child in Need Information 
Cause for Concern Information 
18 Sep 2015 Child is cause for concern IXaMzr) 
Notes 
Self Harm 
in a house with domestic violence 
Drug and Alcohol Codes 
Domestic Abuse Information 
18 Sep 2015 Police domestic incident report received Xaaqr) 
Notes 
In house with domestic vioence 
Social Service InvoVement 
MARACNAPPA 
18 Sep 2015 Subject of multi-agency risk assessment conference IXaXg6) 
Notes 
fewJfehs 
1 g Jun 2017 Subject of multi-agency risk assessment conference [XaXg6) 
Concern ResoVed Codes 
DNA Information 
lg Nov 2013 Did not attend kG) 
Notes 
13 Dec 2013 Did not attend kG) 
mms

The next panel shows some key information with links to templates to display or record additional information. 

Information Link 
Whether or not the adult is currently on the practice safeguarding register Template to add/remove the patient from the register 
Whether or not there are other people of concern in the household e.g. children, other vulnerable adults Link template to flag the record to show there are other vulnerable people in the household 
Whether or not there is any recorded information about domestic abuse Domestic abuse template 
Whether or not there is a record of police domestic incident reports. A protocol to guide user through recording a police domestic incident report 
Whether or not the child has been recorded in a MARAC A protocol to guide user through recording MARAC information 
Whether or not there is information about FGM Template to display/add information about FGM 

The next section has a link to a page for making a safeguarding referral along with tools to assess the level of risk and help decide on the most appropriate intervention.

Additional pages in this template:

Relative / Carers

The Rels/Carers page shows currently recorded relationships. 

Hom RelsjCarers 
rofsjSchool 
Relatives/Carers 
Record Relationship 
Find Co-habtants 
Carers Details 
Child Protection Referral Child Protection Conf 
Bruising in Non-Mobile Children 
Mother 
Contacts 
Resources 
Report 
Family Relationships 
23 Jul 2015 
Name 
Address 
23 Jul 2015 
Name 
Address 
Jemima Duck 
4 Watling Street 
consett 
Father 
Mickey Mouse 
4 Watling Street 
consett 
No recorded information about carers
Professionals

The Profs/Schools page shows recorded professionals 

Professionals 
Record Relationshg 
11 Jun 201g 
Name 
Organisation 
Work Contact 
Social Worker 
Mr Turkey Lurkey 
occ 
01 2345678go
Adult Safeguarding Referral 

The Vulnerable Adult Referral page is customised for each area and gives clear details on how to make a referral along with a prepopulated referral proforma. 

Home Rels profs Vulnerable Adult Referral 
Vulnerable Adult Referral 
Resources 
Reports 
Sensitive Information 
Darlington 
Durham 
Durham Safeauardina Adults Website 
Adult Safeauardina Risk Threshold Tool 
To refer avulnerable adult call 
social care Direct on 03000 26 79 79 
Referral Proforma 
Backto Home Page
Adding/Removing From Register 

The Vulnerable Adult Register template allows you to add the adult to the register (top half) or remove them (bottom half).   

Safeguarding Adults Register 
Vulnerable Adult Register 
use this box to record an adult who is 'vulnerable' 
Record the nature of the concern in the notes box. 
Either code will add the patient to your vulnerable patient register 
Vulnerable adut 
Victim of domestic abuse 
Record of current SAFEGUARDING CONCERN 
18 Sep 2015 Vulnerable adult [Xaav) 
Notes 
hit by partner Mickey mouse 
Domestic Abuse Information 
18 Sep 2015 Police domestic incident report received 
Notes 
hit by partner Mickey Mouse 
More specific concerns can be recorded her4 
use this section to record if an adult is no longer vulnerab14 
This will remove them from your vulnerable adult register 
Adut no longer vulnerable 
s for Concern

More specific codes can be added if required. 

Abuse 
Abuse 
All these codes will add the patient to your vulnerable adult register 
Victim of Abuse 
At Risk Of Abuse 
V)ctim of domestic abuse (XaaSO) 
Victim of physical abuse (Lla2A7) 
Victim of sexual abuse (Lla2AA) 
Victim of sexual exploitation (XaXrY) 
Victim of emotional abuse (XaLVg) 
Victim of domestic violence (XaLVA) 
Victim of honour based violence (XaYVvi) 
Victim of financial abuse (Lla2AC) 
History of female gental mutilation (Xab2S) 
Victim of human trafficking (XaaOi) 
At risk of neglect by others (XaKbS) 
At risk of abuse (Lla2So) 
At risk of physical abuse (XaKbR) 
At risk of sexual abuse (XaKbT) 
At risk of sexual exploitation (XabRV) 
At risk of emotionalyisychological abuse (XaK 
At risk violence in the home (1 3VF J 
At risk of financial abuse (XaZMX) 
At risk of female gental mutilation (XabSp) 
[3 At risk of human trafficking (Xaerl)

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