HSAB Vicky Safeguarding Adults Review (SAR)

The Hampshire Safeguarding Adults Board (HSAB) has today published a Safeguarding Adults Review that provides an insight into the circumstances of Vicky who lived with a difficult combination of challenges, having developed epilepsy when she was eighteen and later in later life developing mental health and substance misuse issues.  Vicky also became homeless towards the end of her life and very sadly Vicky died on her own, in Bed and Breakfast accommodation. Her death was not directly linked to abuse or neglect, but the HSAB felt that there were important areas of learning about how the local systems responded to Vicky’s circumstances and so this discretionary SAR was commissioned.


The key areas of systemic learning that are explored in the review include:


  • working with adults who are ambivalent about engaging with services,
  • managing safeguarding in situations of long-term chronic risk,
  • considering issues of mental capacity assessment and the value of multi-agency input to the assessment process,
  • the commissioning challenges related to providing support packages to homeless adults who are eligible for support and
  • the importance of effective communication between primary and secondary health teams particularly when an adult is needing to manage multiple issues such as mental health concerns and epilepsy.


The full report and Learning summary can be found here:

Vicky (September 2021) | Hampshire Safeguarding Adults Board (hampshiresab.org.uk)