Safeguarding Adults Reviews (SARs)

The aim of a Safeguarding Adults Reviews(SAR) is a multi-agency review process 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.
The purpose of a SAR is not to apportion blame. It is to promote effective learning and improvement to prevent future deaths or serious harm occurring again, and for agencies to work together to aim towards positive outcomes for the adult and/or family involved.
Safeguarding Adults Reviews are commissioned by the CSAB when:

  • There is reasonable cause for concern about how CSAB members or other agencies providing services, worked together to safeguard an adult


  • The adult has died, and CSAB 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)


  • The adult is still alive, and CSAB knows or suspects that the adult has experienced serious abuse or neglect.

Further information can be found in the Care and Support Statutory Guidance, Chapter 14, paragraphs 14.133 and 14.134.
SAR toolkit June 2017
Safeguarding Adults Reviews
SAR report – JT
7 Minute Briefing for SAR Mrs T
SAR Report – Mr A
SAR Report – Mr B
SAR Briefing – Mr B
SAR Board response – Mr B
Case Reviews
Case Review: Elm View nursing home
This was conducted as a Serious Case Review under previous safeguarding adults processes
7 Minute Briefing for Covert Medication Guidance