EPISODE · Nov 29, 2025 · 15 MIN
SJT: Adult Safeguarding (Vulnerable Adults, Domestic Abuse): MSRA SJT Free Podcasts
from Pass the MSRA: Free Podcasts · host Pass the MSRA
Adult Safeguarding Deep Dive: Section 42, DASH & MARAC Explained (UK Clinical Law)Adult safeguarding is one of the highest-stakes areas of UK clinical practice — where patient autonomy, legal duty, confidentiality, and immediate safety collide.In this deep-dive episode, we break down the full legal and clinical safeguarding framework every UK doctor must understand, including:✅ The Care Act 2014 Section 42 Duty to Inquire✅ What legally defines an “adult at risk”✅ How Making Safeguarding Personal (MSP) shapes every decision✅ The six safeguarding principles (Empowerment, Prevention, Proportionality, Protection, Partnership, Accountability)✅ The updated Domestic Abuse Act 2021 definition✅ The DASH risk assessment tool✅ When and how cases escalate to MARAC✅ When confidentiality must be overridden to prevent serious harm✅ The most dangerous exam and real-world safeguarding pitfallsYou’ll also learn a high-yield step-by-step clinical framework (SAFE42) to apply instantly under pressure in GP, hospital, and emergency settings.This episode is essential for:• MSRA SJT preparation• GP trainees and foundation doctors• Clinicians managing domestic abuse and vulnerable adults• Anyone responsible for safeguarding decisions in the NHS📎 More MSRA resources to accompany this episode:https://passthemsra.com00:00 — Clinical scenarios: financial abuse & domestic violence01:28 — Legal definition of adult safeguarding (Care Act 2014)02:35 — Section 42 duty to inquire explained03:29 — Making Safeguarding Personal (MSP)04:28 — The six safeguarding principles (PPPPA + Empowerment)05:18 — Proportionality: least intrusive lawful response06:15 — Domestic Abuse Act 2021 definition07:07 — DASH risk assessment tool07:41 — MARAC: multi-agency high-risk protection08:13 — Immediate police escalation red flags08:55 — SAFE42 step-by-step clinical framework10:42 — Confidentiality vs public interest12:04 — Common safeguarding decision traps13:18 — Final clinical take-home framework14:56 — Professional accountability & documentation
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SJT: Adult Safeguarding (Vulnerable Adults, Domestic Abuse): MSRA SJT Free Podcasts
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