This Government is committed to ensuring that residential services for people with disabilities provide a good quality service that is safe, effective, and provides a home from home environment for residents.
On 10 December 2025, the Minister for Health and Minister of State for Older People and Housing launched Ireland’s first ever National Policy Framework for Adult Safeguarding in the Health and Social Care sector. Publication of the policy is a commitment in the Programme for Government and also in the National Human Rights Strategy for Disabled People 2025-2030. The policy framework will extend across all public, private and voluntary health and social care services. The Department of Children, Disability and Equality continues to engage with the Department of Health on the implementation of this important national policy framework.
Included are a range of both legislative and non-legislative measures that will significantly expand and strengthen existing supports and protections for adults at risk of harm across the health and social care sector (including disability services). The Government has also approved the development of legislation to underpin these commitments. Key elements of the policy include:
• the policy and forthcoming legislation will apply to all health and social care providers – public, voluntary and private.
• an emphasis on a rights-based approach that respects the autonomy of individuals and reflects the principles of the Assisted Decision Making (Capacity) Act, 2015.
• the Health Service Executive (HSE) will have responsibility for leading and coordinating adult safeguarding across the sector and will have statutory functions, duties and powers to underpin this role.
• current safeguarding structures within the HSE will be strengthened and legislation will provide that they will operate independently in the performance of their functions.
• New powers of entry for safeguarding and protection teams and powers to obtain court protection orders.
• The Health Information Quality Authority's (HIQA’s) remit will be extended to include independent oversight and monitoring of adult safeguarding services for the Health and Social care sector delivered by the HSE.
• New obligations for service providers including undertaking risk evaluations, developing, and publishing adult safeguarding statements and ensuring staff are appropriately trained.
• The introduction of mandatory reporting in specified circumstances.
• The National Independent Review Panel (NIRP) process for adult safeguarding learning reviews for serious incidents will be strengthened and placed on a statutory footing.
• Strengthened cooperation between service providers and relevant state agencies.
The Health Information Quality Authority (HIQA)
HIQA advises that it strongly supports the ongoing work of the Department of Health on the development of safeguarding legislation.
Furthermore, HIQA developed National Standards for Adult Safeguardingwith the Mental Health Commission, alongside training resources for staff working in services, to promote best practice in safeguarding in health and social care services.
Under Regulation 31 of the Health Act 2007 (Care and Support of Residents in Designated Centres for People (adults and Children) with Disabilities) Regulations 2013 the person in charge of the designated centre is required to notify the Chief Inspector in writing within three working days of any allegation, suspected or confirmed, of abuse of any resident.
Regulation 8 of these regulations requires the registered provider to protect the residents from all forms of abuse and the person in charge of the designated centre to initiate an investigation in relation to any incident, allegation or suspicion of abuse and to take appropriate action where a resident is harmed or suffers abuse. The registered provider of a designated centre for people with disabilities is also required to have a written policy on the prevention, detection and response to abuse, including reporting of concerns and or allegations of abuse to statutory agencies.
In delivering a safe-quality service, it is the responsibility of the registered provider to ensure they have effective measures in place to safeguard any adult or child living in residential care from harm. The Chief Inspector takes all safeguarding concerns very seriously and they are reviewed as a matter of priority to determine the most appropriate regulatory action. In situations where substantiated safeguarding issues are identified, and if the provider has not already done so, inspectors require providers to take action to ensure the safety of residents. If immediate risks to the safety of residents are identified, inspectors require providers to take immediate action to address these issues and to prevent a recurrence, and this can also include where required referral to An Garda Síochána.
In cases where the provider has not made the appropriate referral even after engagement with the Chief Inspector, the Chief Inspector will make the referral to An Garda Síochána. HIQA can also make referrals to the National Safeguarding Office. Registered providers are also encouraged to engage appropriate expertise. By way of information, all statutory notifications of abuse are reviewed, risk rated by an inspector of social services, and a decision taken as to the regulatory action required as soon as possible and no later than five days following receipt of the information.
In all situations, the Chief Inspector continues to monitor the actions of the provider to ensure they are effective in addressing the safeguarding concerns and ensuring that residents are supported and safeguarded. The Chief Inspector can, and has, taken further action, up to and including the cancelation of registration, where providers fail to sustain improvements to residents’ safety.
The Health Service Executive (HSE)
The HSE advises that it’s Safeguarding Vulnerable Persons at Risk of Abuse – National Policy and Procedures (2014) apply to all HSE and HSE-funded services, which outline a number of principles to promote the welfare of adults at risk of abuse. This policy includes a requirement that all services must have a publicly declared “No Tolerance” approach to any form of abuse, and services must promote a culture which supports this ethos. This policy covers areas including the prevention of adult abuse and steps to be taken in the recognition and response to adult abuse. The HSE requires HSE disability services and HSE disability service providers to comply with this policy and this requirement is part of the service arrangement conditions of disability funded agencies.
Safeguarding concerns regarding adults at risk of abuse are reported to the HSE from a wide variety of sources, including family members, neighbours, professionals and also adults themselves. The HSE treat all reports of adult abuse seriously and will give due regard to the information within the report, regardless of the source. All adults have the right to be safe and to live a life free from abuse. All persons are entitled to this right, regardless of their circumstances. It is the responsibility of all service providers, statutory and non-statutory, to ensure that service users are treated with respect and dignity, have their welfare promoted and receive support in an environment in which every effort is made to promote welfare and to prevent abuse. The HSE acts in a respectful manner to all referrers to concerns, and any actions or interventions following a safeguarding screening or plan should be undertaken with regard to the interests, rights, and involvement of the adult at risk of abuse.
Safeguarding referrals and notifications are received by the HSE Safeguarding and Protection Team regarding adults living in the community and adults living in service settings such as residential and nursing homes. Each safeguarding referral, whether in the service or community setting, is unique, and it is important that responses are undertaken in a person-centred manner.
Part of the work of the Safeguarding Protection Team (SPT) is to oversee the safeguarding activity in the HSE and HSE-funded services, generally referred to as “service setting referrals”. In this work, the SPT receive notification of the safeguarding concern from a Designated Officer in the relevant service, their assessment of that concern and, where necessary, a Safeguarding Plan, designed to address the safeguarding concern. The role of the SPT in this instance is to oversee this plan. This process of undertaking and submitting the preliminary screening to the SPT by the Designated Officer in the service should be completed, if possible, within 3 working days following the raising of the concern. Should a Safeguarding Plan be required for the safety of the adult at risk of abuse, then this plan should be devised within three weeks of the Preliminary Screening being completed. A Safeguarding Plan Review should be undertaken at appropriate intervals and undertaken within six months of the Safeguarding Plan commencing, at a minimum, at six-monthly intervals thereafter or on case closure.
In addition to the above process, the HSE National Safeguarding Office (NSO) provides a safeguarding self-audit template to HSE Services and service providers. It aims to facilitate the conducting of a self-audit of safeguarding practices and policy compliance within disability and older person’s services. This self-audit is divided into eight themes in line with the standards of the National Standards for Adult Safeguarding 2019. This self-audit tool is designed to be an aid to highlight service compliance with the HSE safeguarding policy as well as assisting in highlighting areas which require service improvement or capacity building measures.