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Insights
Perspectives on risk, governance, leadership and the realities of operating in social care, written by practitioners, for practitioners.
Emma writes regularly on the issues that matter most to leaders, boards and investors in social care. From regulatory risk and serious incident management to acquisitions and organisational growth, these are the conversations the sector needs to be having.


Statement regarding LeDeR
LeDeR has confirmed that the causes of death for hundreds of people with learning disabilities were recorded incorrectly, meaning avoidable deaths were underreported. The 2023 findings have now been updated (January 2026), and the picture is even more stark: around 4 in 10 deaths reviewed were classed as avoidable. This is exactly why prevention depends on getting the fundamentals right. If deaths are misclassified, patterns are missed. Learning is delayed. And families are l
Emma Reeve
May 201 min read


Fatal blind spots
Adult social care is still harming and killing people in ways that are predictable, preventable and prosecuted. These are not complex, once-in-a-generation freak events. And not “we couldn’t have known” events either. We are talking about repeat, known risks: • Choking during meals and fluids (dysphagia/ The International Dysphagia Diet Standardisation Initiative). • Scalding and drowning in baths or showers. • Seizure-related deaths, including Sudden Unexpected Death in Epil
Emma Reeve
May 207 min read


Serious Risk Prevention in Adult Social Care
Who are Serious Risk Prevention? Serious Risk Prevention (SRP) is a UK‑based consultancy specialising in risk management for adult social care providers. Their work focuses on real‑world safety challenges that can lead to serious harm or death, not just ticking regulatory boxes, but ensuring that risk controls are effective in practice. At the helm of SRP is Emma Reeve, who brings over two decades of experience in adult social care, drawn from roles ranging from frontline car
Emma Reeve
May 205 min read


What makes an effective interim executive in a failing organisation
Interim leadership is often brought in during periods of instability, but outcomes vary significantly depending on approach. Effective interim executives do more than stabilise reporting lines, they restore operational control, rebuild team confidence and re-establish decision-making clarity. This piece outlines what separates effective intervention from short-term containment.
Emma Reeve
Apr 241 min read


The gap between compliance and reality in care services
Most care providers are compliant on paper. However, compliance does not always reflect how services are delivered in practice. This gap creates a significant risk for operators and investors, particularly in complex or high-pressure environments. We examine how this disconnect occurs and why operational assurance must go beyond documentation and audits.
Emma Reeve
Apr 241 min read


Why due diligence fails in care sector acquisitions
Traditional due diligence often focuses heavily on financial and regulatory documentation. In practice, this is not where most risks originate. Operational risk in care businesses is usually embedded in leadership capacity, workforce stability and the gap between policy and delivery. This article explores why conventional approaches miss critical failure points — and what investors should be looking at instead.
Emma Reeve
Apr 241 min read
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