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How should I document and report concerns regarding safeguarding adults in my practice?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025

Documenting and Reporting Safeguarding Concerns in Practice

  • Record Details Accurately: Document what happened, when, where, and who was involved, including the adult at risk, any witnesses, and the alleged abuser. Ensure records are clear, factual, and contemporaneous to support any investigation or referral.
  • Do Not Investigate Yourself: Avoid conducting your own investigation to prevent compromising police or local authority enquiries. Preserve any physical evidence if applicable.
  • Discuss Confidentiality Transparently: Inform the adult that you have a duty to report concerns, explaining who you will report to, why, and when. Do not promise to keep the information secret.
  • Report to Appropriate Authorities Promptly: Report suspected abuse or neglect to a senior staff member or safeguarding lead within your organisation as soon as possible. If the safeguarding lead or senior staff are implicated, or you lack confidence in internal reporting, contact the local authority directly.
  • Follow Local Safeguarding Procedures: Make a safeguarding referral to the local authority if you suspect abuse or neglect, in line with the Care Act 2014 and statutory guidance. If unsure whether to refer, seek advice from the safeguarding lead or local authority.
  • Ensure the Adult’s Wishes Are Considered: Ask the adult at risk what they want to happen next and provide communication support as needed. Respect their autonomy unless there is immediate risk to their vital interests or others.
  • Monitor and Review: Continue to observe the situation for any further indicators or repeated concerns and update records accordingly.

Following these steps ensures safeguarding concerns are handled responsibly, transparently, and in accordance with legal and professional standards.

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This content was generated by iatroX. Always verify information and use clinical judgment.