HomeInitativesLearning from the International ExperienceDid anyone notice the transformation of adult social care?

Did anyone notice the transformation of adult social care?


The purpose of this paper is to report on a part of a study examining the interrelationships between personalisation and safeguarding practice. Specifically the authors aimed to examine how safeguarding practice is affected by the roll out of personalisation in adult social care, particularly when the adult at risk has a personal budget or is considering this.


A sample of annual reports from Adult Safeguarding Boards in England was accessed for content analysis covering the period 2009-2011. One part of this sample of local authorities was selected at random; the other authorities selected had been early adopters of personalisation. The reports were analysed using a pro forma to collect salient information on personalisation that was cross-referenced to identify common themes and differences.


The authors found variable mentions of personalisation as part of the macro policy context reported in the annual reviews, some examples of system or process changes at mezzo level where opportunities to discuss the interface were emerging, and some small reports of training and case accounts relevant to personalisation. Overall these two policy priorities seemed to be more closely related than had been found in earlier research on the interface between adult safeguarding and personalisation.

Research limitations/implications

There was wide variation in the annual reports in terms of detail, size and content, and reports for only one year were collected. Developments may have taken place but might not have been recorded in the annual reports so these should not be relied upon as complete accounts of organisational or practice developments.

Practical implications

Authors of Safeguarding Adults Board reports may benefit from learning that their reports may be read both immediately and potentially in the future. They may wish to ensure their comments on current matters will be intelligible to possible future readers and researchers.


There does not appear to have been any other previous study of Safeguarding Adult Boards’ annual reports. Documentary analysis at local level is under-developed in safeguarding studies.

Manthorpe, J.; Stevens, M.; Samsi, K.; Aspinal, F.; Woolham, J.; Hussein, S.; Ismail, M.; Baxter, K. (2015) Did anyone notice the transformation of adult social care? An analysis of Safeguarding Adult Board Annual Reports. Journal of Adult Protection, 17(1): 19-30.

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Founder and Director
Shereen Hussein is a Health and Social Care Policy professor at the London School of Hygiene and Tropical Medicine (LSHTM), United Kingdom.
Shereen Founded the MENARAH Network in 2019, through an initial grant from the Global Challenge Research Fund, UKRI. She is a medical demographer with expertise in ageing, family dynamics, migration and long-term care systems. Shereen regularly collaborates with the United Nations, the World Health Organisation and the World Bank in policy and research focused on ageing in the Middle East and North Africa Region.
Shereen received her undergraduate degree in statistics and a postgraduate degree in computer science at Cairo University. She completed an MSc in medical demography at the London School of Hygiene and a PhD in quantitative demography and population studies at the London School of Economics and Political Science, United Kingdom.

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Director of Analytical Research Ltd, and Affiliate Research Fellow, Oxford Institute of Population Ageing, University of Oxford, United Kingdom

Mohamed is trained in engineering (MEng – Cairo University), computer science (MSc – Cairo University) and mathematical finance (MSc – CASS Business School, University of London). Mohamed started his career in in the City of London in 1990s, working as a quantitative analyst for leading global financial organisations, such as Merrill Lynch, HSBC, Mizuho and Credit Suisse, before he began to shift his focus onto quantitative social research. Since 2009, he has worked as an independent researcher in the field of social sciences with a particular drive to make use of different statistical and mathematical modelling techniques for the analysis of large and multi-dispersed data sets.

He has worked with universities in the UK, Europe, Australia and the Middle East; publishing a number of peer-reviewed articles. He has also been invited to give talks and presentations at several leading universities and organisations. His current research interests focus on exploring the potential role of mathematical dynamical systems in the field of population ageing across health and social care. Mohamed is the Director of Analytical Research ltd and an affiliate at the Oxford Institute of Population Ageing, University of Oxford.