An independent review prompted by the deaths of two men in Somerset has underscored the urgent need to bolster support services for people experiencing homelessness in the county. Between 2023 and 2024, safeguarding referrals were made concerning three homeless men. Tragically, two have passed away, while the third continues to receive care from multiple agencies.
In response, the Somerset Safeguarding Adults Board (SSAB) commissioned an expert review by Gill Taylor, who brings 20 years of experience in homelessness support. Her report outlines key recommendations intended to prevent further deaths and ensure that those classified as “high risk” are not overlooked.
All three men faced complex challenges including mental health issues, substance dependency, past involvement with the criminal justice system, and histories of abuse or trauma. They were also vulnerable to self-neglect and exploitation, including physical violence.
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The case of Mr. A highlights systemic gaps: he was evicted due to increased alcohol-related incidents but was not given a risk assessment before facing potentially dangerous winter rough sleeping conditions. Mr. B died within a week of prison release; his mental health care had not been reestablished, he was given excessive medication considering his suicide history, and he was placed in a household known to trigger his distress. Mr. C endured nearly two years of dangerous rough sleeping after eviction from supported housing, with no long-term support plan in place.
Ms. Taylor expressed deep sympathy to the families of the deceased and praised frontline practitioners and support services for their candid involvement in the review. She identified opportunities for improvement tied to national efforts such as the NHS ten-year plan and lessons from the ‘Everyone In’ initiative during the pandemic.
The SSAB, comprising Somerset Council, NHS Somerset Integrated Care Board, Somerset NHS Foundation Trust, Avon and Somerset Constabulary, and the National Probation Service, plays a critical role in preventing neglect and abuse of vulnerable adults. Chairman Professor Michael Preston-Shoot emphasized that the review’s goal is learning and improvement—not blame.
He noted, “Homelessness does not fit a single profile. Effective practice must address individual needs through direct work, coordinated team support, organizational backing, and strong governance.” Plans are underway to hold an event focused on collaborative strategies to better reach and support those experiencing homelessness in Somerset.