Multiagency Adult Risk Management (MARM)
The Vulnerable Adult Risk Management (VARM) process has changed name to Multiagency Adult Risk Management (MARM) process from 1 January 2025. Please ensure that your colleagues and teams are aware and refer to the process using the new name of Multiagency Adult Risk Management (MARM).
In 2013 the Derbyshire Safeguarding Adults Board agreed the need for a process to manage risks which may arise within specific circumstances when working with adults deemed to have capacity to make decisions for themselves, but who are at risk of serious harm or death through:
- self-neglect (Care Act 2014)
- risk taking behaviour/chaotic lifestyles or
- refusal of services
The MARM is a multi-agency adult assessment risk management process to:
- identify the relevant risks for the individual
- discuss and agree agency responsibilities/actions
- record, monitor and review progress with the agreed action plan
- agree when the risks have been managed and evaluate the outcome
The aim of the MARM policy and practice guidance is to provide professionals with useful information and a framework to facilitate effective multi-agency working with adults who are at significant risk. The MARM policy, practice guidance and meeting record template are attached to this page.
MARM What to Expect leaflet
This leaflet will help the person you are supporting understand that MARM stands for Multiagency Adult Risk Management and why a MARM meeting has been arranged.
There is a section in the leaflet for the person to write down their views, wishes and feelings, and it can be used as a way for them to contribute to the MARM process if they do not wish to attend the meeting, or to support discussion at the meeting if they do attend. Where possible, the leaflet should be shared with the person at the start of the process.
The leaflet is attached to this page.
MARM podcast
Our Multiagency Adult Risk Management (MARM) process podcast has been designed to support your understanding of the MARM process in Derbyshire.
This podcast offers frontline staff and managers a practical, accessible way to explore how the MARM process works, why it matters, and how it can be applied effectively in day-to-day practice, and includes tips to help you navigate complex risk situations collaboratively.
- Gain clarity on the MARM process and its application
- Learn how to improve outcomes for adults at risk
- Listen anytime—whether you're commuting, on a break, or catching up at home
However, we would encourage professionals to read the MARM policy and practice guidance along with a flowchart, referral form and the other documentation you will need.
We encourage all staff—especially those working directly with adults at risk—to tune in and share with your teams.
MARM hoarding grant
The MARM hoarding grant is funded by Derbyshire County Council and NHS Derby and Derbyshire Integrated Care Board. It is linked to the MARM process and can be accessed with agreement from MARM Chairs to provide practical support for people who are in a MARM process. These funds are only available when no other funding is possible and in exceptional circumstances.
MARM hoarding grant funding will be available for the financial year 2025 to 2026 and applications will be considered from 1 April 2025. The MARM hoarding grant application form and guidance, along with a list of benevolent funds and charitable funding are attached to this page.