Safeguarding Concern Referral Form
GDPR Statement

Adult Social Care Privacy Notice

The Isle of Wight Council is the data controller for the personal information you provide on this form for the Adult Social Care Department. The council’s Data Protection Officer is the Head of Legal Services and Monitoring Officer and can be contacted at You can contact the council by phone on 01983 821000, or by writing to us at County Hall, High Street, Newport, IW PO30 1UD.

Your information will be used so that we can fulfil our statutory duties for the purpose of providing information, advice and social care services. Data protection law describes this legal basis as necessary for compliance with a legal obligation.

Your personal data may be shared with other teams within the council or other organisations such as the NHS, Clinical Commissioning Group, Care Providers and other organisations that we work with for the purpose of providing information, advice and social care services – please review the full list of organisations we work with.

We may also share it with other local authorities or debt collection agents if necessary, for the collection of council tax debt. We may share the data with third parties if we are required by law to do so. This may include the Police or Government Agencies.

We will share your data with other relevant teams within the council or other relevant organisations if a child and/or adult safeguarding issue arises and places an individual at risk of harm.

We will keep your personal data for as long as we are required to do so under relevant legislation or in accordance with our operational requirements. You can view our retention schedule on our website.

For further details on how your information is used; how we maintain the security of your information; and your rights, including how to access information we hold on you, and how to complain if you have any concerns about how your personal details are processed, please see the factsheet, which outlines data protection for Adult Social Care: Viewing Document: ASC General Data Protection Regulation Factsheet (Adult Social Care) (
Found at: or alternatively please email

This form can be submitted without being logged into a My Account However if you are logged in you can save the form and then complete and submit it at a later date.

You can also review any forms you have already submitted, and print a copy.

Safeguarding Concern Referral Form

If you suspect that someone is being abused and they are in immediate danger, please ring the Emergency Services on 999.

If they are not in immediate danger, please complete this form with as much detail as possible.

A safeguarding concern is where there is reasonable cause to believe that an adult is at risk. The adult must:

  • have a need for care and support, and
  • be experiencing, or is at risk of, abuse or neglect

  Your Name and contact details

  Your Address



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