Learning from Experience Database - Serious Case Reviews

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X – Brighton & Hove

The Brighton & Hove Safeguarding Adults Board commissioned a Safeguarding Adults Review (SAR), following the death of ‘X’ who was aged 59 years and rough sleeping in the city. The Coroner recorded a verdict of ‘misadventure to which self-neglect contributed’.

There are two important recommendations to share with the network:

  1. Where it is known that an individual subject to a VAAR or any equivalent from another authority is resident in the area the receiving  LA should seek information about the alert from that authority and undertake their own multi- agency risk assessment to determine what action is needed by them.
  2. When reaching a determination about access to services the LA should ensure that all efforts are made at the earliest stage to establish a full antecedent history to include housing and medical records.

The full report and briefing for staff can be read here:
X Safeguarding Adult Review April 2017
Staff Briefing X SAR