Safeguarding adults

who is concerned that abuse may be taking place or feels they are subject to abuse themselves should seek help, even if the circumstances appear trivial.

Any concerns about an adult at risk who may be being abused or neglected should be alerted to the Royal Borough of Greenwich.

If you suspect a person is at risk of abuse or is being abused or neglected, report it to the Contact Assessment Team.

If a person is in immediate danger, you should always call the police on 999.


NHS Greenwich CCG works with partners to promote the safety and well-being of adults who may be at risk of being abused, neglected or exploited and to safeguard them from harm.

This partnership is the Greenwich Safeguarding Adults Board and includes:

  • NHS Greenwich CCG
  • Royal Borough of Greenwich Adult and Community Services
  • Metropolitan Police
  • Local health trusts
  • Voluntary organisations

Visit the Royal Borough of Greenwich website for more information. ​

It is also important that members of the public, including people who may be subject to abuse themselves, are aware of how to report concerns.

Statutory guidance

The Care Act (2014) sets out for the first time the statutory responsibilities of organisations towards adults at risk of abuse or neglect. The Care and Support Statutory Guidance has been published to support the Care Act and includes a chapter on adult safeguarding. This guidance replaces the 'No Secrets' document previously published by the Department of Health in 2000.

The Care Act expands the categories of abuse and neglect to include:

  • Physical abuse
  • Domestic violence
  • Sexual abuse
  • Psychological abuse
  • Financial or material abuse
  • Modern slavery
  • Discriminatory abuse
  • Organisational abuse
  • Neglect and acts of omission
  • Self neglect

Read the Care Act 

Preventing abuse  

Abuse or neglect can occur in health and social care settings, as well as in people's own homes. In some cases this abuse may be carried out by health or social care professionals, as well as by family and friends. There is a growing emphasis on preventing abuse wherever possible, and a greater recognition that all individuals and organisations have a responsibility to safeguard vulnerable adults at risk from abuse. There is significant further work to be done to ensure that safeguarding adults becomes "everybody's business".

The Mental Capacity Act 2005

This Act introduced a new legal framework for protecting the welfare and finances of vulnerable adults who lack mental capacity. It also introduced a new crime of neglecting or ill-treating a person who lacks mental capacity. Read the guide

Pan London adult safeguarding procedures

The Association of Directors of Adult Social Services (ADASS), NHS London, the Metropolitan Police, and the London Clinical Commissioning Council have produced 'London multi-agency safeguarding policy and procedures' (2015).  These pan-London policies, procedures and protocols are designed to encourage the continuous development of best practice in order to better safeguard adults throughout London.

Read the policy.​


Independent Mental Capacity Advocates (IMCAs) help people who are assessed as lacking capacity about medical treatment or where they live, and have no family or friends who are willing to represent their views. Visit the Advocacy For All website

Further information

 For more information please contact the CCG Designated Nurse for Adult Safeguarding on 020 3049 9177 or 07852 406256, or email NHS Greenwich CCG at ​