Publication of Christopher SAR

The Bristol Safeguarding Adults Board has today (Wednesday 25th April) published a Safeguarding Adult Review into the circumstances of the death of ‘Christopher’.

In December 2015 Christopher died in hospital as a result of a respiratory tract infection, short bowel syndrome and previous surgery for enterocolitis which were compounded by recent weight loss, being an in-patient with poor mobility, a poor cough reflex and recent general anaesthetic. He was admitted to hospital after becoming ill and losing significant weight as a result of refusing food and medication in his supported living provider’s care.

Louise Lawton, Chair of the Safeguarding Adults Board, said: “I would like to start by offering my sincere condolences to the family.  This was a sad case which has identified areas for development in the way organisations work together within the city.  Christopher had complex health issues and severe learning disabilities and this report has found that he was failed by some of the practices and systems he experienced.”

You can read the full Safeguarding Adult Review here. A response from the BSAB and a statement from Christopher’s family have also been published.

  • Joint Safeguarding Business Unit