Corporate data issues
Corporate metrics failing to adequately measure programme progress, especially in the context of significant business and customer data risks.
Source spread
Where this theme appears
This theme appears across 20 independent accountability sources, so the source mix matters as much as the headline total.
89 inquiry recs
2 PFD reports
663 committee recs
8 HSSIB recs
70 CQC actions
1 HMICFRS rec
17 IOPC recs
61 NAO recs
37 IMB recs
1 Scottish FAI
259 DHR recs
8 PHSO decisions
120 LGO/SPSO decisions
12 CJINI reports
1 LeDeR report
1 MNSI report
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry recommendations(89)— showing 50 strongest matches
23 — Databases to highlight trends in reported faults
Recommendation: Databases should be programmed to determine and highlight statistically significant trends in faults reported and to display such information to managers and maintenance staff (para 16.9).
Unknown
22 — Fault databases to log repeat faults
Recommendation: Fault data bases (including RAVERS) should ensure that repeat faults are logged and that a 28 day history of defects is available to managers and maintenance staff (para 16.9).
Unknown
19 — Automatic records of verbal reports in control centres
Recommendation: Appropriate procedures for receiving and making an automatic record of verbal reports should exist in all control centres, similar to the facilities installed by GWT in 1998 (Para 9.14).
Unknown
7 — National qualification and accreditation system for drivers
Recommendation: Railtrack together with ATOC should establish a national qualification and accreditation system for drivers including centrally held records to be available to the current employer (paras 5.5, 16.5).
Unknown
2 — Evidence from CIRAS and on-train data recorders
Recommendation: Evidence should include that to be provided by CIRAS and from On-Train Data Recorders used to monitor driver behaviour. ASLEF in particular should give their full support to such an initiative (paras 14.23, 14.25, 15.15, 16.3).
Unknown
22 — Record rough riding reports
Recommendation: Reports of rough riding should be recorded systematically in order to ensure accuracy of response, and to allow the information recorded to be used to assist monitoring the condition of the infrastructure.
Unknown
4 — Reporting loose and missing nuts
Recommendation: The requirements for reporting loose and missing nuts on adjustable stretcher bars should be reviewed. This review should consider the need for fault reporting systems to distinguish between different types of stretcher bars.
Unknown
55 — Specify retained material in reports
Recommendation: Coroners shall ensure that all existing retained organs, tissue, blocks, slides, photographs and X-rays are specified within any preliminary and final post mortem reports.
Unknown
126 — Control of interview tapes
Recommendation: Clear arrangements should be made to secure the control and custody of any audio-tapes or video-tapes of interviews with children (17.68).
Unknown
10 — Faster discharge reports and annual survey
Recommendation: FRL should publish their annual reports more rapidly in future. There should, as recommended by the Royal Commission, be one comprehensive annual survey published of all discharges and at intervals, reports by NRPB on radiation exposure (para 10.126).
Unknown
FP74 — Recommendation 74
Recommendation: The SPSA should develop a procedure for the provision of information to COPFS where issues have been raised about the performance of an examiner who may be required to report or give evidence. COPFS should provide SPSA with guidance as …
No response yet
FP63 — Recommendation 63
Recommendation: In the event of a challenge to an identification the defence should disclose the full reasons why it believes that the SPSA examiners’ opinions are incorrect. This may require the disclosure of marked up images of mark and print with …
No response yet
FP61 — Recommendation 61
Recommendation: Fingerprint examiners engaged by the defence should be afforded access to any other images of the mark or fingerprint forms as are available to SPSA and COPFS. If negatives are available, arrangements should be made on request to provide the …
No response yet
FP60 — Recommendation 60
Recommendation: Fingerprint examiners engaged by the defence should be afforded access to the same material as that used by SPSA, in appropriate examination or laboratory conditions.
No response yet
FP59 — Recommendation 59
Recommendation: Each examiner’s separate opinion should cover: (i) the images of the mark and also the specific print used in the comparison; (ii) the examiner’s opinion about the quality of the mark; (iii) if the examiner considers the mark to be …
No response yet
FP58 — Recommendation 58
Recommendation: The joint report prepared should be supported by the production of the individual opinions. It should be a matter for the Crown and defence to determine whether the joint report would suffice in a given case, or whether examiners should …
No response yet
FP56 — Recommendation 56
Recommendation: The following information should always be provided to the Crown: (i) a list of names of all examiners who have examined the mark at SPSA and their opinions as to the mark and the comparison; (ii) whether the complex marks …
No response yet
FP55 — Recommendation 55
Recommendation: SPSA and COPFS should agree and implement, as a matter of urgency, a process for the provision of information by SPSA to COPFS. COPFS should provide SPSA with information and advice as to the Crown’s duty of disclosure with a …
No response yet
FP54 — Recommendation 54
Recommendation: The omission of the SPSA from the statutory scheme of disclosure under sections 117 to 120 inclusive of the Criminal Justice and Licensing (Scotland) Act 2010 should be reviewed. The SPSA should be regarded as having the same duties as …
No response yet
FP52 — Recommendation 52
Recommendation: Where notes are required as a result of the preceding recommendations, the notes should be taken at each stage of ACE-V by every examiner involved in the process at that stage and should cover the following matters: (i) the assessment …
No response yet
FP51 — Recommendation 51
Recommendation: Notes should be taken in any case in which a fresh comparison is made in response to a request from the Crown for a report.
No response yet
FP50 — Recommendation 50
Recommendation: Examiners should always take notes when they are examining marks that they consider to be complex.
No response yet
FP49 — Recommendation 49
Recommendation: The audit trail for a mark should be available to the Crown if requested.
No response yet
FP48 — Recommendation 48
Recommendation: Any discussions between examiners (including any consultation with an examiner not directly involved in the comparison of the mark in question) at any stage of ACE-V should be recorded.
No response yet
FP47 — Recommendation 47
Recommendation: A record should be kept for each mark which (i) shows whether or not it has been regarded as suitable for comparison; (ii) lists all prints with which it has been compared.
No response yet
FP46 — Recommendation 46
Recommendation: Any image(s) studied by the examiner in making an identification should be provided to the Crown on request together with the remainder of the selection of images.
No response yet
FP45 — Recommendation 45
Recommendation: The selection of images provided to the examiner, the image chosen for comparison work and the photographic negatives, if any, should all be recorded as part of the audit trail.
No response yet
FP44 — Recommendation 44
Recommendation: The method used by scene of crime examiners to detect and record a mark should be recorded as part of the audit trail for that mark.
No response yet
FP40 — Recommendation 40
Recommendation: Any adjustments made to a photographic print should be recorded as part of the audit trail.
No response yet
FP39 — Recommendation 39
Recommendation: In relation to digital images: (i) the digital original should be stored separately; (ii) any digital image processing should be carried out only on accurate replicas of the digital original; (iii) any adjustments made to the digital image should be …
No response yet
FP38 — Recommendation 38
Recommendation: Fingerprint photographers should provide an examiner with a selection of images of a mark.
No response yet
FP8 — Recommendation 8
Recommendation: The SPSA should consider what limited information is required from the police or other sources for fingerprint examiners to carry out their work, only such information should be provided to examiners, and the information provided should be recorded.
No response yet
7 — Data reporting
Recommendation: i. All hospitals with a neonatal unit should name a ‘lead reporter’ with responsibility for inputting data regularly (at least weekly) and reviewing real-time data viewers on neonatal and maternity units in the MBRRACE system. Whilst the lead reporter does …
Gov response: The report also makes recommendations for the regulators, including CQC, which we will ensure are taken seriously, and on technology. We have implemented the maternity outcome signal system, which provides near real-time safety alerts, but …
Response Unclear
FR-17 — Code of Practice on Records Access
Recommendation: The Inquiry recommends that the UK government directs the Information Commissioner's Office to introduce a code of practice on retention of and access to records known to relate to child sexual abuse. The retention period for records known to relate …
Gov response: We accept the importance of access to records. We will engage with the Information Commissioner’s Office on implementing this recommendation.
Accepted in part
80 — National register of public liability insurance
Recommendation: The Department for Work and Pensions should work with the Association of British Insurers to introduce a national register of public liability insurance policies. The register should provide details of the relevant organisation, the name of the insurer, all relevant …
Gov response: The Government has begun and will continue discussions with the Association of British Insurers (ABI) on the feasibility of establishing a public liability register. It will also be important for this work to be co-ordinated …
Noted
75 — Register of public liability insurers
Recommendation: The Chair and Panel recommend that the Association of British Insurers (ABI) considers whether a register of public liability insurers could be introduced to assist claimants in child sexual abuse cases in locating the insurers relevant to their claim, and …
No response yet
FR-1 — Single Core Data Set
Recommendation: The Inquiry recommends that the UK government and the Welsh Government improve data collected by children's social care and criminal justice agencies concerning child sexual abuse and child sexual exploitation by the introduction of one single core data set covering …
Gov response: We accept that robust data collection on the scale and nature of child sexual abuse is critical to underpin and drive a more effective response to child sexual abuse. We have made a number of …
Accepted in part
1 — Collect disaggregated CSE data
Recommendation: Police forces and local authorities in England and Wales must collect data on all cases of known or suspected child sexual exploitation and child sexual exploitation by networks. These data should be separated from other data sets, including data on …
Gov response: 27. The Home Office recognises the importance of robust data collection on suspects and offenders to inform problem profiling and activities to disrupt and investigate offenders. That is why we are working with police to …
Noted
31 — Prevent in-service failure of train-borne safety equipment
Recommendation: Efforts should be concentrated on ensuring that AWS and other train-borne safety equipment does not fail in service through preventable causes. This should include regular replacements of equipment, maintenance of full service records and provision for full traceability of repairable …
Unknown
29 — Maintenance to check history of reported defects
Recommendation: Maintenance procedures should require checking of the history of reported defects, including repeat faults, and the taking of appropriate action (paras 6.14, 15.6).
Unknown
28 — Flow-chart of the sources of repair work
Recommendation: Maintenance staff should be provided with a flow-chart to show the derivation of all sources of repair work, to include RAVERS (with check on repeat items) and appropriate structure for Request, Repair Book and Maintenance Control items (para 15.16).
Unknown
24 — GWT records of maintenance staff competencies
Recommendation: GWT should maintain full records of competencies for all maintenance staff as required by job descriptions and safety responsibility statements (paras 6.8, 15.6).
Unknown
68 — No special forms on removal
Recommendation: No special forms need be required when a child is removed to a place of safety but where occasion permits the Reception into Care Forms should be completed as far as possible to reflect the information available (16.42).
Unknown
59 — OASys assessor access to prior behaviour
Recommendation: OASys assessors should have access to information relating to prisoners’ behaviour while serving previous sentences and to information held in security files.
Unknown
58 — OASys use in all establishments
Recommendation: OASys should be used by all establishments to identify the risks posed by prisoners to staff and other inmates, and the risks which are identified should be fed back to the wings.
Unknown
57 — Register showing proportion of high-risk prisoners
Recommendation: The register of prisoners assessed as high or medium risk should identify what proportion of the establishment’s population those prisoners represent.
Unknown
49 — Officer responsible for information flow
Recommendation: Every establishment should appoint an officer not below the grade of governor to be responsible for overseeing the flow of information. Such an officer should ensure that systems are in place for the transfer of information within an establishment and …
Unknown
46 — Completing discharge reports
Recommendation: The discharge report which used to be prepared on prisoners on their discharge should be completed as a matter of course, and a copy included in their main prison file. It should be accessible on NOMIS when NOMIS becomes operational.
Unknown
44 — Vetting administrative section documents
Recommendation: Documents held in an establishment’s administrative section should be vetted by staff from the Security Department, and each establishment should have a protocol for that work along the lines of the system for vetting security files.
Unknown
85 — Access to records for former child migrants
Recommendation: We therefore recommend that that all institutions which sent children abroad as part of the child migration programmes should ensure that they have robust systems in place for retaining and preserving any remaining records that may contain information about individual …
No response yet
Prevention of Future Deaths reports(2)
Katherine Vanloo
Concerns: Concerns were raised regarding a seven-month delay in repairing a category 2 pothole and the repair of the wrong pothole. The local authority lacked systems to track contractor work orders and conduct formal audits of completed repairs.
Response (Warwickshire County Council): • Highways Safety Inspectors now use handheld devices to upload defect details directly into the EXOR system, with a target to issue works orders within five days. • The Confirm … (AI summary)
Responded
Rory Williams
Concerns: The coroner identified ongoing staffing shortages, lack of infrastructure investment, and significant delays in endoscopy wait times for all referral categories. It was also noted that these concerns do not appear on the corporate risk register.
Response (Betsi Cadwaladr University Health Board): • The Health Board has established a temporary endoscopy unit at Ysbyty Gwynedd to increase diagnostic capacity. • A Rapid Quality Review of Gastroenterology Services was convened, and the Health … (AI summary)
Responded
Select committee recommendations(663)— showing 50 strongest matches
#13 —
Recommendation: The BBC is currently unable to put all its back catalogue onto iPlayer because it no longer holds the intellectual property (IP) for many of its programmes. Since the introduction of the Terms of Trade rules, the IP is held …
#58 —
Recommendation: The Department for Education should reconvene the Higher Education Data Reduction Taskforce in order to address duplication and reduce unnecessary burden on providers.
Response attribution not verified
#13 —
Recommendation: The Government should also consider compulsory reporting of waste by all food businesses as part of the waste prevention and reduction strategy that we recommend. (Paragraph 87) 72 Environmental change and food security Soil and water
Response attribution not verified
#12 —
Recommendation: Only once national baseline metrics are in place, the Government should consult on mandatory carbon and biodiversity food reporting, as it is already doing for health metrics. The methodology for such reporting must account for the nutritional content of food.
Response attribution not verified
#10 —
Recommendation: We welcome the Food Data Transparency Partnership and the progress it is making towards establishing baseline food sustainability metrics and methodologies. However, more clarity is needed on the areas in which the Government intends to set metrics and its timescales …
Response attribution not verified
#11 —
Recommendation: Pre-Sentence Reports produced by the Probation Service should include relevant information about the content, effectiveness , and availability of community sentences in the local area (see further conclusions and recommendations on Pre-Sentence Reports starting at paragraph 255 in Chapter 5). …
Response attribution not verified
#66 —
Recommendation: We consider the fact that HMRC does not hold data about the sentences handed down in cases of prosecution for tax fraud to be a serious oversight, as it makes it difficult to assess the deterrent effect of custodial sentences.
Response attribution not verified
#51 —
Recommendation: While we accept that a lack of common identifiers in the data held by HMRC and Companies House respectively means that it is not possible for HMRC to cross reference the information held by Companies House regarding dividends paid to …
Response attribution not verified
#50 —
Recommendation: HMRC said that additional information about dividends for owner-managers would make it easier to operate relief schemes in any future emergency. This is not, in our view, relevant to the collection and management of tax.
Response attribution not verified
#102 —
Recommendation: We heard that DnOs and other stakeholders such as local authorities and chargepoint operators could benefit from improved data sharing, online tools to support the planning and permitting process and more pro-active engagement between DnOs and customers.
Response attribution not verified
#28 —
Recommendation: The Department disclosed that there are in fact circumstances where its tariffs apply to steel products not made in the UK.76 For example, it said it was not able to distinguish between different sizes of steel pipes, because all diameters …
#120 —
Recommendation: The Government should provide funding to local authorities to maintain an ownership and occupier database for commercial properties within areas designated a high street or major retail centre in their Local Plan . High street rental auctions
Response attribution not verified
#27 —
Recommendation: The Government should provide funding to local authorities to maintain an ownership and occupier database for commercial properties within areas designated a high street or major retail centre in their local plan.
Response attribution not verified
#34 —
Recommendation: We urge the government to publish more granular data on ICF results and spending through its existing ODA reporting mechanisms, including the annual Statistics for International Development publication and Development Tracker. (Recommendation, Paragraph 112) 59
#33 —
Recommendation: The government should commit, as part of the FCDO’s new strategic MEL programme, to publish an annual report setting out its full ICF portfolio. The report should include disaggregated project-level data, alongside any relevant information on financial cost, linked to …
#32 —
Recommendation: We welcome the government’s designation of the ICF annual results report as Official Government Statistics for the first time as this marks a positive step on data integrity and transparency. We were also pleased to learn that overall, the UK …
#14 —
Recommendation: The government should ensure that it maintains sufficient focus on scaling up the quality and volume of financing for the poorest and most climate-vulnerable countries throughout ICF4. We therefore urge the government to establish a high-minimum share of the UK’s …
#13 —
Recommendation: Adaptation finance is chronically under-resourced, and the gap is widening. The government has not been able to sustain a balance between mitigation and adaptation in previous cycles of the UK’s ICF spending. More concerning still is its persistent lack of …
#7 —
Recommendation: The government should ensure that local voices are embedded in all stages of UK ICF programming, from design to delivery, across the portfolio. It should systematically collect and publish disaggregated project-level data to track, monitor and report on the extent …
#16 —
Recommendation: The Government should publish assessment data for court interpreting from the next quarterly data release onwards. This data should include the number of assessments undertaken, the number and proportion of assessments which identified problems, the severity of problems identified, and …
Response attribution not verified
#7 —
Recommendation: We are asking the National Audit Office to re-explore this area, following up the recommendations of the NAO’s 2012 report. This should include but not be limited to an examination of how robustly the MOJ is gathering, analysing and communicating …
Response attribution not verified
#6 —
Recommendation: The Government should take steps to improve the quality and consistency of the data gathered relating to interpreting in the courts, and should publish further data on the performance of interpreting services in the courts from the next quarterly data …
Response attribution not verified
#4 —
Recommendation: We have low confidence in the data the MOJ reports regarding interpreting in the courts. The conflict between the reports of poor-quality interpreting in the courts, and the data published by the MOJ, suggest that significant issues with court interpreting …
Response attribution not verified
#94 —
Recommendation: There is an apparent discrepancy between the progress that the FCA and PRA report on the efficiency of authorisations and the experience of firms going through those processes. The FCA and PRA should collect and publish further data in this …
Response attribution not verified
#91 —
Recommendation: Whilst the FCA and PRA’s published metrics on authorisation timescales show improvements , witnesses noted that this apparent progress does not reflect the experience of firms due to the exclusion of the intervals when further information is required.
Response attribution not verified
#18 —
Recommendation: There is an apparent discrepancy between the progress that the FCA and PRA report on the efficiency of authorisations and the experience of firms going through those processes. The FCA and PRA should collect and publish further data in this …
Response attribution not verified
#15 —
Recommendation: Whilst the FCA and PRA’s published metrics on authorisation timescales show improvements, witnesses noted that this apparent progress does not reflect the experience of firms due to the exclusion of the intervals when further information is required.
Response attribution not verified
#2 —
Recommendation: Firms have told us that they are inundated by information requests from the FCA and the PRA, who are not always transparent about how this information is used. Importantly, we received evidence suggesting that reporting requirements in the UK may …
Response attribution not verified
#23 —
Recommendation: Compensation schemes often require claimants to provide extensive evidence to demonstrate their eligibility for the scheme.56 However, the evidence we heard suggested that the evidential requirements on too many schemes have become overly burdensome and onerous for the claimants, and …
#20 —
Recommendation: We asked MoD why it has not written to all potentially eligible veterans through the LGBT Financial Recognition Scheme. MoD told us it was doing all it could to promote the scheme, but it could not contact all eligible veterans …
#24 —
Recommendation: The principle that official statistics are produced in a system designed to protect from political intervention remains an important one. We do not recommend changes to the relevant legislation nor to the structure of the UKSA or the ONS at …
#23 —
Recommendation: The integrity of official statistics is underpinned by the independence of their production. International experience demonstrates the potential consequences of that statistical independence being undermined. Politically compromised statistics can have real economic consequences, including higher borrowing costs, policy errors and …
#21 —
Recommendation: As the regulator for UK statistics, it would have been reasonable to expect the Office for Statistics Regulation to have sounded the alarm over issues such as the problems with the Labour Force Survey more loudly than was the case. …
#15 —
Recommendation: The Board of the UKSA exists to oversee the production of reliable statistics. That the Board seemed unaware of issues within the ONS until they reached crisis point, notably, though not only, with the Labour Force Survey, suggests it failed …
#12 —
Recommendation: That the leadership of the ONS is at arm’s length from government is an important protection designed to ensure the integrity of official statistics. Should the Government wish to make permanent changes to the National Statistician’s role leading the ONS, …
#8 —
Recommendation: Longer term, the ONS must still evolve to address the pressures it faces, including the need to make greater use of administrative data, the difficulties of relying on traditional surveys, demands for new data in policy responses, and the impact …
#6 —
Recommendation: While there have been enormous problems at the ONS, we also note that not all the commentary about the ONS’s performance has been well-informed, or constructive. Attempts to right long-standing, historical problems have sometimes been used as evidence of the …
#5 —
Recommendation: The Cabinet Office and the UKSA should update us on the long-term plan to improve data sharing across government in light of the failure of the Integrated Data System in its response to this report and quarterly thereafter. In particular, …
#4 —
Recommendation: The Integrated Data System’s aim of providing a growing range of data from across government to a range of users via a single access point remains laudable. While there are legitimate questions about the quality of project management within the …
#2 —
Recommendation: Until the transition to the Transformed Labour Force Survey, the Labour Force Survey remains the primary measure of UK employment and considerable efforts have been taken to improve its robustness. We are pleased to see that response rates have returned …
#1 —
Recommendation: The transition from the Labour Force Survey to the Transformed Labour Force Survey has not been handled well enough and the result has been significant reputational damage to the ONS. Project management for the Transformed Labour Force Survey was poor. …
#5 —
Recommendation: Despite energy debt rising, and bills increasing, the regulators do not have a comprehensive view of the debt owed by an individual across the three sectors. Debt is now a substantial problem. By March 2025, customers’ debt to energy supply …
#32 —
Recommendation: Until all missing children and young people are found, the government should regularly publish data about the missing children and, where possible, make public any guidance shared with local networks. (Recommendation, Paragraph 165)
Response status not verified
#12 —
Recommendation: In introducing national eligibility criteria, the government must consult widely with children, their families and their carers, and local authorities as well as sector organisations and experts in the field, to ensure that the criteria adequately meet the needs of …
Response status not verified
#18 —
Recommendation: We recognise and respect the sensitivity surrounding Special Forces operations. However, the “no comment” approach is inappropriate for matters of administrative decision-making, data handling and accountability for resettlement casework. Serious questions have been raised about the governance arrangements under which …
Response status not verified
#11 —
Recommendation: The government did not maintain adequate cost visibility over the direct financial consequences of the data-breach response. The NAO found that the MOD could not identify ARR-specific costs with normal audit confidence, because those costs had not been separately recorded. …
Response status not verified
#5 —
Recommendation: Government should mandate and enforce minimum standards for skills, process, tools, controls, independent assurance and testing for datasets where compromise could plausibly risk life. The MOD should also explain who held senior official responsibility for data-protection risk in ARAP before …
Response status not verified
#3 —
Recommendation: The breach was not simply an individual mistake, but a foreseeable systemic failure. It arose from the combination of inappropriate tools, weak operating procedures, insufficient training, poor organisational continuity, and an inadequate culture of data protection and accountability. The pressures …
Response status not verified
#51 —
Recommendation: Despite being the body tasked with administering the legal aid scheme, the Legal Aid Agency is ill-equipped to ensure its service provision is sufficient to meet demand. Existing research on legal aid demand and coverage is entirely sourced from independent …
Response status not verified
#5 —
Recommendation: The government must publish data on representation in magistrates’ courts and conduct independent research on case outcomes (as recommended in the Lammy review and by our predecessor committee). (Recommendation, Paragraph 24) 56
Response status not verified
HSSIB safety recommendations(8)
Delayed recognition of acute aortic dissection
There is a lack of detailed and accurate data regarding the incidence and patient outcomes for acute aortic dissection in England, particularly for those patients who do not reach a specialist treatment centre alive. Such data would assist in understanding …
Safety Observation
Management of preterm labour and birth of twins
It may be beneficial to regularly analyse data on multiple births so the interpretation of this data can inform learning and research. 5.8 Summary
Safety Observation
The impact of staff fatigue on patient safety
HSSIB recommends that NHS England/Department of Health and Social Care identifies and reviews any current processes that may capture staff fatigue related data. The output of the review should identify how information about factors impacting on staff fatigue can be …
Safety Recommendation
Mental health inpatient settings: Creating conditions for learning from deaths in mental health inpatient services …
HSSIB recommends that the Department of Health and Social Care working with NHS England, and other relevant stakeholders, develop a comprehensive, unified data set with agreed definitions for recording and reporting deaths in mental health services to include deaths that …
Safety Recommendation
Placement of nasogastric tubes
It would be beneficial for the Department of Health and Social Care to consider post-Brexit arrangements for sharing patient safety incident data with Europe.
Safety Observation
Mental health inpatient settings: Supporting safe care during transition from inpatient children and young people’s …
Children and young people’s mental health services and adult mental health services can improve patient safety by having more aligned thresholds and criteria to access care, and improved data sources to inform decision making. This is to support closer alignment …
Safety Observation
Administering high-strength insulin from a pen device in hospital
It may be beneficial for systems to support regulators in identifying when large volumes of unlicensed medication are regularly being prescribed to patients. Regulators can then engage in dialogue with the manufacturer about applying for a UK product licence. The …
Safety Observation
Mental health inpatient settings
HSSIB recommends that the Department of Health and Social Care working with NHS England, and other relevant stakeholders, develop a comprehensive, unified data set with agreed definitions for recording and reporting deaths in mental health services to include deaths that …
Safety Recommendation
NCEPOD recommendations(14)
Just Say Sepsis!
Wording not shown. See the report on NCEPOD's website.
Just Say Sepsis!
Just Say Sepsis!
Wording not shown. See the report on NCEPOD's website.
Just Say Sepsis!
Just Say Sepsis!
Wording not shown. See the report on NCEPOD's website.
Just Say Sepsis!
Treat the Cause
Wording not shown. See the report on NCEPOD's website.
Treat the Cause
Treat as One
Wording not shown. See the report on NCEPOD's website.
Treat as One
Inspiring Change
Wording not shown. See the report on NCEPOD's website.
Inspiring Change
Each and Every Need
Wording not shown. See the report on NCEPOD's website.
Each and Every Need
Each and Every Need
Wording not shown. See the report on NCEPOD's website.
Each and Every Need
Acute Heart Failure
Wording not shown. See the report on NCEPOD's website.
Acute Heart Failure
Community-Acquired Pneumonia
Wording not shown. See the report on NCEPOD's website.
Community-Acquired Pneumonia
Inspiring Change
Wording not shown. See the report on NCEPOD's website.
Inspiring Change
Physical Healthcare in Mental Health Inpatient Settings
Wording not shown. See the report on NCEPOD's website.
Physical Healthcare in Mental Health Inpatient Settings
Transition From Child Into Adult Healthcare
Wording not shown. See the report on NCEPOD's website.
Transition From Child Into Adult Healthcare
Treat as One
Wording not shown. See the report on NCEPOD's website.
Treat as One
CQC inspection actions(70)— showing 50 strongest matches
Worthing Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
Worthing Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
The Princess Royal Hospital
The trust should ensure that emergency department records are stored securely in all areas.
Should Do
St Richard's Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
Royal Victoria Infirmary
The trust must maintain securely an accurate, complete, and contemporaneous record including a record of the care and treatment provided to patients and of decisions taken in relation to the care and treatment provided.
Must Do
Royal Sussex County Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
Royal Sussex County Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
Royal Hallamshire Hospital
The trust should consider methods to be able to provide information at directorate and speciality levels.
Should Do
Royal Hallamshire Hospital
The trust should consider methods to be able to provide information at directorate and speciality levels.
Should Do
Princess Royal Hospital
The trust must ensure that workforce data for the trust can be separated to show individual site performance.
Must Do
Princess Royal Hospital
The trust must ensure action is taking to improve their compliance with national waiting list targets. And that performance data for the trust can be separated to show site performance.
Must Do
Northern General Hospital
The trust should consider methods to be able to provide information at directorate and speciality levels.
Should Do
Northern General Hospital
The trust should consider methods to be able to provide information at directorate and speciality levels.
Should Do
Liverpool Women's Hospital
The trust should ensure that systems and processes are in place to accurately collect data to assess and monitor performance in relation to time to medical review and 1:1 care in labour.
Should Do
Leighton Hospital
The service should consider capturing ethnicity data on all incident reviews and investigations to have full oversight of the care and treatment to ensure equality of access to care.
Should Do
Fleetwood Hospital
The trust should consider updating the trust website to ensure all information relating to community services for adults is up to date.
Should Do
St Benedict's Hospice
The trust should continue to develop dashboards and data collection across all services to support effective analysis of staff and service performance.
Should Do
Withington Community Hospital
The trust should ensure documentation relating to radiation faults and Medical Physics are accessible electronically.
Should Do
Windsor Dialysis Unit
IssueswithITsystemsprovidingoutcomedataandthoserelatingtoremoteworkingshouldberesolved.
Should Do
Windsor Dialysis Unit
Improvethequalityofdataandinformationavailableforinternalandexternalusetoensureitprovidesassuranceofperformanceandcompliance.
Should Do
West Berkshire Community Hospital
IssueswithITsystemsprovidingoutcomedataandthoserelatingtoremoteworkingshouldberesolved.
Should Do
West Berkshire Community Hospital
Improvethequalityofdataandinformationavailableforinternalandexternalusetoensureitprovidesassuranceofperformanceandcompliance.
Should Do
University Hospital North Durham
The service should consider ways to strengthen data capture within the trust maternity dashboard.
Should Do
Royal Hampshire County Hospital
The trust must ensure data is managed so it is up to date, reliable and can aid decisions about risk and performance in the service. Midwifery red flag reporting must accurately reflect risk.
Must Do
Royal Derby Hospital
Ensure accurate data is available to monitor and review.
Must Do
Poole Hospital
Provide improved assurance at board level on progress and problems with technology and digital information systems, including possible poor quality of data.
Should Do
Darlington Memorial Hospital
The service should consider ways to strengthen data capture within the trust maternity dashboard.
Should Do
Clifton Hospital
The trust should consider improving information sharing and engagement with the wider trust management, including executive and non-executive leaders.
Should Do
Clifton Hospital
The trust should consider how IT systems can be used so that performance within the emergency department can be visualised throughout the hospital.
Should Do
Clifton Hospital
The trust must ensure the trust stores records securely.
Must Do
Bridlington Hospital
The service should ensure quality dashboard information is displayed in public areas.
Should Do
Basingstoke and North Hampshire Hospital
The trust must ensure data is managed so it is up to date, reliable and can aid decisions about risk and performance in the service. Midwifery red flag reporting must accurately reflects risk.Regulation17(1).
Must Do
Royal Victoria Infirmary
The service must use performance data to identify and drive improvements.
Must Do
Royal Hallamshire Hospital
The trust should implement electronic recording as per MBRRACEUK guidance.
Should Do
Northern General Hospital
The trust should implement electronic recording as per MBRRACEUK guidance.
Should Do
Montagu Hospital, Mexborough
Thetrustshouldensureitalwayskeeprecordssecure.
Should Do
Montagu Hospital, Mexborough
Thetrustshouldensureitalwayskeeprecordssecure.
Should Do
Leighton Hospital
The service must ensure it operates effective governance systems and processes in order to monitor risk and performance in key safety metrics and to collect accurate and reliable data to enable oversight of this.
Must Do
Leicester Royal Infirmary
The service should consider further separation of its maternity data for all sites.
Should Do
Leicester General Hospital
The service should consider further separation of its maternity data for all sites.
Should Do
Kidderminster Hospital and Treatment Centre
Improve the accuracy of the medical equipment asset database on Riverbank ward.
Should Do
Ellesmere Port Hospital
The trust must ensure patient records are complete, contemporaneous and securely stored.
Must Do
Wexham Park Hospital
The service should continue to ensure there is an accurate overview of risks faced, including how assurance is gained in the absence of a live maternity dashboard or ability to extract all suitable data from IT systems.
Should Do
Stamford & Rutland Hospital
The service must ensure that data collected is reliable, analysed, understood by staff and used to improve safety and performance.
Must Do
Durham Diagnostics and Treatment Centre
The service should improve data quality and collection of clinical data.
Should Do
Durham Diagnostics and Treatment Centre
The trust should continue to develop dashboards and data collection across all services to support effective analysis of staff and service performance.
Should Do
Dorset County Hospital
The servicemustensuregovernanceprocessesareeffectiveincludingbutnotlimitedtocompletegovernance documentation,actionplansandprogresstracking,accuratedatacollectionandanalysis,andregularmonitoringof safetymeasures,outcomedataandkeyperformanceindicators.
Must Do
Clifton Hospital
The trust must ensure that they maintain securely an accurate, complete and contemporaneous record in respect of each service user, including a record of the care and treatment provided to the service user and of decisions taken in relation to …
Must Do
Clacton Maternity Unit
The services should ensure its specifies which location incidents occur at when submitting trustwide National Reporting Live System (NRLS) incident reporting, to make it clear to regulators at which site incidents occur.
Should Do
William Harvey Hospital
The trust should consider systems and processes which support managers own oversight of training completion rates and renewal dates held centrally by the trust governance team.
Should Do
IOPC learning recommendations(17)
Recommendation - Dorset Police, May 2026
The IOPC recommends that Dorset Police should develop a process to ensure that their local police system records, and national police system records, contain the same warning marker information. This recommendation has arisen as a result of a death or …
Recommendation - Avon and Somerset Police and Wiltshire Police, April 2026
The IOPC recommends that Wiltshire Police and Avon & Somerset Police create and maintain an up-to-date list of STORM Codes and Transfer Codes on their STORM systems to allow the effective use and transfer of incidents between the two forces. …
Police response to an abandoned emergency call – Cleveland Police, March 2020
The IOPC recommends that Cleveland Police should implement a system to ensure that despatchers can easily inform the relevant control room staff where it is not possible to deploy resources to an incident. This system should alert relevant staff to …
Collision following pursuit - Thames Valley Police, May 2019
The IOPC recommends that all information regarding an officer’s driving authorisation/category is stored centrally within the TVP driving school and where there is a change the driving school ensures this change is reflected on its records without delay. A driving …
Recommendations - National Police Chiefs' Council, December 2024
The IOPC recommends that the National Police Chiefs’ Council (NPCC) requires all forces to ensure they have mechanisms for recording the use of Flexible Lift and Carry Systems (FLACS), and similar manual handling devices, thereby providing a clear auditable process …
Recommendation - Warwickshire Police, May 2026
The IOPC recommends that should Warwickshire Police officers receive Reflective Practice Review Process (RPRP) for any minor misuse of Warwickshire Police computer systems, they conduct a review of that officer’s use of police computer systems on a regular basis. This …
Investigation into response to a concern for welfare - Greater Manchester Police, …
The IOPC recommends that Greater Manchester Police takes steps to improve their record keeping and archiving around when changes are made to the Call Handling Minimum Standards. This could be achieved by way of implementing a version control system on …
Recommendation - Greater Manchester Police, September 2022
The IOPC recommends that Greater Manchester Police (GMP) implement call handling systems or processes which ensure that where a name can be spelt in different ways, records in relation to that person are still identified. This follows an IOPC review …
Operation Hotton recommendations - Metropolitan Police Service, September 2021
The IOPC recommends that the MPS ensures there are metrics in place to measure and demonstrate, in a transparent way, improvements made in tackling bullying and harassment and confidence in the MPS approach to this. This could include reporting on …
Recommendation - Northumbria Police, April 2026
The IOPC recommends that Northumbria Police should conduct a review of their policy and practice in relation to post-arrest management and bail decisions in cases involving domestic abuse or violence against women and girls. The review should pay particular regard …
Operation Hotton recommendations - Metropolitan Police Service, September 2021
The IOPC recommends that the MPS should review current guidance and policy in relation to acting up to ensure there is transparency and clarity on how acting up positions are decided. The guidance should ensure that decisions for officers acting …
Teenager took his own life after calling police for assistance – Kent …
The IOPC recommends that Kent Police should ensure that where computer systems are upgraded and updated, that default settings are checked and the operators of those systems are made aware of the changes to settings before use. This follows an …
Recommendations - South Wales Police, July 2022
The IOPC recommends the National Police Chiefs’ Council (NPCC) shares the learning from this IOPC investigation with force custody leads, asking them to take steps to ensure: Custody staff understand that the Prisoner Escort and Custody System (PECS) is a …
Recommendations - South Wales Police, July 2022
The IOPC recommends the NPCC (as holders of the national portfolio for custody and detention) provide guidance to all police forces highlighting: The Prisoner Escort Custody Service (PECS) is a stand-alone system which does not interface with any police systems. …
Recommendations - South Wales Police, July 2022
The IOPC recommends that South Wales Police provide training to custody and detention officers regarding the Prisoner Escort and Custody System (PECS) and the completion of digital Person Escort Record (d PER) forms. Any such training should highlight that: PECS …
Failure to investigate indecent exposure – Metropolitan Police Service, February 2021
The IOPC recommends that the Metropolitan Police Service (MPS) considers the development of a system which automatically notifies the Directorate of Professional Standards (DPS) of when a serving police officer is linked to an ongoing police investigation. This follows an …
Man dies on way to custody - Thames Valley Police, November 2017
Information about a previous drug-related incident involved the same individual as this case had not been put on his Police National Computer (PNC) record. While it did not materially affect this case, awareness of this information could potentially have affected …
NAO audit recommendations(61)— showing 50 strongest matches
BBC Studios
BBC Studios should improve the consistency and effectiveness of its internal performance reporting. It should ensure that it strikes the proper balance between allowing flexibility in its performance framework to respond to market developments and corresponding changes to its plans, …
Accepted
Government Shared Services
b) The Cabinet Office should put in place performance metrics that allow it to understand and measure how implementation of the strategy is proceeding, and progress in achieving data and process convergence
Accepted
Environment Agency Annual Report and Accounts 2020-21
I also recommend that EA develop more robust controls over the input and maintenance of data in its property, plant and equipment records.
Accepted
Department for Environment, Food and Rural Affairs Annual Report and Accounts 2020-21
I also recommend that the Departmental Group develop more robust controls over the input and maintenance of data in its property, plant and equipment records.
Accepted
The UK’s F-35 capability
The MoD should tighten its measurement of the capability of the F-35, relating it to an objective measure based on the high-level characteristics and key user requirements derived from the Secretary of State?s policy baseline relating to F-35.
Accepted
Managing FCDO’s overseas estate
FCDO should identify suitable performance benchmarks for its maintenance delivery models and use this to assess the performance of different models. Once benchmarks and performance measures have been identified, FCDO should establish a monitoring regime to support data collection.
Accepted
The National Space Strategy and the role of the UK Space Agency
By December 2024, UKSA should review and confirm whether it is using the most appropriate metrics, including the North Star metric, to measure its progress.
Partially accepted
The National Space Strategy and the role of the UK Space Agency
To measure the progress and benefits of government funding in the space sector: By December 2024, DSIT should define and establish output and outcome metrics to monitor cross-government progress against the Strategy.
Accepted
DWP customer service
To improve its customer service, DWP should further develop key performance indicators for the Service Modernisation Programme.
Accepted
DWP customer service
To improve its customer service, DWP should use its insights on the areas that customers prioritise to develop measurable objectives for its customer service improvement plans, including defining what success looks like and how progress will be assessed.
Accepted
The Restart scheme for long‑term unemployed people
h) improve the information it uses to assess customer service standards for future contracts. DWP needs to be able to assess performance in a timely way so that it can act quickly if necessary. This is likely to require some …
Partially accepted
Government Shared Services
g) Departments working together as clusters should ensure that their cost and benefit figures are calculated in a consistent way to allow for comparison across clusters and to make it easier to monitor the outcomes of the Shared Services Strategy.
Accepted
Road enhancements: progress with the second road investment strategy (2020 to 2025)
In their reporting of how National Highways has performed against what it originally planned to deliver in each road strategy, and against revised delivery targets, National Highways and DfT should set out the implications of changes made to the portfolio …
Accepted
Investigation into the Digital Services Tax
b) HMRC should estimate the potential tax gap for DST (the difference between total theoretical tax liabilities and the amount that has been paid) separate from any HMRC calculation of the overall tax gap. For example, by comparing total revenue …
Accepted
Managing NHS backlogs and waiting times in England
f) In 2024-25, with the benefit of two years of managing elective recovery, DHSC and NHSE should develop a long-term plan for returning elective and cancer services to a state in which legal and operational waiting time standards are met. …
Accepted
Managing NHS backlogs and waiting times in England
e) During 2022-23, NHSE should publish a report to improve transparency on the progress it is making with the recovery of elective and cancer care. This should include an assessment of the results of its major recovery initiatives, including its …
Accepted
Managing NHS backlogs and waiting times in England
d) In Quarter 1 of 2023-24 NHSE should review the elective and cancer recovery actions it took in 2022-23, to assess progress and any unintended effects. At the same time, DHSC and NHSE should determine whether elective recovery targets and …
Accepted
Managing NHS backlogs and waiting times in England
b) Before April 2021, DHSC and NHSE should agree and publish guidance that explains clearly and fully how they define and report high-level metrics for increasing NHS activity and reducing long waits to ensure that they are transparent and consistently …
Accepted
Managing NHS backlogs and waiting times in England
a) NHSE should improve its reporting indicators so it has a full set in place by the start of April 2023 at the latest. It should develop new indicators to take account of key risks (such as worsening health inequalities …
Accepted
Progress combatting fraud
Put in place the arrangements necessary to measure progress and to reprioritise and adapt its strategy, including by: ? producing an up-to-date measure of the cost of fraud to individuals and businesses, and updating this sufficiently frequently, to allow it …
Partially accepted
Progress combatting fraud
Complete and publish its strategy for tackling fraud as soon as possible, ensuring that this sets out: ? what outcomes it is seeking to achieve and by when it is seeking to achieve them; and ? a system-level plan for …
Accepted
Managing central government property
i) The OGP should set out key performance indicators and interim milestones for each of the objectives in its upcoming property strategy
Accepted
Environment Agency Annual Report and Accounts 2020-21
I recommend that EA carries out a review of the data quality and cleanse the property, plant and equipment records prior to embarking on a large revaluation exercise.
Accepted
Department for Environment, Food and Rural Affairs Annual Report and Accounts 2020-21
I recommend that the Departmental Group carries out a review of the data quality and cleanse the property, plant and equipment records prior to embarking on a large revaluation exercise.
Accepted
Immigration enforcement
• undertake modelling exercises to understand the impact on one area by changing resourcing structures.
Accepted
Immigration enforcement
• assess the relative success of each business area; and
Accepted
Immigration enforcement
• clearly set out a rationale of how each business area contributes to success against Immigration Enforcement’s overall missions and objectives;
Accepted
Immigration enforcement
• have clear, measurable objectives based on outcomes, cost and quality as well as inputs and outputs;
Accepted
Immigration enforcement
d) Review Immigration Enforcement’s current responsibilities to identify which ones are most important in achieving its goals. However, to do this it needs to develop clear metrics of performance that are directly linked to what it is trying to achieve. …
Accepted
BBC Studios
c) finalise the performance indicators for the regular reporting to the BBC’s boards of BBC Studios’ non-financial performance in early 2020 as planned, while ensuring that this set includes adequate measures to enable board monitoring of: • BBC Studios’ performance …
Accepted
Investigation into NHS Property Services Limited
The Service should: f) build on its existing quality metrics, with input from stakeholders, so that its performance can be monitored, including the accuracy of billing;
Partially accepted
Using data analytics to tackle fraud and error
Recommendation 9: The Public Sector Fraud Authority and HM Treasury should encourage departments to keep their fraud and error data analytics under review, and optimise them accordingly to ensure that they are bringing the maximum fraud and error savings.
Accepted
Local bus services in England
DfT should agree with, and communicate to, relevant stakeholders what range of information it needs to best monitor the bus services system and act to fulfil its role as custodian of that system, including information that will allow it to: …
Accepted
Managing FCDO’s overseas estate
FCDO should ensure that the collection and use of good-quality and complete data is embedded into the day-to-day running of its overseas estate. FCDO should develop a plan to ensure its data on the estate is kept up to date …
Accepted
Improving family court services for children
MoJ, DfE, HMCTS and Cafcass, working through the FJB, should develop and publish an overall strategy for family justice improvements, including: ? a set of measurable performance indicators that cover all elements important to achieving good outcomes, including quality and …
Accepted
Collecting the right tax from wealthy individuals
HMRC needs to improve the information it collects, organises and uses on agents to regularly and consistently assess the risks in the agent population. HMRC should improve its understanding of how tax professionals influence compliance, in a positive and negative …
Accepted
Collecting the right tax from wealthy individuals
HMRC needs to take a more dynamic approach to understanding risk, both for wealthy individuals and more widely across connected customer groups. It should consider whether its assessment of risk should include explicit risks of non-compliance by the very wealthy.
Accepted
Collecting the right tax from wealthy individuals
HMRC should keep its definition of the wealthy population under review as the base continues to grow. This should include considering whether greater segmentation of wealthy taxpayers, such as by different wealth bands, would help it to better understand risk …
Accepted
UK Research and Innovation: providing support through grants
By January 2026, UKRI should take stock of whether its systems are providing it with the data necessary for good portfolio management, and if not, develop a plan to improve its portfolio monitoring and strategic oversight. It should particularly consider …
Accepted
BBC Studios
BBC Studios should review the risks associated with not meeting its targets for generating new BBC Studios? owned IP. It should consider whether it fully understands the risks to the delivery of its long-term strategy associated with its current mix …
Accepted
Improving educational outcomes for disadvantaged children
To better understand the impact of its approach, DfE should broaden its performance measures and monitoring to assess both its regional progress narrowing the disadvantage attainment gap and the added value from its support for disadvantaged children, to present a …
Accepted
Improving educational outcomes for disadvantaged children
To better understand the impact of its approach, DfE should set out the progress it expects to make in reducing the disadvantage attainment gap over the coming years, including what good would look like, so it can better understand where, …
Accepted
NHS England’s modelling for the Long Term Workforce Plan
Recommendation 10: Ahead of producing the next version of the models, NHSE should review measures of productivity, and other workforce capacity models, to ensure that it is applying the most appropriate measure for its modelling.
Accepted
BBC Studios
• the management of significant risks to BBC Studios achieving sustainable margins and returns; and
Accepted
Tackling serious and organised crime
The Department should accelerate its work to measure the impact of the collective efforts of government and law enforcement bodies on the prevalence of serious and organised crime. The Department and the NCA have been developing a new performance framework …
Accepted
Investigation into NHS Property Services Limited
The Department should: d) provide stronger challenge to the Service’s process for setting directors’ bonuses, so that bonuses are paid for achieving genuinely stretching and important targets; and
Accepted
Progress in preventing cardiovascular disease
DHSC should set clear targets or expectations for the numbers or percentages of the eligible population who should attend Health Checks.
Accepted
NHS England’s modelling for the Long Term Workforce Plan
Recommendation 11: NHSE's modellers should consider whether it is reasonable to expect the same rate of increasing productivity from a workforce increasingly composed of newly qualified staff.
Accepted
NHS England’s modelling for the Long Term Workforce Plan
Recommendation 9: The modelling (at 0.8% per annum productivity increase) and the LTWP (which describes 1.5% to 2% per annum productivity increase) present productivity differently. In future, NHSE should more clearly explain both internally and in public how it has …
Accepted
Decarbonising home heating
On the deployment of heat pumps, DESNZ should: Ensure it has regularly updated information on all key barriers to heat pump installations, including reasons for Boiler Upgrade Scheme attrition, and use this to inform its approach. This should include key …
Accepted
IMB individual recommendations(37)
Gatwick IRC/RSTHF (2022)
Urgently improve data collection, management and provision so as to restart provision of information in line with the Memorandum of Understanding with the IMBs (section 3.6).
Home Office
The Mount (2024)
A proper data recording and management system should be introduced to replace the current use of myriad internally constructed spreadsheets and PowerPoint documents that are isolated, inconsistent and require too much manual involvement when reports or information are called for (see §9).
HMPPS
Wandsworth (2020)
Each year the Board has difficulty collecting data from across the prison; often it was either unavailable or inaccurate. Would the Governor consider creating a centralised data unit responsible for obtaining and collating reliable data?
Governor / Director
Gatwick IRC/RSTHF (2022)
Improve data collection and management and systematise this to reduce reliance on the goodwill and abilities of specific individuals (section 3.6).
Governor / Director
Wandsworth (2020)
Once again, it was difficult to get access to consistent CRC data regarding key performance targets. What is being done to improve this?
Other
Implemented
Exeter (2022)
Invest in improving systems, processes and expectations associated with the management of prisoners’ property. Current arrangements often reflect insufficient care and attention to the management of prisoners’ property, both internally and on transfer between prisons.
HMPPS
Implemented
Brinsford (2022)
The management of prisoner property in the establishment and the transfer of property between establishments continue to cause many problems, including prisoner anger and claims for compensation. A new policy and procedure have been many years in the development stage and need to be implemented urgently.
HMPPS
Implemented
Belmarsh (2022)
Will the Minister require HMPPS to implement a system of managing and tracking prisoner property? This has been raised by various IMB reports for the past three years without any tangible action. (see section 5.8 Property)
Ministry of Justice
Whatton (2023)
Can the Prison Service confirm to the Board that the new property framework for prisoners’ property is meeting the objective(s) of the new framework, and share any data that is available to show that improvements have been made and the new framework is on target to achieve its objectives? How will you ensure that improvements are being made?
HMPPS
In Progress
Usk and Prescoed (2023)
The loss of prisoners’ property when transferring from other prisons continues to be a problem which does not appear to be improving despite being reported regularly and nationally.
HMPPS
Thameside (2023)
We urge HMPPS to review the Prisoner Property Policy Framework of September 2022, as the management and transfer of prison property is still a major problem and the framework has had little or no impact due to the lack of a digitalised process.
HMPPS
In Progress
The Mount (2024)
A system for the management of prisoners’ personal property should be developed that (a) ensures a much greater degree of accountability and responsibility for the safekeeping of such property, especially when a prisoner is being transferred, and (b) supports this objective by facilitating modern day ‘track and trace’ location monitoring – ideally using hardware and software rather than, as at …
HMPPS
Downview (2024)
The Board does not have sufficient confidence in the accuracy of attendance data for activities and education collated by the prison (7.1).
Governor / Director
In Progress
Downview (2024)
What additional external checks are carried out by HMPPS to ensure the accuracy of data reported by the prison?
HMPPS
Woodhill (2020)
To ask the Service to review and reform the property system, to reduce delays in transportation, inconsistencies in entitlements and reduce losses
HMPPS
In Progress
Whatton (2020)
As we have reported annually, the Board continues to receive applications about the loss of prisoners’ property, usually when being transferred from another prison. Responses to prisoners’ complaints from other establishments are often late or not received at all (see section 5.8). Can the Prison Service develop a reliable system of handling and tracking prisoners’ property, to reduce these unacceptable …
HMPPS
In Progress
Grendon (2021)
Restrictions due to Covid-19 and project work notwithstanding, the Board looks forward to: refresher training to minimise data breaches (see 5.7.5).
Governor / Director
Werrington (2023)
How can the progress of a placement on the WADE unit of a young person who is not on Rule 49 be evaluated when no data can be found?
Governor / Director
Werrington (2023)
Why is there no nationally agreed, simple, annual data set available to assist in monitoring educational provision?
HMPPS
Hull (2023)
The Governor should address and resolve the present issues where many members of the IMB do not have full access to the required IT systems within the establishment.
Governor / Director
Thorn Cross (2024)
To resolve the continuing issues with the transfer of property so that less of it goes missing; and, when it does, to ensure that there is a swift remedy.
HMPPS
Cardiff (2024)
The Board recommends that data collection be improved to identify repeat offenders in the care and separation unit (CSU), to not provide a potentially disproportionate picture.
Governor / Director
Ashfield (2025)
Last year, it was suggested that individual prisons would be provided with information about reoffending rates in the near future. Has there been any progress with this?
Other
Noted
Winchester (2020)
Will the Governor ensure that the property office has sufficient staffing to resolve prisoners’ issues promptly and efficiently (see section 5.8)?
Governor / Director
Kirklevington Grange (2021)
Are there plans to move to an electronic property management system? This could facilitate transfer between establishments and help reduce the volume of lost property.
HMPPS
Hull (2021)
Loss of prisoners’ property continues to be an issue. A draft HMPPS plan for a reform of the property policy appears an inadequate response and digital recording and tracking of property would seem to be a minimum requirement.
HMPPS
In Progress
Glasgow, Edinburgh and Larne House Short Term Holding Facilities (2021)
That a quarterly report giving the numbers of detainees with disabilities (including the type of disability) be presented to the IMB GEL Board.
Home Office
Gartree (2021)
Can the Governor confirm that the Board will be allowed to resume dedicated use of an office without the need to allow other members of staff access to use the in-cell phone to call prisoners or for other purposes?
Governor / Director
Dovegate (2021)
The Board continues to deal with a substantial number of property issues resulting from transfers from other establishments. More effort needs to be made to find a national solution to this problem. Despite a framework being developed in April 2020, nothing very significant seems to have happened and the IMB still chases property that has not arrived with the prisoner …
HMPPS
In Progress
Wayland (2022)
The Board recommends to the Prison Service that it reviews its decision not to resource a modern IT system to support property management and that it seeks appropriate IT solutions without further delay.
HMPPS
Guys Marsh (2022)
The current recording of prisoner property on property cards is time-consuming and often mismanaged, leading to compensation payments and much wasting of staff time. Is there not a case for the immediate digitising of all prisoner property cards to be then placed on NOMIS?
HMPPS
Dovegate (2024)
Property lost between prisoners is still an major issue. Will the Prison Service consider moving to digital property cards in all prisons and photographic records for all items?
HMPPS
Partially Accepted
Bronzefield (2024)
How will the prison improve the property process? (5.8)
Governor / Director
Whitemoor (2025)
Will the Prison Service establish a property management system that is fit for purpose?
HMPPS
In Progress
Belmarsh (2020)
Will HMPPS confirm whether the known error in the national prison visits booking system has been resolved? (section 7.4)
HMPPS
In Progress
Bristol (2022)
The loss or delay of prisoners’ property is still a big problem and is especially important when this includes legal and other paperwork. How will you ensure that the situation will be improved by the new national framework?
HMPPS
Woodhill (2023)
To radically overhaul the property system within the prison service.
HMPPS
Partially Accepted
Health investigations(69)
Independent investigation: Katie Kazmi, Reading (1999) — Rec 8
The trusts and social services should have an untoward incident policy which should include the requirements: • all documents are sequestered by senior management; • a replica of the originals should be collated which acts as a master copy for any further duplication..
south_east
Independent investigation: Katie Kazmi, Reading (1999) — Rec 3
Social services and the trusts should have an untoward incident policy which should include the requirements: • all documents are sequestered by senior management; • a replica of the originals should be collated which acts as a master copy for any further duplication..
south_east
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec 1
C3 Division of the Home Office should act as a repository of information about the patient's index offence(s);
east_of_england
Independent investigation: Phyllis Deane, Shaldon/Torquay Devon (2007) — Rec 1
The Trust must commission/complete a review of clinical records and their storage against the standards cited in the Data Protection Act. All clinical areas must ensure that records have been returned to the central archive when patients are discharged or move through services. An audit needs to be conducted in …
south_west
Independent investigation: Mark Berry, Dewsbury (2005) — Rec 2.5
The Trust should develop and implement a policy for the safe retention of records, including diary and message books .
north_east_yorkshire
Independent investigation: Lin & Megan Russell, Kent (1996) — Rec Paragraph 6.5
In any case where it appears that a patient known to statutory services may be the subject of a homicide investigation the management of the service responsible should immediately recall and secure all records. A photocopy of the records should be made before any originals are provided to the police.
south_east
Independent investigation: Jordan Cooper, Washington (2011) — Rec 6
The authors of SI reports and the Trust must ensure that information gathered as part of an investigation is securely stored for future reference.
north_east_yorkshire
Independent investigation: John Redhead, Potters Bar (2007) — Rec 17
The Trust should ensure that all clinical and admisistrative staff have received training in their responsibilities regarding the administration of clinical records and that the content of such training contains all aspects contained within the NHS Code of Practice and Information Governance Toolkit.
east_of_england
Independent investigation: John Redhead, Potters Bar (2007) — Rec 16
The Trust should ensure that there is a robust process in place to ensure the appropriate retention and storage of records and ensure there is a tracking procedure in place so that the whereabouts of original paper clinical records and any copies taken is known. This process should be tested …
east_of_england
Independent investigation: John Redhead, Potters Bar (2007) — Rec 1
The Trust should review the processes in place for ensuring that details of service users’ addresses on Trust information systems are up to date.
east_of_england
Independent investigation: Hamidi HamidullahKhizer Hayat, Tulse Hill (2006) — Rec Recommendation Numbe
The potential of the Trust IRS system should be maximised to ensure that it delivers a focussed breakdown by team and by care coordinator of evidence that service users have signed their care plans, and have received full copies of their CPA documentation. In the event that a patient shows …
london
Independent investigation: Hamidi HamidullahKhizer Hayat, Tulse Hill (2006) — Rec Recommendation Numbe
The potential of the Trust IRS system should be maximised to ensure that it delivers a focussed breakdown by team and by care coordinator to be available on the: • completion of Care Programme Approach reviews; • completion of risk assessments; • completion of child in need risk screens; • …
london
Independent investigation: Joe Lewis, Brighton (2014) — Rec 9
The Trust must ensure that a policy is developed and implemented to make sure that records created as part of internal investigations are retained in a single storage point, and that the Serious Incident Reporting Policy and Procedure is amended accordingly .
south_east
Independent investigation: Joe Lewis, Brighton (2014) — Rec 10
The Trust must ensure that they identify a single point of contact for liaison with independent investigation companies and ensure that the individual is responsible for logging, collating and responding to information requests.
south_east
Independent investigation: Beatrice Hughes, Harrow (1997) — Rec a.
Brent & Harrow Health Authority require forensic psychiatric service providers to use the same methods for denoting ethnicity as used by community mental health service providers;
london
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 27
To ascertain how long client files should be kept before destruction.
south_east
The Christie NHS Foundation Trust Rapid Review: Published November 2021 — Rec 2.3.2.1
That the Trust should review its policies and processes related to database access
Christie NHS Foundation Trust
north_west
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 24
All policies should be reviewed to ensure that they comply with statutory obligations about the retention of records (source: chapters nine and ten).
Leeds Teaching Hospitals NHS Trust
north_east_yorkshire
*Independent investigation into the care and treatment of Mr P: … — Rec 1
Following such catastrophic incidents the Trust should maintain a register of the full contact details, including professional body registration numbers, of all staff involved in the care and treatment of the patients in the incident, so that when required in the future there is a last known address with which …
south_east
Assurance Review: Trust recommendations — Rec 20
Recording of ethnicity • The sample provided does not include information on ethnicity other than White or Unknown/Mixed. The Trust should examine whether it is recording ethnicity in its records in line with expected practice.
north_west
An independent inquiry into the care and treatment of Ms … — Rec 3
Communication between the Service Areas should be improved to ensure that where there is multiple repair orders raised involving damage to the property this is passed to the Tenancy Management team for further investigation.
south_east
An independent inquiry into the care and treatment of Ms … — Rec 2
When Adult A did contact the council there were no details recorded by Customer Services of the conversation. It is important that the Customer Relationship Management system is fully updated in order that information is available to other Service Areas.
south_east
Independent investigation into the care and treatment of Mr E: … — Rec 6
The authors of SI reports and the Trust must ensure that information gathered as part of an investigation is securely stored for future reference.
Northumberland, Tyne and Wear NHS Foundation Trust
north_east_yorkshire
Accepted
An independent review into the independent sector provider One to … — Rec 3
Amendments to service specifications should be fully documented and tracked to enable discussion at contract meetings.
north_west
An independent review into the independent sector provider One to … — Rec 10
Data quality audits should be a core requirement of service specifications and the Data Quality Improvement Plan under the contract used to support this area of work.
north_west
An independent investigation into the care and treatment of Harry … — Rec 17
– regarding future investigations at level 2. We recommend to both Trusts and Commissioners that: a) Terms of reference documents include a version control and date by which they are finally agreed. b) We recommend that in future investigation reports the exact wording from the finally agreed terms of reference …
Leeds and York Partnership NHS Foundation Trust
north_east_yorkshire
Independent investigation: Sidney Waller, Manchester (2008) — Rec 5
The revised management arrangements for the Assertive Outreach Team should be reviewed to ensure they are working in line with the recommendations made by the Trust internal review. In order to ensure the success of the previous recommendation an audit should be conducted to evaluate progress made against: clinical record …
north_west
Independent investigation: Katie Kazmi, Reading (1999) — Rec 12
The Home Office should ensure that the chief constable’s letter contains a summary of the index offence (c.f. the social supervisor’s) and a précis of other convictions, and direct that: the information is copied to both the police national computer and local force intelligence; such information should only be inputted …
south_east
Independent investigation: Simon Breed, Wood Green (2004) — Rec R8
The trust immediately reviews the way in which all records (both electronic and paper) are secured following the occurrence of any serious incident to ensure there is no recurrence of the loss of vital clinical information.
london
Independent investigation: Alan Riddock, Bristol (2008) — Rec 7
The local Police Force, in collaboration with other relevant organisations including the Avon and Wiltshire Mental Health Partnership NHS Trust, should put in place a protocol to ensure that when a clinician ceases to be involved with a service user the contact details contained on the Police computer system are …
south_west
Independent investigation: Simon Widger, Eastbourne, Sussex (2000) — Rec 4
That the Social Services Department ensures that all court reports are up to date and that a record of the judgement of the Court is maintained within the case files as a matter of course.
south_east
Independent investigation: Sharon Stokes, Exmouth (2007) — Rec 3.7.6.2.
The Devon Partnership NHS Trust must complete a review of clinical records and their storage against the standards cited in the Data Protection Act. All clinical areas must ensure that records have been returned to the central archive when patients are discharged or move through services. An audit needs to …
south_west
Independent investigation: Lucy Ayris, Hayes (2015) — Rec 12
The CMHT should ensure that the practice of making clinical entries and sending written communication regarding outcomes of clinical reviews should be completed.
london
Independent investigation: Lorna Thomas, Milton Keynes (1995) — Rec 29
The Directors of Social Services for Buckinghamshire County Council and Milton Keynes Council should take steps to ensure the accuracy and completeness of Social Services record keeping.
south_east
Independent investigation: Lisa Sullivan, Walton on the Naze (2005) — Rec 12
When a homicide occurs there will necessarily be an Independent Investigation. The HPFT should ensure that the clinical records and all relevant documents are held securely, including the records which comprise the archive of the Internal Investigation undertaken by the Trust until the Independent Investigation is complete.
east_of_england
Independent investigation: Lisa Sullivan, Walton on the Naze (2005) — Rec 9
The Trust should ensure that when complaints by service users are made and investigated, the process complies with the current Trust Policy and a complete record of that investigation is held corporately by the Trust and is not retained in local managers’ offices.
east_of_england
Independent investigation: Hugh McCaffrey, Willesden — Rec 5.66
Social Services should have an agreed policy on what information can be shared between different divisional social workers working with different members of the same family and ensure that the database is cross-referenced to identify other divisional workers’ involvement in such cases.
london
An independent investigation into the care and treatment of mental … — Rec Two
Accordingly, it is recommended that NHS England issue guidance to Trusts to highlight that Trusts comply with their legal duties and internal policies relating to records management to ensure that the whereabouts of original NHS records are known and that upon completion of investigations carried out by other statutory bodies, …
Harrogate Health Care NHS Trust
north_east_yorkshire
Independent investigation: Chloe Fahey, Manchester (2003) — Rec O.7
It is recommended that the policy of recording information on FWINS is reviewed to ensure that • there is a proper policy for the grading of incoming calls; • there are proper quality control and assurance procedures in the use of FWINS with an objective of minimising inaccuracies within them.
north_west
Independent investigation: Carmelita Tulloch, Vauxhall, London (2006) — Rec Recommendation Numbe
The Trust Information Technology Team must ensure that clinical records cannot be amended by any member of a clinical team following a serious untoward incident.
london
Independent investigation: Carl Scott, Winchester — Rec 11
When changes to the AMHP Hub are taking place, the Trust to work collaboratively and in partnership with the LA to focus on its capacity and capability to respond to requests for MHA assessments originating from colleagues and fellow practitioners. The Trust to collect, collate, and record any incident data …
south_east
Independent investigation: Beatrice Hughes, Harrow (1997) — Rec c.
ensure that standards for record keeping are set and that management systems are in place for audit purposes, and
london
Independent Investigation into the care and treatment of X: October … — Rec 2
When organisational structures and policies are changed, there should be a mechanism to ensure that policy and practice changes are aligned, and any relevant forms or documents are updated accordingly
South Essex University Partnership NHS Foundation Trust
east_of_england
Independent investigation into the care and treatment of Patient L: … — Rec 1
To maximise the impact of the Trust’s focus on record-keeping standards, the Independent Team recommends that a more traditional peer review audit approach is instituted. Such an approach aims to deliver consistently high quality record keeping and regular opportunity for reflective practice. A Peer Review model includes: Staff in …
Sheffield Health and Social Care NHS Foundation Trust
north_east_yorkshire
An independent investigation into the care and treatment of mental … — Rec 8
NHS England and NHS Improvement – North West Region should review the commissioning process for independent investigations to ensure that all relevant clinical and multi-agency records are made available to investigation teams in a timely and comprehensive manner.
Lancashire and South Cumbria NHS FT
north_west
An independent inquiry into the care and treatment of Ms … — Rec 4
The review recommends a reminder be sent to officers concerning the importance of appropriate use of warning markers within PNC and of the importance of creating a record within the Command and Control of any attempts to execute a warrant.
south_east
An independent external quality assurance review (published 20 December 2018) … — Rec 10
The Trust should provide quality performance information on services that consistently appear in the top five or other agreed quantity of quality indicators for two or more quality indicators to systematise the triangulation of performance information.
north_west
Independent investigation into the care and treatment of Mr T — Rec 1
Given the difficulties we have experienced obtaining the information we required during the investigation process, the Trust should implement a clear policy for ensuring that requests for information from independent investigations are met in a timely and efficient way.
Mr T who committed a homicide in May 2014. Mr T was in receipt of services from Camden and Islington NHS Foundation Trust
london
Accepted
An independent review into the independent sector provider One to … — Rec 4
As part of the development of joint working protocols for shared care, responsibilities for performance reporting on key shared metrics should be documented.
north_west
A system-wide independent investigation into concerns and issues raised relating … — Rec 2
Formal corporate decision-making processes and outcomes were difficult to trace and evidence. The Trust should seek assurance that there is a ratified minute of key organisational decisions.
CAMHS provision at West Lane Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust
north_east_yorkshire
Independent reviews(50)
Fisher Review (Part 1) — Rec 11
The Information Commissioner's Office and National Police Chiefs' Council should issue guidance regarding redaction expectations in a law enforcement context. This change should be reflected in section 6(c) of the Code of Practice, single Consolidated Guidance, and in the College of Policing Learning Standards.
Justice & Legal
Owens Review — Rec 26
As the current statistics do not adequately reflect the totality of releases in error, the Ministry of Justice, HMPPS and the Office for National Statistics should undertake a wider piece of work on the data on releases in error and come forward with a proposal to ensure that statistics provided …
Justice & Legal
Owens Review — Rec 7
HMPPS, with support from the Ministry of Justice, develop a plan for phasing out the use of paper records in prisons during the release process.
Justice & Legal
Corry Defra Regulation Review — Rec 29
Defra should fast track the sharing of data across regulators and externally, making external commitments to do more. Understanding and interrogating the huge amount of existing data Defra already holds as an organisation should be a high priority in Defra's digital and data transformation strategy, with a much greater presumption …
Other
Hodge Arts Council Review — Rec 14
ACE should review and publish a data and reporting strategy that clearly communicates how it will collect, interpret, store and share the reporting and evaluation data it collects. The data must be made available in a genuinely useful way to all stakeholders.
Other
Hodge Arts Council Review — Rec 6
ACE should radically reform its application and reporting requirements so that they are less bureaucratic and onerous for organisations but still ensure accountability for public money. ACE should also review its data requirements to demonstrate that the data it collects has a clear purpose and that the data demanded is …
Other
Narey-Owers Foster Care Review — Rec 14
A number of organisations called for a national register of carers. They suggest that such a database could hold details of their fostering agency; the date of their approval as carers; where they live; the number of beds and bedrooms in their home; the number of vacancies for children; personal …
Other
Jones: Patronising Disposition Review — Rec 24
In 2012, the Hillsborough Independent Panel made the following recommendation: 'The Panel recommends that police force records are brought under legislative control and that police forces are added to Part II of the First Schedule to the Public Records Act 1958, thereby making them subject to the supervision of the …
Policing & Security
Hodgson Charities Act Review — Rec 45
All information required to be submitted by charities should be combined into a single document for simplicity. The first page of this should be a list of key risk indicators to help the Commission identify a sample of charities for further investigation. The completed list should also be published on …
Other
Hodgson Charities Act Review — Rec 44
The Charity Commission should explore technology-based ways of validating data from the information provided to it in both charities accounts and Annual Return.
Other
Hodgson Charities Act Review — Rec 42
The Charity Commission should continue with its plans to simplify and improve the Charities SORP.
Other
Hodgson Charities Act Review — Rec 41
The Summary Information Return should be abolished, subject to the requirement that all the information it provides is available elsewhere in charities accounts and Annual Returns.
Other
Hodgson Charities Act Review — Rec 39
Voluntarily registered charities must submit accounts, for publication on the Commission’s website, but must do so electronically. Submissions by charities that are compulsorily registered but have an income below £25,000 per year must also be electronic.
Other
Hodgson Charities Act Review — Rec 38
All compulsorily registered charities should be required to submit their accounts and Annual Return and they should be publicly available on the Commission website.
Other
Hodgson Charities Act Review — Rec 37
The requirement to submit accounts and reporting information should be aligned with the registration threshold.
Other
Hodgson Charities Act Review — Rec 31
Work by Companies House and the Charity Commission to create a single reporting system for charitable companies, as recommended in Unshackling Good Neighbours, should continue as a matter of urgency. The potential for joint accounting requirements should also be investigated.
Other
Hodgson Charities Act Review — Rec 30
The Charity Commission should continue to ensure that the information available about the charities on its register meets public needs and demand and is regularly reviewed to ensure it continues to meet these requirements.
Other
Tickell Research Bureaucracy Review — Rec 16
For existing systems, approaches to improving the flow of data between different platforms should be explored using, for example, application programming interfaces, point to point integration and machine learning.
Other
Tickell Research Bureaucracy Review — Rec 15
Funders, universities and regulators should ensure interoperability and improved data flows are considered as integral to the design and implementation of any new digital systems.
Other
Chapman Police Disciplinary Review — Rec 15
Future IT upgrades should integrate databases on complaints, discipline, HR and alerts necessary to manage personnel holistically.
Policing & Security
Levene Defence Reform Report — Rec 6f
Financial management in the Department should be based on a single version of the financial truth. The Department should develop and resource a strategy for all management information, encompassing clear governance, processes and training, and it should invest in improving core information systems by bringing together financial, personnel and other …
Other
Pitt Floods Review — Rec 16
Local authorities should collate and map the main flood risk management and drainage assets (over and underground), including a record of their ownership and condition.
Other
Bean Economic Statistics Review — Rec F20
Recommended Action 20: In the event of greater use being made of administrative data in producing economic statistics, UKSA should, after consultation with other departments, put in place suitable policies governing their use, together with the appointment of an independent person or body to oversee their application and adjudicate on …
Other
Bean Economic Statistics Review — Rec E17
Recommended Action 17: Support the greater use of microdata by ONS and approved researchers by improving the available metadata, and simplifying approval processes, while continuing to respect confidentiality issues.
Other
Bean Economic Statistics Review — Rec C7
Recommended Action 7: Statistical releases should contain clear and prominent commentary on the quality of those statistics, noting any significant limitations and also highlighting any scope for misinterpretation.
Other
Bean Economic Statistics Review — Rec A2
Recommended Action 2: UKSA should continuously seek to identify shortcomings in its economic statistics, both inside ONS and across departments, through a rolling programme of NSQRs, drawing on both internal and external expertise.
Other
Bean Economic Statistics Review — Rec A1
Recommended Action 1: ONS/UKSA should develop a programme to address established statistical limitations transparently and on the basis of an assessment of costs and benefits.
Other
Bean Economic Statistics Review — Rec A
Strategic Recommendation A: Address established statistical limitations ONS/UKSA should develop a programme to address established statistical limitations transparently and on the basis of an assessment of costs and benefits. UKSA should continuously seek to identify shortcomings in its economic statistics, both inside ONS and across departments, through a rolling programme …
Other
Litchfield WCA Review Year 4 — Rec 34
Capture and monitor data on Decision Maker overturns of HAP recommendations to track future trends to give the Department a valuable source of management information.
Employment & Work
Litchfield WCA Review Year 4 — Rec 21
Ensure the provider batches cases into point bands when they send to the Department to save departmental admin/processing time.
Employment & Work
Tooke MMC Inquiry — Rec 13
The Panel recommends that DH should work with the GMC to create robust databases that hold information on the registered/certificated status of all doctors practising in the UK. This will provide an inventory of the contemporary skill base and number of trained specialists/subspecialists in the workforce, as well as those …
Health & Social Care
Foster FE Review — Rec 49
In line with these standards, the LSC, with the DfES, should ensure urgent rationalisation and simplification of the data collected as a priority as it is at the heart of good management and resource utilisation.
Education
Foster FE Review — Rec 48
The LSC, supported by the DfES, establishes and publishes clear information standards across the learning and skills sector including inter-college comparative data on value for money.
Education
Winsor Review Part 2 — Rec 49
HMIC, in consultation with police forces, the Police Professional Body and the Home Office, should establish a national template for a force management statement which should be published by each police force with its annual report. The force management statement should contain consistently presented, reliable data about the projected demands …
Policing & Security
Heseltine Growth Review — Rec 65
Local authorities should publish the list of all businesses paying non-domestic rates so that chambers and other business representative bodies can identify businesses in their area more reliably, and seek to draw them into the local businesses support initiatives. There should be exceptions for businesses where the identification of business …
Other
Heseltine Growth Review — Rec 24
A Whitehall management information system must be introduced and should encompass management and financial data as set out in Annex F.
Other
Goldacre Review — Rec Cur 15
Insist that all dataset requests are made in code Dataset requests should be made in code, not conversation. Data providers such as NHS Digital must be capable of receiving and supporting such requests; requesters must be capable of making them. The process of making a request from a data provider …
Health & Social Care
Goldacre Review — Rec Cur 7
Capture, and openly share, existing curation knowledge around commonly used national datasets National datasets such as SUS/HES and GP data are commonly used: there is extensive knowledge and best practice from local and national teams around converting raw data into usable variables including in NHS Digital, the work done on …
Health & Social Care
Goldacre Review — Rec Cur 6
Ensure national programmes lead by example National data analysis programmes including QoF and the key national “variation in care” audits such as Model Health System, GIRFT and RightCare, all use national datasets, as well as some bespoke datasets, for their regular data reports. They are in a good position to …
Health & Social Care
Goldacre Review — Rec Cur 5
Identify five Data Pioneer teams to adopt open curation methods These should come from a mix of local NHS analyst teams, national NHS analyst teams, and academic teams, with prior evidence of working to RAP principles (or strong potential to do so), who can work to RAP principles in a …
Health & Social Care
Goldacre Review — Rec Cur 4
Mandate that all publicly funded data curation code is shared openly All data curation code written using standard tools against standard datasets in standard computational environments should be shared, mandatorily, for all publicly funded work, including all academic research, and all NHS service analytics, whether delivered by public or commercial …
Health & Social Care
Goldacre Review — Rec Cur 3
Produce and maintain an open public library of data curation code The NHS should commit to produce and maintain an open public library of all data curation code, accompanied by appropriate technical documentation, that can be populated by any user of NHS data. This library should have the ability to …
Health & Social Care
Goldacre Review — Rec Cur 2
Set up an NHS Data Curation planning and delivery team, or similar, to own the challenge Regardless of the scale of work planned, the system has longstanding ambitions and needs in this space. A single source of knowledge and oversight on curation can provide open documentation on current state of …
Health & Social Care
Goldacre Review — Rec Cur 1
Adopt the principles of RAP This is covered in the Open Working chapter, and is crucial. Data curation is a data management task. Data management is done in code: where there is a desire to share access to curated data, this means sharing access to re-usable data management code with …
Health & Social Care
Goldacre Review — Rec IG 29
Consider centrally commissioning PPIE on common causes of concern Multiple standalone PPIE projects on multiple individual analytic projects have a clear role, and strong support. However, for commonly raised concerns, and large topics, it may be useful to consider central commissioning of very thorough and detailed PPIE projects using agreed …
Health & Social Care
Goldacre Review — Rec IG 28
Resource and give a platform to experts in building public understanding. Engagement as a two-way process is extremely important; but understanding is important too. Patients are entitled to a clear, adequately detailed, accessible description of what their data is actually being used for. The Understanding Patient Data website is an …
Health & Social Care
Goldacre Review — Rec IG 26
Ensure PPIE expectations are proportionate to the sensitivity and scale of the project. Expectations from funders and regulators around PPIE can sometimes be the same for both large and small projects: this can be unrealistic, and may sometimes act as a barrier to younger and less resourced individuals or teams …
Health & Social Care
Goldacre Review — Rec IG 25
Address exclusive commercial arrangements This is an evolving space that has been the subject of various national policy initiatives over time, and substantial ongoing work across government. Overall, exclusive commercial arrangements are likely to be disadvantageous to the NHS as a whole. They will often represent local challenges at well-intentioned …
Health & Social Care
Goldacre Review — Rec IG 24
Negotiate co-ownership of claimed commercial innovations from NHS data When a company develops an “algorithm” such as a risk prediction tool they typically apply existing tools, techniques and code libraries to huge, richly detailed health datasets that were collected at great cost. The code libraries used for this work, such …
Health & Social Care
Goldacre Review — Rec IG 19
Simplify the rules governing use of posthumous data Posthumous medical records are an essential resource for almost all health data research and analysis: studying the records of people who have died is one of the most effective ways to understand how to prevent death. Yet the rules governing the use …
Health & Social Care
PHSO casework decisions(8)
P-001973 — Driver and Vehicle Licensing Agency
Mr A complained DVLA lost his V5C logbook and then charged him £25 for a replacement, despite having his new address from a driving licence update.
UK Government
Apr 2023
P-001987 — Border Force
Ms Y complained Border Force failed to update its records regarding a paid NHS debt, leading to her wrongful detention when entering the UK in November 2021, causing extreme distress.
UK Government
May 2023
P-003520 — HM Revenue and Customs
Mrs A complained HMRC made tax repayments to a third-party company without her authorisation, suspecting forgery. She was unhappy with HMRC's investigation process into fraudulent claims.
UK Government
Apr 2025
P-001684 — Driver and Vehicle Licensing Agency
The DVLA incorrectly changed the registered keeper of Mr Y's car to his estranged wife despite his timely objection, causing him to lose car access and his personalised registration number. He also complained about their complaint handling.
UK Government
Oct 2022
P-001998 — HM Revenue and Customs
Mr A complained HMRC provided incorrect information during a 2015 phone call, leading him to spend approximately £8,000 on unnecessary accountancy fees.
UK Government
May 2023
P-004173 — HM Courts and Tribunals Service
Mrs H complained HMCTS lost her adoption file and refused to accept responsibility, preventing her from learning about her birth and causing severe emotional distress.
UK Government
Not Upheld
Oct 2025
P-003156 — HM Courts and Tribunals Service
HMCTS lost the complainant's court file for eviction proceedings, causing several months of delay in removing tenants, loss of rental income, and emotional distress.
UK Government
Nov 2024
P-003754 — Driver and Vehicle Licensing Agency
Dr X complained the DVLA seized and sold his vehicle without his knowledge in 2012, causing him significant financial detriment and distress.
UK Government
Aug 2025
LGO / SPSO decisions(120)
24-010-916 — Reading Borough Council
Summary: We will not investigate Mr X’s complaint about the Council’s failure to respond to his subject access request. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. This complaint is best dealt with by another agency.
LGO (Local Government & …
Other Categories
Sep 2024
24-010-894 — North East Lincolnshire Council
Summary: We will not investigate this complaint about a data breach during court proceedings. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. We have no remit to consider what happened in court. And also because the …
LGO (Local Government & …
Other Categories
Sep 2024
25-006-920 — Rotherham Metropolitan Borough Council
Summary: We will not investigate this complaint about data protection breaches as this is a matter for the Information Commissioner's Office.
LGO (Local Government & …
Other Categories
Jul 2025
25-003-702 — Manchester City Council
Summary: We will not investigate Mr X’s complaint about the Council sharing his information or how it chose to manage his contact with it. The Information Commissioner’s Office is the right organisation to deal with data-sharing concerns and there is not enough evidence of fault to justify an investigation.
LGO (Local Government & …
Other Categories
Jul 2025
25-006-229 — London Borough of Hillingdon
Summary: We will not investigate this complaint about the Council’s handling of Ms Y’s Subject Access Request. The Information Commissioner’s Office is the appropriate body to consider Ms Y’s complaint, and we cannot achieve the outcome she seeks.
LGO (Local Government & …
Other Categories
Jul 2025
25-007-502 — Hertfordshire County Council
Summary: We will not investigate this complaint about the Council not providing all the information requested under a subject access request.
LGO (Local Government & …
Other Categories
Aug 2025
25-006-575 — Warrington Council
Summary: We will investigate Miss X’s complaint about matters related to the Council’s data handling. This is because it is reasonable to expect her to take the matter to the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Sep 2025
21-013-420 — Stoke-on-Trent City Council
Summary: We will not investigate this complaint about the Council’s potential responsibility for a data breach. The Information Commissioner’s Office is better placed to consider responsibility for the breach. We cannot investigate court action.
LGO (Local Government & …
Children S Care Services
Jan 2022
21-014-500 — London Borough of Southwark
Summary: We will not investigate Mr B’s complaint that the Council has not responded to his subject access request. This is because the Information Commissioner is in the best position to consider this complaint.
LGO (Local Government & …
Other Categories
Feb 2022
21-016-593 — Liverpool City Council
Summary: We will not investigate this complaint about how the Council dealt with the complainant’s request for information. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate as this is a matter best dealt with by the …
LGO (Local Government & …
Other Categories
Feb 2022
21-016-317 — Kent County Council
Summary: We will not investigate this complaint about the data the Council holds about Mrs X. The Information Commissioner’s Office is better placed to consider this matter.
LGO (Local Government & …
Children S Care Services
Feb 2022
21-016-725 — Herefordshire Council
Summary: We will not investigate Ms X’s complaint about the Council’s actions while carrying out an inspection of her business for licensing purposes. This is because Ms X’s main concern relate to a data protection issue and the Information Commissioner is better placed to consider it.
LGO (Local Government & …
Environment And Regulation
Mar 2022
22-000-775 — Salford City Council
Summary: We will not investigate this complaint about the Council failing to update Miss X’s name on its systems after her gender reassignment. The county court and the Information Commissioner’s Office are better placed to consider complaints about potential discrimination and data breaches.
LGO (Local Government & …
Benefits And Tax
May 2022
22-006-227 — Malvern Hills District Council
Summary: We will not investigate Mr X’s complaint that the Council created false information about him and breached the Data Protection Act. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant investigation and data protection issues are best dealt with by the …
LGO (Local Government & …
Other Categories
Aug 2022
22-005-741 — London Borough of Hackney
Summary: We will not investigate Mr B’s complaint that the Council has not provided his housing benefit file which he requested. This is because Mr B may complain to the Information Commissioner, who is in the best position to consider the matter.
LGO (Local Government & …
Other Categories
Sep 2022
22-001-460 — London Borough of Newham
Summary: Mr X complained about the Council’s management of a Charging Order between 2010 and 2022 including that it incorrectly told him the debt had been written off in 2016. The Council was at fault as it failed to maintain accurate records about the payments it received and has been …
LGO (Local Government & …
Other Categories
Upheld
Oct 2022
23-019-247 — Staffordshire Moorlands District Council
Summary: We will not investigate this complaint about the Council’s failure to provide the personal information the complainant is seeking . This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. It is reasonable to expect the complainant …
LGO (Local Government & …
Other Categories
Apr 2024
24-000-590 — Warrington Council
Summary: We will not investigate Mr X’s complaint about data protection issues. This is because the Information Commissioner’s Office is better placed to consider Mr X’s concerns.
LGO (Local Government & …
Children S Care Services
May 2024
24-000-601 — Sheffield City Council
Summary: We will not investigate this complaint that the Council has failed to respond to a subject access request. This is because it is a matter best considered by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
May 2024
24-006-967 — Milton Keynes Council
Summary: We will not investigate Miss X’s complaint about the Council’s failure to provide the information she requested in a subject access request. This is because the complaint is about a data issue which is best considered by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Sep 2024
24-022-095 — Derbyshire County Council
Summary: We will not investigate Mr X’s complaint about matters related to the Council’s data handling. It is reasonable to expect Mr X to take the matter to the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Apr 2025
24-021-746 — Lincolnshire County Council
Summary: We will not investigate this complaint the Council shared confidential information with a venue. The complaint is best dealt with by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
May 2025
25-005-726 — Cornwall Council
Summary: We will not investigate this complaint about the Council destroying Miss X’s documents because the Council have already investigated Miss X’s complaint and we cannot add to the Council’s investigation. Additionally, there is another body better placed to consider the data breach complaint.
LGO (Local Government & …
Other Categories
Jun 2025
25-007-868 — London Borough of Bromley
Summary: We will not investigate this complaint about a data breach. This is because the matter is out of time and there are no good reasons why we should exercise discretion to consider it now.
LGO (Local Government & …
Other Categories
Jul 2025
25-005-869 — Reading Borough Council
Summary: We will not investigate Mr X’s complaint about the Council’s handling of, and response to, his subject access request. This is because this is a complaint about matters best considered and decided by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Sep 2025
25-007-331 — Birmingham City Council
Summary: We will not investigate Mr X’s complaint that the Council has refused to respond to his request for information and that it holds inaccurate information about him. This is because the Information Commissioner is better placed to consider these matters.
LGO (Local Government & …
Other Categories
Sep 2025
25-009-553 — London Borough of Havering
Summary: We will not investigate this complaint about access to information. This is because the Information Commissioner’s Office is better placed to consider Mr Y’s complaint.
LGO (Local Government & …
Other Categories
Oct 2025
25-013-504 — London Borough of Hillingdon
Summary: We will not investigate Mr B’s complaint that the Council has failed to provide information he requested under a subject access request. This is because the Information Commissioner is better placed to consider this complaint.
LGO (Local Government & …
Other Categories
Oct 2025
25-008-987 — Birmingham City Council
Summary: We will not investigate Mr X’s complaint about how the Council handled a Freedom of Information request, because complaints about data matters are best considered by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Nov 2025
25-015-144 — Birmingham City Council
Summary: We will not investigate this complaint about the Council’s response to a subject access request as this is best dealt with by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Nov 2025
25-016-375 — Bury Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s actions following a data protection breach as this is best dealt with by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Nov 2025
25-011-302 — Surrey County Council
Summary: We will not investigate Mr X’s complaint about how the Council dealt with his information requests. This is because the Information Commissioner is better placed to investigate the matter.
LGO (Local Government & …
Other Categories
Nov 2025
24-013-561 — Hertfordshire County Council
Mr X says the Council has failed to respond to his request for information made over six months ago. We will not investigate. This is because this complaint does not meet the tests set out in our Assessment Code on which complaints we should investigate. It is reasonable for Mr …
LGO (Local Government & …
Other Categories
Nov 2024
24-015-448 — Stratford-on-Avon District Council
Summary: We will not investigate Mr X’s complaint about matters related to the Council’s data handling. This is because we cannot achieve the outcome he wants.
LGO (Local Government & …
Other Categories
Dec 2024
25-004-831 — Essex County Council
Summary: Miss X complains the Council incorrectly shared details of her vehicle following an incident she was not involved in. We found the Council at fault for sharing incorrect information. This error caused a financial impact, stress and inconvenience for Miss X. Her insurer has refunded the increase in her …
LGO (Local Government & …
Transport And Highways
Upheld
Dec 2025
21-009-512 — London Borough of Croydon
Summary: Mrs X complained about the Council using her old address when recovering unpaid council tax. We found the Council at fault in continuing to use the old address although its council tax correspondence was ‘returned to sender’. Use of the old address led to added recovery costs on the …
LGO (Local Government & …
Benefits And Tax
Upheld
Mar 2022
22-000-086 — Slough Borough Council
Summary: We will not investigate this complaint that the Council has not properly investigated a potential attempted fraud as criminal matters are for the police. Mrs X’s concerns about data protection are best dealt with by the Information Commissioner’s Office.
LGO (Local Government & …
Other Categories
Apr 2022
21-001-979 — Leeds City Council
Summary: Mr X complained about the Council’s failure to take planning enforcement action against his neighbour, who is alleged to be carrying out a business in breach of a Planning Enforcement Notice. Mr X said the neighbour’s business causes noise and parking difficulties in the area. We found fault in …
LGO (Local Government & …
Planning
Upheld
Apr 2022
21-014-870 — Dorset Council
Summary: Mr B complained that the Council gave wrong information in response to the local search questions, as part of the purchase of his property. The Council said there were no rights of way crossing or adjoining the property. After moving in the Council said the definitive map was wrong …
LGO (Local Government & …
Other Categories
Upheld
Jun 2022
22-004-175 — Coventry City Council
Mr X alleges administrative failings related to the Council’s failure to deal with Subject Access Requests properly. We will not investigate this complaint. This is because it is reasonable for Mr X to complain to the Information Commissioner’s Office as the most appropriate authority for his complaint.
LGO (Local Government & …
Other Categories
Jul 2022
22-005-289 — London Borough of Southwark
Ms X alleges administrative failings related to the Council’s failure to provide information requested under the Freedom of Information Act. We will not investigate this complaint. This is because it is reasonable for Ms X to complain to the Information Commissioner’s Office as the most appropriate authority for her complaint.
LGO (Local Government & …
Other Categories
Jul 2022
22-010-824 — West Berkshire Council
Mrs X says the Council has failed to respond to her request for her records. We will not investigate this complaint. This is because it is reasonable for Mrs X to complain to the Information Commissioner’s Office as the specialist information rights agency.
LGO (Local Government & …
Other Categories
Nov 2022
22-011-945 — Devon County Council
Summary: We will not investigate this complaint about how the Council dealt with the complainant’s request for information. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate as this is a matter best dealt with by the …
LGO (Local Government & …
Other Categories
Dec 2022
23-019-365 — Coventry City Council
Summary: We will not investigate Mr X’s complaint about the Council’s response to subject access requests and freedom of information requests. This is because the Information Commissioner’s Office is the appropriate body to consider this complaint.
LGO (Local Government & …
Other Categories
Apr 2024
23-021-365 — Cheshire West & Chester Council
Summary: We will not investigate Mrs X’s complaint about data matters. This is because these are best considered by the Information Commissioner’s Office which is the body set up to consider such matters.
LGO (Local Government & …
Other Categories
May 2024
24-000-703 — Isle of Wight Council
Summary: We will not investigate this complaint about the Council requesting additional information as part of a check on parking permit eligibility. This is because there is insufficient evidence of fault by the Council and the complainant can complain to the Information Commissioner. In addition, we cannot achieve the outcome …
LGO (Local Government & …
Transport And Highways
May 2024
24-010-338 — South Cambridgeshire District Council
Summary: We will not investigate Mr X’s complaint about the Council’s release of incomplete planning documents. This is because it would be reasonable for Mr X to pursue his complaint with the Information Commissioner.
LGO (Local Government & …
Planning
Oct 2024
24-011-677 — Worcestershire County Council
Summary: We will not investigate this complaint alleging a confidentiality breach of data and also a claim for damages. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. This is because it is reasonable to expect the …
LGO (Local Government & …
Other Categories
Oct 2024
24-010-004 — Ainsty (2008) Internal Drainage Board
Summary: We cannot investigate Ms X’s complaint because it relates to court action. The Information Commissioner’s Office is better placed to address her concerns about data use and subject access requests.
LGO (Local Government & …
Other Categories
Oct 2024
24-020-258 — Oldham Metropolitan Borough Council
Summary: We will not investigate Mr Y’s complaint about the Council’s refusal to correct inaccurate personal data. This is because further investigation would not lead to a different outcome.
LGO (Local Government & …
Other Categories
May 2025
Domestic Homicide Reviews(259)— showing 50 strongest matches
Bromley — recommendation 4.5.4
Police lists of Previous Convictions (MG16) should always note where a violent offence is an offence of domestic abuse or where any offence is committed in a domestic abuse context.
Police
Police Services
Bromley — recommendation 4.4.11
All agencies should work with the CSP to accurately map the prevalence of domestic abuse in the borough, and the provision of services to feed into an updated strategy and commissioning plan.
All agencies | Bromley Community Safety …
Sheffield — recommendation 1
All Agencies should recognise the importance of ensuring ethnicity and other protected characteristics are recorded. All Agencies should provide additional guidance and training around recording and sharing personal information, including protected characteristics.
All Agencies
Norfolk — recommendation 8
That Norfolk Constabulary review the progress on actions from DHR into the death of “April” in 2017 together with this case to ensure that all DVDS Right to Ask scheme enquires are recorded in a retrievable format. This should be supported by audit against incoming call data.
Norfolk Constabulary
Norfolk Constabulary
Norfolk — recommendation 4
That Norfolk Constabulary commission a review of crime recording standards on cases of domestic abuse. This should include a review of calls to domestic incidents, and missing persons reports. Consideration should be given to the routine supervision of incidents, such as missing person reports to identify where abuse has gone …
Norfolk Constabulary
Norfolk Constabulary
Plymouth — recommendation 15
Schools to ensure they review existing data collection systems to ensure that they detail the nationality and religious beliefs of parents and children.
Schools
Warrington — recommendation 19.13
Staff should be made aware of their statutory and professional obligations and reminded of their professional responsibilities with regard to documentation and record keeping.
Warrington and Halton Hospitals NHS Foundation …
Warrington and Halton Teaching …
Oxford — recommendation 15
Thames Valley Police to put in place an archive system for storage of minutes from daily management meetings.
Thames Valley Police
Thames Valley Police
Oxford — recommendation 14
Thames Valley Police to put in place an archive system for storage of handover documents between shift supervisors.
Thames Valley Police
Thames Valley Police
Oxford — recommendation 12
Thames Valley Police to review how the local Daily Management Meetings are recorded and retained.
Thames Valley Police
Thames Valley Police
Oxford — recommendation 2
Thames Valley Police MARAC Coordinators to update the Record Management System (Niche) in relation to MARAC referrals from other agencies. This will include the reasons for referral into MARAC and an indication as to risk level.
Thames Valley Police
Thames Valley Police
Hillingdon — recommendation 4.6.1c
Hillingdon Children’s Social Care to introduce standards for record keeping.
London Borough of Hillingdon Children’s Social …
Basildon — recommendation 7
New College Swindon to use the learning from this Review to take action to ensure that information received by college lecturers and other academic (non-pastoral) staff about students being in contact with support services is recorded.
New College Swindon
Cheltenham — recommendation 2
The Home Office work with the national data agencies to capture national information on the incident and trend relating to domestic abuse in under 18’s. It is recommended that this is be facilitated by National Oversight Group
Home Office | National Oversight Group
Home Office
Cheltenham — recommendation 6D
To ensure that the analysis of need overseen by Safer Glos and the GDASV Commissioning Group includes research into the prevalence of domestic abuse affecting young people to shape future commissioning arrangements of support for young people and their families
Safer Glos | GDASV Commissioning Group
Tower Hamlets — recommendation Recommendation 5
The Home Office commissions a feasibility study with a view to individuals’ bail compliance histories being incorporated into the Police National Database.
Home Office
Home Office
Tower Hamlets — recommendation Recommendation 4
The MPS has identified the need to enhance the information held in its Emerald Wanted Management System (EWMS) to include information for officers about the bail status of individuals and the conditions attached to their bail.
Metropolitan Police Service
Metropolitan Police Service
Wigan — recommendation 3
Regain access to the Alchemy server.
West Lancashire Health Centre
Nuneaton and Bedworth — recommendation 4
Safer Warwickshire Partnership Board develops an Information Sharing Protocol, with accompanying guidance, for all partner agencies regarding sharing information within DHRs. This should include guidance on collecting information in a timely way so that any information that cannot be shared with the Panel pre-trial has been secured internally, thus avoiding …
Safer Warwickshire Partnership Board
Harlow — recommendation 15.10.2
To develop appropriate information sharing protocols that can override the barriers caused by separate IT systems, and the laws regarding data protection.
All Agencies
Harlow — recommendation 15.8.3
Agencies have requested information about previous incidents of domestic abuse to be included on the DV/1 form, however it is unclear whether this would comply with the law regarding the disclosure of spent convictions. More reference should be made to “the 7 golden rules for information sharing” which have been …
Essex Police
Essex Police
Plymouth — recommendation 15
Schools to ensure they review existing data collection systems to ensure that they detail the nationality and religious beliefs of parents and children.
Schools
North Worcestershire — recommendation WMPercia IMR 3
Staff responsible for closing police message logs for incidents should ensure all relevant information has been recorded on the same and actioned as necessary.
West Mercia Police
West Mercia Police
North Worcestershire — recommendation WMP IMR 1
For actions to be identified Vulnerable Adult guide to be amended to address the issue of closure of logs to a standard that will allow searching via the FLINTS intelligence system to recover all incidents that involve a person. The guide currently states that all actions and signposting should be …
West Midlands Police
West Midlands Police
Nuneaton and Bedworth — recommendation 4
Safer Warwickshire Partnership Board develops an Information Sharing Protocol, with accompanying guidance, for all partner agencies regarding sharing information within DHRs. This should include guidance on collecting information in a timely way so that any information that cannot be shared with the Panel pre-trial has been secured internally, thus avoiding …
Safer Warwickshire Partnership Board
Kent — recommendation 6
Identify documents that have not migrated to MOSAIC.
KCC Adult Social Care and Health …
Norfolk — recommendation 33
When a family member has raised concerns about a student’s wellbeing, notes of the information given by the family member and their concerns should be recorded, placed on the student’s file, and a summary of their concerns emailed to the family member to ensure the summary is an accurate representation …
University of Manchester
The University of Manchester
Waverley — recommendation 34.12
ASC staff procedures should be updated to ensure that financial assessments always record any powers of attorney that are in place.
Surrey County Council Adult Social Care
Norfolk — recommendation 2
To better inform policy and service development that the Crime Survey for England and Wales remove its upper age limit of 74years of age for collecting data on domestic abuse victims and perpetrators to provide a complete picture of the scale of domestic abuse across the entire adult population.
Home Office | Office for National …
Home Office
Nottingham — recommendation 20.4.1
The automated ‘remote observer call’ system should be reviewed so as not to give a misleading impression that a caller has terminated a call when it had ended naturally.
DHU Healthcare CIC
Flintshire — recommendation 15.83
We recommend that nationally court records should be retained for a sufficient period so that any review such as a serious case review or DHR can benefit from access to those records. Ten years would be a reasonable timescale. (Home Office)
Home Office
Home Office
Birmingham — recommendation Education: 4
Closer liaison with alternative provider sites to ensure record retention policies are adhered to effectively.
Education
Bournemouth — recommendation 9.7
Ministry of Justice review the storage policy of Women Safety Worker records. Probation Women’s Safety Workers records were absent in this case having been destroyed after five in storage in accordance with current guidelines. I know this to be an issue for other DHRs and the Review requests that the …
Ministry of Justice
Ministry of Justice
East and Mid Devon — recommendation R3
(National) In future national analysis of domestic homicide review reports, check the prevalence of domestic homicides in which no evidence of prior domestic abuse (fitting the proposed statutory definition12) can be found after the event.
Home Office
Home Office
Colchester — recommendation 10
The Home Office to consider aligning the Domestic Abuse definition and the definition of a Domestic Homicide Review.
Home Office
Home Office
Colchester — recommendation 6
Southend, Essex and Thurrock Domestic Abuse Board to revise the MARAC referral form to require all members of the household to be named, to ensure MARAC can include them in their considerations.
Southend, Essex and Thurrock Domestic Abuse …
Colchester — recommendation 2
Southend Essex and Thurrock Safeguarding Adult Boards to review the Safeguarding Enquiry form (SETSAF1) and guidance so that the person’s desired outcome is recorded in their own words and the significance of this is understood by practitioners.
Southend Essex and Thurrock Safeguarding Adult …
Greenwich — recommendation 5
that the Home Office make clear where agencies or organisations should help DHRs. The Home Office could give guidance to private companies making clear if there are any obligations, or a code of practice which may help reviews gain crucial information.
Home Office
Home Office
North Worcestershire — recommendation O3
The chair of the Worcestershire DHR sub group on behalf of the North Worcestershire Community Safety Partnership to write to the Worcestershire Office of Data Analytics project who is working on the development of shared systems and/or data. To share the themes and learning from this review to inform the …
Worcestershire Office of Data Analytics project
Windsor and Maidenhead — recommendation 8.1.1.3.3
Customer profiling to be enhanced, ensuring that household make up is current.
Radian Housing
Wiltshire — recommendation 7
Wiltshire Police to address what is intelligence and what is crime recording? A system needs to be developed whereby intelligence is assessed and reviewed within the Intelligence Unit and highlighted to management in appropriate cases, which should then be investigated. Capacity to deal with and review the intelligence should be …
Wiltshire Police
Wiltshire Police
Wiltshire — recommendation 3
Ensure records are updated in a consistent way regarding any threatening or violent behaviour of claimants/customers/known associates.
Wiltshire Council
Wiltshire Council
Kent — recommendation 4
In order to ensure that the Prison Intelligence database is accurate, HMP Elmey must make appropriate enquiries to ensure that the release address they record for prisoners is accurate.
HMP Elmley
HMP Elmley
Guildford — recommendation 4.81(a)
restraining orders are recorded and flagged on its database to highlight the existence of all live court orders to officers and staff, including those from other police forces;
Hampshire Police
Hampshire and Isle of …
North Lincolnshire — recommendation 8.23.1
There is an issue of a single incorporated computer system to allow agencies to ascertain what information is available or where it can be identified and signposted. The recommendation is to examine the feasibility and determine if this is a strategic way forward for the partnership.
North Lincolnshire Safer Neighbourhoods Partnership
North Lincolnshire — recommendation 8.20.1
Lack of a single IT system – even across council departments prevents effective sharing of data and intelligence on those at risk of DV or identified as being likely to offend. Access to the ‘Care first’ system for HAT would help break down some silo working and assistance in the …
North Lincolnshire Council Housing Advice Team
Liverpool — recommendation 3
The Community Safety Partnership should consider whether sufficient data and information is collated in regard to the extent of alcohol related domestic abuse.
Community Safety Partnership
Knowsley — recommendation 6.1
As a part of the learning from this Domestic Homicide Review, all agencies will be reminded of the importance of monitoring, recording, collating and storing all relevant information concerning diversity issues and protected characteristics.
Knowsley Community Safety Partnership
Stockport — recommendation R2
The Chair of the DHR has written to the organisation suggesting that consideration is given to establishing a point of contact for confidential enquiries related to reviews such as this, to ensure effective communication and the maintenance of confidentiality.
Alan's employer
Cannock Chase — recommendation 5
Sexual orientation is one of the protected characteristics under the Equality Act 2010. It is recommended that all agencies, particularly those that have a duty under the Public Sector Equality Duty (s149 of Equality Act 2010) record data relating to sexuality, in order to promote inclusivity, develop standards of service, …
All agencies with Public Sector Equality …
CJINI inspection reports(12)
Connecting Criminal Justice: A review of the exchange of information by criminal justice organisations through the Causeway programme
Transforming Justice, The Criminal Justice System
Jul 2006
The Availability and use of Management and Performance Management Information in the Criminal Justice System
Governance, The Criminal Justice System
Sep 2017
File Quality, Disclosure and Case Progression and trial recovery from the COVID-19 pandemic
Avoidable Delay, The Criminal Justice System
Jun 2023
Inspection of Forensic Services in Northern Ireland
Forensic Science Northern Ireland, Forensic Services
Feb 2024
The Management of Organisational Performance in the Public Prosecution Service for Northern Ireland
Public Prosecution Service for Northern Ireland (PPS), Pros…
Nov 2025
Connecting Criminal Justice: A Follow-Up Review of the exchange of information by criminal justice organisations through the Causeway IT programme (Second Follow-Up Review)
Transforming Justice, The Criminal Justice System
Feb 2012
Report on Scientific Support Services in the Police Service of Northern Ireland
Policing, Police Scientific Support
Dec 2005
An inspection of the quality and timeliness of police files (incorporating disclosure) submitted to the PPS
Avoidable Delay, The Criminal Justice System
Nov 2015
An inspection of the arrangements in place in the PSNI to manage and disclose information in support of the Coronial process in Northern Ireland
Policing, Police Internal Operations
Dec 2016
The Governance and Operation of the Parole Commissioners for Northern Ireland
Parole Commissioners for Northern Ireland (PCNI)
Oct 2024
Securing Attendance at Court: A Follow-Up Review of inspection recommendations
Prosecution and the Courts, Court Operations
Mar 2014
Report published on the State Pathologist’s Department
State Pathologist's Department, Forensic Services
Aug 2014