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The Care Act includes a requirement for Safeguarding Adults Boards to hold Safeguarding Adults Reviews in certain circumstances and for partners to co-operate in the process. Safeguarding Adults Reviews SARs provide an opportunity to improve inter-agency working by identifying and disseminating learning from incidents, sharing best practice and ultimately better safeguarding adults at risk of abuse and neglect. A Safeguarding Adults Review is a multi-agency process to consider whether or not serious harm experienced by an adult with care and support needs could have been prevented, it makes recommendations to minimise the risk of a repeat occurrence.

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The Care Act states that Safeguarding Adult Boards SABs must arrange a Safeguarding Adult Review SAR when an adult in its area dies as a result of abuse or neglect, whether known or suspected, and there is concern that partner agencies could have worked together more effectively to protect the adult. This is a statutory responsibility. The overall purpose of a Safeguarding Adult Review is to promote learning and improve practice, not to re-investigate or to apportion blame.

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They are a way for all partner agencies to identify the lessons that can be learned from particularly complex or difficult Safeguarding Adults cases and to implement changes to improve services in the light of these lessons. Any member of the Safeguarding Adults Board, agency or practitioner can raise a concern about a case which they believe may meet the above criteria for an Adult Practice Reviews. Requests may also come from other sources such as the families, the Coroner, Assembly Members, Members of Parliament, local councillors and other interested parties.

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At the time of his death Mr V was in contact with and known to a number of local services in Buckinghamshire. This was to uphold its committed to an open and transparent review process which would establish whether there were lessons that need to be learnt in order to improve practice and better support people in Buckinghamshire who were seen to be self-neglecting both themselves and their environment. The commissioning of Independent Authors enabled the reviewers to organise a learning event attended by practitioners from each agency who had direct contact with Mr V.

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The Act specifies at section 44 that a SAR must be conducted in circumstances where the TSAB has concerns about how members of TSAB or other agencies with relevant functions, have worked together to protect an adult in Thurrock, with care and support needs, who:. The SAR aims to learn lessons from an incident that will prevent deaths and serious abuse or neglect happening in the future. SARs are also used to explore examples of best practice in the way the case was managed, for example how agencies worked together to prevent and reduce abuse and neglect.

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Under the Care ActLSABs must arrange a SAR when an adult in its area dies as a result of known or suspected abuse or neglect, and there is concern that partner agencies could have worked more effectively to protect the adult. In the context of SARs, something can be considered serious abuse or neglect where, for example the individual would have been likely to have died but for an intervention, or has suffered permanent harm or has reduced capacity or quality of life whether because of physical or psychological effects as a result of the abuse or neglect. LSABs are free to arrange for a SAR in any other situations involving an adult in its area with needs for care and support. This may be where a case can provide useful insights into the way organisations are working together to prevent and reduce abuse and neglect of adults.

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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.

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The aim of a Safeguarding Adults Review SAR is to carry out a multi-agency review which seeks to determine what relevant agencies and individuals involved could have done differently that could have prevented harm or a death from taking place. When and why do Safeguarding Adult Reviews take place? The purpose of a SAR is not to apportion blame. This is then screened by the SAR Subgroup to determine if it meets the criteria.


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