SECURITY MANAGEMENT
Annual Report 2009/10
Quality care – for you, with you
Version
0_1
Presented to Board of Directors
September 2010
Author of report:
Kate Corley
TO: Board of Directors
FROM: Dr Gillian Rankin, Interim Director of Acute Services DATE:
SUBJECT: Security Management
WHICH TRUST CORPORATE OBJECTIVE DOES THIS PAPER PROGRESS OR CHALLENGE?
Provide safe, high quality care. P Be a great place to work. Maximise independence and
choice for our patients and clients.
Make the best use of resources. P
Support people and
communities to live healthy lives and improve their health and wellbeing.
Be a good social partner within our local communities.
(Indicate which of our key strategic objectives are progressed (P) or
challenged (C))
PURPOSE
This report sets out the Trust’s position with regard to security management during the year 1st April 2009 to 31st March 2010. It also advises Trust Board of the controls and systems in place to support the delivery of a secure and safe environment that protects all service users, staff and visitors as well as the physical assets of the organisation.
SUMMARY OF KEY POINTS
• The 2009/10 self assessment of the Trust’s position against the Security Management Controls Assurance Standard was substantive at 80%.
• Following the implementation of Datix Incident Management System information on security incidents is available for analysis by facility and by risk assessment on a Trustwide basis.
WHICH TRUST VALUES DOES THIS PAPER PROGRESS OR CHALLENGE? We will treat people fairly and with
respect.
P We will value and give
recognition to staff and support their development to improve our care.
P
We will be open and honest and act with integrity.
P We will embrace change for the better.
P We will put our patients, clients, carers
and community at the heart of what we do.
P We will listen and learn. P
(Indicate which of Trust values are progressed (P) or challenged (C)
RISKS, CONTROLS AND ASSURANCE
Risk Control Action Assurance
REVIEWED BY: Date
Security Management Committee July 2010
SMT 11th August 2010
User forums/Community groups whose views have been sought
CONTENTS PAGE
Page Nos. 1.0 Strategic Context ……… 5 2.0 Operational Context ……….. 5 3.0 Governance Arrangements ……….. 5 4.0 Monitoring Arrangements ………. 6 5.0 Training ……… 7 6.0 Involvement of PSNI ……….. 7 7.0 Prosecutions ……… 78.0 Key Priorities for 2010/11..……….………... 8
1.0 STRATEGIC CONTEXT
Trust security is concerned with the safety of those who work and use Trust premises and those who carry out their role in other premises. It also relates to the provision of safeguards to protect property.
2.0 OPERATIONAL CONTEXT
The Trust has responsibility for the security of 137 locations and approximately 200 buildings. All managers, heads of departments, homes and facilities are responsible for the security of their own department/facility and for developing local security procedures to meet security requirements specific to their area of responsibility.
Security Porters are employed at Craigavon Area Hospital and Daisy Hill Hospital.
External contractors are engaged by the Trust to provide security and keyholding services in some areas.
3.0 GOVERNANCE ARRANGEMENTS 3.1 Managerial Accountability
The Trust’s Chief Executive has overall accountability for security management within the Trust.
The Director of Acute Services is the designated Executive Director with lead responsibility for security management.
The Assistant Director of Acute Services, Functional Support Services, is responsible operationally for the management of security issues within the Trust. This includes ensuring that adequate security staffing levels are maintained where appropriate, that appropriate systems and processes are in place to ensure effective response to security incidents and that appropriate measures are in place to monitor and review security management arrangements.
Locality Support Services Managers (LSSMs), who report to the Assistant Director of Acute Services, Functional Support Services, will provide advice and support in respect of security arrangements. The LSSMs are supported by the Trust’s Security Manager who is responsible for providing specialist security advice and support. 3.2 Trust Security Management Committee
The Trust’s Security Management Committee ensures that appropriate and adequate arrangements are in place throughout the Trust, for the effective management of security. The Committee meets on a quarterly basis and it is chaired by the Assistant Director of Acute Services, Functional Support Services and includes representatives from each Directorate as well as the Security
Manager, Head of Health and Safety and a number of Trade Union representatives.
The Security Management Committee reports to SMT Governance Committee through the Director of Acute Services.
3.3 Trust Security Management Policy
The Trust’s Security Management Policy was approved by Trust Board on the 29th May 2008. The policy was reviewed in March 2009 and no changes were required. The policy is in the process of a further review.
3.4 Security Management Controls Assurance Standard
The DHSSPS published a Controls Assurance Standard on Security Management in April 2006 with a requirement for Trusts to achieve ‘substantive’ compliance.
4.0 MONITORING ARRANGEMENTS
4.1 Controls Assurance Self Assessment
In 2009/10, a self assessment of the Trust’s position against the Security Management controls assurance standard was undertaken. The overall score of the self assessment for 2009/10 was substantive at 80%.
An action plan has been developed which identifies the work required to be undertaken to further improve compliance with the controls assurance standard and ensure that effective security management processes are in place across the Trust.
4.2 Analysis of Security Incidents
Statistical information reports are forwarded to the Security Manager on a monthly basis. However serious incidents are reported daily and actioned as required. The reports are monitored and analysed by the Trust Security Manager and where appropriate a review of security arrangements is held with facility/department managers. Information on security incidents is provided to the Trust Security Management Committee members at the quarterly committee meetings.
The number of security incidents, violent/abusive behaviour incidents and absconders for the period 1/4/2009 – 31/3/2010 is provided at Appendix 1.
4.3 Security Reviews by Security Manager
The Security Manager undertakes reviews of security arrangements within Trust facilities on a priority basis. The purpose of these reviews is to:-
• assess staff compliance with physical and procedural security measures
• identify any shortfall in existing security arrangements
• recommend additional security measures which should be implemented.
During 2009/10 reviews were carried out and improvements have been made in the following areas:-
• Social Education Centres within Craigavon and Banbridge locality
• Accident & Emergency Department, Daisy Hill Hospital • Basement, Craigavon Area Hospital
• Nurses Changing Facilities, Craigavon Area Hospital • Gosford Place, Armagh
• Protocols for the operation/use of CCTVs 5.0 TRAINING
The Trust, in line with the DHSSPS’s commitment to protect staff to ensure that they can provide a quality service without fear of abuse, continues to deliver MAPA (Management of Actual or Potential Aggression) training to all front line staff on a priority basis.
For security porters the MAPA model has been reviewed and revised to ensure that it meets their needs and that delivery of the security service meets the needs of the organisation. All Security Porters have received MAPA training and this training is also delivered to contracted security personnel. Refresher MAPA training is delivered annually to Security Porters.
6.0 INVOLVEMENT OF PSNI
There are joint protocols between the Trust and PSNI in place in respect of the Craigavon Area Hospital site for responding to incidents such as the absconding of patients. There is work ongoing with PSNI to develop protocols for other sites on a risk assessed basis.
7.0 PROSECUTIONS
Legally, the Trust cannot initiate proceedings as a result of an assault to a member of staff. The decision to initiate proceedings rests with the individual employee but the Trust does offer full support to any member of staff who finds themselves in this position.
During 2009/10, there were 4 prosecutions for assault and 1 prosecution for burglary. There are 3 cases pending.
8.0 KEY PRIORITIES FOR 2010/11
♦ The Trust Security Strategy to be finalised and agreed by the Trust
Security Management Committee and ratified by SMT mid year.
♦ Security risk assessments to be completed by departmental/facility
managers and action plans developed to address issues identified.
♦ Work with other HSC Trusts and Procurement and Logistics Services
(PaLS) to finalise the regional contract for keyholding/security guarding services and implement the new contractual arrangements.
♦ Work will continue on harmonising systems and processes to ensure
security matters are managed effectively across the Trust.
♦ The development of Joint Protocols with PSNI for other sites on a risk
Appendix 1
Number of security incidents,
violent/abusive behaviour incidents
and absconders for the period
Number of security incidents, violent/abusive behaviour incidents
& absconders for the period 1/4/2009 – 31/3/2010
Total 2009/10
Violent and Abusive Incidents 1809
Number of RIDDOR Reportable Cases (Physical abuse) 14 Number of RIDDOR Reportable Cases (Verbal abuse) 2
Absconders 248