Prevention and Early Help: Non-Statutory Safeguarding

Prevention and Early Help is crucial in relation to adult safeguarding and goes hand in hand with Empowerment: the first two of the six Safeguarding Principles. See page 8: London Multi-Agency Adult Safeguarding Policy, Practice Guidance and Procedures November 2025

All professionals must work to maximise their efforts in conjunction with their clients and service users, to help prevent the experience or risk of abuse and neglect. This is non-statutory safeguarding work which can be done without the need to involve the local authority, although where necessary this may be required and the appropriate course of action. 

We can all help to prevent adult abuse and neglect by supporting the delivery of these key objectives:

1. Improve Public Awareness.

This can be achieved by helping to support awareness building campaigns and by signposting adults to appropriate sources of information (this website is an excellent place to start).

2. Identify Adults who May be at Increased Risk.

There are many factors which might increase the risks of adult abuse and neglect including:

• Age - older adults aged 65+ are much more likely to be the subject of a Safeguarding Concern, but we must not forget younger adults too, including those who are care experienced.
• Those living with a disability.
• Cognitive illness or brain injury.
• Serious Mental ill-Health. 
• Addiction.
• Loneliness and isolation. 
• Those who rely on others for daily health and social care support.
• Unpaid carers. 
• Homelessness.
• Missing adults. 

There are lots of cross-overs (intersectionality) and this links to the adult’s needs for care and support. This list is not exhaustive.

3. Identifying & Responding Effectively to Abuse.

Organisations and individuals working to improve their understanding and early identification of the different types of adult abuse, so that an effective response can be achieved in conjunction with the adults views and wishes. This might involve a single agency response, or work alongside other partners when the legal duty or criteria for safeguarding adults at risk has not been met. 

4. Consistent & Widespread Application of Policies & Procedures.

It is important for organisations delivering services to adults to have appropriate policies and procedures which are developed in line with guidance from the Lewisham Safeguarding Adults Board, and embedded into the practice of all professionals.

LSAB Policies and Procedures Library

5. Focus on Equality & Narrowing Inequality.

Adults from financially deprived backgrounds are more likely to become an ‘identified’ victim of adult abuse and neglect, and it may be less likely that an adult from some of the ethnically diverse communities will be engaged with statutory services in Lewisham. All professionals can help to improve reporting and equal access to protective services.

This Government Guidance provides some excellent information and resources to help reduce inequality: Inclusion Health: Applying All Our Health (May 2021)

6. Help Adults to Protect Themselves.

Every organisation delivering services to adults can identify ways in which they can help to inform, and support adults in protecting themselves from abuse and neglect.

7. Provide Information, Advice & Advocacy.

Individual organisations will know the communication needs of their client groups, and as such are best placed to provide bespoke adult safeguarding information in the most appropriate formats, methods and languages. Pathway Resources

POhWER provide the statutory Lewisham Advocacy Service to support residents with a variety of issues, where there may be difficulties with communication or understanding information.

Find out more about the Lewisham Advocacy Service Leaflet.

8. Provide Access to Training & Education.

Organisations have a responsibility to provide access to up to date and relevant adult safeguarding training for their staff and volunteers, and additional support for the person (s) responsible for leading on this subject within that agency. 

The Lewisham Safeguarding Adults Board offer Free Online Adult Safeguarding Foundation Level Training Sessions to everyone who would like to know more about Adult Safeguarding.

The aim of these online sessions is to provide an introduction to adult safeguarding by outlining the legal framework, definitions and principles that are used, and by explaining the content of the Lewisham Adult Safeguarding Pathway which includes key local and national resources.

This training is also ideal is for new staff, volunteers, or for those needing a refresher on Adult Safeguarding.

9. Support Broader Wellbeing Strategies.

There is a clearly established link between the prevention of adult abuse and broader health and wellbeing strategies, including the reduction of social isolation and loneliness. Organisations can help to engage adults in these type of strategies, which will also indirectly help to prevent adult abuse.

Preventing abuse and neglect of adults with care and support needs - SCIE

This video Safeguarding Adults - Helping People To Protect Themselves From Crime which has been produced by the Social Care Institute for Excellence, shows what care workers and others who are in contact with adults at risk can do to help them protect themselves from crime.

This video Safeguarding Adults - Looking Out For Each Other To Prevent Abuse which has been produced by the Social Care Institute for Excellence, can be helpful to highlight what the local community can do to protect themselves and those they care about.

Local Support and Advice Services for Adults

Age UK Lewisham and Southwark Age UK Lewisham and Southwark

Age UK Lewisham and Southwark exist to improve the lives of older people in the London Boroughs of Lewisham and Southwark, working towards a future in which older people are valued, safe and empowered to make choices about their lives.

Age UK Lewisham and Southwark aim to empower and enable older people to lead fulfilled lives by:

• Providing services and support that address poverty and isolation
• Protecting the human rights of local older people
• Promoting health and wellbeing
• Connecting older people with their communities
• Working positively with partners across all sectors

Find out how Age UK Lewisham can help you. 

Feeling lonely or isolated? - Age UK Silver Line The Silver Line Helpline | Age UK

As we get older, we may find we spend more time on our own. This can sometimes feel lonely, boring or make us miss friends or family.

Age UK's The Silver Line Helpline is a free, confidential telephone service that offers friendship, conversation and support to older people – 24 hours a day, 365 days a year.

They offer friendship, conversation, and support for people aged 55 or over, especially those who may be experiencing feelings of loneliness and isolation.

Find out more about the Silver Line

Community connections Breaking Isolation Video

Watch Community Connections film Breaking Social Isolation to see how they tackle loneliness and social isolation in Lewisham.

Community Connections Lewisham are able to connect you with groups, activities and services in your local community that can support your health and wellbeing, bringing Lewisham to you!

You can phone them on 0330 058 3464, from 9:30am-4pm Monday-Friday (*except Thursdays when our line is open from 2-4pm). You can also get in touch using their online referral form, or visit the Thursday Morning Drop In.

The Lewisham Community Wellbeing Hub provides timely, targeted support to help people across the diverse communities in Lewisham to manage their mental health. Their aim is to provide people with the tools, resources and links to local services to improve their wellbeing and resilience in the long term, through the support of their experienced and skilled staff team. The service is open to anyone over 18 who lives in the London Borough of Lewisham, has experienced challenges with their mental health and who wants to improve their wellbeing.

The service provides time-limited one to one practical sessions for residents in Lewisham to develop strong self-care practices, maintain their wellbeing and feel able to be a part of the local community.

Find out more about the Lewisham Community Wellbeing Hub

Download the Lewisham Community Wellbeing Hub Leaflet

 

Look after your health with Pharmacy First

Pharmacists can offer advice on a range of illnesses, such as coughs, colds, sore throats, ear infections and aches and pains.

They can also give advice about medicines. This includes how to use your medicine, worries about side effects or any other questions you have.

Most pharmacies can also offer prescription medicine for some conditions, without you needing to see a GP or make an appointment. This is called Pharmacy First.

Conditions they can offer prescription medicine for are:

• impetigo (aged 1 year and over)
• infected insect bites (aged 1 year and over)
• earache (aged 1 to 17 years)
• sore throat (aged 5 years and over)
• sinusitis (aged 12 years and over)
• urinary tract infections (UTIs) (women aged 16 to 64 years)
• shingles (aged 18 years and over)

If you are not within these age ranges, a pharmacist can still offer advice and support decisions about self care treatment with over the counter medicines, but you may need to see a GP for treatment.

If you go to a pharmacy with one of these conditions, the pharmacist will offer you advice, treatment or refer you to a GP or other health professional if needed. They will also update your GP health record, but your information will not be shared with anyone else.

Think pharmacy first and get seen by your local community pharmacy team.

For more information, visit nhs.uk/thinkpharmacyfirst

Get an NHS Health Check

The NHS Health Check is a free check-up of the health of your heart and blood vessels (cardiovascular health). It can tell you whether you're at higher risk of getting certain health problems, such as:

• heart disease
• diabetes
• kidney disease
• stroke

During the check-up you'll discuss how to reduce your risk of these conditions.

If you're aged over 65, you'll also be told about symptoms of dementiato look out for, as some types of dementia have the same risk factors as these conditions. You can also be given details of local services that help with dementia.

Who is the NHS Health Check for?

The check is for people who are aged 40 to 74 who do not have any of the following pre-existing conditions:

• heart disease
• chronic kidney disease
• diabetes
• high blood pressure (hypertension)
• atrial fibrillation
• transient ischaemic attack
• inherited high cholesterol (familial hypercholesterolemia)
• heart failure
• peripheral arterial disease
• stroke
• currently being prescribed medicines such as statins to lower cholesterol
• previous checks have found that you have a 20% or higher risk of getting cardiovascular disease over the next 10 years

You should be offered regular check-ups if you have already been diagnosed with one of these conditions. Your care team will be able to give you more information about this.

How do I get an NHS Health Check?

If you're aged 40 to 74 and do not have a pre-existing health condition, you should be invited to an NHS Health Check by your GP or local council every 5 years.

If you have not been invited for an NHS Health Check and think you're eligible, contact your GP to arrange an appointment.

For more information visit NHS Health Check - NHS

Drugs and alcohol

If you or someone you care about is struggling with drugs or alcohol, it can feel upsetting, confusing and exhausting. You’re not alone, and support is available for both you and them.

You can’t control someone else’s choices but helping them take a step towards the right support can make a real difference. Just as importantly, it’s okay to ask for help for yourself too, caring for someone can take a toll.

There are local services in the borough that offer friendly, confidential advice. Some also provide extra support for carers, family members and partners, including counselling and wellbeing support.

Find out more about Drug and Alcohol Services in Lewisham.

London Fire Brigade -  Home Fire Safety Checker.

Get started with the Home Fire Safety Checker

Metropolitan Police- Lewisham - Personal safety: how to stay safe.

Independent Age - Advice and support for older age.

Independent Age have some great advice on what can cause falls, what you can do if you do fall and where to find out further information.

Falls and How to Avoid Them

Lewisham Community Falls Service

Lewisham and Greenwich NHS Trust offer a Community Falls Service which you can refer yourself to, or you can also access the service via referral from your GP.

Lewisham Council

Sport and Leisure

See what sports facilities are available in the borough and check if you're eligible for discounts on leisure activities.

Your local arts

Find out about local arts activities including theatres, cinemas, dance classes, choirs and public art.

Lewisham Libraries

Sports or the Arts not your interest? Lewisham Libraries has lots of activities and groups, including Cat Bytes for help with using digital devices, sound bath sessions for relaxation.

Local Support and Advice Services for Carers

If you help another person who needs support to live in their home then you may be a Carer. The person you care for could be mentally or physically disabled, ill or elderly and frail. They could be your parent, child, partner, relative or friend.

We have a whole Carers section on our website, including explanations of the different types of abuse, and local services which provide support information and advice to carers.

Lewisham Speaking Up is an advocacy organisation based in the London Borough of Lewisham. They pride themselves in supporting people with learning disabilities to speak up, be heard and have a stronger voice. They work together to bring about the changes people want and need. They strive to get better and fairer treatment for all people with learning disabilities.

They have two service areas:

• Self-Advocacy
• 1-2-1 Advocacy

These services work together to maximise the help they give to people. As an organisation they genuinely value and listen to the people they support and they work hard on their behalf to get their views and wishes taken into account.

Their vision is for a society where people with learning disabilities are listened to, recognised, respected and included in all decisions about their lives.

Find out more about Lewisham Speaking Up and the services they offer.

Watch this introductory video from Lewisham Speaking Up

The Lewisham Refugee & Migrant Network (LRMN) believe that everyone should be able to live safely in a place where they can thrive and be part of the community. LRMN has helped thousands of people seeking sanctuary to do just that, rebuild their lives and to do so with dignity. 

LRMN provides essential advice helping people resolve issues around immigration, housing and welfare benefits. Their services are open to people facing destitution, homelessness and have no access to public safety nets. Their offer includes advice on

• Immigration
• Housing and Welfare
• Access to HealthCare
• Advocacy

They are also able to provide information and support on Wellbeing and Emergency Support.

Find out more about the Lewisham Refugee & Migrant Network

Protect yourself from fraud and cyber crime with Report Fraud.

How much do you really know about fraud and cyber crime? Report Fraud has lots of helpful information and advice on how to keep you safe. If you’ve been affected by any kind of cyber crime or fraud and live in England, Wales or Northern Ireland – Report Fraud are the people you need to speak to. They will help you report to the police, learn about how to prevent it, and get the support you need.

You can read more about scams, fraud and cyber crime on our Scams Information and Advice webpage.

Safer Recruitment

Safer recruitment is about keeping adults safe when we recruit staff or volunteers. It means thinking about safeguarding at every stage of the process, so we reduce the risk of taking on someone who isn’t suitable to work with adults who have care and support needs.

This includes having clear checks in place and knowing what to do if concerns arise later on. From the start, roles and adverts should make it clear that the organisation takes safeguarding seriously.

When choosing someone, the aim is to find the best fit for the role while being fair to everyone. At the same time, it’s important to make sure people understand their safeguarding responsibilities and that anyone unsuitable is not appointed.

Find out more about Check someone's criminal record as an employer

When to Take Action

If you are worried about the safety or wellbeing of an adult, it is always better to act early. Concerns do not have to involve immediate danger to be raised. Early action can prevent situations from escalating.

If you’re concerned about an adult’s safety, find out how to raise a safeguarding concern