MASH will review and screen referrals within 24 hours and determine immediate risk and whether the individual is known to a worker and/or team in Adult Social Care or Camden and Islington Foundation Trust (C&I).

If the person has an allocated worker or commissioned services in place

The Interim Locality Duty team or Neighbourhood duty team will screen the referral and complete the Section 42.1 enquiry where there are concerns, whilst ensuring immediate risk is addressed.

If the concern is about a person in a residential or nursing setting, this should be allocated to the Placement Review team.  If the safeguarding concern is raised by a commissioned provider, the relevant Commissioner should be contacted.

For residents who are supported in a placement out-of-borough and a safeguarding concern is raised, the host borough is responsible for leading on the enquiry.  However, the neighbourhood team where the person lived in Camden previously, will oversee the enquiry.

If the threshold for further statutory or non-statutory enquiries are the met, the safeguarding concern will progress to further enquiries under Section 42.2 and this will be allocated by the Neighbourhood Team managers to be completed by the allocated social worker on Mosaic.

If the person/concern does not meet the threshold for further statutory or non-statutory enquiries, the allocated social worker or neighbourhood duty social worker will close the section 42.1 on Mosaic confirming outcomes and action taken.

If the person does not have an allocated worker or commissioned services in place

A MASH social worker will complete the Section 42.1 form to start the safeguarding enquiry process where concerns have been raised.

MASH will also complete the section 42.1 element for people closed to a service for three months or longer. Where cases are closed longer than three months it may be more appropriate for a worker or team outside MASH to undertake the 42.1 element, this could include workers and teams who know the people well or where long-term reoccurring themes have emerged and are being managed via ongoing risk assessment and protection planning.

Referrals for people who are open to secondary mental health services, these will be passed from MASH to the relevant service, these include the:

• Substance Misuse services (South Camden Drug service, Alcohol Service and Change Grow Live – CGL)
• Memory Service
• Continuing Health Care (CHC)
• Services for Ageing and Mental Health (SAMH), and people unallocated in the neighbourhood services.

MASH will forward concerns where the primary need of the person is mental health, and they are not allocated to a social worker or neighbourhood duty social worker, to Camden Core Mental Health Teams Email address: [email protected].

Where the threshold for further statutory or non-statutory enquiry is not met MASH will close the Section 42.1 on Mosaic confirming appropriate following action.   Where appropriate the MASH team will also provide advice, refer, and signpost to partner agencies e.g., Mental Health Team, Camden Learning Disabilities Service, Camden Safety net, Community Safety Team, GP's.  MASH also provide safeguarding advice to ASC staff, commissioning, and council staff.

Where the threshold for statutory or non-statutory enquiries is met the Section 42.2 is passed to the neighbourhood team or other relevant team for further investigation via Mosaic.  An email will be sent to the relevant team informing them of the incoming work.  If the person is not allocated a worker straight away, they will be passed to a named worker in the interim, this would be determined by the available workers skill set or on a rota basis.  

• MASH provides short term interventions to complete the three-stage element of the safeguarding 42 framework. Typically, interventions last between 1-5 days.
• MASH also complete referrals for Modern Day Slavery via the National Referral Mechanisms. 
• Further details on the process which the MASH team follows regarding responding to safeguarding concerns can be found in this information sheet and Safeguarding Process Map.