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Further Information

Self-neglect and Hoarding

Self-neglect and hoarding strategy pilot 

Following the launch of the Self-neglect and Hoarding Strategy, a pilot of the high risk panel (HRP) opened on 1 November 2016 in two of the locality safeguarding adults partnership (LSAP) areas, central and western. Initially for six months, the pilot was extended and ran until the end of September 2017.  A task and finish group is currently reviewing how to take this forward.

Click here for a map showing the LSAP areas

Click here for the guidance on the pilot. This guidance is to help support partners think about when and how to make a referral of a high risk self-neglect case under the pilot.

Click here for a High Risk Panel Referral Form (Word).


Self-neglect is a complex area of work, arising as it does from a large range of causal factors. The Care Act 2014 recognises self-neglect as a potential safeguarding matter among those who are either in receipt of, or in need of care and support, and when their health and wellbeing or that of others is seriously compromised. Safeguarding Adult Review (SAR) reports frequently highlight self-neglect signs and symptoms as a factor in or indicators of subsequent serious events that have resulted in life threatening consequences or even death. When seen in isolation, self-neglect behaviours may not give rise to safeguarding intervention. However, when viewed alongside other potential risks, a very different picture often emerges.

To address and coordinate this important area of work across partner agencies, the Norfolk Safeguarding Adults Board has published this strategy, which proposes intervention at a stage when self-neglect and/or hoarding have given rise to significant concerns that an individual (and/or others) may be at risk of serious harm. It sets out clearly that a collaborative and multi-disciplinary approach to those at high risk is the most effective way to achieve creative and proportionate interventions that respect the individual’s right to self-determination.

The strategy provides tools to support practitioners, including:

  • The Clutter Image Rating Scale (CIRT)
  • Assessment Tool Guidelines
  • Guidance for practitioners
  • The use of a High Risk Panel (HRP) to draw together a range of agencies / services with whom the individual is or may have previously been involved in order to provide an opportunity for multi-agency working on cases of self-neglect and hoarding. The panel would sit alongside the existing Locality Safeguarding Adults Partnerships (LSAPs).

To download the strategy click here.