Adult Safeguarding Reviews

Safeguarding Adults Reviews (SARs) aim to determine what the relevant agencies and individuals involved in a case might have done differently that could have prevented harm or death.

This is so that lessons can be learned from the case and those lessons applied to future cases to prevent similar harm occurring again.

More information can be found in the:

Complete our Safeguarding Adults Review form (PDF 63Kb) to request a review.

Email your completed referral form to Stockport’s Safeguarding Adults Board Business Manager at

The Statutory guidance for the Care Act outlines the following criteria for a Safeguarding adults review:

  • if an adult dies as a result of abuse or neglect, whether known or suspected, and there’s concern that partner agencies could have worked more effectively to protect the adult
  • if an adult in its area has not died, but the Safeguarding Adults Board knows or suspects that the adult has experienced serious abuse or neglect and the individual would have been likely to have died but for an intervention
  • if an individual has suffered permanent harm or has reduced capacity or quality of life (whether because of physical or psychological effects) as a result of the abuse or neglect

SAR Six  – completed September 2020 (PDF 245 Kb): 62 year old female who had complex medical needs, and had recently been diagnosed with endometrial cancer. She lived at home with a package of care that was provided by a care provider. In April 2019, she was referred to hospital where she was seen at the Emergency Department. On her return home, she was put to bed by the ambulance crew. She was not seen by her care provider, friends or family until 13 days later, when she was being collected by ambulance to attend an outpatient’s hospital appointment. Ailsa died several days later in hospital.

7 minute briefing Ailsa – Ailsa was 62 years old. She had complex medical needs, was morbidly obese and had recently been diagnosed with endometrial cancer. She lived at home and was visited by a care provider 4 times a day to assist Ailsa with her needs, whilst Ailsa had limited mobility and was bed bound.


JN – 2019

JN was a Manchester resident, she died in 2019 due to ketoacidosis, alcohol related liver disease and cardio myopathy.

Although JN’s case did not meet the SAR criteria, questions raised by her family prompted a learning review which provided valuable

insights. Read the learning review.

Martin – 2018

Martin was a 63 year old resident of a care setting with complex medical issues. He passed away as a result of an injury sustained when falling from a recliner in August 2018. This led to a single agency review. Read the learning review (PDF 451Kb).

Helen – July 2017

This report is about Helen who lived in supported accommodation from where she was admitted to hospital in September 2014 suffering from nausea and persistent vomiting.

Helen stayed in the same hospital until her discharge on 12 January 2015 to a care home for rehabilitation. On 27 January 2015 Helen was readmitted to the hospital because of her deteriorating health. Helen sadly died in hospital on 17 February 2015 aged sixty-one years.

Adult abuse or neglect

Do not ignore it.

  • call 999 in an emergency
  • Telephone: 0161 217 6029
  • Minicom: 0161 217 6024
  • Out of  hours: 0161 718 2118
Skip to content