Neglect
Across the UK, a shared definition of neglect is:
When a person’s basic needs are not met, either deliberately or through failure to act, and this causes harm or puts them at serious risk.
It can affect both children and adults and may involve:
- not providing enough food, clothing, or shelter
- not keeping someone safe or properly supervised
- not giving access to medical care or treatment
- ignoring emotional needs or failing to offer support
- not helping with education, learning, or development
- failing to respect someone’s identity, culture, or beliefs
- leaving someone in unsafe or unhygienic conditions
Neglect can happen in families, care settings, or institutions. It may be ongoing or happen in isolated incidents, and it often builds up over time. The impact can be serious and long-lasting, affecting physical health, emotional well-being, and life chances.
Neglect may happen because of a lack of knowledge or awareness, or through a failure to take reasonable action, whether deliberate or not.
In its extreme form, neglect can be a significant risk as it can lead to serious long-term effects and even be life-threatening.
Neglect is the most common form of child abuse in the UK.
Across the UK nations, there are some differences to how we understand neglect:
In England, neglect is recognised as a serious safeguarding concern for both children and adults.
For children, it includes not meeting essential needs like:
- food
- clothing
- medical care
- education
- emotional support.
It also covers situations where a parent or carer fails to protect a child from harm or danger. Children Act 2004
For adults, neglect is defined under the Care Act 2014 and includes failing to provide necessary care such as:
- help with hygiene, nutrition, or health needs.
- ignoring someone’s emotional or psychological needs.
England also recognises that neglect can begin before birth, such as when a pregnant person misuses substances.
The law highlights that neglect often builds up over time and can cause lasting harm, even if it’s not immediately obvious.
In Northern Ireland, neglect is understood as a failure to meet a person’s basic needs, which can lead to serious and long-term harm.
For children, this includes not providing:
- proper care
- supervision
- support for their development.
For adults, neglect is defined as failing to protect someone’s health, well-being, property, or rights, especially when they are unable to protect themselves.
This includes both family and institutional settings.
Northern Ireland also recognises self-neglect, where a person may not care for themselves due to mental or physical health issues.
The law encourages cooperation between services under the Children (NI) Order 1995 and the Adult Safeguarding Prevention and Protection in Partnership Policy.
It also highlights that neglect can be fatal, especially in early childhood, and stresses the importance of early intervention.
In Scotland, neglect is seen as a failure to meet a person’s basic needs, which can lead to harm or put them at risk.
For children, it’s described as persistent failure to provide care and protection, affecting their health or development.
Scotland also acknowledges that even a single incident of neglect can be harmful.
Physical abuse - Child Protection Scotland
For adults, neglect includes situations where someone is unable to care for themselves and others fail to provide support.
This is covered under the Adult Support and Protection (Scotland) Act 2007. Scotland places strong emphasis on the child or adult’s experience, including being left alone, ignored, or unsupported.
It also encourages professionals to work together across services and to consider the needs of siblings or other family members when assessing neglect.
In Wales, neglect is defined as failing to meet a person’s physical, emotional, social, or psychological needs in a way that is likely to harm their well-being.
This applies to both children and adults at risk.
The Social Services and Well-being (Wales) Act 2014 makes it clear that neglect is not the same as poverty—neglect can happen even when resources are available but are not used to meet someone’s needs.
Wales also recognises identity neglect, such as ignoring someone’s cultural, religious, or gender-related needs.
Neglect may happen in episodes or build up over time, and the law highlights the importance of recognising cumulative harm.
The focus is on protecting dignity and ensuring people receive the care and support they need.
Possible signs and indicators:
- Poor appearance or hygiene e.g. being smelly or dirty
- Living in an unsuitable home environment e.g. having no heating
- Inappropriate or inadequate clothing
- Signs of malnutrition or not being given enough food
- Having frequent and untreated medical issues or an accumulation of untaken medication.
- Body issues such as sores, skin complaints, poor muscle tone or prominent joints.
- Poor language or social skills
- Being left alone for a long time
- Being withdrawn, depressed or anxious
- Tiredness or finding it hard to concentrate or take part in activities
- Self-soothing behaviours such as drug or alcohol misuse and self-harm.
- Poor school attendance or performance
Page last updated: 12 November 2025