Adult Practice Reviews (APRs)
ADULT PRACTICE REVIEWS
In accordance with The Safeguarding Boards (Functions and Procedures) (Wales) Regulations 2015, Regional Safeguarding Adults Boards have a statutory responsibility to undertake multi-agency Adult Practice Reviews in circumstances of a significant incident where abuse or neglect of an adult at risk is known or suspected.
The prime purpose of practice reviews, as defined in The Safeguarding Boards (Functions and Procedures) (Wales) Regulations 2015, is to identify any steps that can be taken by Safeguarding Board partners or other bodies to achieve improvements in multi-agency adult protection practice.
While reviews may vary in their breadth and complexity they should be completed in a timely manner. Lessons learned from practice reviews should be disseminated effectively and any recommendation arising should be implemented promptly so that the changes required result wherever possible, in adults at risk being protected from suffering or harm in the future. Where possible lessons should be acted upon without necessarily waiting for the completion of the review.
Practice reviews are not inquiries into how an adult at risk died or was seriously harmed, or into who is culpable. These are matters for coroners and criminal courts, respectively to determine as appropriate.
REGIONAL ADULT PRACTICE REVIEWS
Adult Practice Review reports for all APRs carried out within the Mid & West Wales region will be published on this website after completion for a period of 12 weeks, as per guidance (Working Together to Safeguard People – Volume 3 – APRs).
Today The Mid and West Wales Safeguarding Adults Board Publishes a Concise Adult Practice Review CWMPAS 1 2016 in respect of Adult A in accordance with The Social Services and Well-Being Act (Wales) 2014, Working Together to Safeguard People Adult Practice Reviews Volume 3. The local authority who was responsible for Adult A’s care plan Ceredigion has made the following statement to accompany publication of the report.
"Ceredigion Council acknowledges that the family have been through difficult times and wish to apologise for any distress that may have been caused during the practice review process. The review has provided an opportunity to share learning with partner organisations and to recognise that significant changes have already been introduced to improve practice. The Mid and West Wales Regional Safeguarding Board CWMPAS will oversee the delivery of the action plan and are committed to ensuring that lessons continue to be learnt and services improved."
In accordance with Welsh Government guidance, Social Services and Wellbeing (Wales) Act 2014 – Working Together to Safeguard People Volume 3 – Adult Practice Reviews, there are two types of review:
A Safeguarding Board must undertake a concise adult practice review where an adult at risk who has not, on any date during the 6 months preceding the date of the event, been a person in respect of whom a local authority has determined to take action to protect them from abuse or neglect following an enquiry by a local authority, and has:
- Died; or
- Sustained potentially life threatening injury; or
- Sustained serious and permanent impairment of health.
A Board must undertake an extended adult practice review where an adult at risk who has, on any date during the 6 months preceding the date of the event, been a person in respect of whom a local authority has determined to take action to protect them from abuse or neglect following an enquiry by a local authority, and has;
- died; or
- sustained a potentially life threatening injury; or
- sustained serious and permanent impairment of health.
SERIOUS CASE REVIEWS
In Wales before the introduction of Regional Safeguarding Boards in 2013, local arrangements were in place for carrying out Serious Case Reviews/Internal Management Reviews.
Wales Guidance for conducting a Serious Case Review can be found in Appendix 2 of the Wales Interim Policy & Procedures for the Protection of Vulnerable Adults from Abuse (2010, updated January 2013).
This process has now been superceded by Adult Practice Reviews in Wales.
- Social Services and Well-being (Wales) Act 2014 Working Together to Safeguard People Vol. 3 – Adult Practice Reviews
- SSWB (Wales) Act Part 7 The Safeguarding Boards (Functions and Procedures) (Wales) Regulations 2015
- SSWB (Wales) Act Part 8 Code of Practice on the role of the Director of Social Services (Social Services Functions)
- CYSUR: Adult Practice Review Protocol – July 2017 (doc)
- CYSUR: Case Referral to APR Sub Group (doc)
- CYSUR: APR Leaflet (pending)
- Protecting Children in Wales: Guidance for arrangements for multi-agency Child Practice Reviews (pdf)
- Protecting Children in Wales: Child Practice Reviews – guide for organising and facilitating learning events (pdf)
- Wales Interim Policy & Procedures for the Protection of Vulnerable Adults from Abuse (doc)
- The Local Safeguarding Children Boards (Wales) Regulations 2006 (pdf)