This episode explains how to safeguard adults at risk when they deny abuse, using the Care Act 2014, GMC guidance, and the Section 42 legal threshold. It teaches how to balance protection with empowerment, how to override confidentiality lawfully, how to secure private conversations despite coercive control, and how to use MSP, capacity checks and proportionality to make safe, defensible decisions. A high-yield MSRA SJT guide to adult safeguarding in its most difficult form.

0:00 Subtle bruising + coercive partner
00:22 Denial and blocked conversation
00:40 Why this is a high-risk scenario
01:05 What safeguarding really means
01:35 Care Act legal anchor
02:05 When a Section 42 duty is triggered
02:40 The three mandatory criteria
03:20 Abuse risk vs proof
03:55 Making Safeguarding Personal (MSP)
04:25 Six safeguarding principles
05:10 Empowerment vs protection
05:40 Proportionality in real time
06:05 Capacity and advocacy duties
06:40 First–Next–Last structure
07:20 Information sharing without consent
08:00 Minimum-necessary rule
08:40 Safeguard mnemonic
09:20 Red flags: coercive control
09:55 High-risk domestic abuse (DASH/MARAC)
10:40 Self-neglect hazards
11:00 Confidentiality vs public interest
11:40 Trap answers to avoid
12:20 Model phrases
12:52 Three key takeaways

• Safeguarding = safety + autonomy + well-being
• Section 42 requires: care/support needs + risk of abuse + inability to protect
• Risk triggers action — not certainty
• MSP: person-led, outcome-based, capacity-checked
• Proportionality = least intrusive safe option
• Confidentiality can be overridden to prevent serious harm
• Minimum-necessary disclosure protects rights and meets legal tests
• Coercive control demands private assessment and documentation

SAFEGUARD mnemonic:
• S – See risk (recognise abuse)
• A – Ask outcomes (MSP)
• F – Fact-find (capacity, private conversation)
• E – Escalate/refer (Section 42)
• G – Gain consent or justify sharing
• U – Urgent actions first (medical/police)
• A – Adult’s wishes
• R – Record clearly
• D – Duty to review

Links:
• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards
• freemsra.com – Free podcasts, threads and rapid-learning guides
• msra.io – Smart MSRA Qbank with analytics

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