Adult Support and Protection (Scotland) Act 2007: guidance for General Practice

Steps to Take – The "Four Referral Rs"

Recognise – be aware of adult protection issues and how an adult at risk of harm may present. Consider trauma, undue pressure etc., and the adult's ability to safeguard themselves.

Report – where you have an internal adviser for adult protection report the matter to them, discuss with appropriate colleagues the need to make a referral but ensure this does not adversely delay referring.

Refer – Refer the individual and their circumstances through your local adult protection referral process. Where the matter is urgent contact the relevant emergency services without delay.

Record – use the individual's record to note the issues that arose, the circumstances, the decisions made/actions you took, and the rationale for your actions.

If the matter is urgent e.g. there is imminent risk of danger or significant harm has happened please contact the relevant Emergency Service – Police/Fire/Ambulance.