HAMPSHIRE ADULT PROTECTION COMMITTEE

ANNUAL REPORT

Foreword

This annual report relates to the period October 2007 to March 31 2008. . From 1 April 2009 Annual Reports will be published for each financial year.

The Adult Protection Committee for Hampshire publishes this report. Hampshire also works in partnership with Southampton and Portsmouth on Safeguarding/Adult Protection issues and the three Authorities share one policy and procedure. A Multiagency Management Committee shared with Southampton and Portsmouth meets twice a year to steer strategic developments which cut across the three Authorities (including policy development). The structure and terms of reference of these groups is outlined in the report.

The report illustrates a developing Multiagency commitment to safeguarding issues and an engagement with national and local opportunities to develop and move this agenda forward. The data relating to Safeguarding/Adult Protection for 2007/2008 show a further increase in situations of suspected abuse coming to the attention of the Adult Services Department. We believe this represents an increase in awareness and a growing confidence in reporting suspected abuse. The report reflects the way in which local agencies are working together to ensure robust and effective action across agencies when situations of suspected abuse are reported. There is a commitment to finding new ways of working.

There has been significant progress on the objectives set out in the last Annual Report for the period October 2007 to March 2008. This report sets out further objectives which are based on national and local learning. This agenda is growing in complexity and we are working to ensure a continuing development in procedure and practice across agencies in order to deliver the best possible protection to adults at risk of abuse in Hampshire.

Nick Georgiou, Chairman, Hampshire Adult Protection Committee

1. Structure of strategic approach to Safeguarding/Adult Protection

The Multiagency Management Committee (MAMC) and the Hampshire Adult Protection Committee (HAPC) have been mentioned above. The structure of Adult Protection strategic groups across Hampshire is as follows:

Multiagency Management Committee (meets across 3 Local Authorities)

The terms of reference for the Hampshire groups are set out below.

MAMC terms of reference:

1. This is a strategic committee which aims to deliver under the remit of "No Secrets" the policy and procedures. It aims to promote consistency and inter-agency working across Safeguarding Adults/Adult Protection issues.

2. MAMC will have representation from all relevant statutory, independent sector and voluntary organisations as well a representation from service users and carers.

3. Each local authority will have its own Safeguarding Adults Partnership Board/Adult Protection Committee with its own terms of reference reflecting local needs/priorities.

4. MAMC will meet twice a year with each local authority hosting the meetings on an annual basis. The host local authority will be responsible for all aspects of the organisation and administration of the meetings and for producing the MAMC annual report.

5. MAMC will ensure effective links and joint working in a number of key areas of Adult Protection. The 3 co-ordinators will meet every other month to ensure joint working on common area of interest requiring a consistent approach such as:

· Review and development of policy and operational guidance

· Commissioning/contracts

· Information sharing protocol

· Professional training

· Education and Practice

6. Priorities will be agreed at the MAMC. Progress against these will be reviewed annually and new priorities set for the coming year.

Hampshire Adult Protection Committee terms of reference:

· The lead officer for Adult Protection in Hampshire County Council Adults Services will chair the Hampshire Adult Protection Committee.

· It will include representation from all key statutory, independent sector and voluntary organisations as well as representation from service users and carers.

· It will establish representation to and from relevant strategic partnerships

· It will meet 3 to 4 times each year

· It will establish and maintain a strategic plan which will include:

o To represent local developments in contributing to the MAMC review of policies; procedures and protocols

o To ensure that quality assurance processes and data are used to inform forward plans for training; service development; information dissemination; prevention and intervention

o To put in place systems to ensure learning from individual situations of abuse

o A training strategy to support all agencies in developing consistent adult protection training which responds to local needs and lessons

o A strategy to disseminate information on Adult Protection issues to staff; volunteers; service users; carers; general public

o A strategy to develop services and responses for those who have been abused/are at risk of abuse and for perpetrators of abuse/neglect

o Strategies for reducing risk of abuse/neglect across a range of settings including care settings and the community

· The strategic plan is signed up to by all partner agencies at a senior/board level

· An annual report of the Hants APC will include an annual review of progress on the strategic plan highlighting priorities for the coming year

· There will be an annual review of progress on Adult protection within each partner agency within an agreed framework

· Annual reports will inform member organisations at Board level (or equivalent) and inform the MAMC

1. Key Activity in Adult Protection in Hampshire October 2007 to March 2008

· A revised Policy and Procedures has been developed across Hampshire, Southampton and Portsmouth and is now in place. This takes account of significant developments in guidance and legislation and is published on the Adult Protection website in Hampshire as well as on websites in the other two Local Authorities.

· Training activity continues and is outlined in section 4 of this report and in reports of member organisations in section 3.

· Continued activity to ensure representation across a broad range of agencies on the Hampshire Adult protection Committee

· Links continue to be made with other Public Protection issues such as: Domestic Abuse and Multi Agency Risk Assessment Conferences (MARAC) ; MAPPA (Multi Agency Public Protection Arrangements) for addressing issues around offender risk; Honour Violence and Forced Marriages.

· A consultation group of Service Users and their representatives met in March to plan for ongoing involvement of Service Users in Safeguarding/Adult Protection. Plans are underway to hold a bi-annual Service User Forum on this issue. The first will take place in autumn this year. This work is being funded jointly by Hampshire Constabulary; Hampshire PCT and Hampshire County Council Adult Services Department.

· The Personalisation agenda and its emphasis on choice and independence brings with it challenges around risk and safeguarding. Involvement in development of the personalisation agenda is taking place to ensure a balance between choice and protection is found and to ensure that Service Users are empowered with information to maximise effective safeguarding within individualised budgets. This work will continue.

· Partnership work with "Daybreak"(a voluntary sector organisation) continues in pioneering work to use the Family Group Conference approach in situations of abuse of older people. This has found successful outcomes in a number of situations of actual or potential abuse. Comic Relief funding will continue to this Project for a further two years.

· Hampshire has implemented local procedures to underpin the joint framework agreed across Hampshire, Southampton and Portsmouth for intervening in situations of abuse in Provider Services. This has been built upon in Hampshire to ensure a robust approach for ensuring the commissioning of safe services. The procedure ensures consistent understanding and robust tracking of Safeguarding/Adult Protection concerns in Provider Services.

· Three Safeguarding Coordinators have been in post in Hampshire County Council Adult Services Department since November 2007. Their objective is to improve consistency and effectiveness of approach in coordinating interventions in situations of suspected abuse across the County. Early signs of the impact of these posts in terms of standardising approach and supporting front line staff are very positive. A fuller evaluation of the role will be possible in the next annual report.

· A newly developed Serious Case Review Protocol is now in place across Hampshire, Portsmouth and Southampton to ensure that where serious situations give rise to the need to learn lessons across agencies a review takes place and the results are published.

· A Conference took place in November 2007 around the issue of Financial abuse. The conference encouraged a range of professionals to join a subgroup of the Adult Protection Committee which focuses on financial abuse. This group includes representation from banking and legal professions. Links have also been made to the Office of the Public Guardian and the British Bankers Association. The aim is to improve our joint response to situations of financial abuse.

· Following the Death of Steven Hoskin (a Service User in Cornwall) and the publication of a Serious Case Review report, Hampshire Adult Protection Committee has begun working on an action plan to address some of the key issues identified in that inquiry.

· The Adult Protection Committee continues to ensure high level input into and raising awareness of a range of national issues including: The forthcoming implementation of the Safeguarding Vulnerable Groups Act (implementation date: October 2009); review of the Department of Health Guidance, "No Secrets" and of the need for legislation in Safeguarding/Adult Protection; National work to develop a national database for collection of data on Safeguarding/Adult Protection.

3. Annual Statements by Partner Agencies on the Hampshire Adult Protection Committee

3.1 Hampshire Domiciliary Care Association (HDCA)

Hampshire Domiciliary Care Association (HDCA) continues to work closely with Hampshire, Portsmouth and Southampton on the Safeguarding Adults agenda.

As the representing body for Domiciliary Providers across the 3 authorities, we do our utmost to ensure each organisation is responsible for ensuring its staff is able to recognise abuse and the appropriate action to take in the event of suspected abuse or neglect.

HDCA disseminates all information to providers on Safeguarding Adults and alerts providers to any updates and also has reports/minutes/newsletters on the website for providers to download. In our Spring Newsletter, we will be including the following key points:

¬ Safeguarding Vulnerable Adults Act being implemented in Autumn 2009.

¬ Money has been sourced to support victims of abuse, support should be ongoing for the next 2-3 years.

¬ Safeguarding Adults policy.

¬ Adult Protection Training, being reviewed.

¬ Providers need to review non-entry procedures.

¬ A re-launch of adult protection standards to care providers is expected.

¬ There is a desire to ensure that Local Authorities treat care providers as partners in care provision although further thought is being given on how to develop this culture.

The groups we have representation on are:

Multi Agency Management Committee (MAMC)

This group meets twice a year.

Hampshire Adult Protection Committee. (Hampshire)

Safeguarding Adults Partnership Board and Training Sub-Group (Portsmouth).

Southampton Adult Protection Committee (Southampton)

Our representatives are:

Jane Rudd Portsmouth

Pam Butler Hampshire/Southampton

3.2 Hampshire Partnership NHS Trust

Safeguarding Adults Basic Awareness training has been successfully added to the organisation's Essential Training Manual with effect from April 2007. All staff at all levels who have service user or patient contact are required to undertake this training. In addition, this course is now included within the Organisational Induction course which is delivered to all new employees.

Safeguarding Adults Detailed Awareness training has also been added to the organisation's Essential Training Manual with effect from April 2007 for identified staff.

Both levels of training have been well received and well attended throughout the organisation and annual training targets for both levels of training were exceeded by the end of quarter 3.

The organisation's Safeguarding Adults Policy was updated in December 2007 in line with the Multi-Agency Policy and is accessible to all staff in their place of work and on the organisation's website.

Safeguarding Adults issues are monitored continuously and are reviewed quarterly at the Trust's Safeguarding Adults Group which is attended by representatives from across every directorate of the Trust.

During October and November 2007 the Audit Department conducted a survey to determine staff knowledge about safeguarding Adults. The sample size was 351 and the results were analysed by directorate.

In summary 81% of Trust staff reported attending basic awareness training, 33% detailed awareness training and 18% Investigation and Assessment training. The survey found that 16% of staff reported not attending any safeguarding adults training.

96% of respondents said they were aware of the Trust's Safeguarding Adults Policy. Between 92% and 99% said they were confident in knowing what the different types of abuse are. Between 86% and 97% said they felt confident about what to do if they witnessed various types of abuse.

The Trust lead for Safeguarding Adults intends to commission a further staff survey in 2008-09.

In June 2007 the Trust lead for Safeguarding Adults made a presentation to the Senior Staff Seminar. At the same time, awareness raising posters and cards were distributed widely across the Trust.

3.3 Hampshire Constabulary

Hampshire Constabulary has continued to invest in the whole area of Public Protection. Adult Protection is a growing and developing area of business and the Police are striving to match capacity to demand.

The Association of Chief Police Officers (ACPO) has now clearly identified links between Adult Protection and other Public Protection areas such as the Multi Agency Public Protection Arrangements (MAPPA) to manage sexual and violent offenders. Hampshire Constabulary now have well established Public Protection units to manage these problems and are working to improve the specialist investigative capacity to support the improved inter-agency working that these units have brought.

Police representatives now attend training alongside Adult Services staff in assessment, investigation and intervention in situations of abuse.

3.4 Housing and the Supporting People Programme

Hampshire County Council have a close working relationship with all the district, borough & city housing departments in Hampshire and we are developing Safeguarding Policies which we hope all Local Authorities will adopt. This policy reinforces the County's responsibilities & provides links to HCC polices & procedures. A member of the Adult Protection Committee sits on Strategic Housing Officer Group (SHOG) ensuring that Safeguarding issues are kept on the housing agenda.

Supporting People is a government programme launched in March 2003. The primary purpose of the programme is to provide housing related support which develops or maintains an individual's capacity to live as independently as possible in their own accommodation. The programme is a working partnership of Health, Housing, Social Care and Probation. Locally, Hampshire County Council acts as the Administering Authority and the role of the Accountable Officer is held by Richard Ellis, of Adult Social Care Services.

The Hampshire Supporting People team is relatively small but has a variety of functions involving a budget of £31.1m plus, which we allocate to around 700 services for nearly 15,000 vulnerable people. Supporting People covers a very wide range of client groups, the majority of which are Older People. But we also fund services for, amongst others, Mental Health, Learning Disability, Homeless Families, Offenders, Women fleeing Domestic Violence and vulnerable Young People

Part of our contract compliance and monitoring function is to ensure that all SP funded services have an effective up to date Safeguarding Adults Policy with the relevant procedures and training in place. We also ensure that all staff and service users are aware of these policies and procedures and can describe the key elements they contain. Services can achieve a score from A to D, with A being the highest and evidencing that the provider involves service users right through the process including being part of reviewing and monitoring the effectiveness of the organisation's safeguarding adults policies and procedures. Level C is the minimum standard the government set for this objective.

When the programme first went live in 2003 less than 5% of Hampshire SP funded services were achieving level C for the safeguarding adults objective. All those not meeting the minimum standard were issued action plans to achieve level C within 3 months of being validated. This year 60% of our providers in the older persons and disabilities services are meeting level C, of the remaining services in these cluster groups 35% are achieving level B and 5% are achieving level A. In the homelessness cluster, which includes short term mental health services, 12.9% are achieving level C, 76.6% are achieving level B and 10.5% are achieving the highest level at an A.

3.5 Hampshire Adult Placement Scheme

Role in the work of Hampshire Adult Protection Committee

The manager of the Hampshire Adult Placement Scheme is a member of the committee and as such has regularly attended meetings.

Professional/legal responsibilities

· The Scheme has a robust internal policy and procedure entitled Adult Protection.

· Adult Protection features in the Operational Plan for 2008/9 with the objective to maintain "a robust Adult Protection approach which also supports carers".

· Referrals of staff and carers have been made for inclusion on the national Protection of Vulnerable Adults register.

· The Scheme has contributed to the revision of the wider Hampshire Adult Services policy and procedure on Safeguarding Adults/Adult Protection.

Monitoring Information

Safeguarding Vulnerable Adult issues in Adult Placement can be raised from three sources as a concern, complaint or Adult Protection referral. Each source is recorded, investigated by the Scheme Manager and reported to the Commission for Social Care Inspection - annually in the case of concerns and minor complaints and immediately in the case of more serious issues. Rarely the Adult Services' Critical Incident Procedure will also be instigated.

Training

· Safeguarding Vulnerable Adult training is covered on induction and foundation training of all new carers and Adult Placement staff.

· A mandatory training course entitled "Management of Allegations in Adult Placement" is delivered to all Adult Placement carers.

· Staff attend national training on the same topic.

· Manager attended Independent Safeguarding Authority workshop and contributed to feedback from National Association of Adult Placement Services.

3.6 Winchester & Eastleigh Healthcare NHS Trust

The Trust Protection of Vulnerable Adults Steering Committee has met quarterly so as to monitor the development of the protection of vulnerable adult practices within the Trust. The Committee's educational activity during this period has been to establish safeguarding/adult protection training within the Trust's programme of in-service education and induction training.

The Trust Committee has met on a regular basis with the Hospital Social Services Team to review cases of alleged abuse brought to the attention of the Hospital Social Services Team by hospital staff.

As a result of these meetings and the introduction of the Mental Capacity Act the Trust Policy has been reviewed and re-validated in January 2008.

3.7 Hampshire PCT

Safeguarding Adults continues be part of the mandatory training programme for all staff

The Trust has commissioned Train the Trainer courses for each area (north, west and south east). The course can take 15 people from the multidisciplinary team to train as trainers. This training has already been delivered in the north area. Training activity in Safeguarding Vulnerable Adults (SVA) and in the related field of the Mental Capacity Act )MCA) is as follows for the whole year April 2007 to March 2008:

SVA Mandatory training half-day workshops (2007/08)           495      
SVA Train the Trainer (15 May 2008) *             6    
MCA - basic awareness (2007/08)         86     
MCA - Train the Trainer (2007/08)             103      
MCA - Train the Trainer (1 April 2008 to date)            4    
MCA - detailed awareness (2007/08)                3    
MCA - detailed awareness (1 April 2008 to date)         22   

*Other dates arranged for 22 Sept and 27 Nov 2008.

The local clinical inductions provided in each area cover safeguarding adults at the basic level. This is to ensure that staff who may not attend their mandatory training for some months, are provided with a basic awareness session in the interim.

The Trust has a new electronic incident reporting system which will allow the creation of reports around safeguarding. The numbers of incidents/types etc in each business unit can be much more easily collated on a regular basis for monitoring and action planning and will be reviewed regularly by the clinical governance sub groups.

Policy- The policy for Safeguarding Adults has been prepared for the Trust and has been reviewed by a representative from Adult Services (north). The policy now requires final approval by the PCT which will take place during June and July, 2008.

3.8 Crown Prosecution Service

The Crown Prosecution Service is an independent Government department responsible for prosecuting people in England and Wales who have been charged with a criminal offence.

Hampshire CPS continues to support and attend the Hampshire Adult Protection Committee. A CPS lawyer regularly attends the committee to provide an up date in relation to successful prosecutions where vulnerable adults have been victims of crime and/or witnesses in Court and also by answering questions relating to the prosecution of crimes against vulnerable adults.

With the Mental Capacity Act 2005 coming in to force, Hampshire CPS has started to provide pre charge advice to Hampshire Police in relation to the criminal offences brought in by this Act. The CPS Lawyer who attends The Adult Protection Committee will now be able to feed back to the Committee how such cases are being dealt with and provide guidance as to how such cases can be successfully prosecuted in the future.

3.9 Hampshire County Council Adult Services Department

Hampshire County Council Adult Services Department takes the lead coordinating role for safeguarding vulnerable adults from abuse as set out in the Department of Health guidance "No Secrets". This coordinating role is in respect of Multiagency strategic development and of investigations into individual circumstances of abuse.

Because of this coordinating role much of the work of the Adult Services Department is already set out elsewhere in this report including: its role in developing and working with the Adult Protection Committee; the training facilitated by and run by Adult Services Department; the coordinating role of Adult Services in the key areas of activity set out in sections 2 and 6 of this report. Key current issues also include:

· Data systems: we are working towards collecting all Safeguarding/Adult Protection data from our existing computer system (SWIFT) by October 2008. This will replace collection from the current (separate) Adult Protection database. We are involved in a national data collection working group (Department of Health) to ensure that when national data reporting requirements are issued in 2009 we will be in a position to collect the required data

· The Contact Centre for Hampshire County Council will be fully operational in the autumn. We have been working to ensure all front line advisors and their managers are trained in Safeguarding/Adult Protection and that the necessary information and support is available to them.

· We are ensuring that Safeguarding issues are a priority in planning developments in Self Directed Support

· We are evaluating the level and effectiveness of training, support and development of all staff involved in safeguarding investigations

· We are in the process of reviewing the effectiveness of the new Safeguarding Coordinator posts now that they have been in post for 6 months.

· We have developed an internal Safeguarding Implementation Group to ensure that those responsible for all aspects of the work of Adult Services engage with and deliver on the Safeguarding/Adult protection agenda.

· We continue to work on ensuring that we commission safe services

· We are represented on the national advisory group for the review of No Secrets.

4. Adult Protection Training in Hampshire

Extensive training continues both within Adult Services and via the Partnership in Care Training (PaCT) team, which is resourced and funded by Adult Services, within the Independent and Voluntary sectors as follows:

Figures for PaCT

As illustrated above support has been given to Independent Sector providers (including Housing providers) at both management and practice level to ensure a robust response to safeguarding issues. A cascade method of training encourages ownership by those Independent Sector providers. It is estimated (based on an evaluation audit) that training has been cascaded by training managers and lead staff to around 3300 staff in basic awareness. This includes those trained to cascade information in previous years.

Figures for ROCC - training for the voluntary and not for profit sector (including Housing/Supporting People)

ROCC is a coordinating/umbrella organisation for voluntary and not for profit organisations

NB: Housing providers are trained via either the ROCC training opportunities or within courses for Independent Sector providers.

Training figures for Adult Services

Included in these figures are a small number of staff from other agencies, for example Health and Police, where either Adult Services was seeking to support key staff in implementing training strategies within their own organisations or there was a specific need which could not be met elsewhere. In general Adult Services is keen to support other agencies in developing their training and to commission quality training in line with local policy and procedures.

This year nine police officers from Public Protection Units have attended the Assessment and Investigation three day course and it is planned for the coming year that this will continue. The two day MCA, Risk assessment and the Law will also become joint training with the police.

Training for all levels of staff at the contact centre is being delivered. The professional advisors have started on the 6.5day modular Assessment and Investigation training. Agents at the centre have received safeguarding basic awareness training.

5. Report on Statistical Information

Set out below are some of the key headlines from the statistical information collated by the Adult Services Department. Further information can be found in appendix B. The number of cases of abuse reported in Hampshire Adult Services Department during 2007/2008 was 484 this represents a 15% increase on the number (421) of cases reported in the previous year. This is a positive development as it reflects the impact of the work in Hampshire to raise awareness of the signs of possible abuse and how to report concerns.

Action to respond to the 15% increase in referrals has included extra investment in additional support to ensure a timely response and assertive action to address concerns.

Hampshire County Council and independent providers are working together to ensure front line staff are trained to recognise and report abuse. Significant training in order to raise awareness within care homes has been undertaken and this has resulted in a 63% increase in the numbers of referral/alerts of potential Adult Protection situations to Adult Services initiated by residential care homes during 2007/08.

In the period covered by this report 106 (22%) referrals originated from the person being abused, their relative, friend or a neighbour. This reflects our work in raising awareness in the community as well as confidence within the community to report suspected abuse.

The most frequent forms of abuse remain physical; 30% of reported cases, and financial; 19.5% of reported cases. In 2007/08 there has been an increase in reported cases of neglect in both institutional and community settings. 108 cases in 2007/08, compared to 65 cases in 06/07.

Partnership working with Provider services enables a proactive approach where there are concerns about quality of care and/or potential or actual abuse.

Our work with key stakeholders relating to financial abuse continues.

Links continue to be made with other Public Protection issues such as: Domestic Abuse and Multi Agency Risk Assessment Conferences (MARAC) ; MAPPA (Multi Agency Public Protection Arrangements)for addressing issues around offender risk; Honour Violence and Forced Marriages.

Table 1: Alleged abuser's relationship to service user

1^st April 07 to 31 March 08

· This year has seen a significant improvement in the engagement of other agencies in planning meetings representing a coordinated approach to the issues of abuse of vulnerable adults with an increase in respect of the following:

_ Carer assessments

_ CSCI investigations

_ Domiciliary care investigations

_ Investigations of provider units

_ Health care commission investigations

_ Hospital investigations

_ Use of individual advocates

_ Police Investigations and referrals

_ Primary Care Trust investigations

_ Provider Service actions

_ Supporting people investigations

· The statistical evidence continues to illustrate that often there are a range of potential effective outcomes resulting from an investigation for an individual who has suffered any form of abuse. An analysis of the outcomes data for the six month period between April 2007 and September 2007 has seen the numbers of outcomes for individuals at the six month review stage increasing. If these trends are to continue then there will be significant improvements at the end of the year 2007/2008 in respect of the following:

_ Advice/information given

_ On going Police investigation

_ Criminal prosecutions sought

_ Security measures being put in place

_ Activities provided to increase a persons capacity to protect themselves

_ Management and disciplinary actions by Provider Services

_ Management of access by abused to alleged perpetrator

_ Organisational review

6. Key Objectives for the period April 2008 to March 2009

· Continue to develop the effectiveness of the Hampshire Adult Protection Committee (APC). Workshop to be run July 2008 to facilitate effective joint working in the Hampshire APC

· Continue to develop robust approach to commissioning and provider activity in view of high proportion of situations of abuse arising in provider services. Focus of above workshop to be abuse in provider settings.

· Develop involvement of Service Users in Safeguarding/Adult Protection

· Ensure that Safeguarding is embedded in Hampshire's approach to the Personalisation agenda

· Develop response to action plan from the Steven Hoskin Inquiry and in particular: agreeing triggers for sharing of information about individuals around whom there are concerns; developing a strategy for raising awareness of Safeguarding/Adult Protection within the local community; ensuring effectiveness of existing Safeguarding arrangements; establishing links with Emergency Services.

· Take on board learning and recommendations from CSCI Safeguarding inspections already carried out in other Local Authorities.

· Continue involvement with national developments in Safeguarding/Adult Protection (in particular Hampshire is represented on the national advisory group for the review of No secrets and of the need for legislation.

Appendix A

Membership of Hampshire Adult Protection Committee:

Hampshire County Council Adult Services

Hampshire Police

Hampshire Probation

Hampshire Primary Care Trust

Hampshire Partnership Trust

(Surrey and Borders Partnership Trust)

Acute Health Trusts:

Winchester and Eastleigh Healthcare NHS Trust

Basingstoke and North Hampshire Foundation Trust

Frimley Park Hospital Foundation Trust

Southampton General Hospital

Voluntary sector organisations via Community Action Hampshire

Hampshire Care Association

Hampshire Domiciliary Care Association

Supporting People

Direct Payments

Strategic Housing Officers Group Representation

Commission for Social Care Inspection

Victim Support

(Service User/Carer representation)

Adult Placement

Crown Prosecution Service

Department of Work and Pensions

For those organisations listed in ( ) representation is currently being sought/discussed.