Extracted recommendations
40 recommendations pulled from the report · 23 matched to organisations in the index
Addressed to
West Midlands Ambulance Service
There are no specific recommendations for WMAS at this time, but the service will continue to provide training and raise awareness to ensure all WMAS staff have the confidence, opportunity, and resources to make timely referrals to the appropriate agencies.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South Staffordshire and Shropshire Healthcare NHS Foundation Trust
Ensure trust staff continue to provide expert support and advice relating to the Mental Health and Mental Capacity Act.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
University Hospitals of North Midlands NHS Trust
Liaise with voluntary groups to deliver domestic abuse training to staff:
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
Discuss this case at a meeting of the clinical team, to ensure staff are aware of the importance of considering safeguarding referrals for a patient presenting with injuries on multiple occasions.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire Police
Staffordshire Police to ensure that a corporate operating model exists across vulnerability hubs with specific regard to the identification and management of risk to vulnerable people – Independent of Domestic Abuse Force Procedures.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire County Council
Social care staff to make specific enquiry regarding MARAC in all cases involving domestic abuse and make referrals to MARAC when appropriate.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
In order to ensure appropriate risk analysis, allocation of action and to ensure consideration of alternate agency support. A risk assessment process within a case conference or multi-agency setting MUST be carried out within ALL cases that demonstrate a high level of risk or ‘refusal of intervention’.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
Irrespective of the gender make up of victims and perpetrators active checks should be made with the police when writing reports for courts no matter what type of report or timescale. If the information cannot not be accessed in the time frame allowed, an adjournment should be requested to avoid re victimisation.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Community Safety Partnership | Multi-Agency Safeguarding Hub | Cannock Community Safety Hub
To improve information sharing protocols between the MASH and Cannock CSH (Community Safety Hub) and consider adopting this protocol across the County.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
The practice team should review their existing safeguarding policies to ensure they meet current guideline.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire Police
Staffordshire Police to deliver revised domestic abuse training package developed in partnership with the University of Gloucester to all Constable, Sergeant and Inspector Police Officers, Police Community Support Officers, and police staff.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
Where agency risk assessment principles and policy guidance is not adhered to, due to lack of awareness – agencies to promote and redistribute appropriate training and policy guidance, an outcome being to improve risk assessment/risk management practice and potential risk management for the individual concerned.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
The alcohol screening tool should be completed in all relevant cases at the report stage to ensure the correct targeting of provision takes place.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Community Safety Hub
To enhance the profile and understanding of the role and function of the CSH.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
University Hospitals of North Midlands NHS Trust
Keep an up to date assault data base to flag at risk patients.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
To ensure all clinical staff have received training on domestic abuse, adult safeguarding.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
A case co-ordinator to be identified within high-risk cases – To provide liaison to the individual, to coordinate and assure agency actions are carried out and to promote engagement, choice and control for the individual concerned.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
Report writers and court probation staff should give active consideration to continuing to protect the victim when there have been bail conditions to prevent contact between victim and perpetrator.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Chase Community Safety Partnership member agencies
In ALL cases agencies should ensure that an evidence-based decision is recorded when a professionals meeting is NOT pursued. In particular where: • There is non- engagement from the client • High risk • Multi agency involvement
Verified wording from the published review · Original review (PDF) ↗
Addressed to
University Hospitals of North Midlands NHS Trust
All trained staff to prioritise attendance to Level one Safeguarding Adult training.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
To ensure the practice has a lead for adult safeguarding.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
Any agency intervention MUST be clearly documented in line with agency ‘recording with Care’ principles. The promotion and redistribution of appropriate training and policy guidance in order to achieve improved recording outcomes.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
When probation officers are undertaking OASys assessments, where there is domestic abuse, regular contact with the police needs to be written into the risk management plan section and then regular checks undertaken.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Community Safety Hub | Acute Medical Services
To identify a mechanism to share information with the CSH where acute medical services have identified high risk/frequent flyer status, in order to promote effective partnership working.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
To audit current caseload of patients with recorded alcohol abuse to ensure appropriate referrals to addiction services have been offered or made.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
In order to achieve improved domestic violence awareness, guidance and information MUST be promoted within agency settings.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
When offenders attend the office with injuries, as well as active questioning in the interview, concerns should be triangulated with the police.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
All agencies with Public Sector Equality Duty
Sexual orientation is one of the protected characteristics under the Equality Act 2010. It is recommended that all agencies, particularly those that have a duty under the Public Sector Equality Duty (s149 of Equality Act 2010) record data relating to sexuality, in order to promote inclusivity, develop standards of service, and develop good equality practice. This information should be sought from both victims and perpetrators.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
To ensure all clinical staff have received training on the Mental Capacity Act.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Staffordshire & Stoke-on-Trent Partnership NHS Trust
Where agency actions are not reflective of the Staffordshire and Stoke on Trent Safeguarding guidance, promotion, and training, where appropriate, MUST be undertaken in order to reduce actual or perceived risk to the individual.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
When cases are assessed as medium risk of harm and there are concerns as to the safety of ongoing living arrangements home visits should be undertaken.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Chase Community Safety Partnership member agencies
To share the learning from this review within agencies and to disseminate it across the CSP to promote partnership working.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
To review referral pathway for addiction services due to non-attendance closing the referral; consideration should be built into the pathway for referral to other services e.g. social care.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
When a case is escalated to high risk this should trigger a home visit automatically.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Chase Community Safety Partnership
To coordinate a campaign raising awareness on issues affecting the hard to reach as well as those with vulnerabilities as highlighted in this case: alcohol /substance misuse, mental health, male victims of violence.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
South East Staffs & Seisdon Peninsula Clinical Commissioning Group
Pathway should ensure GP is made aware of the lack of engagement due to potential capacity issues whilst under the influence of alcohol.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
All agencies within the Cannock Chase Community Safety Partnership
To promote sufficiently tenacious contact with victims; promoting access to pathways for support services where there is a known, repeat perpetrator.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service
When offenders state they are attending various provisions in the community this should always be triangulated.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
Cannock Chase Community Safety Partnership
The Community Safety Partnership to co-ordinate an awareness campaign for members of the Public around Clare’s Law.
Verified wording from the published review · Original review (PDF) ↗
Addressed to
National Probation Service | Staffordshire Police
NPS and police to discuss whether WWOB warrants can have a priority rating to ensure that those taken out on high risk of harm serious offenders are executed swiftly.
Verified wording from the published review · Original review (PDF) ↗