Safeguarding Adult Reviews (SARs)


Safeguarding Adult Reviews are not inquiries into how someone died or suffered injury, or to find out who is responsible.


  • look at any lessons we can learn from the case about the way professionals and agencies worked together
  • review the effectiveness of our safeguarding adults procedures
  • inform and improve practice
  • identify what can be done better to avoid a similar circumstance from reoccurring

The Safeguarding Adults Board aims to share learning from SARs widely: with local organisations and through the London and National Safeguarding Network across London and nationally.

When are they held?

Section 44 of The Care Act 2014 requires Safeguarding Adults Boards to undertake a Safeguarding Adults Review when specific criteria are met. This is when abuse led to an adult with care and support needs to die or to suffer the most significant and life changing harm.

Read Government information about the Care Act 2014 and SARs.

SAR reports and documents

The Safeguarding Adults Board have an agreed SAR Protocol which is reviewed annually.

The following reports explain the outcome of a recent Safeguarding Adult Review and have been anonymised. Any names and initials included in these documents are fictitious.