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Adult Safeguarding Alert / Concern

Please use this form to register your concerns with Dudley MBC.

If the abuse is also a crime such as assault, rape, theft or racial harassment then you should contact the police on 101.

If immediate action is required the Emergency Services should be contacted by dialling 999.

If you are worried about contacting the police but wish to discuss your concerns you can always contact the Access to Adult Social Care Team on 0300 555 0055 between 9.00am and 5.00pm, Monday to Friday, to talk things over first.  Outside of these hours an Emergency Duty Team is available on 0300 555 8574.

Thank you for taking the time to complete this form. The information you provide will be submitted to the Access to Adult Social Care Team who will follow up your concerns promptly.

Anne Harris
Head of Adult Safeguarding

Other contact numbers

Dudley Council Plus: 0300 555 2345
Care Quality Commission: 0300 061 6161

Data Protection Statement

The information you provide on this form is subject to the provision of the Data Protection Act 1998. The information will be held confidentially and will be retained for the purposes of processing your alert / concern and meeting our statutory obligations.

Depending on actions required, the information submitted on the form may be shared with Health Services, Police, Social Services and the Care Quality Commission (CQC).

Please refer to our Privacy & Disclaimer Statement below for our Information Charter and general information on our approach to security, confidentiality, data collection, etc.

Further data protection information can be obtained from the Information Commissioner's website at
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