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Published: March 2015 This guidance is for frontline practitioners and managers who work with adults who have care and support needs and who may be at risk of abuse or neglect.

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(The police, of course, will lead on all criminal investigations.) The police, health services and individual health professionals, including GPs, have a duty to cooperate and have a vital role to play in preventing, reporting and responding to allegations of abuse or neglect.

They also need to support the recovery of adults who have been victims of abuse, as well as working with those who are abusive.

Working with their partner organisations – including housing organisations, the National Health Service (NHS) and the police – local authorities should make sure that adults who may be at risk of abuse or neglect are enabled to live as safely and independently as possible, making their own decisions and taking control of their own lives.

Members of the public and staff from a wide variety of agencies may report safeguarding concerns to adult services for various types of abuse and neglect, including physical, psychological and financial abuse and exploitation.

The local authority needs to be satisfied that the service provider is responding adequately, and may need to carry out an enquiry of its own and oversee any follow-up action.

It may, for example, advise that the service provider notifies the Care Quality Commission, the Disclosure and Barring Service or the relevant professional regulator (where there is one).

It may be that the local authority will want this information to be passed, where significant, to the local Safeguarding Adults Board as well as to local commissioners.

In relation to health and social care services, the Care Quality Commission will want to satisfy itself (through registration and inspection) that where poor care occurs, the provider is competent to address it quickly and effectively.

All action taken and decisions made should be clearly recorded.

Adult services departments should take the lead coordinating role in safeguarding adults who may be at risk.

The guidance has been commented upon and strengthened by an advisory group that includes people with care and support needs and carers, Department of Health officials, representatives of Making Safeguarding Personal – a sector-led initiative which aims to develop an outcomes focus to safeguarding work – and professionals from the health sector, housing, the police and social work and social care.

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