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This paper looks at the how adult protection policy and procedures have been implemented in the Northern Irish joint health & social services context. This reveals great similarity with other UK settings. One board's use of focus groups to evaluate its policy and system is reported

This paper reports findings from a recent study of adult protection case conferences, focusing on how the victim's views may be represented or heard.

Kent was one of the first social services departments to develop a specific adult protection policy in 1987. This paper charts the development of policy and references key landmarks on this journey from the perspective of the policy manager's role. Opportunities are also taken to identify the key learning from this experience and the main challenges for the newly emerging safeguarding agendas.

This paper examines the road to current safeguarding management and practice in Medway. This has been influenced by organisational change with Medway Council, a separate unitary authority formed from the previous Medway and Swale Area of Kent County Council in the government's first wave of unitary authorities. Medway was a shadow authority in 1997 and became a full unitary council in 1998. Locally, this brought together Rochester upon Medway City Council with Gillingham Borough Council under one local government regime with singular political and management leadership. These changes brought particular challenges for adult protection; this paper maps out these demands and discusses the management and practice solutions adopted.

The purpose of this paper is to summarise findings of a review of service user and carer involvement in safeguarding and recommendations for good practice.

The study involved a review of selected literature and a consultation exercise with experts in the field of adult safeguarding and telephone interviews with 13 Adult Safeguarding Leads across England and Wales.

Service users value rights, independence, choice and support. Adult Safeguarding policy sets out an expectation of service user involvement in the process and expects agencies to balance rights to self‐determination with properly managed risk. In practice, agencies tend to be risk‐averse and service users often do not feel involved in their safeguarding processes. Processes such as collaborative risk enablement, training and capacity building, working with BME groups and evaluation of involvement help. Good practice examples of involvement in Safeguarding Boards or local forums, developing new methods of user feedback and community involvement were found. Recommendations include more involvement of service users in research, more effective forms of involvement of groups who may be more excluded, shared responsibility for risk, and more training in rights legislation.

The paper offers recommendations for good practice in improving involvement in adult safeguarding, which is a requirement and an essential component of delivering good services to vulnerable adults.

Service user involvement in health and social care is now widespread, but there is little knowledge of how to involve the most vulnerable service users who are in need of protection, or how to balance risk and empowerment. This paper addresses the dilemmas facing Adult Protection staff, summarises the experience of practitioners based on the first decade of adult safeguarding work and sets out guidance for improving practice.

In adult protection many of the concerns that are highlighted about possible abuse relate to non‐criminal situations in which neglect may have occured. Designated lead managers, often social services team managers, act as gatekeepers. In conjunction with police, health and inspectorate colleagues they have to determine if allegations and referrals should be dealt with either as possible abuse or as poor practice, triggering different mechanisms. A tool has been developed in Wales to promote and support consistency in decision‐making in ‘grey areas’. Also, the Welsh Assembly Government(2009) has published helpful guidance on the management of escalating concerns in care homes, which helpfully informs arrangements for adult protection and provider performance to be managed in tandem.

This paper argues for a case management rationale in adult protection management and practice, drawing insights from a series of linked training initiatives and an evaluation of the role of the specialist adult protection co‐ordinator. An explicit case managed approach contrasts with much current practice for adult protection, where responsibilities often vary widely within, between and across agencies and professional and worker roles.

In the wake of publication of guidance by the National Assembly for Wales, a monitoring tool was developed for use in adult protection investigations. This paper explains how the monitoring tool, to be used by all Welsh local authorities, will work.

The paper aims to appraise professional practice in safeguarding vulnerable adults. It will examine the mechanisms in place and discuss how future policy will affect multi‐agency working in this field.

The paper examines recent consultations, policy development, inspectorate reports and legal guidance surrounding the issue of safeguarding adults in England and Wales, and suggests ways in which inter‐agency working can be strengthened.

Safeguarding systems need to be timely, rigorous and transparent to increase levels of public confidence and to ensure that the people who are at most risk of being abused are safe when accessing public services. The concept of safeguarding adults is increasingly being integrated into government policy and there are many successful examples of safeguarding partnership working in England and Wales. However, there are also substantial barriers that hinder organisations from working together effectively, such as different cultures, practices and ideologies.

The paper explores the fact that there needs to be clarification of roles and responsibilities and integration of processes, and acceptance of true multi‐agency working. There is a danger that instead of providing extra protection for adults at risk, multiple routes will result in a lack of co‐ordination.