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: sash.hidva@nhs.net