The Safeguarding Adult Review Sub-Group of the Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board (SSASPB) considers every referral on the basis of whether it meets the criteria for a Safeguarding Adult Review.
In April 2015 the requirement to undertake SARs became statutory through the Care Act 2014, Section 44 of which states:
- A Safeguarding Adult Board (SAB) must arrange for there to be a review of a case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs) if:
- There is reasonable cause for concern about how the SAB, members of it or other persons with relevant functions worked together to safeguard the adult and
- Either of the following conditions are met:
- Condition 1 is met if:
- The adult has died, and
- The SAB knows or suspects that the death resulted from abuse or neglect (whether or not it knew about or suspected the abuse or neglect before the adult died)
- Condition 2 is met if:
- The adult is still alive, and
- The SAB knows or suspects that the adult has experienced serious abuse or neglect
Further information about Safeguarding Adult Reviews can be found within the SSASPB Safeguarding Adult Review Protocol and supporting documents.
Please complete all sections and include as much information as possible to enable SSASPB members to make a proportionate decision. The completed referral must be reviewed and authorised by a senior manager and submitted to the SSASPB Manager in a confidential manner to the secure email address at ssaspb.admin@staffordshire.gov.uk
If you have any questions, please do not hesitate to contact the SSASPB Manager using the above email address.
i. Referrer
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ii. Senior Manager Authorisation
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Name:
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Title:
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Telephone number:
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Address:
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Email address:
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Date referral authorised:
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Please consider notifying your safegaurding Lead of this referral
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iii. Summary of case
Please provide a brief summary of the case and circumstances that led to the referral:
iv. Details of the adult subject of this referral.
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Adult
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Name:
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Address:
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Date of birth:
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Date of Adult Safeguarding 1 referral (where applicable):
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Date of death (where applicable):
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Details of GP:
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Details of adult’s care and support needs:
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Details of Representative/Advocate:
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Name & contact details of Safeguarding enquiry investigating team (where applicable)
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v. Agencies involved:
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Agencies involved in the adult’s care-
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vi. Person(s) or Organisation(s) allegedly responsible for causing Harm or Neglect
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Name:
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Date of Birth (where applicable):
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Address:
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Relationship with adult (where applicable):
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Other comments:
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vii. Referral reason(s)
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Please refer to the front page of this referral form and include in detail how you feel this case meets the criteria for a Safeguarding Adults Review responding fully to each separate criteria.
For the circumstances to meet the criteria there must be concerns about how separate agencies worked together.
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a) there is reasonable cause for concern about how the SAB, members of it or other persons with relevant functions worked together to safeguard the adult
Supporting information:
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b) the adult has died (suspected to be resulting from abuse or neglect)
Supporting information, to include what the abuse and neglect consisted of:
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c) the adult is still alive and suspected to have experienced abuse or neglect
Supporting information, to include what the abuse and neglect has consisted of:
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Was an Adult Safeguarding referral made?
(Please include details and a copy of the referral)
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Is your agency undertaking any form of learning or incident review in relation to this case?
(Please give details including recommendations where known)
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Please detail any other relevant information that will enable the Safeguarding Adults Review Sub-group to reach a decision about how to respond to this referral.
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