Positive risk-taking within social care for adults with physical disabilities: A review of guidelines in practice in England.

Only 106 of 152 Local Authorities with adult social care services were contactable, and only 36 responded, so the review may miss guidance used elsewhere. Documents came from Local Authorities across England but not all areas, so findings may not represent every adult social care service. The review was completed during the pandemic, which may have affected responses. The reference lists of documents were not fully explored, so some cited guidance may have been missed. Only a 20% second review of extracted data was done. The documents did not appear to include service user views, so their relevance to adults' preferences is uncertain.

Two authors work for Wokingham Borough Council, which provided one of the reviewed documents. The review was part of a PhD funded by Health Education England Thames Valley through the INTALECA programme at Oxford Brookes University. One author is supported by the NIHR Oxford Health Biomedical Research Centre.

Do not read this as evidence that positive risk-taking improves safety or participation. It reviewed documents used in adult social care, not patient outcomes, and only 21 documents were included.