Kingston Safeguarding Adults Board

Safeguarding Adult Reviews

Safeguarding Adult Reviews (SARs) were previously known as Serious Case Reviews. They are held when an adult with care and support needs dies or suffers significant harm as a result of abuse or neglect.

Kingston Safeguarding Adult Board (KSAB) Position Statement on Covid-19 related Safeguarding Adult Reviews Referrals can be found here.


Safeguarding Adult Reviews are not inquiries into how someone died or suffered injury, or to find out who is responsible. They:

  • look at any lessons we can learn from the case about the way professionals and agencies worked together
  • review the effectiveness of our safeguarding adults procedures
  • inform and improve practice
  • identify what can be done better to avoid a similar circumstance from reoccurring

The Safeguarding Adult Board aims to share learning from Safeguarding Adult Reviews widely: with local organisations and through the London and National Safeguarding Network across London and nationally.

When are they held?

Section 44 of The Care Act 2014 requires Safeguarding Adults Boards to undertake a Safeguarding Adult Review when specific criteria are met. This is when abuse results in the death or significant and possibly life-changing harm of an adult with care and support needs.

Read Government information about the Care Act 2014 and SARs.

Make a Referral

Anyone may make a referral. It is recommended that you refer to the SAR criteria contained in the SAB Kingston SAR Protocol.  View our local SAR Protocol here.

Send your completed SAR Referral Form by email or by post to:

Corporate Head of Safeguarding, Adult Social Care, 3rd Floor, Guildhall, High Street, Kingston, KT1 1EU

The SAR Sub Group usually makes a decision relating to any SAR referral within four weeks of receipt, and will inform the referrer of the decision made.

SAR Reports

  1. SAR SU
  2. SAR Mr E
  3. SAR Mrs L
  4. SAR Statement - Mrs X

7 Minute Briefings

The KSAB have introduced ‘Seven Minute Briefings’ (7MB) to allow managers to deliver a short briefing to staff on key topics – they can also be used to support reflective discussion with practitioners.

7 minute briefings are based on a technique borrowed from the FBI! Research suggests that seven minutes is an ideal time span to concentrate and learning is more memorable as it is simple and not clouded by other issues and pressures. Their brief duration should also mean that they hold people’s attention, as well as giving managers something to share with their staff.

Clearly such short briefings will not have all the answers, but it is hoped that they will act as a catalyst to help teams and their managers to reflect on their practice and systems. The expectation is that team leaders will present briefings to their staff, on a regular basis – seven minutes is manageable in most services so why not discuss one in your next team meeting.

Our briefings will be issued on a regular basis, providing a mixture of new information or a reminder of basic information with challenge for teams to think about the application to practice within their teams.  Partners and subgroups are encouraged to draft a briefing and submit it for publication.  

The briefings can be downloaded below from the library list which is being updated with new briefings regularly.

The KSAB also publish a 7 minute briefing as part of each Safeguarding Adult Review.

We encourage all agencies to record or evidence how they have used our 7 Minute Briefings (7MB) on the action plan.

  1. London Fire Brigade 7MB and Checklist
  2. Mr E 7MB
  3. Domestic Violence 7MB
  4. Clare's Law 7MB
  5. Think Family! 7MB
  6. Cuckooing 7MB
  7. Adult Safeguarding Awareness (Public) 7MB
  8. Adult Safeguarding Awareness (Voluntary) 7MB
  9. Scams 7MB
  10. Thanks to the SW London Leads Group and Central London & Community Healthcare NHS Trust for sharing the following information:
  11. Police & Safeguarding 6MB

Last Modified: 29/04/2021 11:08:17