Safeguarding Adults - Provider S42 Enquiry This template can be used by any professional or service provider when they are asked by the local authority to undertake a S42 Enquiry. Its purpose is to provide an appropriate format, and support consistency, to share the findings from a Care Act 2014 S42 Enquiry into a reported concern of abuse or neglect. The contents of this document are restricted and should only be reproduced or shared with the agreement of the report author. You are responsible for the safe storage, transfer and disposal of this document. Organisations are responsible for ensuring that employees undertaking S42 Enquiries have the necessary training and competency to fulfil the requirements of the role. Provider Details Alleged Victim’s Details Name of service provider Name of alleged victim Address Address/Location Person completing the Enquiry Gender & Ethnicity Designation DoB of alleged victim Contact details NHS number Date of Concern Unique identification number Who reported the concern? Next of kin or representative (Name, designation & contact (Name, status/relationship, contact details) details) Details of the concern Who, what, when, how? Was it witnessed?
Safeguarding Adults - Provider S42 Enquiry This template can be used by any professional or service provider when they are asked by the local authority to undertake a S42 Enquiry. Its purpose is to provide an appropriate format, and support consistency, to share the findings from a Care Act 2014 S42 Enquiry into a reported concern of abuse or neglect. The contents of this document are restricted and should only be reproduced or shared with the agreement of the report author. You are responsible for the safe storage, transfer and disposal of this document. Organisations are responsible for ensuring that employees undertaking S42 Enquiries have the necessary training and competency to fulfil the requirements of the role. Provider Details Alleged Victim’s Details Name of service provider Name of alleged victim Address Address/Location Person completing the Enquiry Gender & Ethnicity Designation DoB of alleged victim Contact details NHS number Date of Concern Unique identification number Who reported the concern? (Name, designation & contact details) Next of kin or representative (Name, status/relationship, contact details) Details of the concern Who, what, when, how? Was it witnessed?
S42-Provider-Enquiry-Report-Template.docx