Adult Safeguarding in a Secure and Detained Setting - elearning for healthcare
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About the Adult Safeguarding in a Secure and Detained Setting programme

This programme focuses on adult safeguarding and the roles and responsibilities of those working in secure and detained settings in England. It has been developed for a multi-agency audience, to enable better collaboration between teams and create a culture of safety by embedding safeguarding into everything the prison does.

The learning includes scenarios based in a prison setting, with attention to areas such as elderly care, self-harm and suicide, food refusal, and people with neuro-disability issues.  By the end of this session, learners will be able to:

  • define what constitutes ‘safeguarding’and ‘at risk’ within a secure estate setting
  • describe the at-risk factors and how they can impact adults detained within secure estate settings
  • describe the potential impact of risk factors
  • identify the statutory duties that underpin the support of adults at risk

More information

It is envisaged that further case study based learning within this programme will become available during 2022. Learners are encouraged to provide feedback via the session evaluation if they feel there are particular areas within adult safeguarding in a secure and detained setting, that would be useful to their practice.


We acknowledge the contributions of the following, who in their professional capacity, reviewed this learning and provided insight:

Sam Casey, Head of Safety, Segregation and Brunel, HMP Bristol

Samantha Hughes, Head of Health and Social Care Team, Health and Care Partnerships, Central Operational Services, HMPPS

Abi Bartlett, Head of Clinical Services, Hanham Secure Health Ltd

Meet the team

  • Anneliese Hillyer-Thake

    Anneliese Hillyer-Thake

    Head of Nursing Quality and Safeguarding, NHS England and NHS Improvement -East of England
  • Fiona Grossick

    Fiona Grossick

    National Clinical Quality Lead for Health and Justice, NHS England and NHS Improvement
  • Sue Curzon

    Sue Curzon

    National Quality and Patient Safety Manager for Health and Justice, NHS England and NHS Improvement
  • andi blackmore

    Andi Blackmore

    Programme Manager, HEE elearning for healthcare
  • Marnie Greenrod

    Marnie Greenrod

    Project Manager, HEE elearning for healthcare
  • Alice Denham

    Alice Denham

    Lead Learning Designer, HEE learning for healthcare
  • Rashmi Chavda

    Rashmi Chavda

    Graphic Designer, HEE elearning for healthcare
  • Louise Garrahan

    Louise Garrahan

    Communications and Stakeholder Officer, HEE elearning for healthcare

How to access

In order to access any elfh programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Adult Safeguarding in a Secure and Detained Setting programme, select the View button below. If you already have an account with elfh, you will also be able to login and enrol on the programme from the View button.

View >

If you already have an account with elfh, then you can enrol on to the Adult Safeguarding in a Secure and Detained Setting programme by logging in to the elfh Hub, selecting My Account > Enrolment and selecting the programme. You can then access the programme immediately in the My e-Learning section.

NHS healthcare staff in England – ESR

The  Adult Safeguarding in a Secure and Detained Setting programme  is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-learning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Adult Safeguarding in a Secure and Detained Setting programme, please contact elfh directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact elfh directly to express interest.

More information

Please select the following link for more information on how to use the elfh Hub.


elfh is a Health Education England programme in partnership with the NHS and professional bodies