Vulnerable Adult Risk Management (VARM)

The vulnerable adult risk management (VARM) process was implemented 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 VARM 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 VARM policy and staff 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 VARM meeting record template and a leaflet for the adult to help them to understand the purpose of the VARM and how they can be involved are attached to this page.

VARM podcasts

To help clarify the VARM process in Derbyshire there are two podcasts - 'What is VARM?' and 'VARM Case Study' - which have been collaboratively produced and explain how the process works, citing examples based on real cases.

However, we would encourage professionals to read the VARM policy and practice guidance along with a flowchart, referral form and the other documentation you will need.

VARM hoarding grant

The VARM hoarding grant is funded by Derbyshire County Council, Derbyshire Clinical Commissioning Groups and Derbyshire Fire and Rescue Service. It's linked to the VARM process and can be accessed with agreement from VARM Chairs to provide practical support for service users who are in a VARM process. These funds are only available when no other funding is possible and in exceptional circumstances.

The VARM hoarding grant application form and practice guidance are attached to this page.