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Case Reviews






NEW! SAR Learning Brief



Click here to access the ESAB Safeguarding Adult Review (SAR) e-Learning 


Safeguarding Adult Reviews

1. Section 44 of the Care Act sets out that Safeguarding Boards must arrange a Safeguarding Adults Review 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 more effectively to protect the adult.

2. The Board must also arrange a Safeguarding Adults Review where an adult is still alive but has experienced serious neglect or abuse, and there is concern that partner agencies could have worked more effectively to protect them. Safeguarding Adults Boards are free to arrange for a Safeguarding Adults Review in other situations where it feels there is a value in doing so, for example to prevent or reduce abuse or neglect or explore practice.

3. The purpose of the Review is to determine what the relevant agencies and individuals involved in the case might have done differently that could have prevented harm or death. This is so that lessons can be learnt and applied to future cases to prevent similar harm occurring in future. It is not to hold any individual or organisation to account.

4. The Safeguarding Adults Board should include the findings from any Safeguarding Adults Reviews in its Annual Report and report what actions it has taken / intends to take in relation to those findings. Where the Board decides not to implement an action from the findings it must state the reason for that decision in the Annual Report.

These procedures aim to ensure that there is a consistent approach to the process and practice in undertaking Safeguarding Adults Reviews (SARs).

If you would like to refer a case to be considered for a review, contact the ESAB support team to request a review form (any personal information should be password protected).


Domestic Homicide Reviews

When someone has been killed as a result of domestic violence and abuse a Domestic Homicide Review (DHR) should be carried out. Professionals need to understand what happened in each homicide and to identify what needs to change to reduce the risk of future tragedies.

To access the reviews please head over to the Southend, Essex and Thurrock, Domestic Abuse Board (SETDAB) website by clicking on the below icon.