Safeguarding adults reviews

The Tower Hamlets Safeguarding adults review (SAR) protocol outlines the agreed process for commissioning and learning from SARs. The key purpose for undertaking a SAR, previously known as a Serious Case Review, is so lessons can be learned from serious injury or death of an "adult at risk". 

These lessons can be shared widely so we reach an understanding of what needs to change to reduce the risk of further tragedies.

March 2024

Read the safeguarding adults review for Report of Mick Haggar & Fran Pearson

The cases of Mrs. N and Mrs. O were merged into a single thematic review that looks at their circumstances in relation to the standards of care and assistance they received. It was commissioned in March 2020 by the Tower Hamlets Safeguarding Adults Board.

July 2021

Read the safeguarding adults review for Mornington Hall and Bakers Court (published by Newham Council).

The Mornington Hall and Bakers Court safeguarding adults review was undertaken due to concerns about the quality of care of six residents in two care homes based in Newham. A safeguarding adults review was commissioned by the Newham Safeguarding Adults Board.

A Tower Hamlets resident Ms R, a 92-year-old British White woman, was admitted to Bakers Court after a hospital admission and her care was looked at as part of the independent review. This explains the Tower Hamlets role in the safeguarding adult review.

Previous safeguarding adult reviews

• Read the easy read version, executive summary and full report for a safeguarding adults review conducted in the case of Mr B. (Published September 2020).
• Read the executive summary and full report for a safeguarding adults review conducted in the case of Miss E. (Published September 2020).
• Read the executive summary and full report for a safeguarding adults review conducted in the case of Ms H and Ms I. (Published March 2020).
• Read the executive summary and full report for a safeguarding adults review conducted in the case of Mr F and Mr G. (Published March 2020).
• Read the executive summary, easy-read summary and full report for a safeguarding adults review conducted in the case of Mr Z. (Published December 2019).
• Read the executive summary and full report for a safeguarding adults review conducted in the case of Mr V. (Published November 2019).
• Read the executive summary and full report for a safeguarding adults review conducted in the case of Ms C. (Published July 2019).
• Read the executive summary, easy read summary and full report for a safeguarding adults review conducted in the case of Mr D. (Published July 2019).
• Read the executive summary for a safeguarding adults review conducted in the case of Ms L. (Published summer 2018).
• Read the Safeguarding Adults Review Summary for a safeguarding adults review conducted in the case of Mr X. and Mr Y. (Published 2012).
• Read the executive summary for a safeguarding adults review conducted in the case of Mrs A. (Published 2015).
• Read the executive summary for safeguarding adults review conducted in the case of Mr K. (Published 2015).
• Read the Safeguarding Adults Review for Mrs Q. for a safeguarding adults review conducted in the case of Mrs Q (Published 2017).

Any individual (member of the public or professional) or agency may refer a case to be considered for a SAR using the SAR referral form.

Further information on SARs

SAR leaflet for professionals and the SAR leaflet for families.

Each summer, the Tower Hamlets Safeguarding Adults Board holds an annual conference that focuses on key safeguarding themes that staff from partner organisations across Tower Hamlets are invited to attend.

If you would like further information, please contact the SAB coordinator on lbthsab@towerhamlets.gov.uk.