The Safeguarding Adults Review (SAR) was commissioned by the Hampshire Safeguarding Adults Board (HSAB) following the death of Ms B.  Ms B’s care and support in the last weeks of her life had involved a complex mix of physical and mental health and care services.  Her behaviour had changed significantly and different approaches to respond to this were attempted, but with limited success.  Finally her physical health required her admission to hospital and was found to have deteriorated so substantially that little effective treatment was possible.  This sequence of events made it appropriate to examine more closely how well the partner agencies and systems in place had worked in responding to Ms B’s needs.

Ms B Safeguarding Adult Review Report December 2015

Ms B Safeguarding Adult Review Executive Summary (December 2015)