Safeguarding adult reviews

A safeguarding adult review (SAR) is carried out when an adult dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked more effectively to protect the person at risk.

A SAR may also be conducted when a person has not died but it is known or suspected that they have experienced serious abuse or neglect, sustained a potentially life threatening injury, serious sexual abuse or serious or permanent impairment of health or development.

All relevant board agencies should contribute to the review, sharing information and implementing and disseminating the lessons learnt.

The SAR brings together and analyses the findings from individual agencies involved, in order to make recommendations for future practice where this is necessary and also highlights good practice.

Derbyshire Safeguarding Adults Board (DSAB) has a SAR sub group which meets quarterly to discuss and make decisions regarding new referrals, oversees current reviews and ensures learning is implemented from Derbyshire reviews into multi-agency practice. The group also monitors reviews from other safeguarding adults boards to ensure any relevant learning for Derbyshire is distributed.

Attached to this page is a leaflet for families, friends and carers to help explain the SAR process.

Learning from multi agency reviews

Multi agency learning reviews take place where the criteria set in the Care Act for a safeguarding adult review to be undertaken is not met, but where it is felt that there may be valuable learning for a number of organisations about the way in which they work together to safeguard adults with care and support needs.

Summary reports and recommendations from completed DSAB multi agency learning reviews are attached to this page.

The DSAB SAR sub group is responsible for overseeing the implementation of recommendations and providing assurance to the Board that this has been achieved.

Statement for publication of SAR17A learning brief

"The Derbyshire Safeguarding Adults Board (DSAB) has recently carried out a Safeguarding Adult Review (SAR) following the sad death of a young man referred to within the report as J.

"It should be stressed that the SAR process is all about learning and improvement. The Board required an in depth look at the circumstances leading up to J’s death to examine if relevant agencies and individuals could have worked differently and whether they would do in the future, taking regard of the findings.

"The following learning brief has been compiled to help other professionals learn from the scrutiny given to this particular case. It is important that we learn all the time and improve the way we work together.

"I wish to thank the two Independent Reviewers and all those who have assisted in this process, it is now the responsibility of the DSAB to ensure the recommendations within the Review are acted upon and I give the assurance that as a Partnership we will ensure the action plan already in place will address the findings."

Andy Searle, Independent Chair, Derbyshire Safeguarding Adults Board.