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Lewisham Safeguarding Adults Board

Safeguarding Adult Review - Mr Michael Thompson - July 2018

A decision was made by Lewisham Safeguarding Adults Board (LSAB) to undertake a Safeguarding Adult Review in September 2016 following the death of Mr Michael Thompson in March 2016.

The Safeguarding Adult Review (SAR)

The Care Act 2014 came into effect from 1st April 2015. Under section 44:

“(1) A Safeguarding Adults Board must arrange for there to be a review of a case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs) if

(a) there is reasonable cause for concern about how the Safeguarding Adults Board, members of it or other persons with relevant functions worked together to safeguard the adult, and

(b) condition 1 or 2 is met.

(2) Condition 1 is met if—

(a) the adult has died, and

(b) the Safeguarding Adults Board knows or suspects that the death resulted from abuse or neglect (whether or not it knew about or suspected the abuse or neglect before the adult died).

(3) Condition 2 is met if— (a) the adult is still alive, and (b) the Safeguarding Adults Board knows or suspects that the adult has experienced serious abuse or neglect.

(4) A Safeguarding Adults Board may arrange for there to be a review of any other case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs).

(5) Each member of the Safeguarding Adults Board must co-operate in and contribute to the carrying out of a review under this section with a view to

(a) identifying the lessons to be learnt from the adult’s case, and

(b) applying those lessons to future cases.”

The purpose of undertaking a Safeguarding Adult Review

The Care Act 2014 Guidance explains that the purpose of a review is to:

  1. Develop learning that enables the safeguarding adults' partnership future.
  2. Ensure that lessons are learnt and lessons are applied to future situations to improve local practice, procedures and services together with partnership working in Lewisham to minimise the possibility of circumstances similar to this happening again.
  3. The purpose of the review is not to apportion blame or hold any individual or organisation to account. Other processes exist for that, including criminal proceedings, disciplinary procedures, employment law and systems of service and professional regulation, such as the Care Quality Commission, the Nursing and Midwifery Council, the Health and Care Professions Council, and the General Medical Council.

An Independent Review Chair was commissioned by Lewisham Safeguarding Adults Board in February 2017.

The report is based on information provided from:

  • Downham Family Medical Practice (GP Service)
  • Independent Police Complaints Commission (IPCC)
  • Lewisham and Greenwich NHS Trust
  • London Ambulance Service (LAS)
  • London Borough of Bromley – Emergency Duty Team (EDT)
  • London Borough of Lewisham – Approved Mental Health Professional (AMHP) Team
  • Metropolitan Police Service (MPS)
  • National Probation Service, Lewisham and Southwark Local Delivery Unit
  • NHS 111 Service
  • South East London Doctors on Call (SELDOC)
  • South London and Maudsley NHS Foundation Trust (SLaM)

Statement from Lewisham Safeguarding Adults Board in response to the findings and recommendations from the report.

Lewisham Safeguarding Adults Board–Safeguarding Adult Review–Mr Michael Thompson–July 2018.

Safeguarding Adult Review Reflection and Development Briefing - Mr Michael Thompson

All media enquiries should be directed to Lewisham Safeguarding Adults Board only.

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