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This document was classified as: OFFICIAL
overcome barriers that may have previously prevented access to services for those people.
7.53. There would still be a pathway to refer to TATI where risk was escalating, thereby providing a
complete pathway for managing people in vulnerable circumstances who were at risk, where
a Section 42 enquiry is not an appropriate way forward. It is of note that the commissioning
model and TATI does not preclude those that are subject to a Section 42 enquiry but is not a
criteria for inclusion.
7.54. How the needs of vulnerable adults with complex needs that fall below the threshold for TATI
(or similar) are met in other localities of the Teeswide area will be an issue for TSAB to
consider.
Learning Point 13: Effective MARACs provide a platform for sharing information and
effective interventions.
Learning Point 14: The Team Around the Individual is a useful process in managing and
supporting people who are change resistant drinkers who are also victims of domestic
abuse.
Learning Point 15: Commissioning the right services to address complex drinking and
domestic abuse cases, albeit resource intensive, may provide long-term benefits.
8. CONCLUSION
8.1. This review has acknowledged the complex set of circumstances that Adult C faced daily in
keeping herself safe. This not only included safety from abuse and exploitation but also safe
from the physical health complications of her lifestyle.
8.2. Adult C’s capacity to change and keep safe was severely affected by several factors:
by the power and controlling relationship that she was in
her alcohol dependency
her physical health condition/s
the trauma of previous experiences
the associates who she drank with
the lack of suitable housing
8.3. Adult C’s situation was by no means unique; much of the literature review undertaken for this
LLR highlights similar situations with well researched recommendations already being
suggested. A DHR locally as well as the 2019 Her Majesty’s Inspectorate of Constabulary and
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Fire & Rescue Services (HMICFRS) Peel inspection of the Police has also highlighted required
22 Her Majesty’s Inspectorate of Constabulary and Fire & Rescue Services (HMICFRS) inspects and reports to the public
and their elected representatives on how well the police do their job. The purpose is to promote improvements in policing and
keep everyone safe. HMICFRS provide authoritative information to allow the public to compare the performance of their police
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