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Safeguarding Adult Reviews

What is a Safeguarding Adult Review?

A Safeguarding Adult Review (SAR) is a Multi-Agency review process which seeks to determine what relevant agencies and individuals involved could have done differently that could have prevented harm or a death from taking place. The purpose of a SAR is to promote effective learning and improvement, not to apportion blame.



Safeguarding Adult Reviews

The Care Act 2014 (S44) introduced statutory Safeguarding Adult Reviews (previously known as Serious Case Reviews). This is one of the three core duties of a Safeguarding Adults Board (SAB). Local authorities are responsible for the establishment of SABs, and the Care Act 2014 specifies that there are three core members:

  • The Local Authority
  • The Integrated Care Board
  • The Police

The prime purpose of a Safeguarding Adult Review  (SAR) is for agencies and individuals to learn lessons to improve the way in which they work both individually and collectively to safeguard and promote the welfare of adults with care and support needs.

A Safeguarding Adults Board must arrange for there to be a review of a case involving an adult with needs for care and support within their area (whether or not the local authority has been meeting any of those needs) if:

The Safeguarding Adults Board knows or suspects that an adult has died of abuse or neglect, or is alive, but has experienced serious abuse or neglect;


there is reasonable cause for concern about how members of the Safeguarding Adults Board, or other persons with relevant functions worked together to safeguard the adult.

Each member of the Safeguarding Adults Board must co-operate in and contribute to the carrying out of a review in order to:

(a) identify the lessons to be learnt from the adult’s case, and

(b) apply those lessons to future cases.

Informal enquiries can be made to the Board Business Manager at

Please view our SAR Policy & Procedure here

Download the Sandwell SAB Review referral form here 

Completed forms should be returned to:

Recently Published SARs