The purpose of this document is to set out the safeguarding roles, duties and responsibilities of all organisations commissioning NHS health and social care. The framework’s aims include: identifying and clarify how relationships between health and other systems work at both strategic and operational levels to safeguard children, young people and adults at risk of abuse or neglect; setting out the legal framework; promoting empowerment and autonomy for adults, including those who lack capacity for a particular decision as embodied in the Mental Capacity Act 2005 (MCA), implementing an approach which appropriately balances this with safeguarding.