Recommendation 38

If all other layers of safeguarding fail, and claimants experience harm as a consequence, it is essential that DWP learns from these cases. Furthermore, it is right that learning mechanisms are transparent, so that claimants and their families can understand what the Department is doing to prevent 101 these same failures from recurring. We welcome the Department’s plans to publish anonymised Internal Process Review (IPR) data, and the detailed information it provided to us about Internal Process Reviews and the Serious Case Panel. Whilst this has aided our own understanding of the processes DWP uses to learn from cases of serious harm and death, we remain concerned that the system remains opaque, diminishing the Department’s accountability. (Conclusion, Paragraph 160)