Recommendation
Training should be offered to Care Coordinators with explicit inputs regarding safeguarding issues.
Recommendation
A family protocol to be developed to establish boundaries and statutory agency response when differences of opinion develop between families and health and social care agencies when providing care and treatment to both children and vulnerable adults.
Recommendation
Exploration of current services to be conducted by all stakeholders in partnership in order to ascertain how they could be further developed to provide specialist autism services locally.
Recommendation
Stakeholders to examine current processes and systems using Mr X’s case as a worked example in order to understand how processes can be improved for the future. This to be focused upon safeguarding of children and vulnerable adults.
Recommendation
Stakeholders to examine investigation processes for complex cases to ensure streamlining and maximum lessons for learning.
Recommendation
Safeguarding should be raised in all clinical supervision meetings.
Recommendation
Early work with families when children are diagnosed with a learning disability to be re-visited and a protocol developed (in general).
Recommendation
Consideration should be given to identifying key senior liaison personnel across the area who could provide independent mediation in difficult cases.
Recommendation
Work with Mr X’s family to assess their expectations and Mr X’s needs for the future (in particular).
Recommendation
Clarification of safeguarding protocols and a review of training and inter-agency information sharing.
Recommendation
Current safegaurding policies should be reviewed in the light of the findings and conclusions of this case with particular regard to professional and interagency communication.