Safeguarding adults form for professionals

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If you’re worried about your own or someone else’s safety and need an emergency response, call the police on 999. If this isn't an emergency but a crime may have taken place, call the police on 101.

Be prepared

You need to be prepared before you start this form because:

• you cannot save the form and come back to it later
• if you’re on a page in the form for more than 30 minutes, we’ll reset the form and delete the information you’ve entered

This is to keep the information secure.

It will take about 15 minutes to complete the form.

When to use this form

You should only use this form when abuse of an adult in need of care and support has been discovered, suspected, or disclosed.

This form is for professionals who suspect that an adult in Bristol with care and support needs is:

• at risk of or experiencing harm from others due to abuse or neglect
• at risk of self-neglect but their health or welfare is not in immediate danger
• unable to protect themselves from harm because of these needs

As a health or social care professional, follow your organisation's safeguarding policy and seek guidance from your organisation's safeguarding lead about making a referral.

If you're unsure on what to do:

• call us on 0117 903 6629
• email safeguardingadults@bristol.gov.uk

We will advise on what to do in your situation.

What we'll ask you

We'll ask you for:

• information about the person being referred
• your details
• information about your concerns
• details of the person alleged to have caused the harm

If you do not have all this information, you might not be able to complete the form. Gather this information before completing this form unless the delay would leave the person you are referring unsafe.

We treat all information that we receive with sensitivity and confidentiality.

More about safeguarding adults at risk.

After you've submitted your referral

After you've submitted your referral you'll be able to download a copy of your form.

You'll also receive an email to confirm your referral form has been received.

If you do not receive this email, check your spam folder. If you have still not received a confirmation of the referral, call us on 0117 903 6629 immediately to let us know.