Safeguarding Adults Reviews

When there is any failure in safeguarding, the results can be severe and tragic and therefore demand a strong response.

The Care Act 2014 states  that Safeguarding Adults Boards must arrange a Safeguarding Adults Review (SAR) in some circumstances – for instance, if an adult with care and support needs dies as a result of abuse or neglect and there is concern about how one of the members of the Safeguarding Adults Board acted.

The Reviews are about learning lessons for the future. They will make sure Safeguarding Adults Boards get the full picture of what went wrong, so that all organisations involved can improve as a result.

Any relevant person or organisation must provide information to Safeguarding Adults Boards as requested.

Portsmouth SAR subgroup

Portsmouth’s SAR subgroup has been set up to carry out the functions as set out by the Care Act 2014.

The SAR subgroup is made up of representatives of the following partner agencies:

  • NHS Portsmouth Clinical Commissioning Group
  • Portsmouth City Council
  • Hampshire Constabulary (chair)
  • Portsmouth Hospitals NHS Trust
  • Solent NHS Trust
  • South Central Ambulance Service NHS Foundation Trust
  • Hampshire Care Association

Publication of Portsmouth Reviews

Safeguarding Adults Review Mr D

Mr D Executive Summary

The report published here – Safeguarding Adults Review of Mr D – has been published alongside a similar report from Portsmouth Safeguarding Children Board due to the prevalence of a number of themes throughout both reports.

You can find a copy of the Learning Review – Child G on the Portsmouth Safeguarding Children Board website.

Mr D / Child G Case Review Briefing Note

Joint statement from the chairs of the Portsmouth Safeguarding Adults Board and the Portsmouth Safeguarding Children Board

Previous reviews :

Safeguarding Adults Review Mrs B

Mrs B Final Report

Safeguarding Adults Review Mr A

Mr A Final Report


Case Learning Summaries

‘Ms A’ (2020)


SAR referrals

SAR referral form

One minute guide to SAR referrals


Referrals to the Fire Safety Development Group (FSDG)

The FSDG reviews fire deaths and near miss cases in order to learn from them and reduce the risk of these incidents. Cases that meet the following criteria should be considered for a referral to the Fire Safety Development Group.

  • Fatality involving a fire
  • Fire resulting in life-threatening, life changing or serious injuries
  • Fire resulting in near miss, when an individual has / suspected needs of care of support
  • Death, serious injury or near miss (any type not just fire related) involving an individual where high fire risks are identified and may have contributed.

FSDG referral form