Cumbria review

Implementing a standardised multidisciplinary approach for people with multiple complex needs across all agencies within Cumbria would be beneficial.

System-wide training regarding upskilling practitioners on substance misuse, to be delivered by Recovery Steps Cumbria.

Standardised use of the RIC within Recovery Steps Cumbria as an evidenced-based screening tool for Domestic Abuse.

A System-wide review of the application of the Mental Capacity Act and safeguarding powers for dependent drinkers is required.

Training will be offered on domestic abuse and routine enquiries to educate staff on the importance of routinely asking patients about their safety.

The clinical area involved in non-reporting of safeguarding concerns will be encouraged to complete face-to-face Safeguarding Adults level three, and compliance will be reviewed via the Safeguarding team and shared with care group leads.

NCIC will continue working on the trust initiative—how safe do you feel? and embed it firmly into practice.

NCIC would like to improve the information-sharing process with substance misuse services when those attending our emergency care department are in crisis.

The senior leadership must invest in and support organisations to adopt a trauma-informed strategy. The leadership group develops the plan for a trauma-informed organisation. This will entail consideration of patient participation, clinical and non-clinical staff training, and establishing a safe environment.

The three boards have developed guidelines for practitioners to strengthen and cultivate their curiosity around their practice. The guidance must be evaluated, and mechanisms put in place to assess its impact, including staff and patient feedback on its use.

Responding to domestic violence is everyone's responsibility. To enable organisations to carry out their responsibilities effectively, all staff must obtain the necessary training to identify victims/survivors and ensure they receive the support required. This will necessitate the implementation of information-sharing protocols and efficient systems for recording and directing victims/survivors to the appropriate services. Organisations must be able to efficiently extract the necessary data to guarantee compliance with this obligation.

Safer Cumbria to collaborate with the Cumbria Safeguarding Adults Board to raise awareness among system-wide practitioners about dependent with impaired mental capacity and executive functioning.