Executive Summary Published

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An Executive Summary has been published of an independently authored Serious Case Review into the death of a 77 year-old person in May 2012.

The Serious Case Review (SCR) was carried out under the Wales Interim Policy & Procedures for the Protection of Vulnerable Adults from Abuse (2013).

The primary purpose of a SCR carried out under this guidance is to:

  • Establish whether there are lessons to be learned from the case about the way in which local professionals and agencies work together to safeguard vulnerable adults;
  • Identify clearly what those lessons are, how they will be acted upon, and what is expected to change as a result;
  • Improve inter-agency working, and better protection and support of vulnerable adults.

The report was commissioned by the Pembrokeshire Adult Protection Committee, which accepts the recommendations for multi-agency learning made by the report.

Download Report


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