SASH is committed to protecting adults and children at risk.

We work in partnership with other health, social care and independent agencies to respond to safeguarding concerns. 

Safeguarding children

In July 2009 the Care Quality Commission (CQC) published a report on their review of arrangements in the NHS for safeguarding children. In line with this report, SASH has worked to ensure that processes, procedures and policies with regard to safeguarding children are robust. SASH has developed a comprehensive action plan to further develop safeguarding arrangements throughout the hospital.

  • The organisation meets the statutory requirements in relation to disclosure barring service checks
  • Child safeguarding policies and procedures are robust, including the process for following up children who miss outpatient appointments
  • The rolling training programme continues to provide Level 2 and 3 child protection training to all eligible staff
  • SASH has a Board level executive director lead for safeguarding, as well as a named nurse, named midwife and named doctor all with clearly defined roles. A review was undertaken in April 2012 to ensure that safeguarding staffing levels continue to meet service requirements
  • The Board reviews safeguarding across the organisation at least once a year and has robust audit programmes to assure itself that safeguarding systems and processes are working

Safeguarding children encompasses a range of hospital presentations and non-presentations. Through our robust processes and well trained staff we are able to identify and appropriately manage physical, sexual, emotional abuse and neglect and work closely with members of the multi-professional teams across Surrey and Sussex to ensure that vulnerable children and families are identified and supported.
For further information regarding safeguarding children, or if you have a concern, please contact a member of the safeguarding team via the hospital switchboard 01737 768 511.

Mindworks Surrey provide children, young people, families and carers with information about services, advice and resources. It is a source of essential information, including how to ask for help in a crisis via the 24/7 crisis line.

Safeguarding means protecting an adult’s right to live in safety, free from harm, abuse and neglect.
An adult at risk as defined in The Care Act 2014 is an individual over the age of 18 who have care and support needs whether these are being met or not, is experiencing, or at risk of abuse or neglect and as a result of those care and support needs the person/people are unable to protect themselves from the risk or experience of abuse or neglect.

Who is most at risk?

Abuse can affect anyone, but particularly someone who is or maybe unable to protect themselves against abuse/harm/exploitation, for example:

  • Older people
  • Adults living with cognitive impairment
  • Adults suffering from mental ill health/disorders
  • Adults living with physical disabilities
  • Adults living with learning disability/difficulty
  • Adults who have an acquired brain injury
  • Adults who have vulnerabilities due to substance misuse
  • Adults who are homeless

Types of abuse

  • Physical abuse
  • Sexual abuse
  • Emotional and psychological abuse
  • Neglect and acts of omission
  •  Self-neglect
  •  Domestic abuse
  •  Financial and material abuse
  • Discrimatory abuse
  • Organisational abuse
  • Modern slavery and human trafficking

Other harmful practices

  • Female genital mutilation
  • Forced marriage
  • Honour based violence
  • Cuckooing

Domestic abuse

Where abuse is experienced either involving family members or people with a personal connection, this will also be considered as domestic abuse, therefore often more than one type abuse may be experienced under the overarching definition of domestic abuse.
The Domestic Abuse bill gained Royal Assent in April 2021 which provides protection to millions of people who experience domestic abuse and strengthens measures to tackle perpetrators.

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SASH are working in partnership with East Surrey Domestic Abuse Services (ESDAS) and Surrey Safeguarding Partnership to provide a Hospital Domestic Abuse Advocate (HIDVA), who is based at the hospital and is central to the identification, supporting, prevention and protection of victims, and also educating and supporting the workforce to have a greater awareness and ability to prevent and protect victims and survivors of domestic abuse.
To contact the Hospital Domestic Abuse Advocate e mail:

Modern slavery statement

Surrey and Sussex Healthcare NHS Trust Slavery and Human Trafficking Statement for 2019/20.

This statement, approved by our Board of Directors, was prepared and is published in accordance to section 54 of the United Kingdom’s Modern Slavery Act 2015 (the “Act”).

Modern slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation. Individuals may be trafficked into, out of or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.


Our organisation

Surrey and Sussex Healthcare NHS Trust provides emergency and non-emergency services to the residents of east Surrey, north-east West Sussex, and South Croydon, including the major towns of Crawley, Horsham, Reigate and Redhill. At East Surrey Hospital, Redhill, we have 697 beds and provide acute and complex services. In addition, we provide a range of outpatient, diagnostic and less complex planned services at The Earlswood Centre, Caterham Dene Hospital and Oxted Health Centre in Surrey, and at Crawley Hospital and Horsham in West Sussex.  The Care Quality Commission has rated us Outstanding for the overall quality of our services.


Our Commitment

We are committed to ensuring there is no modern slavery or human trafficking in our supply chains or any part of our business activity. Our commitment to social and environmental responsibility is covered by our approach to modern slavery and human trafficking, which is part of our safeguarding strategy and arrangements.


Equality and inclusion

Surrey and Sussex Healthcare NHS Trust celebrates difference and regardless of gender, ethnicity, disability, age, sexual orientation or religion is committed to providing a welcoming, safe and respectful working environment that values diversity and provides equality of opportunity.  Our approach to equality extends to ensuring that there is no modern slavery or human trafficking in any part of our services.



We encourage employees and suppliers to report known or suspected illegal and unethical activities to certain designated contacts, including our Freedom to Speak Up Guardian and Named Nurses for Adult or Child Safeguarding.


Our arrangements


Our commitment to ensure no modern slavery is reflected in a number of our policies and procedures. These include our adults and children Safeguarding Operational Strategy and Safeguarding Operational Manual, which have been developed and maintained within the national and local safeguarding children governance and accountabilities frameworks. It includes guidance on initial contact with a suspected human trafficking victim and the National Referral Mechanism.



Our safeguarding training includes role relevant modern slavery awareness and understanding to reflect the Department of Health’s project around Provider Responses, Treatment and Care for Trafficked People (PROTECT).



The Trust complies with the Public Contracts Regulations 2015 and uses the mandatory Crown Commercial Services (CCS) Pre-Qualification Questionnaire on procurements, which exceed the prescribed threshold. Bidders are required to confirm their compliance with the Modern Slavery Act.


Modern slavery act – Section 54

Section 54 of the modern slavery act details the following:

(4) A slavery and human trafficking statement for a financial year is—

(a) a statement of the steps the organisation has taken during the financial year to ensure that slavery and human trafficking is not taking place—

(i) in any of its supply chains, and

(ii) in any part of its own business, or

(b) a statement that the organisation has taken no such steps.

(5) An organisation’s slavery and human trafficking statement may include information about—

(a) the organisation’s structure, its business and its supply chains;

(b) its policies in relation to slavery and human trafficking;

(c) its due diligence processes in relation to slavery and human trafficking in its business and supply chains;

(d) the parts of its business and supply chains where there is a risk of slavery and human trafficking taking place, and the steps it has taken to assess and manage that risk;

(e) its effectiveness in ensuring that slavery and human trafficking is not taking place in its business or supply chains, measured against such performance indicators as it considers appropriate;

(f) the training about slavery and human trafficking available to its staff.

This statement is made pursuant to section 54(1) of the Modern Slavery Act 2015 and constitutes our slavery and human trafficking statement for the last financial year.

Michael Wilson, CBE

Chief Executive