Norrie Caroline, Manthorpe Jill, Cartwright Cher, Rayat Pritpal
Social Care Workforce Research Unit (SCWRU), King's College London, Strand, London, UK.
Health and Social Care Information Centre (HSCIC), 4th Floor North, Trevelyan Square, Leeds, UK.
BMC Health Serv Res. 2016 Jun 30;16:209. doi: 10.1186/s12913-016-1464-9.
There are currently no national measures in England reporting the experiences of people who have been involved with adult safeguarding services following concerns that they may be at risk of abuse or neglect. The Health and Social Care Information Centre (HSCIC) aimed to develop a new adult safeguarding outcome measure (survey) for local authorities (LAs) that could be added to the Adult Social Care Outcomes Framework (ASCOF). The ASCOF is a national collection of social care outcomes performance indicators collected from the perspective of people receiving partial or total funding from a LA for care services.
An outcome measure (a face-to-face interview based survey consisting of 7 questions) was piloted in 40 LAs with 382 adults at risk (or their representative) who had been the subject of a safeguarding investigation. The aim was to investigate the feasibility of the survey in three domains: i) if a statistically representative sample of adults at risk (or their family, friend, carer or advocate) could be recruited; ii) analysis of survey responses and its acceptability to participants iii) feedback from LAs about the survey's administration.
Overall the survey results met statistical confidence; however the individual results for adults at risk did not, due to the high proportion of representatives who responded because adults at risk were unable. Responses to the survey were generally positive; 72 % of participants felt that the help received during the safeguarding investigation had made them or the adult at risk (if reporting as a proxy) feel 'quite a bit' or 'a lot safer'. These results are the most robust data collected in England on the perspectives of adults at risk and their representatives on safeguarding services. Participants reported they appreciated being asked for feedback. LAs suggested survey administration improvements.
This survey is one way LAs can meet their new legal requirement under the Care Act 2014 to 'seek feedback' from adults at risk about adult safeguarding services. The survey findings provide the first robust evidence that safeguarding services in the main meet their goals of promoting feelings of safety among adults at risk.
在英格兰，目前尚无全国性措施来报告那些因被认为有遭受虐待或忽视风险而接受成人保护服务的人们的经历。健康与社会护理信息中心（HSCIC）旨在为地方当局（LA）制定一项新的成人保护结果衡量标准（调查），该标准可添加到成人社会护理结果框架（ASCOF）中。ASCOF是从接受地方当局部分或全部护理服务资金的人群角度收集的社会护理结果绩效指标的全国性汇总。
在40个地方当局中，对382名处于风险中的成年人（或其代表）进行了一项结果衡量标准（一项由7个问题组成的面对面访谈式调查）试点，这些成年人曾是保护调查的对象。目的是在三个领域调查该调查的可行性：i）是否能够招募到具有统计学代表性的处于风险中的成年人样本（或其家人、朋友、护理人员或倡导者）；ii）分析调查回复及其对参与者的可接受性；iii）地方当局对调查管理的反馈。
总体而言，调查结果达到了统计置信度；然而，处于风险中的成年人的个体结果未达到，这是因为由于处于风险中的成年人无法回应，由代表回应的比例过高。对调查的回复总体上是积极的；72%的参与者认为在保护调查期间获得的帮助使他们或处于风险中的成年人（如果作为代理人报告）感到“相当”或“安全得多”。这些结果是英格兰收集到的关于处于风险中的成年人及其代表对保护服务看法的最可靠数据。参与者表示他们感谢被征求反馈意见。地方当局提出了调查管理方面的改进建议。
这项调查是地方当局满足其根据2014年《护理法案》提出的新法律要求的一种方式，即“征求”处于风险中的成年人对成人保护服务的反馈意见。调查结果提供了首个有力证据，表明主要的保护服务实现了其促进处于风险中的成年人安全感的目标。
