When significant risks of harm have been identified or when low level risk has increased following failed interventions, a multi-agency response is required. Options should be explored at a multi-agency meeting and a plan of action agreed.

There are instances where high risk cases do not meet the criteria for safeguarding, but there are still concerns about the level of risk. This is where the presenting practitioner would benefit from the support of a multi-agency approach. This can facilitate more effective working practices, sharing of knowledge, experience and interventions that could move high risk cases forward to the benefit of the high risk adult.

However if no positive outcomes are reached, then a referral should be made to the high risk panel. The High Risk Panel (HRP) provides a multi-agency way of managing work on complex and high risk cases, such as hoarding, fire risk, and self-neglect. The high risk panel plays a consultative and advisory role and discusses cases which have been presented to them for advice and guidance.

The High Risk Panel will discuss how to reduce and manage risks with a view to determining next steps, as well as identifying multi-agency solutions, action plans and when to make appropriate safeguarding referrals. The panel’s role is to challenge, guide and advise practitioners, as well as assist with the coordination of cases where cross-organisational barriers exist. The panel will consider any vulnerability or equality/diversity issues within their recommendations.

In order to make a referral to the High Risk Panel please read the guidance notes first complete the referral form.