Section 44 of the Act requires Safeguarding Adults Boards (SAB) to undertake a Safeguarding Adult Review (SAR) in specific circumstances and places a duty on all Board member agencies to contribute in undertaking the review, sharing information and applying the lessons learnt.

The law requires local SABs to arrange a SAR when an adult with care and support needs in its area dies or experiences significant harm 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.

The purpose of a SAR is not to hold any individual or organisation to account as there are other processes and regulatory bodies available for that purpose; they are about learning lessons for the future.

SARs identify learning, so that all organisations involved can improve as a result.

SARs are completely separate from other investigations that may be occurring, for example by the police, CQC or Coroner, however they can still take account of the findings of those investigations.

SARs completed by Nottingham City SAB will be published here.

To read the files please click on link below to download PDF file. 

• Safeguarding Adults Review - Billy
  • From 2nd November 2023, the above SAR for Billy must be read in conjunction with the below Addendum:
  • SAR Addendum
• SAR 'Valentina'

SAR Guide for Families

• SAR Guide for Families

Safeguarding Adults Review - Privacy Statement

To read the Privacy Statement please click on link below to download PDF file.

• Privacy Statement SAB 295 - Adult Safeguarding Reviews

Analysis of Safeguarding Adults Reviews targeted briefings

The Care and Health Improvement Programme (CHIP) safeguarding workstream commissioned Suzy Braye, Michael Preston-Shoot and Research in Practice to undertake a review of SARs published in 2018/18 and 2918/19 to inform future priorities for sector led improvement in safeguarding adults’ practice. This is a ‘once in a decade’ opportunity to identify learning from SARs at a national level, as there is no regular reporting mechanism.

The Local Government Association (LGA) have produced a series of 7 minute briefings for different audiences regarding the findings of the national SAR analysis:

• Briefing for individuals and their families – Analysis of Safeguarding Adults Reviews
• Briefing for practitioners - Analysis of Safeguarding Adults Reviews 
• Briefing for Safeguarding Adults Reviews authors – Analysis of Safeguarding Adults Reviews
• Briefing for senior leaders – Analysis of Safeguarding Adults Reviews
• Briefing for Safeguarding Adult Board chairs and business managers – Analysis of Safeguarding Adults Reviews
• Briefing for elected members – Analysis of Safeguarding Adults Reviews