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Brian, 81, was paralysed from the waist down and also experienced a number of complex health conditions. Brian relied on visiting carers and his son, Alan, who he lived with and who was his primary caregiver. A number of organisations had contact with Brian or were involved in his support plan over the years. In August 2021, Brian tragically died at home.

The Keeping Bristol Safe Partnership commissioned a Safeguarding Adults Review (SAR) to examine the events that took place leading up to Brian's death.

Read the full Safeguarding Adults Review here:

Brian SAR Overview Report

The Executive Summary here:

Brian SAR Executive Summary

A response to the SAR has been provided by the KBSP:

Brian SAR KBSP Response

It is important that lessons are learned from Safeguarding Adults Reviews. A learning briefing has been created for professionals to use in individual learning, team meeting briefings or individual supervision to ensure that the findings are disseminated widely:

Brian SAR Professionals Learning Brief