Serious Adult Reviews

Safeguarding Adult Reviews (SAR’s) are about learning lessons for the future. They will make sure that Safeguarding Adults Boards (SAB’s) get the full picture of what went wrong, so that all organisations involved can improve their practice. In developing these guiding principles, the Hillingdon Safeguarding Adults Board seeks to ensure that:

  • We have processes for learning and reviewing that are flexible and proportionate and open to professional and public challenge
  • We can determine locally what type of review is appropriate dependent on the nature of the case and the agencies involved
  • A culture of transparency is created that provides for a positive shared learning culture.

Legislation Section 44 of the Care Act 2014 puts a duty upon the Safeguarding Adults Board (SAB) to 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:

  • An adult at risk dies (including death by suicide) and abuse or neglect is known or suspected to be a factor in their death; or
  • An adult has sustained a potentially life threatening injury through abuse, neglect, serious sexual abuse or sustained serious and permanent impairment of health or development through abuse or neglect; and one of the following:
    • Where procedures may have failed and the case gives rise to serious concerns about the way in which local professionals and/or services worked together to safeguard adults at risk
    • Serious or apparently systematic abuse that takes place in an institution or when multiple abusers are involved. Such reviews are likely to be more complex, on a larger scale and may require more time
    • Where circumstances give rise to serious public concern or adverse media interest in relation to an adult/adults at risk
    • The Domestic Homicide Review (DHR) process will be used instead when someone has been killed as a result of domestic violence and abuse. DHR’s were established on a statutory basis under Section 9 of the Domestic Violence, Crime and Victims Act (2004).

The Multi-Agency Statutory Guidance for the Conduct of Domestic Homicide reviews can be found here: