Prevent Procedure - Preventing those who are vulnerable to exploitation from those who seek to get people to support or commit acts of violence

Publication: 27/05/2014  
Next review: 24/06/2024  
Clinical Policy
CURRENT 
ID: 3850 
Approved By: Craige Richardson, Director of Estates and Facilities 
Copyright© Leeds Teaching Hospitals NHS Trust 2022  

 

This Clinical Policy is intended for use by healthcare professionals within Leeds unless otherwise stated.
For healthcare professionals in other trusts, please ensure that you consult relevant local and national guidance.

PREVENT Procedure

Preventing those who are vulnerable to exploitation from those who seek to manipulate people to support or commit acts of violence

  1. Staff Summary & Introduction
  2. Purpose & Effect
  3. Key Definitions
  4. Process Flow Charts & Supporting Information
  5. Key Staff and Committees/Groups
  6. Equality Analysis
  7. Consultation and Review Process
  8. Standards/Key Performance Indicators
  9. Process for Monitoring Compliance and Effectiveness
  10. Plan for Communication and Dissemination of Procedure
  11. References/ Associated Documentation

1. Staff Summary & Introduction

The aim of the Leeds Teaching Hospitals NHS Trust (LTHT) Prevent, Preventing those who are vulnerable to exploitation Procedure is to clearly state an agreed approach to the adoption and effective implementation of the Prevent duties

The Trust recognises that all members of staff have a duty under the Counter Terrorism and Security Act (2015) to have due regard to the need to prevent people being drawn into terrorism and to act positively to report concerns. The Government’s Prevent strategy focusses on stopping people becoming terrorists or supporting terrorism. It is one part of the Government’s counter terrorism strategy, CONTEST, which is led by the Home Office. Prevent recognises that vulnerable individuals of all ages may be at risk of being exploited for terrorist related activities and as such, this policy should be read in conjunction with the Trust’s Safeguarding Children and Safeguarding Adult policies and procedures.

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2. Purpose & Effect

The Prevent Duty

After the terrorist attacks in July 2005 in London, which saw 52 people killed and hundreds of others injured, the government of the day developed a new counter-terrorism strategy called CONTEST. Since this time a number of terror related incidents have also occurred involving lone actors and the far right.

‘Prevent’ was one of five strands to this new strategy, created in 2006 with the aim of stopping people from becoming terrorists and supporting or sympathising with terrorism.

The Prevent strategy is focused on providing support and re-direction to individuals at risk of, or in the process of being groomed /radicalised into terrorist activity before any crime is committed, known as the ‘pre criminal space’.

Radicalisation is comparable to other forms of exploitation; it is a safeguarding issue.

In July 2015, the Counter Terrorism and Security Act defined Prevent as a legal duty on public bodies including local authorities, schools, further and higher education institutions, social work and the NHS. This places a statutory requirement on these institutions to demonstrate that they “have due regard to the need to prevent people from being drawn into terrorism”.

This procedure describes how the Trust will implement the PREVENT duty and ensure that: Staff can identify and know how to refer for PREVENT support and referral*

(*Prevent Training and Competencies Framework 2015 NHS ENGLAND).

The Standard Operating Procedure (SOP) aims to describe the training required for staff to be able to recognise key signs of radicalisation and be confident in referring individuals for support.

The SOP provides detail of where to seek advice and how to refer for PREVENT intervention.

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3. Key Definitions

Terrorism

the use of violence for political ends, including any use of violence for the purpose of creating fear and division within society.

Radicalisation

is a process by which an individual or group adopts or is coerced into increasingly extreme political, social, or religious ideals that reject or undermine the status quo or undermine contemporary ideas and expressions of freedom of choice and respect for diversity and human rights.

Extremism

The demonstration of unacceptable behaviour by using any means or medium to express views which:

  • Encourage, justify or glorify terrorist violence in furtherance of particular beliefs
  • Seek to provoke others to terrorist acts
    • Encourage other serious criminal activity or seek to provoke others to serious criminal acts; or
    • Foster hatred which might lead to inter-community violence in the UK. 

CONTEST

UK Government’s counter terrorism strategy that aims to reduce the risk to the United Kingdom and its interests overseas from terrorism.

CONTEST is primarily organised around four key principles. Work streams contribute to four programmes, each with a specific objective:-

  • PURSUE: to stop terrorist attacks.
  • PREVENT: to stop people becoming terrorists or supporting terrorism.
  • PROTECT: to strengthen our protection against a terrorist attack.
  • PREPARE: to mitigate the impact of a terrorist attack.

HealthWRAP

Health Workshops to Raise Awareness of PREVENT.

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4. Process Flow Charts & Supporting Information

In your work you may notice behaviour of patients and/or colleagues which are sufficient to cause concern for their own or others safety. It is important that if you have a cause for concern, you know how to raise that concern and are confident about who to speak to.

All healthcare staff have a duty of care to patients and, where necessary, to take action to safeguarding individuals at risk of harm.

Examples of concern may be:

  • Patients, staff or volunteers accessing terrorist-related material on line, including through social networking sites.
  • Parental/family reports of changes in behaviour in relation to radicalisation and exploitation.
  • Use of extremist or hate terms to exclude others or incite violence.

Immediate Risk

If anyone has concerns that an individual is presenting an immediate risk to themselves, others or property, then they should contact the police on 999.

There should be no delay; seeking advice is always recommended within the PREVENT process but in cases of immediate harm being suspected or observed prompt action is required. If the individual is under 18 a Child Social Care referral should be considered (see below).

Any emergency police report should be escalated to the appropriate line manager/senior manager and Safeguarding Adult Lead (via the Safeguarding Adult team) -

leedsth-tr.SafeguardingAdults-LTHT@nhs.net. 0113 2066964  (office hours)

Out of hours ring the On-call clinical site manager contactable through switch board by dialling 0 and asking for the on-call clinical site manager.

For concern outside of the hospital, staff are encouraged to remain vigilant and to be aware of the ‘Run, Hide, Tell’ advice (advice related to serious imminent threats).

If you see or hear something unusual or suspicious trust your instincts and ACT by reporting it in confidence at gov.uk/ACT, or by calling 0800 789 321. In an emergency always dial 999

Non - Urgent Concern

Non urgent cases where a patient or member of staff is reporting or seen to be acting in a way to cause concern either to themselves or others should be reported to the Safeguarding Adult Lead/Safeguarding Adult duty system.

leedsth-tr.SafeguardingAdults-LTHT@nhs.net. 0113 2066964  (office hours)

If under 18 the concern should be taken as a child protection issue and consideration will be made for a referral to Leeds Childrens Social Care (see below).

Practitioners involved with a child or family can phone the Duty and Advice Team on:

0113 376 0336 between 9.00am to 5.00pm.

If your enquiry needs a response from Children’s Social Work Service outside normal office hours, please phone the out of hours  Children’s Emergency Duty Team on 0113 5350600.

This SOP is not intended to cover all the situations that may lead to a concern, more guidance can be found in the PREVENT policy found on the LTHT intranet Safeguarding page-PREVENT.

The Safeguarding Lead/duty worker will provide safeguarding advice and agree a reporting strategy.

If the Safeguarding Lead or deputy feel that the individual requires PREVENT support or further investigation is required to confirm the nature of the risk then the Safeguarding Lead/duty worker will refer directly to the:

PREVENT team (North East Counter Terrorist Unit (Police) (nectu.fimu@westyorkshire.pnn.police.uk) 0113 395 4141

Copy to the Leeds City Council PREVENT team (prevent@leeds.gov.uk) 0113 535 0810

Note:

In some cases a PREVENT concern may arise from verbal racist abuse. In such cases if you are a witness or a victim of such hate crime, or feel vulnerable, please contact someone to report it. Call the police on 101 or Crimestoppers on 0800 555 111 (www.crimestoppers-uk.org). You can also contact Stop Hate UK at talk@stophateuk.org or on 0800 138 1625.

Referral

The referral will be made using the national referral form and sent direct to the nectu email account which is monitored 7 days a week.

Confidentiality

In many cases a concern will be raised following a disclosure from an individual. In such circumstances they should be informed that advice will be sought from Safeguarding and a PREVENT referral may be required for support. Where there is immediate danger, or risk may arise following a referral being made a confidential referral without the knowledge of the individual may be necessary.

In most cases it is advised that the individual be made aware of the referral and is in agreement with the referral, though it is acknowledged that in some cases where there is imminent risk or making a referral would put others at risk, this may not be possible.

Sharing information is done under the duty to safeguard (Care Act 2014) and LSAB Information sharing agreement 2019. Also the CHANNEL information sharing agreement 2019.

Channel Programme

Channel is a key element of the PREVENT strategy. It is a multi-agency approach to protect people at risk from radicalisation. Channel uses existing collaboration between local authorities, statutory partners (such as the education and health sectors, social services, children’s and youth services and offender management services), the police and the local community to:

  • identify individuals at risk of being drawn into terrorism;
  • assess the nature and extent of that risk; and
  • develop the most appropriate support plan for the individuals concerned.

Channel is about safeguarding children, young people and vulnerable adults from being drawn into extremist activity leading to violence against others. It is about early intervention to protect and divert people away from the risk they face before they are involved in any type of illegal activity that would put them at risk. It aims to identify vulnerability and protect the individual from harm and exploitation.

Each support package is monitored closely and reviewed regularly by the multi-agency panel. Leeds Teaching Hospital attends the Channel panel meetings and further advice is available from the Safeguarding team.

Documentation

Advice regarding what and where to document is required on a case by case basis. Advice will be given following reporting the incident to Safeguarding.

Careful consideration should be taken when documenting any concern. It should be remembered that the PREVENT process is intended to provide early intervention and support, in most cases a crime will not have been committed and the detail of the concern may be sketchy and based on non-directly observed facts.

PREVENT Training

There are two levels of PREVENT training for Trust staff.

Level 1

How: Delivered as part of LTHT Trust induction alongside Safeguarding Level 1 briefing/training.

Who: All staff joining the LTHT.

Update: 3 yearly delivered via Health Education England Basic PREVENT Awareness training video accessed on ESR

Level 2

How: Via online ‘HealthWrap’ training package developed in partnership with Leeds CCG/LTHT/LYPFT/LCH in line with NHS England PREVENT training competency (accessed via LTHT training interface).

Who: All staff identified as requiring Level 3 Safeguarding training.

Update: 3 yearly via online ‘HealthWrap’ training.

Note: Face to face NHS England ‘HealthWrap’ training can be delivered by the Safeguarding team. Key members of the team have had additional Level 3 PREVENT training to be accredited PREVENT trainers.

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5. Key Staff and Committees/Groups

Trust Board

The Trust Board has a responsibility to ensure that there is a procedure in place and complied with to protect vulnerable adults under the PREVENT Strategy (HM Government 2015)

Chief Executive

The Chief Executive devolves the responsibility for compliance and monitoring to the Chief Nurse ensuring that the Trust meets its statutory and non-statutory obligations in respect of maintaining required standards in relation to PREVENT.

Chief Nurse

The Chief Nurse is responsible for ensuring that Trust staff uphold the principles of PREVENT guidance; and the Trust’s Adult and Children Safeguarding Policies are effectively managed and implemented.

PREVENT Executive leadership and responsibility for PREVENT rests with the Chief Nurse. The Board will receive regular reports on PREVENT related matters as appropriate / within the Safeguarding quarterly reports and the Safeguarding Annual Report.

Chief Digital and Information Officer

The Chief Digital and Information Officer is responsible for:

  • Promoting the responsible and effective use of the internet by all staff, volunteers and patients
  • Having systems in place to identify anyone making frequent visits to websites showing images such as armed conflict around the world and access to material from those involved in the radicalising process.
  • Taking action in the event that a person is found to be accessing websites referred to above.

Head of Nursing for Safeguarding (Adult and Children), Mental Health Legislation, Learning Disabilities and Autism (SMHLDA)

The Head of Nursing (SMHLDA) is responsible for:

  • Acting as the lead advisor on PREVENT procedure and implementation.
  • Liaising with relevant external partner agencies to ensure successful implementation of the PREVENT Strategy.
  • Liaising with Trust Management to ensure implementation of the PREVENT procedure, in particular working with Human Resources and Emergency   Preparedness, Resilience and Response.
  • Building and strengthening local partnership and inter-agency working to prevent vulnerable individuals from becoming the victims or causes of harm.
  • Representing the Trust at local PREVENT strategic forums.
  • Ensure that quarterly PREVENT returns are submitted to the Clinical Commissioning Group as part of the Federated Safeguarding Dashboard and to NHS England in line with current guidance.
  • Incorporating PREVENT into Mandatory Safeguarding Training
  • Ensuring the principles of PREVENT are reflected in Safeguarding policies.
  • Contributing to locality Adult Safeguarding Partnership at local and regional level relating to PREVENT
  • Liaising with the HealthWRAP trainers to plan and implement a HealthWRAP training programme across the organisation
  • Representing the Trust at appropriate Safeguarding and multi-agency meetings.
  • Reporting to the Executive Lead any PREVENT incidences reported.
  • Ensuring staff know how to safely escalate any concerns relating to a patient’s or colleague’s wellbeing and/or the safety of the public.
  • Providing support and advice on PREVENT concerns raised by staff.

Clinical Service Units (CSUs) - Clinical Director

The CSU Clinical Directors are responsible for:

  • Supporting the implementation of the PREVENT procedure within their areas of responsibility ensuring staff within the CSUs are aware of and implement the PREVENT procedure requirements.
  • Facilitating escalation of PREVENT concerns.
  • Ensuring Departmental Managers have processes in place to release relevant staff to attend HealthWRAP training.
  • Ensuring that reported concerns within the CSU are recorded on the Datixweb database.

Head of Organisational Learning

The Head of Organisational Learning is responsible for:

  • Ensuring systems are in place to record, report and monitor PREVENT training across the organisation.

Human Resources Department

The Human Resources Department is responsible for:

  • Supporting line managers in any process relating to staff members or volunteers.
  • Gathering any personal data relating to any staff member as requested by Counter Terrorism Unit or other agencies.
  • Supporting the Safeguarding lead and Trust Security Advisor with any process following the outcome of staff or volunteer allegations where required.

General Manager for Estates and Facilities.

General Manager for Estates and Facilities is responsible for:

  • Supporting and providing advice to staff on the PREVENT procedure and its implications/direct link to the wider ‘Safer Place to Work’ requirements;
  • Supporting the Head of Nursing (SMHLDA) in the delivery of the PREVENT procedure;
  • Acting as a key contact for advice on the management of associated factors which impact upon security and safety of staff, patients and visitors
  • Liaising with the Counter Terrorism Unit on specific cases as and when required.

CSU Triumvirate Teams

CSU Triumvirate Teams are responsible for:

  • Ensuring that the requirements of the PREVENT procedure are effectively managed within their CSU and that their staff are aware of, and implement requirements.
  • Arranging for staff to attend the HealthWRAP training as required.
  • Advising staff on the processes to escalate concerns, facilitate escalation of PREVENT concerns and liaise with Adult Safeguarding and Human Resources should a concern be raised about a member of staff;
  • Ensuring effective cross cover arrangements are in place so that staff can access safeguarding managers at all times to report any potential pre criminal activity immediately
  • Ensuring staff report all incidents via the Datixweb system.

All Staff and volunteers

All staff and volunteers are responsible for:

  • Reporting all PREVENT related concerns to their Manager, Safeguarding Lead and/or Local Security Management Specialist.
  • Attending HealthWRAP training as required.
  • Contribute to discussions following an incident in order for any lessons to be learnt and/or improvements to be made.

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6. Equality Analysis

This Procedure has been assessed for its impact upon equality. The Leeds Teaching Hospitals NHS Trust is committed to ensuring that the way that we provide services and the way we recruit and treat staff reflects individual needs, promotes equality and does not discriminate unfairly against any particular individual or group.

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7. Consultation and Review Process

Procedure remains unchanged being driven by the Government’s counter terrorism strategy, CONTEST, which is led by the Home Office - no unforeseen additional impacts on staff.

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8. Standards/Key Performance Indicators

Prevent relevant information is reported quarterly to NHS England. Training compliance is monitored on a weekly basis with support for CSUs initiated based on compliance data

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9. Process for Monitoring Compliance and Effectiveness

This section, using the template below, must include details of how compliance and effectiveness of implementation of the procedure will be monitored.  This will include monitoring for any adverse impact on different groups.  This should include the role of the Procedure Lead and overseeing governance group in reviewing assurance. 

Where an audit is required in order to measure compliance or effectiveness, the audit should be considered for inclusion in the Trust Annual Clinical Audit Programme or local specialty audit programmes.

Appendix A 

Procedure element to be monitored

Standards/ Performance indicators

Process for monitoring

 

Individual or group responsible for monitoring

Frequency or monitoring

Responsible individual or group for development of action plan

Responsible group for review of assurance reports and oversight of action plan

Compliance with training

All identified staff to have completed HealthWRAP training within agreed timescale

Training completion reports via ESR

Regular returns to NHS England

Organisational Learning to produce reports; Safeguarding Governance Group to monitor compliance

Head of Nursing (SMHLDA/Trust Security Advisor

Quarterly

Quarterly

Training leads to work with CSU management teams to develop action plan for ensuring take up of training where compliance issues are identified

Workforce Committee

Safeguarding Governance Group

Reporting concerns

All concerns are reported to Safeguarding

Cross check between Safeguarding records

Safeguarding team

Yearly at Annual report

Annual report

Safeguarding Governance Group

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10. Plan for Communication and Dissemination of Procedure

Target Audience 

Eg staff groups or stakeholders 

Objective 

Action 

Person Responsible 

Target date 

All Staff Groups

 

 

To raise  awareness amongst staff of the PREVENT Procedure

To highlight to staff reviewed procedure

To train staff in implementing the PREVENT procedure based upon the TNA.

Link in e-Bulletin

Safeguarding Lead

Safeguarding Lead

On-going

1/9/2022

Priority  Staff Groups

To target  HealthWRAP training to staff identified as working in priority areas.

Promote and  deliver the HealthWRAP to staff in priority areas.

Safeguarding Lead and HealthWRAP Trainers

On-going

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11. References/ Associated Documentation

  • Building Partnerships, Staying Safe, The health sector contribution to HM Government’s PREVENT strategy: guidance for healthcare workers, Department of Health, November 2011
  • PREVENT Strategy, HM Government, 2015.
  • Prevent Training and Competencies Framework 2015 (NHS ENGLAND)

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Provenance

Record: 3850
Objective:
Clinical condition:
Target patient group: All
Target professional group(s): Secondary Care Doctors
Secondary Care Nurses
Allied Health Professionals
Pharmacists
Adapted from:

Evidence base

Not supplied

Approved By

Craige Richardson, Director of Estates and Facilities

Document history

LHP version 2.0

Related information

Not supplied

Equity and Diversity

The Leeds Teaching Hospitals NHS Trust is committed to ensuring that the way that we provide services and the way we recruit and treat staff reflects individual needs, promotes equality and does not discriminate unfairly against any particular individual or group.