This year, the University of Sunderland is kindly providing its London base as a venue.
Please note that agenda is currently being developed and is subject to change. However, in order to allow you to confidently book your travel in advance, the start and finish times will not change.
10.00 – Registration and refreshments
10.30 – AGM
Members will be asked to accept the annual report and elect people to (or stand for election to) NAAN‘s board of trustees.
11.15 – Open Space
Your most important appropriate adult issues are guaranteed to be on the agenda – because you define the agenda! Bring your challenges and bright ideas and share them with colleagues. Move freely between discussions when you’ve contributed or gained what you could.
12.45 – Networking Lunch
A sandwich buffet lunch and a chance to informally network with AA professionals
13.30 – Panel session: Working together to identify and support vulnerable suspects of all ages.
Recent changes to PACE Code C have placed greater emphasis on identifying vulnerabilities, both in adult and child suspects. What will this look like in practice? How can practitioners from different disciplines work together to ensure suspects get the support they need? We’re putting together a practice-focused panel to stimulate discussions about effective practice.
Panel members include:
- Sgt Chris Bentley (Custody Sergeant, West Yorkshire Police)
- Dr Isabel Clare (Consultant Clinical & Forensic Psychologist, University of Cambridge and former AA)
- David Tremlett (Senior Health Care Professional, UK Association of Forensic Nurses and Paramedics Steering Group Member, Member of The International Association of Forensic Nurses)
- Ivan Trethewey (NHS England Liaison and Diversion)
- Police station legal representative (invited)
- Grev Wallington (NAAN Effective Practice Manager and former AA scheme co-ordinator)
15:15 – Updates and wrap up
15.30 – Close
Dave Tremlett qualified as a Registered General Nurse in October 2001. After spending 2 years working in Elderly Medicine and the community setting he became a Custody Nurse in November 2003. Dave is now approaching his 16th year working in Police Custody and volunteers his time on the steering group for the United Kingdom Association of Forensic Nurses. He is also a member of the International Association of Forensic Nurses and likes to share his daily work on his twitter account @NurseCustody.
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This cross-government Victims Strategy sets out a criminal justice system-wide response to improving the support offered to victims of crime and incorporates actions from all criminal justice agencies, including the police, Criminal Prosecution Service and courts.
This strategy builds on the good progress the Government has made over the past few years to ensure victims have the right help in the aftermath of a crime and are properly supported in the process of seeing justice delivered.
The Government’s vision is for a justice system that supports even more victims to speak up by giving them the certainty that they will be understood, that they will be protected, and that they will be supported throughout their journey, regardless of their circumstances or background.
FFLM | Faculty of Forensic & Legal Medicine Consent from children and young people in police custody in England and Wales for medical examinations
The Faculty of Forensic and Legal Medicine have published guidance for clinicians working in forensic healthcare, specifically police custody, on the therapeutic and forensic considerations for children and young adults.
The legal position of children and young people under the age of 18 years (the legal upper limit of childhood) is different to that of those over 18 years. This legal difference applies to consent to, and refusal of, treatment and examination by child detainees, i.e. those under the age of 18 years. In this document, the terms ‘child’ and ‘young person’ are used interchangeably.
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This year the UK Association of Forensic Nurses and Paramedics (UKAFN) conference will focus upon Adverse Childhood Experiences. Adverse Childhood Experiences are not only very important for Nurses and Paramedics working in Police Custody and Sexual Assault Referral Centres, but their understanding is essential for all those working with individuals within the Criminal Justice System. This will include, but is not limited to:
- Custody nurses / paramedics
- Sexual assault nurse examiners
- Nurses and paramedics working in HM Prison or Youth Offending Institutes
- Forensic healthcare contract managers
- Police custody services
- Police officers, sergeants and inspectors
- Sexual assault examination teams
- Liaison and diversion practitioners
- Appropriate Adults (AA)
- Independent Custody Visitors (ICV)
- Rape crisis workers
- Independent Sexual Violence Adviser (ISVA)
Professionals working in these settings will encounter children who have been or still are being exposed to Adverse Childhood Experiences as well as meeting adults who are suffering the effects of their Adverse Childhood Experiences. This conference will highlight the impact of Adverse Childhood Experiences and the negative effect these have across the individual’s lifespan and focus on how those of us working in police custody of Sexual Assault Referral Centres may be able to help.
The Rt. hon. the Lord Bradley
Rt Hon Lord Bradley PC was first elected as Member of Parliament (MP) for the constituency at the 1987 general election, having served as a councillor in Old Moat Ward (Manchester) since 1983. After the 1997 general election he became a junior minister at the Department of Social Security, and then became Deputy Chief Whip and Treasurer of the Queen’s Household in 1998. He was a junior minister in the Home Office for Criminal Justice, Sentencing, and Law Reform from 2001-2, and then a backbench MP and member of the Health Select Committee. He is a member of the Privy Council.
In 2009, Lord Bradley authored a review of people with mental health problems or learning disabilities in the criminal justice system (the Bradley Report) to examine the extent to which offenders could, in appropriate cases, be diverted from prison to other services and the barriers to such diversion.
Zoe Lodrick | Psychotherapist
‘Psychological trauma associated with ACEs and its long-term legacy’
Zoe will utilise neurobiology to highlight the human response to threat and its purpose in survival. She will then postulate that ‘immediate survival reaction’ (as seen in so many who experience ACEs), has a cost in terms of post-trauma symptomatology. Particularly, as is often the case, the symptomatology is not understood within the context of the traumas experienced and are instead perceived as ‘bad’ behaviour.
Duncan Craig | Survivors Manchester
‘#HeToo Male victims/survivors of VAWG crimes’
This presentation looks at male victims/survivors of sexual abuse and asks why are we still so silent about male sexual violence.
Elicia Curtis and Zoe Cox | REIGN (RECLAIM Project)
‘An ACE childhood on all accounts’
The presentation by REIGN will cover what Child Sexual Exploitation/Abuse (CSE/A) is from a survivors perspective, calling the statutory definition into question; the challenges faced by victims of CSE/A and engagement with services, and the effects of CSE/A as an adverse childhood experience on a young person into adulthood.
What are Adverse Childhood Experiences?
The term Adverse Childhood Experiences (ACEs) is used to describe a wide range of stressful or traumatic experiences that children can be exposed to whilst growing up. ACEs range from experiences that directly harm a child (such as suffering physical, verbal or sexual abuse, and physical or emotional neglect) to those that affect the environment in which a child grows up (including parental separation, domestic violence, mental illness, alcohol abuse, drug use or incarceration). Studies have shown that the more ACEs individuals experience in childhood, the greater their risk of a wide range of health-harming behaviours and diseases as an adult.
Frequencies of Adverse Childhood Experiences
The results of an ACE study in England which found the following:
- 53% have experienced 0 ACE
- 23% have experienced 1 ACE
- 15% have experienced between 2-3 ACEs
- 9% have experienced 4 or more ACEs
The impact of Adverse Childhood Experiences
When exposed to stressful situations, the “fight, flight or freeze” response floods our brain with Corticotrophin-Releasing Hormones (CRH), which usually forms part of a normal and protective response that subsides once the stressful situation passes. However, when repeatedly exposed to ACEs, CRH is continually produced by the brain, which results in the child remaining permanently in this heightened state of alert and unable to return to their natural relaxed and recovered state. Children and young people who are exposed to ACEs, therefore, have increased – and sustained – levels of stress. In this heightened neurological state a young person is unable to think rationally and it is physiologically impossible for them to learn.
ACEs can, therefore, have a negative impact on development in childhood and this can, in turn, give rise to harmful behaviours, social issues and health problems in adulthood. There is now a great deal of research demonstrating that ACEs can negatively affect lifelong mental and physical health by disrupting brain and organ development and by damaging the body’s system for defending against diseases. The more ACEs a child experiences, the greater the chance of health and/or social problems in later life.
ACEs research shows that there is a strong dose-response relationship between ACEs and poor physical and mental health, chronic disease (such as type II diabetes, chronic obstructive pulmonary disease; heart disease; cancer), increased levels of violence, and lower academic success both in childhood and adulthood.
Epidemiological evidence showed that there was an increased risk (adjusted odds ratio) of having health and social problems in adulthood for those individuals who had experienced 4+ ACEs, compared to those with no ACEs. Individuals with 4 or more ACEs were:
- 4 x more likely to have become pregnant or got somebody pregnant under 18 years of age
- 31 x more likely to have had a sexually transmitted infection (STI)
- 2 x more likely to be morbidly obese
- 2 x more likely to have a liver or digestive disease
- 4 x more likely to a regular heavy drinker
- 4 x more likely to be a current smoker
- 10 x more likely to be a heroin or crack user
- 5 x more likely to have been assaulted in the last 12 months
- 8 x more likely to have assaulted someone in the last 12 months
- 9 x more likely to have been arrested or imprisoned
- Free parking
- Free refreshments
- Hot meal
- Prize draw to win a tablet or an accredited forensic photography course
- Free conference bag with goodies
By Train: Stoke-On-Trent train station is ideally located for those travelling from afar. It is situated 0.2 miles, which is only a 5-minute walk from the station to the conference. Stok-On-Trent is serviced by trains from across England, Wales and Scotland.
By Car: From the A500, follow the signs for ‘Staffs University. Pass under the railway bridge. At the roundabout take the first exit. Pass through the first set of lights and at the junction (with the City of Stoke-On-Trent Sixth Form College on the right) stay to the right side of the left-hand lane (marked ‘A52 Leeek’). Continue straight on through the traffic lights along Leek Road. After two pedestrian crossings, continue on a short distance until you reach the next set of traffic lights. You will notice the Staffordshire University main entrance on the right. Turn right onto the campus. See map for printable instructions and map.
Parking: There are five car parks on the Leek Road site at the Stoke-On-Trent campus. Car park 1 is immediately on your left at the mini roundabout. All other car parks can be found by turning right. Please refer to the detailed campus map for the exact locations. POSTCODE FOR CAR PARK: ST4 2DF.
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This report published by the Independent Office for Police Conduct presents figures on deaths during or following police contact that happened between 1 April 2017 and 31March 2018. It provides a definitive set of figures for England and Wales, and an overview of the nature and circumstances in which these deaths occurred.
This publication is the fourteenth in a series of statistical reports on this subject, published annually by the Independent Office for Police Conduct, formerly the Independent Police Complaints Commission (IPCC). On January 8 2018, IPCC became the Independent Office for Police Conduct. This change was set out in the Policing and Crime Act 2017. The change was made because the IPCC had double in size since 2013, taking on six times as many investigations – and we asked the Government for structural changes to better suit our much-expanded organisation. To produce these statistics, the IOPC examines the circumstances of all deaths that are referred to us. We decide whether the deaths meet the criteria for inclusion in the report under one of the following categories:
- road traffic fatalities
- fatal shootings
- deaths in or following police custody> apparent suicides following police custody
- other deaths following police contact that were subject to an independent investigation
Recently while watching an episode of the BBC’s Hospital documentary, Sue Fewkes (UKAFN‘s Vice President) spotted clinicians wearing a long-sleeved disposable apron on the intensive care unit. Sue immediately thought these aprons would be useful for forensic healthcare clinicians working in either police custody or sexual assault examination settings, specifically when taking forensic samples, rather than using the standard, sleeveless aprons commonly available. Sue contacted the intensive care unit at Nottingham University Hospitals NHS Trust, where the documentary was filmed, who kindly put Sue in touch with their supplier.
Sue sits on the Faculty of Forensic and Legal Medicine Forensic Science Subcommittee, which meets every six months to update the ‘Recommendations for the collection of forensic specimens from complainants and suspects’ guidelines. Sue has taken samples of the long-sleeved disposable apron to the subcommittee, where it was well received by all, including the Forensic Regulator.
It is important to note these products have not been subjected to formal testing, nor is this an endorsement of the products outlined below.
Click here for PDFs of above
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ABSTRACT: Patients exhibiting challenging behaviour, which includes any non-verbal, verbal or physical behaviour, is a significant issue in healthcare settings. Preventing such behaviour and the harm it can cause is important for healthcare organisations and individuals, and involves following a public health model comprised of three tiers: primary, secondary and tertiary prevention. Primary prevention aims to reduce the risk of challenging behaviour occurring in the first instance; secondary prevention involves reducing the risk associated with imminent challenging behaviour and its potential escalation; and tertiary prevention focuses on minimising the physical and emotional harm caused by challenging behaviours, during and after an event. De-escalation should be the first-line response to challenging behaviour, and healthcare staff should use a range of techniques – maintaining safety, self-regulation, effective communication, and assessment and actions – to reduce the incidence of challenging behaviour. In some situations, physical interventions may be required to protect the safety of the individual, healthcare staff and other individuals involved, and healthcare staff should be aware of local policies and procedures for this. Following a serious incident, where there was potential or actual harm to patients and healthcare staff, healthcare organisations should use post-incident reviews to learn from the situation, while healthcare staff should be offered the opportunity for debriefing. Positive responses to challenging behaviour at an organisational and individual level can lead to improved work environments for healthcare staff and optimal care and outcomes.
The Faculty of Forensic & Legal Medicine have updated their recommendations for;
- Recommendations – TASER®: Clinical Effects and Management of Those Subjected to TASER® Discharge
The Royal College of Emergency Medicine has today published ‘A brief guide to Section 136 for Emergency Department’. This coincides with the introduction of changes to the Mental Health Act today.
- Summary of recommendations
- Changes to the MHA Dec 2017
- General Principles
- Police responsibility to stay in ED
- S.136 Pre-hospital flowchart
- S.136 Emergency department flowchart
- S.136 Red flag criteria