This review looks at the actions of the agencies involved in supporting Mrs A, an 88 year old lady, who died on 4 June, 2015. This review has identified that although there is nothing that could have been done to prevent the death of Mrs A and that she had made clear decisions about her own care and support, the agencies working with patients need to weigh these wishes carefully against professional practice standards. The review has recommended a rolling programme of training for all workers to ensure they have safeguarding training appropriate for their job and that there are clear processes available for families and others to raise concerns and complaints
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27 Aug 2026
Learning from the ‘Courtney’ Safeguarding Adult Review
The North Yorkshire Safeguarding Adults Board (NYSAB) has published a 7-Minute Learning Brief in relation to the ‘Courtney’ SAR report. ‘Courtney’ is...
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24 Aug 2026
Learning from the ‘Alice and Peter’ Safeguarding Adult Review
The North Yorkshire Safeguarding Adults Board (NYSAB) has published the Alice and Peter Safeguarding Adults Review (SAR) Report and accompanying 7-Minute Learning Brief....
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