Toggle Contrast
Leave this site

Safeguarding Adult Reviews

Safeguarding Adults 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 Care Act 2014 states that Safeguarding Adult Boards (SABs) must arrange a Safeguarding Adult Review (SAR) when:

  1. an adult in its area dies as a result of abuse or neglect, whether known or suspected, or
  2. the adult is still alive, and the SAB knows or suspects that the adult has experienced serious abuse or neglect, and
  3. there is concern that partner agencies could have worked together more effectively to protect the adult from harm.

This is a statutory responsibility.

The purpose of a SAR is not to apportion blame. It is to promote effective learning and improvement to prevent future deaths or serious harm occurring again.

The objectives include establishing:

  • lessons that can be learnt from how professionals and their agencies work together
  • how effective the safeguarding procedures are
  • learning and good practice
  • how to improve local inter-agency practice
  • service improvement or development needs for one or more service or agency.

Lessons learnt are shared to maximise the opportunity to better safeguard adults with care and support needs, who are or may be at risk of abuse or neglect. The Care Act 2014 requires that lessons learnt are published in the Annual Report following the conclusion of the review.

If you think an adult has died or come to serious harm and that local partner organisations could have worked more effectively to prevent this, please complete the SAR notification form.


The Surrey Safeguarding Adult Board has published new guidance materials for members of the public to provide information on types of risk for adults with care and support needs.

SSAB Guide to Safeguarding Adult Reviews (SAR)

The Surrey Safeguarding Adults Board publishes a SAR following completion of its review process.
Published SARs