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Alison Tombs 5/18/2016

North Tyneside

Constitution Roles and responsibilities of the Safeguarding Adults Board

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Contents: Page:

1 Title 3

2 Introduction 3

3 Core Duties 3

4 Principals 3

5 Purpose 4

6 Board membership 4

7 Chair of the Board 6

8 Representatives Knowledge and Level of Authority

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9 Board members roles and responsibilities

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10 Role of Sub Group members 7

11 Duty of Co-Operation 8

12 Terms of Reference 10

13 Achievements of the Boards Terms of Reference

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14 Governance Arrangements 12

15 Conduct of meetings 13

16 Monitoring Board attendance 13

17 Confidentiality 13

18 Information Sharing between Board Members and Agencies

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Appendix A

Current SAB Membership 15

Appendix B

Memorandum of Understanding 17

Appendix C

Terms of reference Improving Practice and Performance Sub Group

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Appendix D

Terms of reference Joint Workforce Learning and Development

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Appendix E

Terms of reference Joint Case Review Panel

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Appendix F

Terms of reference Sexual Exploitation Joint Sub Group

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Document Control:

Version number Date Approved by

1 March 2015 A Tombs

2 December 2015 A Tombs

4 May 2016 A Tombs

Revision History:

3 March 2016 K Pentleton

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1. Title

The Board shall be known as the North Tyneside Safeguarding Adults Board, hereafter the NTSAB or the Board.

2. Introduction

The Care Act 2014 brings a statutory requirement for each local authority to set up a Safeguarding Adults Board (SAB). The main objective of a SAB is to assure itself that local safeguarding arrangements are in place and that partners act to help and protect adults in its area who meet the criteria under section 14.2 of the act. This is defined as a person who:

has needs for care and support(whether or not the authority is meeting any of those needs),

is experiencing, or at risk of, abuse or neglect, and

as a result of those needs is unable to protect himself or herself against the

abuse or neglect or the risk of it.

3. Core duties

The Board has three core duties under the Care Act 2014:

It must publish a Strategic Plan for each financial year that sets out how it will

meet its main objectives and what the members will do to achieve this.

It must publish an Annual Report detailing what the SAB has done during the

year to achieve its main objectives and implement its strategic plan.

It must conduct any Safeguarding Adults Reviews (SARs) in accordance

with Section 44 of the Care Act 2014.

4. Principles

The Care Act 2014 sets out six key principles which underpin all adult safeguarding work. These are:

Empowerment – People being supported and encouraged to make their own decisions and informed consent.

Prevention – It is better to take action before harm occurs.

Proportionality – The least intrusive response appropriate to the risk presented.

Protection – Support and representation for those in greatest need.

Partnership – Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse.

Accountability- Accountability and transparency in delivering Safeguarding

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5. Purpose

The SAB has a strategic role that is greater than the sum of the operational duties of the core partners. It will oversee and lead adult safeguarding across the locality and will be interested in a range of matters that contribute to the prevention of abuse and neglect. These will include the safety of patients in local health services, quality of local care and support services.

6. Board Membership

The Board shall be composed of senior officers nominated by each member agency.

Each partner shall designate particular named people as their NTSAB member to ensure consistency and continuity of membership of NTSAB. Members representing individual agencies must have sufficient delegated authority to effectively represent their agency and to make decisions on their agency's behalf. A named deputy may attend in lieu of the nominated representative in the event that the nominated representative is unable to attend any particular meeting. When attending a meeting in such circumstances, the deputy shall be entitled to take part fully in the meeting with the right to speak and vote. The Chair of the NTSAB may consider escalating this within an agency if the nominated representative for that agency does not attend a Board meeting on 3 consecutive occasions. In accordance with The Care Act 2014, the following agencies and organisations must be represented on the Board:

North Tyneside Council

Northumbria Police

North Tyneside Clinical Commissioning Group

The Board will also seek membership from a range of other local organisations, including:

NHS (operational and commissioning)

Healthwatch

Independent and private sector

Voluntary sector

Northumbria CRC and National Probation Trust

Fire and Ambulance Services

See Appendix A for Current Membership

Individual Board members will be required to sign a Memorandum of Understanding see Appendix B

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North Tyneside SAB Members

North Tyneside

Adult Social Care

Clinical Commissioning Group (CCG)/ NHS England

Northumbria Healthcare NHS

Trust

Northumbria Police

Safeguarding Dept

Local Safeguarding Childrens Board

(LSCB)

Local Authority Cabinet Member

Northumberland Tyne and Wear NHS

(NTW) North Tyneside Homes (NTH)

North East Ambulance Service

North Tyneside Carers

Representative

Community & Voluntary Sector

(CVS)

Tyne and Wear

Fire Service

Care Quality Commission

Northumbria Community

Rehabilitation Company

National Probation Trust (NPT)

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7. Chair of the Board

The chair of NTSAB will be an independent person with the required skills and experience who will be responsible for ensuring the Board works effectively and independently. The Independent Chair’s job description must be agreed with the North Tyneside Council on appointment and the post holder must be subject to at least annual performance review.

8. Representatives Knowledge and Level of Authority Members of the NTSAB will have a strategic role within their agency in relation to safeguarding and promoting the health and wellbeing of adults at risk. They must have the seniority and experience within their agency to enable them to speak for their agency with authority, commit their agency on matters of NTSAB policy and practice, and hold their agency to account. It is understood that some matters may require action by the Chief Executive of their agency. It is the expectation that all NTSAB members will have the authority to:

Be accountable to the Board on behalf of their organisation.

Ensure arrangements for safeguarding and promoting the wellbeing of adults at risk are working effectively to bring about good outcomes, in accordance with the Care Act (2014) and Care and Support Statutory Guidance (2014).

Commit resources of their organisation to a policy or course of action. Contributions of member agencies could be in form of in kind support such as dedicated staff support to training events or staff time to attend NTSAB events and meetings.

Agree their organisations contribution to the NTSAB’s annual budget.

Ensure commitment of staff and resources to ensure the effective function of the Board.

Implement changes to practice within their organisation.

Ensure effective response to strategic and policy recommendations within their organisation.

Contribute to and work towards an effective partnership to safeguard, and promote the wellbeing of adults at risk.

All representatives must demonstrate an understanding of:

Safeguarding adults at risk and the promotion of the well being of adults at risk.

Equality of opportunity, and combating discrimination.

Seeking out and listening to the views of adults at risk.

The principles of the Human Rights Act and the Mental Capacity Act, Equality Act 2010.

The principles of multi- disciplinary working across the statutory, independent sector and voluntary sectors.

Promoting awareness of safeguarding adults issues across the community and within their own organisation or department.

Seek out the views of the organisation they represent and ensure these are shared with the Board.

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Working in partnership with adults at risk, carers and communities.

Working on the basis of research and evidence based practice. Members must:

Be familiar with key legislation and national and local guidance regarding safeguarding adults.

Maintain an awareness of new developments in legislation, guidance and research.

Have a broad understanding of multi-agency safeguarding adult practice.

Have a detailed understanding of safeguarding adult practice within their organisation/department.

Ensure representation if not available to attend.

9. Board members’ roles and responsibilities.

Members should have the authority to speak on behalf of their organisation to represent its views and various duties and have a responsibility to contribute positively to the work of the Board

The NTSAB member will be expected to attend the quarterly meetings and any relevant subgroups of the Board and if unable to attend will identify a suitably senior deputy with decision making capacity

It will be the responsibility of each member to cascade relevant information from the Board within their agency/organisation and to provide feedback from their agency with regard to organisational safeguarding activity to the Board.

Members will ensure that any issue requiring consideration by the Safeguarding Adults Review Committee subgroup will be brought to the attention of the NTSAB Chair within one month. (As per North of Tyne Safeguarding Adults Review Policy and Procedure 2015) Please see web link for more details http://www.northtyneside.gov.uk/browse-display.shtml?p_ID=533408&p_subjectCategory=421

In the event of a member no longer representing their agency, reasonable notice should be given to the Chair and a replacement identified by that agency.

Members will agree to develop their knowledge and understanding of safeguarding in order to keep up to date and to share this expertise within the Board and their own organisations

Members will ensure that findings from Safeguarding Adults Reviews and lessons Learned are appropriately cascaded through their organisations

10. Roles of Sub Group Members

Members of sub groups must commit to attending meetings and contributing fully to the working of the sub group.

Where possible to ensure a deputy can attend if the representative is unavailable for a meeting

To work with other Sub Group members to complete the actions identified by the SAB Annual Plan

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For each agency to agree the commitment they are able to offer to each sub group. Where this involvement changes that agency must inform the SAB and agree future support and involvement levels.

11. Duty of Cooperation

Members of the NTSAB cooperate with each other in the exercise of the Board’s functions to achieve its vision and priorities. Section 6(1) of the Care Act (2014) states:

A local authority must co-operate with each of its relevant partners, and each relevant partner must co-operate with the authority, in the exercise of—

(a)their respective functions relating to adults with needs for care and support,

(b)their respective functions relating to carers, and

(c)functions of theirs the exercise of which is relevant to functions referred to in paragraph (a) or (b).

This specifically includes cooperating to fulfil the following duties: (d) protecting adults with needs for care and support who are experiencing, or are at risk of, abuse or neglect, and

(e) identifying lessons to be learned from cases where adults with needs for care and support have experienced serious abuse or neglect and applying those lessons to future cases.

(Section 6 (6), Care Act 2014)

The Care Act (2014) defines “relevant partners” as:

NHS bodies (NHS Commissioning Board, CCG and NHS Foundation Trusts/Trusts)

Police

Probation Services

Department for Work and Pensions Section 7 of the Care Act (2014) goes on to state:

(1) Where a local authority requests the co-operation of a relevant partner, or of a local authority which is not one of its relevant partners, in the exercise of a function under this Part in the case of an individual with needs for care and support or in the case of a carer, a carer of a child or a young carer, the partner or authority must comply with the request unless it considers that doing so—

(a)would be incompatible with its own duties, or

(b)would otherwise have an adverse effect on the exercise of its functions.

(2)Where a relevant partner of a local authority, or a local authority which is not one of its relevant partners, requests the co-operation of the local authority in its exercise of a function in the case of an individual with needs for care and support or in the case of a carer, a carer of a child or a young carer, the local authority must comply with the request unless it considers that doing so—

(a)would be incompatible with its own duties, or

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(b)would otherwise have an adverse effect on the exercise of its functions.

(3)A person who decides not to comply with a request under subsection (1) or (2) must give the person who made the request written reasons for the decision.

With respect to this duty of cooperation, all members will be required to:

Make every effort to attend and fully participate at NSAB meetings or send a nominated deputy.

Actively participate in the work of NSAB.

Be prepared to chair a committee or working group (this arrangement will only be done with agreement of the Board member and their organisation).

Ensure representation and commitment from their organisation on committees, working groups and task groups established by NSAB and their associated action plans. This includes ensuring that representatives attend sub-committee or working group meetings and contribute appropriately to multi-agency action plans.

Take responsibility for ensuring that any actions agreed by the NSAB are effectively carried out within their organisation, including recommendations of Safeguarding Adults Reviews and other types of case review.

Contribute to Safeguarding Adults Reviews and other types of case review.

Respect the confidentiality of any information obtained as a result of their involvement on the NSAB save to the extent that disclosure of the information is necessary in order to discharge their role as a representative.

Negotiate with their organisation to ensure that they have sufficient time and support to fulfill their responsibilities.

Chief Executives and senior managers in all organisations will take the necessary steps to ensure that their responsibilities under the Care Act (2014) and associated statutory guidance are carried out. Each board member organisation will set out their organisation responsibilities and a clear line of accountability, including delegated functions, for safeguarding adults at risk. North Tyneside Council will take the lead for the effective working of the North

Tyneside Safeguarding Adults Board (NSAB). It will provide:

Legal advice to NSAB although individual agencies will reserve the right to seek legal advice provided to their organisation.

Officer support to NSAB to ensure its effective development and

Coordination (provided by the Safeguarding Adults Unit). All Board members are required to declare any conflicts of interest on an annual basis and any specific conflicts of interests related to particular agenda items at the start of each NSAB meeting. Each partner agency and all contracted providers of the local authority are required to keep records of any safeguarding concerns and to discuss these concerns with the Local Authority to ensure multi-agency decision making.

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In addition to the core duties, the other functions of the NSAB are to:

identify the role, responsibility, authority and accountability with regard to the action each agency and professional group should take to ensure the protection of adults;

establish ways of analysing and interrogating data on safeguarding notifications that increase the NSAB’s understanding of prevalence of abuse and neglect locally that builds up a picture over time;

hold partners to account and gain assurance of the effectiveness of its arrangements;

determine and implement arrangements for peer review and self-audit;

communicate the need to safeguard adults at risk, raising awareness of how this can be done and encouraging people to do so;

develop policies and strategies for protecting adults;

develop preventative strategies that aim to reduce instances of abuse and neglect;

identify types of circumstances giving grounds for concern and when they should be considered as a referral to the local authority as an enquiry;

formulate guidance about the arrangements for managing adult safeguarding, and dealing with complaints, grievances and professional and administrative malpractice in relation to safeguarding adults;

develop strategies to deal with the impact of issues of race, ethnicity, religion, gender and gender orientation, sexual orientation, age, disadvantage and disability on abuse and neglect;

provide advice on guidance on balancing the requirements of confidentiality with the consideration that, to protect adults, it may be necessary to share information on a ‘need-to-know basis’;

identify mechanisms for monitoring and reviewing the implementation and impact of policy and training;

evidence how SAB members have challenged one another and held other Boards to account. For example: North Tyneside Safeguarding Children Board, Health and Well Being Board.

promote multi-agency training and consider any specialist training that may be required. Work collaboratively to identify opportunities to jointly commission training with other partnerships, such as the Community Safety Partnership.

12. Terms of reference

The NTSAB is the strategic multi-agency lead body in North Tyneside for the protection of vulnerable adults. The Board will hold partner agencies to account through scrutiny and governance using the strategic plan and annual action plans. The NTSAB will have lead responsibility for:

Ensuring current safeguarding adults arrangements across the agencies are fit for purpose.

Overseeing the development and publishing of core multi-agency policies, guidelines and protocols for the safeguarding of vulnerable adults in North Tyneside, initiating reviews as required; and ensuring all agencies have local guidelines.

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Communicating and publishing relevant information to ensure all agencies, service users, carers and the general public are informed about issues and best practice.

Scrutinising the incidence of abuse of vulnerable adults in North Tyneside and initiating review of cases where appropriate

Ensuring a competent local workforce; paid or volunteer through the provision of relevant training and workforce development.

Ensuring stakeholder views are included in the development of safeguarding services and commissioning arrangements, with particular reference to vulnerable people and their families.

A strategic business plan which sets out key actions which will help secure the safety and well-being of vulnerable adults in North Tyneside.

Producing an annual report on the strategic business plan, including outcomes and future actions.

13. Achievement of Board’s terms of reference

The Board’s terms of reference will be achieved through ensuring the following functions are in place:

Robust local Multi-Agency Policies and Procedures for Safeguarding Adults, and for Mental Capacity Act and Deprivation of Liberty Safeguards in accordance with statutory requirements and local joint working arrangements.

Safeguarding is integrated into all agencies working arrangements

Single and multi-agency training is provided on safeguarding and promoting welfare and that this meets the required standards and is appropriate to the needs of relevant staff. The SAB will receive assurance of this.

SARs will be undertaken where a vulnerable adult has died or has been seriously harmed in circumstances where abuse or neglect is known or suspected, in accordance with the agreed Board Procedure for Review of Serious Safeguarding Adults Cases.

Consideration will be given to other statutory reviews e.g. Domestic Homicide Review, Serious Case Review. Decisions will be made regarding the most appropriate process to follow on a case by case basis

Advising on lessons that can be learned, in accordance with the agreed Board Procedure for Review of Serious Safeguarding Adults Cases.

Safeguarding Adult Reviews (SARs) are appropriately resourced, co-ordinated and supported.

Performance management systems record and indicate the potential for vulnerability and intervention.

Audit and self-assessments are carried out.

There is comprehensive accessible public information and advice about keeping safe and what constitutes abuse of vulnerable adults/children.

There is a process in place that ensures vulnerable adults/children, carers and families are consulted with and their views are taken into account.

Safe Recruitment processes are in place across partnership organisations.

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14. Governance Arrangements

The Safeguarding Adults Board will present its annual report to the Health and Well Being Board and work in partnership with other bodies, including the Community Safety Partnership, the Safeguarding Children’s Board and the Overview and Scrutiny Committee.

The Board will form a view of the quality of safeguarding in the North Tyneside, challenge organisations when necessary and have an independent voice.

In order to provide effective scrutiny, the SAB is independent. It is not subordinate to, nor subsumed within, other local structures. Each partner organisation retains their own existing lines of accountability for safeguarding and promoting the welfare of vulnerable adults and children by their services.

The responsibility of the Board is to co-ordinate and challenge local organisations’ safeguarding work. It is not accountable for operational work.

North Tyneside Health and Well Being Board is one of the critical checks and balances to hold SABs to account. The SAB and the Independent Chair are accountable and subject to the Council’s arrangements for proper scrutiny of their performance.

Elected Members, through their membership of governance bodies such as the Cabinet or Overview & Scrutiny Committee, hold the Local Authority and its officers to account for their contribution to the effective functioning of the Boards. North Tyneside Overview and Scrutiny Committee may request advice and information from the Independent Chair and/or Board as it sees fit.

North Tyneside Strategic Partnership

Health and

Wellbeing Board

Safer North Tyneside

Partnership

Executive Safeguarding Adults Board

Improving Practice & Performance Sub Group

Workforce, Learning & Development Sub Group

Safeguarding Adult Review Committee

Joint Policy Sub Group

Joint Sexual Exploitation

Sub Group

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15. Conduct of meetings Wherever possible the chair shall attempt to reach decisions by consensus. However, where this proves not to be possible then matters will be settled by a simple majority of those members present who are entitled to vote.

No organisation shall exercise more than one vote and in the case of equity of votes the Independent Chair shall have the casting vote.

The Chair (or, in the absence of the Chair, the Vice Chair), in consultation with 4 separate agencies, shall decide any issue which requires a decision by the Boards between meetings if it does not, in the opinion of the Chair, require a special meeting to be convened. The decision will be reported and submitted for ratification to the next meeting of the Boards.

The Board may delegate such of its functions as it considers appropriate to sub-groups and/or task specific working groups. NTSAB will meet not less than quarterly. The Chair may call an extraordinary meeting of NTSAB at any time. Any other member of NTSAB may request an extraordinary meeting of NSAB by submitting a written request to the Chair. An extraordinary meeting will be held within 14 days of the request being received or as soon as possible thereafter. In event, that neither the Chair nor the Vice Chair is able to be present at any meeting; the chair or vice chair may decide that the meeting will proceed in their absence. In such circumstances a substitute, with the agreement of the majority of voting members, maybe appointed to Chair that meeting. A quorum of NTSAB will be constituted by the Chair or Vice Chair and a minimum of five members representing four member organisations.

16. Monitoring of Board attendance

Attendance at meetings will be reported to the Board and recorded both in the minutes of the meeting and in the Board’s Annual Report. In the event of one member’s persistent non-attendance, the Independent Chair will write to Chief Executive of the organisation concerned to bring this to their attention.

17. Confidentiality All agenda, minutes and other documentation shall be treated as confidential and can only be shared with the agreement of the Independent Chair. Board members shall keep confidential any information obtained as a result of inter-agency co-operation save to the extent that disclosure of the information is necessary in order to discharge the functions of the Board.

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18. Information sharing between board members and agencies

The NTSAB has an Information Sharing Agreement which can be accessed at http://www.northtyneside.gov.uk/browse-display.shtml?p_ID=533408&p_subjectCategory=421 In order to carry out its functions, the NSAB will need access to information that a wide number of people or other organisations may hold. The Care and Support Statutory Guidance (2014) states that: “a Safeguarding Adults Board (SAB) may request a person to supply information to it or another person. The person who receives the request must provide the information to the SAB if:

The request is made in order to enable or assist the SAB to do its job;

The request is made of a person who is likely to have relevant information; AND THEN EITHER a) The information requested relates to the person to whom the request is

made and their functions or activities; OR b) The information requested has already been supplied to another person

subject to an SAB request for information. NSAB members shall keep confidential any information obtained as a result of the inter-agency cooperation, except the disclosure of information that is necessary in order to demonstrate the functions of the NSAB and that may be requested under the Freedom of Information Act. NSAB records will be kept in accordance with local authority requirements. These records will be made available to partner organisations’ on written request to the Chair of the Board. Records of meetings/activities undertaken on behalf of NSAB will be kept securely by all partner agencies and retained according to their organisation retention timescales.

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Appendix A Current Membership

Executive Member

Address Signature

Pat Robinson Independent Chair

Adults.safeguarding@northtyneside.gov.uk

Jacqui Old Head of Adult Social Care North Tyneside Council

Adult Social Care North Tyneside Council Quadrant West Cobalt Business Park NE27 0BY

Lesley Young-Murphy Executive Director of Nursing and Transformation North of Tyne CCG Deputy Adrian Dracup

12 Hedley Court Orion Business Park North Shields NE29 7ST

Debbie Reape Northumbria Healthcare Deputy Jane Abbott Northumbria Healthcare

NTGH, Rake Lane, North Shields Tyne and Wear, NE29 8NH

Jane Carlile NTW

Northumberland, Tyne and Wear NHS Foundation Trust, St Nicholas Hospital Jubilee Road, Gosforth Newcastle upon Tyne, NE3 3XT

Safeguarding Operations Manager Children’s Services

Floor 3, Quadrant West Cobalt Business Park North Tyneside, NE27 0BY

Councillor Allison Waggott-Fairley Lead Cabinet Member

Alison.waggott-fairley@northtyneside.gov.uk

Councillor Margaret Hall Chair Health and Wellbeing Board

Margaret.hall@northtyneside.gov.uk

Roy Marston Housing

North Tyneside Homes Quadrant West Cobalt Business Park, NE27 0BY

Lisa Orchard Northumbria Police Deputy Jackie Coleman Northumbria Police

North Tyneside Area Command HQ, Middle Engine Lane, Wallsend Tyne and Wear, NE28 9NT

Liz Kelly Head of Offender Management (North Tyneside) / Public

Northumbria CRC, Lifton House, Eslington Road, Jesmond, Newcastle Upon Tyne, NE2 4SP.

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Protection Deputy Natalie Caush

Voluntary Sector Representative Ellen Vick New Prospects

38 South Parade, Whitley Bay, Tyne and Wear, NE26 2RQ

Voluntary Sector Representative Deputy Ian McKee Manager North Tyneside Coalition of Disabled People

North Tyneside Coalition of Disabled People NTGH, Rake Lane, North Shields, Tyne and Wear,NE29 8NH

Claire Easton Manager North Tyneside Carers Centre

YMCA Building North Shields

Alison Tombs Senior Manager Safeguarding and Quality

Adult Social Care North Tyneside Council Quadrant West, Cobalt Business Park

NE27 0BY

Independent Sector representative

Stephen Blades GP Lead

CCG

Associate Members

Beverley Bowe Chair Improving Practice and Performance Sub Group

Adult Social Care North Tyneside Council Quadrant West, Cobalt Business Park

NE27 0BY

Vida Morris Deputy Director of Clinical Governance

Clinical Governance, St Nicholas House St Nicholas Hospital, Jubilee Road, Gosforth, Newcastle Upon Tyne NE3 3XT

Emma Adamson Training and Workforce Development

Adult Social Care North Tyneside Council Quadrant West, Cobalt Business Park

NE27 0BY

Louise Watson Legal Services

Legal Services, North Tyneside Council, Quadrant East, Cobalt Business Park, NE27 0BY

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Appendix B

Memorandum of Understanding

All Board members from each and every partner agency to the NTSAB will work to, and have the following roles and responsibilities in terms of contributing towards the work of the Board and safeguarding adults across the partnership: SAB Members Agreement Name of Individual __________________________________________ Employed by _______________________________________________ Role ______________________________________________________ As a member of The Board I agree:

To carry out a strategic role in relation to safeguarding and promoting the independence, wellbeing and safety of vulnerable adults

That I have the authority to speak on behalf of my organization to represent its views and various duties

That I am able to refer back to my organization to account on all matters relating to safeguarding vulnerable adults and to recommend ways to implement necessary changes within my organization.

That I can request my organization to deploy resources to support safeguarding adults work when ever financial restrictions do not impede:

o By the allocation of financial or human resources to directly support the

achievement of the partnership business plan o By the internal allocation of resources to ensure that vulnerable adults

safety and wellbeing is promoted within the services provided by my organization.

To develop knowledge and understanding of what is an emerging field of work in order to keep up to date. Share this within the Board and my own organization.

As a member of The Board I will contribute to its effective functioning by:

Prioritising attendance at meetings

Ensuring that staff and volunteers within my organisation are kept fully informed of the partnerships work and that their views are fed into the partnership.

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Where the representative is feeding a collective view, to ensure information is shared and disseminated as widely as possible, and then views are presented back to the Board

Represent the interests of vulnerable adults and safeguarding on other committees that I am a member of.

Contributing to the work of the Sub Groups by identifying and mandating appropriate delegates from my own organisation and ensuring they keep me informed as appropriate.

Ensure that my organisation is appropriately represented on any Working Groups

Contribute to The Local Safeguarding Adults Board Annual Report In return I can expect

To be kept informed of relevant national developments

A current Safeguarding Adults Working Guide

To influence a positive interagency process

Advice & guidance from peers

Consultation on difficult issues or cases. Members of the Each Member of North Tyneside Safeguarding Adults Board who sign this agreement are committing themselves and their organisation to contribute to the effective working of all services which they provide or commission and impact on the wellbeing and safety of vulnerable adults.

Signed Organisation Date Appendix C

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“Safeguarding vulnerable adults is every one’s business” Governance Arrangements

Subgroup members work to terms of reference agreed by the Board that set out their purpose, role function, membership and governance arrangements. All sub-groups will report to the NTSAB on a quarterly basis, in written report format and by attendance at Board Meetings. Chair: Beverley Bowe Meeting Frequency: Bi-monthly Core Membership: North Tyneside Council – Safeguarding - Beverley Bowe/Andrea Robson North Tyneside Council – Policy, Performance and Research – Kirsty Parsons/Bev Harris North Tyneside Council - Adult Social Care – Polly Heslop/Paul Squires North Tyneside Council – People Based Commissioning – Susan Meins/ Jemma Hurrell North Tyneside Council – MCA and DOL’s – Catherine McGlade North Tyneside Homes – Shaun Creaby/Janine Charlton Northumbria NHS Foundation Trust - Heather Carmichael/Jane Abbott North Tyneside CCG - Teresa Davis/Adrian Dracup NTW NHS Foundation Trust - Sheona Duffy Northumbria Police - Donna Rose/ Jackie Coleman Northumbria Community Rehabilitation Company - Natalie Caush Voluntary Sector - Debbie Walker/ Louise Coltman Healthwatch North Tyneside – Jenny McAteer Role and Function To realise and inform the strategic direction and business plan set by NTSAB executives by ensuring that effective and accountable safeguarding systems operate across the North Tyneside Safeguarding Adults Partnership. Governance Subgroup members work to terms of reference agreed by the Board that set out their purpose, role, function, membership and governance arrangements. All Sub Groups will report quarterly to the NTSAB in written report format and by attending Board meetings. The work of the IPP Group will broadly fall under three key areas:

North Tyneside Safeguarding Adults Board Improving Practice and Performance Sub-Group

Terms of Reference

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1. Develop Frameworks To Underpin Safe and Improved Practice

Delivering and monitoring the outcomes and actions relevant for this group as identified in the Quality Assurance Framework

Promoting effective inter-agency practice through establishing policies, protocols and standards in respect of all key areas of safeguarding work

Developing tools to assist managers and practitioners to assess risk to individuals and organisations

Ensuring dissemination of emerging frameworks across all partner agencies

Ensuring close working relationships are developed and maintained across all partner agencies

Making recommendations to NTSAB about improvements to frameworks which underpin safe practice and are in line with national legislation

Ensuring NTSAB and partner agencies are compliant against national legislation

Ensuring service user/carer feedback is utilised to inform improved practice

Developing & Embedding quality assurance processes in all key agencies to enable the effective monitoring and scrutiny of safeguarding activity and the provision of quality assurance

Embedding safe and effective practice in commissioned services 2. Sharing Learning to Inform Best Practice Developing mechanisms to enable the sharing of good practice

Considering recommendations from national reviews

Ensuring that action plans from SCR’s are implemented and embedded into practice

Identifying opportunities for learning from LSCB

Identifying opportunities for cross sector working/learning

Reviewing and updating existing information sharing protocols

Producing an annual report of current practice issues for inter-agency working to inform the priorities and key actions for the NTSAB Annual Business Plan

Working collaboratively in the interests of improved safeguarding

3. Performance

Monitoring the identified actions from the NTSAB QAF and ensuring successful implementation of those actions

Ensuring systems and processes are in place across the partnership to effectively capture relevant data

Monitoring performance on safeguarding activity, analyse safeguarding data and report findings back to the NTSAB

Providing regular performance updates to the NTSAB to support the delivery of the annual business plan

Benchmarking performance in North Tyneside against neighbouring local authorities to identify best practice

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Appendix D

Northumberland and North Tyneside Safeguarding Adults Board

Joint Workforce Learning and Development Sub-Group

Terms of Reference

Governance Arrangements To ensure that effective multi-agency training is in place across the Borough, including training for those who directly work with, or come into contact with vulnerable adults. The Learning and Development Sub Group is directly accountable to the North Tyneside Safeguarding Adults Board (NTSAB) and Northumberland SAB (NSAB). NTSAB Link: Lesley Spillard Chair: Emma Adamson Meeting Frequency: Bi-month Bi-Monthly Chair and Vice Chair will alternate between Emma Adamson and Tracey Horseman, dependent upon the location of the meeting. Membership: Learning and Development Representatives (Northumbria and North Tyneside) Strategic Safeguarding Lead (Northumberland County Council) Team Manager/Practitioner Representatives (Northumberland and North Tyneside) Northumberland Tyne and Wear Trust Independent Sector Representation Housing Representation North East Ambulance Northumbria Police Northumbria CRC Advocacy Services Children’s Services Purpose: The Training Sub Group is responsible for planning, implementing and evaluating the learning and development needs of practitioners within the individual lead organisations, and to include our stakeholder partners, all of whom work with adults at risk. This sub group will report directly to their respective Safeguarding Adult Board (SAB), in written format and by attending Board meetings.

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Role and Function: To inform the strategic direction and annual/business plan set by the individual SABs by delivering and implementing a strategic approach to learning and development activities that supports partner agencies in raising the skills and competencies of staff and volunteers as appropriate. Specifically:

To assist the individual SABs in the ongoing development of the safeguarding

adults training and development strategy.

To develop and implement the safeguarding adults training and development plan.

To evaluate the effectiveness of the safeguarding adults learning and development training with regard to the transfer of learning into practice.

To quality assure delivery of safeguarding adults training and ensure that learning outcomes are clear and regularly evaluated, within a Quality Assurance framework and specific timeframe

To commission training as and when required, which may be requested by a specific service area or following lessons learned from any serious case reviews, both nationally and locally.

To identify future workforce learning and development opportunities that will support the safeguarding adults agenda as identified by the individual SABs

Contribute to the development of the wider local workforce mapping and ensure partner organisations develop workforce development plans that include knowledge and skill levels for Safeguarding Adults including standardisation of training programmes across partner organisations.

To establish and maintain links with safeguarding adults training and trainers throughout the North East region in order to share good practice.

To maintain close links with the all other safeguarding sub groups, to effectively communicate any recommendations and incorporate these into the workforce learning and development plan.

To promote the adoption of the National Competence Framework across our partner agencies.

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Current Membership

Post Current Representatives Initials

Chair North Tyneside Adult Social Care Training Lead Deputy Northumberland Adult Social Care Training Lead

Emma Adamson Tracey Horseman

EA

TH

SAB Link

Lesley Spillard LS

Northumbria Healthcare Pat Amis

PA

North Tyneside CCG Adrian Dracup

AD

Northumbria Healthcare Leigh Waller

LW

North Tyneside Council Training

Anne Marie Chesterfield AMC

Newcastle Adult Social Care Training Lead

James Steward

JS

NTW NHS Trust

Philip Battista

PB

Children’s Services Training Lead

Barbara Morris BM

North Tyneside Council Business Development

Janine Charlton JC

North Tyneside LA Safeguarding Adults Team

Julie Smiles JS

Voluntary Sector Rep and Training associate

Marie Watts Percy Hedley

MW

North Tyneside Council Adult Social Care

Judith Harvey JH

Northumbria Police

Debbie Laviers DL

Northumberland Adult Social Care

Anne Lambert AL

SAB Link

Anna English AE

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Appendix E

North Tyneside Safeguarding Adults Board Safeguarding Adult Review Committee

Sub-Group Terms of Reference

1. Background The North Tyneside Safeguarding Adults Board and the Northumberland Safeguarding Adults Board are successful multi-agency Boards set up to safeguard adults at risk. Both Boards have a number of sub groups looking at specific areas of safeguarding practice, including groups dedicated to carrying out Serious Case Reviews and learning from significant case studies and case reviews carried out elsewhere. The Boards and sub groups meet several times per year and all recognise that some partner agencies attend both sets of meetings, often covering the same or very similar material. The decision was therefore made by both executive Boards to begin a phased process of amalgamation of specific work streams in order to maximise efficiency and reduce the burden of meeting attendance on partner agencies. To begin the process it was felt that amalgamating the two Serious Case Review sub groups was a good place to start given the considerable overlap and duplication of action involved in this particular area. Both groups consider the same national case reviews and research and both share the findings from local reviews and studies. The action plans arising from these studies invariably identify the same outcomes and recommendations with only slight variations to achieve local implementation. As well as supporting closer working and avoiding duplication a single group comprising of like professionals from other authorities will also offer a higher level of independence, scrutiny and challenge. To help support the journey toward amalgamation the two Safeguarding Adult Boards have already adopted the same local Policy and Procedure document, which includes a specific workbook on the completion of Serious Case Reviews. 2. Safeguarding Adult Review Committee The former Serious Case Review Sub Groups were responsible for implementing the Association of Directors of Adult Social Services guidance in respect of Serious Case Reviews as commissioned by the Chairs of the Boards. The new Panel will continue to be responsible for utilising this extensive workbook of information as well as local procedural guidance created to assist progress and steer this important work. Since their inception some years ago it has become clear however that the sub groups should learn from significant case studies and national research as well as Serious Case Reviews. In her review of child protection Professor Eileen Munro

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confirmed the need to learn from ‘near misses’ as well as from tragedies. For this reason the North Tyneside sub group meets regularly to discuss national reviews and research not only to consider the need for or completion of a local serious case review. Both Safeguarding Adult Boards recognise that a more proactive approach is beneficial and this has led to a change of name and focus for the new combined sub group, one that better reflects its wider brief and broader membership. The new Safeguarding Adult Review Committee and its core members will now be responsible for:

Receiving and considering referrals of new cases against the Serious Case Review criteria and make recommendations to the Chairs of the North Tyneside Safeguarding Adults Board and Northumberland Safeguarding Adults Board.

Receiving draft overview reports and discussing any suggested amendments;

Members of the Panel will be required to facilitate the compilation of single agency/individual management reports for their respective agency;

Presenting executive briefings and summary reports to the Panel and the Boards, together with any recommendations and action plans;

Ensuring that any lessons learnt from Serious Case Reviews, significant case studies and research are clearly understood and acted on;

Monitoring the implementation of recommendations from Serious Case Reviews and other reviews and reports within their agency;

Ensuring that lessons learnt from any national reviews are included in the implementation of any local reviews;

Working with other sub-groups as appropriate to ensure that recommendations and lessons learnt from national and local reviews are implemented, ensuring that changes can be evidenced;

Working with communications teams via the local authorities leads in relation to cases which may attract media attention or where extra communication methods are required. Also link with significant others when required, e.g. the coroners.

Considering the need for exploration of the issues via other processes such as e.g. Individual Management Reports, Root Cause Analysis and Serious Untoward Incidents, and examining the findings and implementing and monitoring learning in the same robust manner as if achieved via a Serious Case Review.

Members will be proactive in bringing to the attention of the Chair any relevant cases or studies and producing briefings or summaries to facilitate exploration by the Panel and identify learning.

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3. Governance Arrangements Panel members will work to the terms of reference agreed by the Boards and setting out their purpose, role, function, membership and governance arrangements. Each member agency will formally identify its own governance arrangements for senior sign off and implementation of reviews and recommendations. The Chair or Deputy Chair of the Panel will report quarterly to the North Tyneside Safeguarding Adults Board and the Northumberland Safeguarding Adults Board in written report format and by attending Board meetings. 4. Membership 4.1 Core Membership

Agency Representative Post

Independent (Chair) Deputy Director of Clinical Governance, Northumberland, Tyne & Wear NHS Foundation Trust

Northumberland, Tyne & Wear NHS Foundation Trust

Safeguarding Adults Practitioner Lead (MAPPA)

Adult Social Care, North Tyneside Council

Head of Service, Adult Social Care Senior Manager for Safety and Quality

Adult Social Care, Northumberland County Council

Strategic Safeguarding Adults Manager

Legal Services, North Tyneside Council

Lawyer, Law and Governance

Legal Services, Northumberland County Council

Solicitor, Legal Governance and Commercial Services

Northumbria Healthcare NHS Foundation Trust

Operational Services Manager MCA/DOLS/MHA lead professional (Deputy)

North Tyneside Clinical Commissioning Group

GP Lead for Adult Safeguarding

Northumberland Clinical Commissioning Group

Head of Commissioning/Lead Nurse

Protecting Vulnerable People Unit, Northumbria Police

DCI DI (deputy)

Northumbria CRC Team Manager, North Shields and North Tyneside lead for Safeguarding Adults Team Manager, Northumberland (deputy)

Housing, North Tyneside Council Housing Options and Support Manager

Housing Services, Northumberland County Council

Principal Vulnerable Persons Housing Officer Housing Services Manager, Strategy and Policy (deputy)

Other members will be co-opted on to the Panel by the Chair where their agency or expertise is particularly relevant to a case or discussion. Core membership and Terms of Reference will be reviewed annually.

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4.2 Deputies To support continuity and quorate meetings deputies have been identified for each agency as well as a Vice Chair. Where the named representative cannot attend it is expected that his/her deputy will attend and the Vice Chair will deputise for the Chair. To be quorate the Chair or Vice Chair must be in attendance together with representatives from at least four member agencies, which will consist of two member agencies from North Tyneside and two member agencies from Northumberland. In exceptional circumstances where a quorum cannot be guaranteed the Chair will consider the efficacy of a virtual meeting where a swift decision is required. Legal and housing representatives have been identified from each local authority but it may not always be necessary for both to attend. A single representative from either authority could provide generic advice and information but when the need for a serious case review is being considered, representatives from the relevant authority must attend. 5. The Role of the Chair

Producing an agenda and maintaining a Forward Plan

Chairing Panel meetings or arranging for the Vice Chair to deputise

Arranging extraordinary meetings to consider urgent cases

Ensuring that Serious Case Reviews are carried out to a high standard and within agreed timescales

Ensuring notes from meetings are accurate and properly shared

Monitoring the progress of action plans and reviews

Producing and present quarterly reports to the Boards

Notifying the Care Quality Commission of any Serious Case Reviews and subsequent updates

Note: In cases where the Chair’s own agency has had significant involvement in a case that is to be the subject to a Serious Case Review, the Vice Chair will chair these case specific meetings to help maintain objectivity and impartiality. Where both the Chair and the Vice Chair’s agencies have significant involvement, someone independent may be brought in. 6. Meetings 6.1 Frequency Regular bi-monthly meetings will be held. Where urgent consideration of the need for an individual Serious Case Review is called for, and/or to see through the

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completion of such a review extraordinary meetings will be convened at the request of the Chair as and when required. 6.2 Agenda The agenda for the meetings will be distributed by email by the Chair to all members, or their administration, one week before the scheduled meeting. Items for inclusion on the agenda and papers to accompany agenda items must be received by the Chair for consideration at least two weeks before the next scheduled meeting. The Chair will maintain a Forward Plan to capture items for future meetings. 6.2 Administrative Support At the start of each financial year six meetings will be arranged by one of the two local authorities and this responsibility will alternate year on year. The host authority will provide administrative support for scheduling the meetings, securing venues, arranging refreshments, organising car parking, sending out invites and producing and distributing notes of each meeting following approval by the Chair. The Chair will provide his/her own administrative support for producing and distributing the agenda, maintaining the forward plan and producing quarterly reports for the Boards. 7. Confidentiality

All of the core members of the Panel are representatives from statutory agencies who are familiar with the Data Protection Act and with working with sensitive material. All members of the Panel will therefore ensure that strict confidentiality is maintained in relation to information concerning individual adults at risk. Serious Case Reviews and Individual Management Reviews will be anoymised using an agreed indexing system. Minutes of meetings will generally be accessible but where individuals are discussed their information will be anonymised or recorded in a separate, restricted section of the notes. Documents will be emailed using the GCSX system or other secure email addresses or where these are not available, sent by fax. All documentation will be securely stored by all Panel members in password protected electronic folders or lockable cabinets. Failure to share information is all too often identified in Serious Case Reviews as a factor in poor joint working contributing to an inability to adequately protect adults at risk. It is therefore imperative that Panel members be prepared to observe this clause, as supported by existing information sharing protocols, and share information as appropriate in the interests of transparency, accountability and the maximisation of learning opportunities. 8. Annual Plan

The Panel will produce its own Annual Plan designed to help deliver relevant aspects of the Boards Annual Plans, and account for its progress against the Plan bi-annually.

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Current Membership

Agency Post Current Representatives

Independent Group Nurse Director Inpatient Services / Deputy Nurse Director Patient Safety

Vida Morris (Chair

Northumberland, Tyne & Wear NHS Foundation Trust

Head of Safeguarding and Public Protection

Safeguarding Adults Practitioner Lead (MAPPA)

Jan Grey

Sheona Duffy (Deputy)

Adult Social Care, North Tyneside Council

Interim Senior Manager, Safety and Quality, Safeguarding Adults Team

Senior Social Worker, Adult Safeguarding

Alison Tombs

Kristy Regan (Deputy)

Adult Social Care, Northumberland County Council

Strategic Safeguarding Adults Manager

Operational Team Manager

Anna English

Liz Mulligan (Deputy)

Legal Services, North Tyneside Council

Legal Team Alison Freeman

Helen Coombs (Deputy)

Legal Services, Northumberland County Council

Solicitor, Legal Services, Northumberland County Council

Peter Tilson - Co-opted as appropriate for a case specific meeting

Northumbria Healthcare NHS Foundation Trust

Executive Director of Nursing or Deputy Director of Nursing

Operational Services Manager

Rosemary Stephenson or Debbie Reape

Simon Murray

North Tyneside Clinical Commissioning Group

GP Lead for Adult Safeguarding Dr Stephen Blades

Northumberland Clinical Commissioning Group

Head of Commissioning/Lead Nurse

Fiona Kane

North Tyneside Clinical Commissioning Group

North Tyneside Designated Safeguarding Adults Lead

Teresa Davis

Adrian Dracup (Deputy)

Northumbria Police Protecting Vulnerable People Unit DCI Jackie Coleman

DI John Douglas (Deputy)

Agency Post Current Representatives

Northumbria Community Rehabilitation Company

Team Manager, North Shields and North Tyneside lead for Safeguarding Adults, Northumbria Community Rehabilitation

Natalie Caush

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Company

Housing Services, North Tyneside Council

Community Safety and Housing Lindsey Horwood

Housing Services, Northumberland County Council

Housing Services Manager Julie Young

Tyne and Wear Fire and Rescue Service

Station Manager, Tynemouth and Wallsend Fire Stations

Andy Lillford

Northumberland Fire and Rescue Service

Co-opted as appropriate for a case specific meeting

North East Ambulance Service

Co-opted as appropriate for a case specific meeting

Secretary (Northumberland Tyne and Wear NHS Foundation Trust

Personal Assistant Tracey Green

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Appendix F

Sexual Exploitation Joint Sub Group

Terms of Reference The Sexual Exploitation Sub Group is a joint group between North Tyneside Safeguarding Children’s Board, North Tyneside Safeguarding Adults Board and North Tyneside Community Safety Partnership Strategic Overview The aspiration of the North Tyneside Boards is to develop a strategic overview of sexual exploitation supporting a proactive partnership where those at risk are identified and safeguarded, and offenders are disrupted and prosecuted. This will include both Child Sexual Exploitation and Sexual Exploitation of adults at risk of harm. The Joint Sub group will take a lead role in developing and over seeing the implementation of a strategic action plan to address sexual exploitation across North Tyneside In relation to sexual exploitation the Strategic Objectives of the Boards on the basis of a focus on victims, are:

Prepare –To provide strong leadership; common definition; effective systems whilst working together to safeguard children, young people and adults from sexual exploitation.

Prevent – To have a common understanding and approach to recognising and tackling sexual exploitation.

Protect – To have a planned immediate response to concerns or the first signs and indicators of sexual exploitation.

Pursue – To disrupt, arrest and prosecute offenders. Aims and Objectives The joint sub group will support the three boards to fulfil their statutory responsibility to monitor and evaluate the effectiveness of local arrangements to safeguard and protect children, adults at risk of harm and to prevent crime and disorder in relation to the prevalence and risk of sexual exploitation within North Tyneside. See also Appendix 1 Responsibility of LSCB, on page 5. The joint sub group will deliver on board priorities for

LSCB. These are:

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Priority 1: Improving our scrutiny, accountability, challenge and

communication to develop the effectiveness of the Board.

Priority 2: Preventing harm and the protection of vulnerable groups Priority 3: The views of children and young people are contributing to learning and best practice Priority 4: Learning and Improvement positively influences multi agency practice

SAB These are:

Priority 1: Empowerment – People being supported and encouraged to make their own decisions and informed consent.

Priority 2: Prevention – It is better to take action before harm occurs.

Priority 3: Proportionality – The least intrusive response appropriate to the risk presented.

Priority 4: Protection – Support and representation for those in greatest need.

Priority 5: Partnership – Local solutions through services working with their communities. Communities have a part to play in preventing, detecting and reporting neglect and abuse.

Priority 6: Accountability- Accountability and transparency in delivering Safeguarding

NTCSP These are:

Crime – we will make a difference by:

Safeguarding our most vulnerable residents

Tackling violent crime, sexual violence and domestic abuse, particularly that which is alcohol related

Tackling Hate crime Disorder – we will make a difference by:

Tackling anti-social behaviour

Tackling criminal damage and deliberate fires

Providing priority support to vulnerable and repeat victims and witnesses of anti-social behaviour

Offending – we will make a difference by:

Ensuring the right targeted interventions are in place to deter offenders

Ensuring young offenders have access to a range of services designed to assist them to reach their true potential

Community Concerns and Confidence – we will make a difference by:

Listening to our communities

Tackling problems that matter at a local level

Communicating progress and results to promote reassurance and confidence

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The aim is that the joint sub group will enhance the strategic connections across the three boards. It will achieve a free flow of information between operational practice and strategic planning to ensure these are both interlinked and effective. The joint sub group will understand the joint working arrangements in place operationally across North Tyneside. For example; MSET and Addresses Causing Concern Working Party. These operational groups will provide assurance and information to the Sub Group which will in turn provide assurance to the Boards regarding current practice. Key Priorities of the Joint Sub Group

To identify the prevalence of sexual exploitation in North Tyneside

To understand operational processes across all partner agencies

To assist the Boards to form a view as to the effectiveness of local arrangements regarding tackling sexual exploitation

To use data and performance information to identify any emerging patterns, trends and themes regarding sexual exploitation

To understand North Tyneside’s performance in the context of national and comparator outcomes

To monitor strategic risk and alert the Board to significant risk across the borough

To ensure all members of the partnership respond appropriately to identified issues

To identify and share good practice

To identify training needs and agree training priorities for the Boards and within partner agencies

Governance Arrangements The Sexual Exploitation Subgroup is responsible for developing and implementing the SE strategic action plan and will be accountable to North Tyneside Safeguarding Children Board, North Tyneside Safeguarding Adults Board and North Tyneside Community Safety Partnership. A quarterly report will go to the three partnerships. NTSCB will seek assurance that sufficient progress is being made in line with their statutory responsibilities to safeguard and promote the welfare of children and young people to include those at risk of sexual exploitation. Progress on responding to sexual exploitation will also be reported in both NTSCB and SAB Annual Reports. Membership and deputies

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Agency Named person Deputy

NTC Adult Social Care (Chair) SAB rep

Alison Tombs

Paula Shandran

NTC Community Safety NSP rep

Lindsey Ojomo Janine Charlton

LSCB rep

Sue Burns

NTC Children’s services Majella Talleck

Police Chief inspector for area command - Steve Reddy

Jackie Coleman

CCG Jan Hemingway

Northumbria Healthcare Helen Mcleve Sexual Health Service

Jane Abbott

GAP /Changing lives

Ian Fiddess Laura McIntyre

SCARPA

Robin Brown

Education Elaine Robson School Improvement Service

Training

Barbara Morris

Leisure

Tony Morrissey

Environment Housing and Leisure

Elaine Wright

Libraries

Yvonne Gorgon

Tyne Met College

Practical arrangements 1. The Joint sub group is chaired by Alison Tombs 2. The group will meet bi-monthly. 3. The chair of the group will provide one quarterly report which will be submitted to

the three boards. 4. The group will be quorate if there is a representative present from three different

statutory agencies. 5. The terms of reference for the group will be reviewed annually.