Inter-agency benefit data sharing
Barriers preventing local authorities from accessing essential benefit data (e.g., Pension Credit, Universal Credit) from central government.
Source spread
Where this theme appears
This theme appears across 18 independent accountability sources, so the source mix matters as much as the headline total.
18 inquiry recs
63 PFD reports
194 committee recs
1 HMICFRS rec
8 ICIBI recs
7 PPO recs
8 IOPC recs
26 NAO recs
14 IMB recs
2 IMB reports
1 Article 2 learning point
2 detention investigation recs
57 DHR recs
9 PHSO decisions
119 LGO/SPSO decisions
6 CJINI reports
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(18)
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
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
SP36 — Sharing information about closed Prevent referrals
Recommendation: Counter Terrorism Policing Headquarters and the Home Office should assess and issue clear guidance on best practice for sharing appropriate information about closed Prevent referrals. This guidance should ensure that relevant professional agencies outside Counter Terrorism Policing, including local police …
Gov response: The Home Office and CTP are working together to deliver this recommendation. Progress to date: - CTP are scoping the legal implications of routinely sharing information to relevant agencies about closed Prevent referrals. - The …
Accepted
SP27 — Cross-force information sharing review
Recommendation: Lancashire Constabulary and Merseyside Police should review the effectiveness of their information‑sharing systems and consider whether a more robust process is required. Findings should be shared with the National Police Chiefs’ Council and College of Policing for consideration as to …
Gov response: The first duty of the government is to keep citizens safe and the country secure, and the Police play a fundamental role in doing so. The Chair makes several recommendations to policing bodies, in Chapter …
Accepted
SP25 — Operation Encompass cross-border extension
Recommendation: Lancashire Constabulary should consider extending Operation Encompass to share automatically relevant information with schools in bordering areas. The Department for Education should consider national implementation. This is because children will not necessarily attend school in the same police force area …
Gov response: The Home Office and the Department for Education (DfE) are working together on this recommendation. Some elements are already complete, and DfE expect to complete the remaining work by September 2026. Progress and next steps: …
Accepted
LAMI-24 — Alert education authorities when school-age child is not attending school
Recommendation: Where, during the course of an assessment, social services establish that a child of school age is not attending school, they must alert the education authorities and satisfy themselves that, in the interim, the child is subject to adequate daycare …
Unknown
LAMI-23 — Notify receiving authority of out-of-area child placements and retain responsibility
Recommendation: If social services place a child in accommodation in another local authority area, they must notify that local authority’s social services department of the placement. Unless specifically agreed in writing at team manager level by both authorities or above, the …
Unknown
LAMI-17 — Explore feasibility of a national children's database for safeguarding children under 16
Recommendation: The Government should actively explore the benefit to children of setting up and operating a national children’s database on all children under the age of 16. A feasibility study should be a prelude to a pilot study to explore its …
Unknown
LAMI-16 — Issue guidance on data protection and confidentiality for child welfare information sharing
Recommendation: The Government should issue guidance on the Data Protection Act 1998, the Human Rights Act 1998, and common law rules on confidentiality. The Government should issue guidance as and when these impact on the sharing of information between professional groups …
Unknown
R31 — Additional database access for CRB
Recommendation: As a priority, legislation should be brought forward to enable the CRB to access the following additional databases for the purpose of vetting: Her Majesty's Customs & Excise; National Criminal Intelligence Service; National Crime Squad; British Transport Police; and the …
Gov response: 6.93 These measures are included in the SOCPB. 6.94 Preliminary discussions have taken place with British Transport Police (BTP), C&E, NCS and the NCIS regarding the types of data held and how this could be …
Accepted
RHI-33 — HMT Communication Protocol
Recommendation: The protocol for relations with HMT, namely that the Northern Ireland Department of Finance must be the sole conduit of formal communication, should be reinforced and widely understood across the Northern Ireland Civil Service. The Department of Finance, for its …
Gov response: These recommendations can be accepted in full. It is important to note that public expenditure in NI is governed by the UK Budgeting rules set by HM Treasury. These rules mean that there is limited …
Accepted
RHI-18 — Inter-Governmental Framework
Recommendation: More generally, we recommend a Northern Ireland government-wide framework for information exchange and, where appropriate, co-operation between the Northern Ireland Civil Service, Whitehall Departments and (where relevant) Departments of other devolved Governments and of the Government of the Republic of …
Gov response: These recommendations can be accepted in full. They have been addressed in work to date through: • initial steps to establish a project delivery profession which will, once in place, take forward the recommended programme …
Accepted
HIA-9 — Social Security Payments Unaffected
Recommendation: We also recommend that social security payments should not be affected by lump sum payments awarded by the HIA Redress Board.
Gov response: No formal government response published. The Inquiry reported on 20 January 2017, the month the Northern Ireland Executive collapsed; the report The Executive Office and the Northern Ireland Office laid before Parliament in September 2019 …
Unknown
WATE-(49) — Mandate joint inspection programmes for educational and welfare oversight of residential schools
Recommendation: The agencies responsible for educational and welfare inspections of private residential schools accommodating children with SEN pursuant to section 347 of the Education Act 1996 should be required to agree joint programmes of inspection and reporting.
Unknown
WATE-(22) — Conduct inter-agency review of child abuse investigation procedures to issue guidance
Recommendation: In the light of the recent experience gained in both England and Wales in major investigations of alleged wide ranging abuse of children in care/looked after children, an inter-agency review of the procedures followed and personnel employed in those investigations …
Unknown
P1-11 — Share HTA reports with reliant organisations
Recommendation: Maidstone and Tunbridge Wells NHS Trust must proactively share Human Tissue Authority reports with organisations that rely on Human Tissue Authority licensing for assurance of the service provided by the mortuary.
Gov response: The Trust now complies with this recommendation in full on the following basis: • The Trust’s Chief Nurse and Director of Quality Governance share information regarding HTA inspections with the Kent & Medway Integrated Care …
Accepted
R1 — National IT system for police intelligence
Recommendation: A national IT system for England and Wales to support police intelligence should be introduced as a matter of urgency. The Home Office should take the lead and report by December 2004 with clear targets for implementation.
Gov response: There has been a comprehensive buy-in across all 43 police forces in England and Wales to the IMPACT (Information Management, Prioritisation, Analysis, Co-ordination and Tasking) programme, which will provide a national information-sharing system for police …
Accepted
Prevention of Future Deaths reports(63)— showing 50 strongest matches
Rosemary Brownyn Ferguson
Concerns: Ms Ferguson's hospital discharge occurred without notifying Social Services, despite their recommendations, and communication with her friend regarding post-discharge supervision lacked clarity. Incomplete hospital notes also hindered tracing key decisions and the precise discharge date.
Overdue
Christine Williamson
Concerns: The coroner identified that the deceased was not assessed as a Vulnerable Adult at risk, which led to insufficient information sharing among professionals and hindered the implementation of preventative measures.
Response (Telford Wrekin Council): • The Council compiled and submitted an action plan in response to the Regulation 28 report. • Most actions within the plan were already under way to implementation. • The … (AI summary)
Response (Telford Wrekin Clinical Commissioning Group): • The Adult Safeguarding Policy and Thresholds, along with domestic abuse guidance, have been recirculated to all GP Practices. • An education and training event for GPs and Practice Nurses, … (AI summary)
Response (West Mercia Police): • West Mercia Police stated it would provide a reminder to all operational staff regarding the requirement to complete DASH risk assessments, crime reports, and vulnerable adult documentation by 31 … (AI summary)
Responded
Andrew Cairns, Rachael Slack and Auden Slack
Concerns: The coroner noted a lack of reciprocal information sharing between the Police and Mental Health Team regarding an individual's arrest and prior mental health assessment. An existing policy for mutual information sharing was not disclosed during the inquest, preventing witness questioning on it.
Overdue
Dana Baker
Concerns: The coroner noted a lack of knowledge and understanding between involved agencies, alongside inadequate communication. Individual Management Reviews (IMRs) were kept confidential and not shared, preventing agencies from commenting on areas of mutual concern.
Response (Safeguarding Children Board): • The Worcestershire Safeguarding Children Board (WSCB) stated that Individual Management Reviews (IMRs) have consistently been shared among agencies on Serious Case Review (SCR) panels. • The WSCB confirmed its … (AI summary)
Responded
Satheeskumar Mahatheaven
Response (HM Prison and Probation Service): • HMP Pentonville and HMP Thameside have implemented local policies and new procedures to improve information sharing between prison staff, healthcare providers, and external agencies. • Staff at both prisons … (AI summary)
Responded
Robert Spring
Concerns: There was no direct mechanism for the hospital to notify the fire service of high-risk home oxygen users who smoke, as the oxygen supplier's system prevented full disclosure of the smoking risk. This meant the patient was not assessed for specialist safety equipment, highlighting a need for improved inter-agency communication.
Response (United Lincolnshire Hospitals NHS Trust): • United Lincolnshire Hospitals NHS Trust (ULHT) met with Lincolnshire Fire & Rescue (LF&R) and Air Liquide to agree a new information-sharing process, which has been incorporated into Trust policy. … (AI summary)
Responded
Mark Groombridge
Concerns: Concerns were raised about the lack of direct communication between local offender managers and clinicians before issuing recall paperwork for hospitalized offenders, and confusion among probation staff regarding the correct recall process.
Response (HM Prison and Probation Service): • Probation Instruction 07/2013 was replaced by Probation Instruction 27/2014, which was updated in February 2015. • Deputy Directors will ensure all probation staff are reminded of recall procedures by … (AI summary)
Responded
Terence Pimm
Concerns: The coroner raised concerns regarding police call handling and record-keeping, and the sufficiency of guidance for call handlers on immediate risk assessment and for mental health assessors on family input. The report also notes insufficient information sharing between agencies and a lack of understanding among mental health clinicians regarding the effect of warrants on their ability to assess and treat.
Response (Essex Partnership University NHS Trust): • The Trust has directed all health-based place of safety calls through a new call centre, where calls are recorded and documented by trained staff. • The information-sharing concordat has … (AI summary)
Response (Essex Police): • Custody suite staff received instructions on appropriate call handling and record-keeping for detainees. • Force Control Room staff training was supplemented to enhance immediate risk assessment for welfare calls. … (AI summary)
Responded
Fallon Abby
Concerns: The Roman Ward team did not contact the patient's social worker due to a lack of protocol, resulting in missed opportunities to share valuable information and ensure the social worker's support upon discharge.
Response (East London NHS Trust): • Mandatory Safeguarding Children Training will be updated to include information about the Leaving Care Team and their involvement with young people up to the age of 25. • Bespoke … (AI summary)
Responded
Benjamin Williamson
Concerns: The coroner identified gaps in integrated care for patients with co-occurring mental health and substance misuse issues, leading to inadequate support. Insufficient communication and feedback between addiction services and the GP, alongside unaddressed consent for disclosure, compromised ongoing care.
Response (Addaction): • Addaction internally reviewed and improved its processes for recording confidentiality and consent reviews, and reinforced communication protocols with staff. • It introduced a monitoring function into its patient management … (AI summary)
Response (Kernow CCG NHS Trust): • NHS Kernow confirmed the existence of a multi-agency Dual Diagnosis Strategy and held meetings with providers to address identified service gaps. • An exceptional Crisis Care Concordat meeting identified … (AI summary)
Responded
Donna Williamson
Concerns: The coroner noted insufficient police awareness of victim notification after suspect bail and gaps in GPs' knowledge of disclosure duties. Concerns were also raised about the MARAC process being ineffective for chaotic individuals.
Response: • The Royal College of General Practitioners provided guidance and published resources on information sharing and safeguarding for general practitioners. • The Local Government Association supported a national review of … (AI summary)
Overdue
Ellie Long
Concerns: The coroner identified inadequate electronic record-keeping practices, including handwritten notes not integrated into official records. Concerns also related to inconsistent communication and information sharing with external agencies like the GP and school.
Response (Norfolk and Suffolk NHS Trust): • The Trust noted that the team had taken steps to improve record keeping and communication with external agencies. • All clinical services have been instructed to review their working … (AI summary)
Responded
Lesley Armstrong
Concerns: Northumbria Police did not formally communicate the discontinuation of an investigation to the employer and Local Safeguarding Adults Board. This prevented the employer from updating their employee on her employment status and the Safeguarding Board from progressing its review.
Response (Northumbria Police): • Northumbria Police delivered further training and guidance following a national review of voluntary attender processes. • Officers involved were dealt with under Force conduct procedures for their errors. (AI summary)
Responded
Tarek Chowdhury
Concerns: Concerns included inadequate information sharing about prisoners becoming detainees between HMPPS, the Home Office, and IRCs. Issues were also raised regarding SystmOne's operation at IRCs, specifically its technology, nurse access to records, and staff training.
Overdue
David Jukes
Concerns: The coroner noted insufficient information provided to the psychiatric liaison practitioner regarding Mr. Jukes' arrest, including suicide threats, affecting her assessment. Concerns were also raised about a communication breakdown regarding his known status to mental health services, and that no psychiatrist visited him in custody.
Response (NHS England): • NHS England and NHS Improvement will work with police forces to ensure relevant information is provided to liaison and diversion practitioners and will hold a national event by March … (AI summary)
Response (Staffordshire Police): • Staffordshire Police stated that an adequate system is in place for recording arrest circumstances on custody records. • Staffordshire Police stated that Liaison and Diversion practitioners have access to … (AI summary)
Response (Birmingham and Solihull Mental Health NHS Trust): • The Trust has added a communication preference field to the clinical record system (RIO) and increased administrative resources within Home Treatment Teams. • It is implementing a new documented … (AI summary)
Response (Black Country Partnership NHS Trust): • Senior Liaison and Diversion (L&D) staff are engaged in the West Midlands wide implementation of the new electronic custody record (CONNECT) to improve information sharing with police. • Staff … (AI summary)
Response (NHS Birmingham and Solihull ICB): • The CCG confirmed that an action plan addressing the concerns had been drawn up and completed by Birmingham and Solihull Mental Health Foundation Trust (BSMHFT). • The CCG secured … (AI summary)
Responded
Simon Robinson
Concerns: The coroner notes a gap in the partnership agreement between police and mental health services, which inadequately addresses situations where individuals in a private place experience a mental health crisis requiring an urgent multi-agency response, given limited police powers.
Response (Thames Valley Police): • Thames Valley Police reviewed the Interagency Partnership Agreement Protocol. • Suggested amendments were made to the Protocol and disseminated to relevant mental health and NHS agencies for consultation. • … (AI summary)
Responded
John Wright
Concerns: The coroner identified gaps in how information about a heightened risk of self-harm for incoming prisoners is received and shared by both prison and healthcare staff due to system limitations and inconsistent practices.
Response (HM Prison Probation Service): • Healthcare providers, courts, and escort contractors were informed of processes for sharing concerns and clinical information with prison healthcare and reception staff. • All reception staff were reminded of … (AI summary)
Response (CARE UK): • A new process flow was developed and implemented with the Liaison and Diversion team to strengthen communication pathways for sharing risk information for incoming prisoners. • A secure NHS … (AI summary)
Responded
Nguyen Quyen
Concerns: The coroner noted an over-reliance on offender self-reporting and significant breakdowns in information sharing between police and probation services. This included a cessation of active monitoring for some high-risk categories and insufficient meaningful engagement with offenders.
Response (HM Prison and Probation Service): • A new national Supervisory and Line Management Framework has been developed and is being rolled out across NPS Divisions, alongside new Lifer Review Panels, to enhance management oversight and … (AI summary)
Response (Northumbria Police): • Northumbria Police implemented a process in December 2018 to ensure information and intelligence sharing for Category 2 MAPPA offenders. • The NPICCS system was updated with a marker for … (AI summary)
Responded
John Gogarty
Concerns: The coroner identified insufficient follow-up in sharing information with the National Probation Service regarding a patient's association with a high-risk individual, which limited the Probation Service's opportunity to consider further safeguards.
Overdue
Cherylee Shennan
Concerns: The coroner noted a lack of inter-agency meetings and communication regarding a perpetrator managed at MAPPA Level 1. There is no mandatory process for information sharing between agencies despite a known history of domestic abuse and identified trigger factors.
Response (Lancashire Constabulary): • Lancashire Constabulary revised its MARAC operating protocol to prioritise high-risk cases involving offenders on life licence and ensure information sharing. • The Constabulary implemented changes to its MASH information … (AI summary)
Overdue
Alexander Boamah
Concerns: The coroner noted a lack of a process for clinicians to inform the Department of Work and Pensions about individuals at risk, especially those without capacity, who receive large sums of money that may be used for illicit substances.
Response (Department for Work and Pensions): • A review of the DWP safeguarding policy and guidance is currently underway. • The review will consider how communication channels between the Department and treating clinicians can be opened. … (AI summary)
Responded
Julius Little
Concerns: The coroner noted that many students disclosing mental health issues did not engage with support services. There were also concerns that mental health disclosure information from UCAS applications was not disseminated to university staff, limiting its effective use.
Response (UCAS): • UCAS held a roundtable discussion and drafted changes to the mental health disclosure question on its application, with an improved version anticipated for implementation in the new year. • … (AI summary)
Response (UAL): • UAL stated that data sharing is permitted under GDPR and DPA 2018 only where there is a risk of harm to self or others. • UAL confirmed that information … (AI summary)
Responded
Nimo Younis
Concerns: Concerns were raised regarding C&I ward staff's lack of understanding about police procedures for missing patients, including necessary information for escalation. This was coupled with delays in police classification of the patient as high-risk and incomplete information for police decision-makers.
Overdue
Shneur Kaye
Concerns: The coroner noted that closing safeguarding referrals without prior parental contact limits social workers' ability to assess child welfare. Not sharing information about closed referrals with other agencies may prevent them from taking appropriate action, potentially undermining child protection.
Response (North Manchester Care Organisation): • The Trust ratified a new safeguarding training strategy and policy in November 2019. • Safeguarding children and adults training is now a mandatory course for all new staff on … (AI summary)
Response (Bury Council): • Bury’s Multi Agency Safeguarding Hub (MASH) underwent a systematic service review in early 2022, which examined practice, operating principles, and standards. • It is now standard practice within the … (AI summary)
Responded
Jason Pendlebury
Concerns: The report identifies gaps in communication systems between Greater Manchester Police and North West Ambulance Service, and onward to GPs and mental health professionals. This resulted in incomplete information being available for risk assessments and appropriate referrals.
Response (Greater Manchester Police): • Greater Manchester Police (GMP) implemented a new IT system, iOPS, in July 2019, which provides enhanced search capabilities for call handlers and is exploring electronic data exchange with partner … (AI summary)
Response (North West Ambulance Service NHS Trust): • The Adastra system was updated to automatically send a Post Event Message to General Practitioners for patients referred or discharged with self-care advice. • The Trust jointly chaired a … (AI summary)
Responded
Kelly Sutton
Concerns: The coroner noted that non-crime information valuable to police for safeguarding domestic abuse victims is not available as a national resource, but remains limited to individual police areas.
Response (Hertfordshire Constabulary): • Hertfordshire Constabulary implemented Athena in May 2018, an integrated crime and intelligence platform shared with eight other forces. • Athena enables immediate access to intelligence, custody, crime, and non-crime … (AI summary)
Responded
Faiza Ahmed
Concerns: The coroner's concerns are encompassed within the jury’s determination attached to the report.
Response (the Department of work and Pensions): • The Department for Work and Pensions (DWP) operates a Six Point Plan framework for staff to manage customer declarations of intention to attempt suicide or self-harm. • DWP staff … (AI summary)
Response (the London Ambulance Service): • The crew involved undertook reflective learning, and a clinical update was published in April 2015 reinforcing the assessment of capacity. • A new Operational Management Structure was implemented, introducing … (AI summary)
Response (the Metropolitan Police): • The Metropolitan Police implemented the Vulnerability Assessment Framework (VAF) and CARES approach, including training for frontline officers, to enhance the recognition and support of vulnerable individuals. • The Metropolitan … (AI summary)
Responded
Danny Holt-Scapens
Concerns: The coroner noted the need for improved interagency working and information sharing. Concerns were also raised regarding a crisis team clinician's lack of contemporaneous records and undocumented decision-making rationale, including capacity assessment details.
Overdue
May Miller
Concerns: The coroner identified difficulties in sharing safeguarding information between the GP, other agencies, and care homes due to GDPR requirements and the absence of a consent mechanism or central information hub.
Response (the Limes Residence Association): • Residents will be informed of policy changes by letter, and the handbook will be amended to reflect these changes. • When a resident considers moving to residential care, contact … (AI summary)
Response (Suffolk County Council): • Suffolk County Council initiated a Safeguarding Adults Review (SAR) on 14 October 2020. • The SAR will identify barriers to information sharing across partner agencies regarding safeguarding concerns and … (AI summary)
Responded
Bathsheba Shepherd
Concerns: The Care Programme Approach process between the local authority and NHS Trust remained unresolved after five years. Concerns were also raised that a person with psychological illness could not register with a GP due to a lack of documentary proof, limiting access to support.
Overdue
Alan Massam
Concerns: The coroner noted a lack of inter-agency information sharing for complex cases and no defined escalation process in the care home for residents refusing medication. Concerns were also raised about discharge protocols failing to ensure a care home's capacity to accept a patient.
Response (CQC): • The CQC commenced a cross-directorate process in May 2021 to discuss and act upon regulatory risks relating to local health and social care systems. • The CQC continues to … (AI summary)
Response (Greater Manchester Health and Social Care Partnership): • Stockport CCG confirmed improved communication between the hospital, GP, and wider Community Services through a common system. • Stockport established a Discharge Concerns Panel in October 2020, which has … (AI summary)
Response (Dept of Health Social Care): • Department of Health and Social Care officials made enquiries with NHS England and NHS Improvement and the Care Quality Commission. • The Department of Health and Social Care copied … (AI summary)
Responded
Darrell Spear
Concerns: Concerns included delays in addressing significant self-neglect and hoarding issues that posed a fire risk, despite agencies being aware. There was also poor inter-agency communication and no clear strategy to manage these identified risks.
Overdue
Marc Bennett
Concerns: The coroner highlighted the need for improved communication between Devon Partnership Trust staff and Children's Services to ensure appropriate support for parents with mental health problems during child protection investigations or care proceedings planning.
Overdue
Katie Locke
Concerns: The coroner noted insufficient dissemination of information about the Potentially Dangerous Persons (PDP) process within police forces and partner agencies. This led to a lack of understanding among staff, hindering the proper use of the process.
Overdue
Samuel Alban-Stanley
Concerns: The coroner noted inadequate support for families of children with rare diseases, with social services refusing assessment and providing limited assistance. Concerns also included a mental health trust's lack of commissioned psychosocial interventions and poor inter-agency communication.
Response (Department of Health and Social Care): • The Department's officials made enquiries with NHS England and NHS Improvement and the Care Quality Commission. • The Department reported that the North East London Foundation Trust, Kent and … (AI summary)
Response (Kent and Medway Clinical Commissioning Group): • Training on Prader-Willi syndrome and Autistic Spectrum Disorders has been provided to staff, and joint assessments for complex neurodevelopmental cases have been introduced. • Working protocols between the local … (AI summary)
Response (Department for Education): • The Department for Education is working with the Children’s Commissioner’s Office and the Information Commissioner’s Office to identify ways to improve data sharing in child safeguarding cases. • The … (AI summary)
Responded
Spencer Barr
Concerns: The coroner noted inadequate information sharing between multiple agencies regarding the person's drug relapse, raising concerns about the lack of a universal approach to inter-agency cooperation and the absence of central points of contact for information exchange and referrals.
Response (Birmingham Womens and Childrens NHS Foundation Trust): • Forward Thinking Birmingham established a multi-agency working party to review and strengthen dual diagnosis pathways between mental health and substance misuse services. • Direct access for Change Grow Live … (AI summary)
Response (Probation Service): • Probation is reviewing its Information Sharing Agreements with partner organisations. • Probation will participate in a multi-agency working group established by Forward Thinking Birmingham. • Probation has established a … (AI summary)
Responded
James Manning
Concerns: The coroner identified a need for national guidance on tonsillectomy referrals, particularly for urgent choking cases, and noted concerns about reassessment delays due to staff leave and communication gaps between providers. Concerns were also raised regarding Bourne Leisure Ltd's lack of a national health and safety management system and robust incident investigation.
Overdue
Margaret Stringer
Concerns: The care home lacked a documented system to restrict residents' access to items and staff awareness of isolation's impact on elderly mental health was insufficient. Gaps in information transfer about the resident's suicide risk were also noted.
Response (Adult Community Social Care): • The format of the overview document (A1253) will be reviewed. • A strength-based approach framework is planned to be rolled out across all Adult Social Care teams within the … (AI summary)
Response (Blackpool Teaching Hospitals NHS Foundation Trust): • Blackpool Teaching Hospitals NHS Foundation Trust (BTHFT) attended a meeting with Lancashire and South Cumbria NHS Foundation Trust (LSCFT) to consider alignment of expectations for communication and information sharing. … (AI summary)
Response (DAC Beachcroft): • The care home stated that residents with a similar history would no longer be admitted. • It confirmed that a system of 1:1 care would be implemented for at-risk … (AI summary)
Responded
Lewis Powter
Concerns: There is no policy or guidance for encouraging multi-agency meetings to share information about released IPP offenders with complex needs, particularly when agencies lack access to shared record systems.
Overdue
Diane Austin-Martin
Concerns: The coroner noted a lack of clear mechanisms to inform Social Services of a vulnerable person's move and to ensure the quality of care provided in private arrangements, which led to her dropping out of sight of agencies.
Response (Department of health and Social Care): • The Department of Health Northern Ireland and local authorities in England have established duties and policies for adult safeguarding and information sharing. • NHS England confirmed that appropriate steps … (AI summary)
Responded
Jessica Laverack
Concerns: The coroner raises concerns about insufficient recognition of the link between domestic abuse and suicide in policies, and inadequate systems to identify and care for vulnerable individuals not meeting high-risk criteria. There are also gaps in inter-agency information sharing and coordination for complex cases.
Response (Ministry of Justice): • The Ministry of Justice confirmed its contributions to Multi-Agency Risk Assessment Conferences (MARACs) when working with perpetrators or victims. • The Ministry of Justice stated it had recently improved … (AI summary)
Response (Home Office): • The Home Office stated it would carefully consider the report to identify issues already addressed and those requiring further action. • The Home Office committed to providing a full … (AI summary)
Response (Home Office): • The government published the Domestic Abuse Act 2021 Statutory Guidance and the cross-Government Tackling Domestic Abuse Plan. • The Home Office committed to updating police guidance on suicide to … (AI summary)
Response (Department of Health and Social Care): • The Department stated it is working with the Home Office on the Tackling Domestic Abuse Plan and expects the national suicide prevention strategy to include measures to tackle domestic … (AI summary)
Responded
Samuel Pearson
Concerns: The coroner noted a lack of multi-agency working and information sharing during an emergency housing move, and a 2-3 week backlog in an NHS referral service where GPs were not informed of capacity issues.
Response (Oxleas NHS Foundation Trust): • The Trust completed an updated ADAPT Operational Policy. • The new policy details the information referrers will receive regarding waiting times and urgent referral procedures. • All teams maintain … (AI summary)
Response (Response London Borough of Bromley Council): • The Local Authority's Housing Department senior management contacted Clarion to request a review of their Emergency Decant Policy regarding notification of vulnerable household members. • The Local Authority provided … (AI summary)
Response (Clarion Housing Group): • Clarion Housing Group is reviewing its alternative accommodation and related assessment process. • The review is considering how interagency working can be further embedded into processes for providing alternative … (AI summary)
Responded
Derek Larkin
Concerns: The coroner identified a lack of interoperability between Dorset Council Adult Social Care's Mosaic system and NHS SystemOne, limiting Adult Social Care's access to crucial patient medication information and review dates.
Response (Dorset Council): • The learning recommended from an action plan was shared with relevant managers in February 2023. • Dorset Council stated that in future cases, Health would be consulted on medication … (AI summary)
Response (NHS Dorset ICB): • The Dorset Care Record (DCR) provides health and social care staff with access to individual patient medication and review information. • The DCR has been available since February 2018 … (AI summary)
Responded
Manoel Santos
Concerns: The coroner identified concerns regarding the late notification of immigration detention decisions, insufficient signposting of legal advice entitlements for Foreign National Offenders, and communication issues between agencies involved in immigration and sentence planning.
Response (Home Office): • New commissioning and handling processes were implemented for Professional Standards Unit reports. • A new Strategic Improvement Operations team was established within FNORC to log and track recommendations from … (AI summary)
Response (Practice Plus Group): • Practice Plus Group (PPG) implemented weekly Safety Intervention Meetings (SIM) and increased mental health Multi-Disciplinary Team referrals meetings to twice weekly since June 2023. • PPG implemented a form … (AI summary)
Response (HM Prison and Probation Services): • Guidance was provided to all establishments in October 2021 regarding informing immigration detainees about and providing access to legally aided legal advice, with HMP Belmarsh publishing this information and … (AI summary)
Overdue
Mark McKessy
Concerns: Poor communication and information sharing between agencies led to uncoordinated care and no clear overview of needs. Agencies did not fully recognise the individual's health issues and their interrelationship with social care and learning disability needs, affecting capacity assessments.
Response (Stockport Integrated Care Partnership): • New primary care assistant practitioners will monitor learning disability registers and support annual health checks. • Pennine Care NHS Foundation Trust has appointed a team of five Primary Care … (AI summary)
Responded
Dayle Bates
Concerns: The coroner identified that there is no direct means for pharmacies to report to Recovery Steps when a service user stops collecting methadone, and no obligation to report wider welfare concerns. This situation may mean vulnerable service users do not receive additional support.
Response (Recovery Steps Cumbria): • The service reviewed its clinical system and phone data for Mr. Bates' case and communicated with staff on the importance of accurate record-keeping and information sharing. • The service … (AI summary)
Responded
Jacob Billington
Concerns: The coroner identified insufficient interagency communication and information sharing for high-risk prisoners with mental health needs upon release, highlighting fragmented IT systems and a lack of cross-agency guidance for community support.
Response (G4S Care Justice Services UK Ltd): • Resettlement services drop-in sessions were introduced, and approved laptops were received to facilitate remote sessions for prisoners approaching release. • A new process was implemented for cashiers to record … (AI summary)
Response (West Midlands Police): • West Midlands Police's approach to visiting managed offenders has changed, with officers now attempting to visit them upon release from prison regardless of Multi-Agency Public Protection Arrangements (MAPPA) status. … (AI summary)
Response (BSMHFT): • The Trust has improved the structure and supervision for prison discharge coordinator roles and updated the standard operating protocol. • Dedicated workstreams will be established to review and enhance … (AI summary)
Response (Swansea Bay University Health Board): • The Health Board has implemented formal pre-release planning meetings and discharge meetings, ensuring comprehensive handovers and updated risk assessments. • The Mental Health In-Reach Team now has access to … (AI summary)
Response (HM Prison and Probation Service): • The Probation Service West Midlands revised and re-issued its practice document for practitioners managing releases at sentence end date, embedding it in staff development sessions. • The Multi-Agency Public … (AI summary)
Responded
Ian Dixon
Concerns: The coroner noted no policy existed between Stockport Metropolitan Borough Council and Stockport Homes for managing equipment installation requests. This meant there was no review process to confirm urgent equipment installation, repair completion, or to identify delays.
Response (Stockport Homes): • Target timescales will be developed, agreed with Stockport Metropolitan Borough Council (SMBC), and published by the end of May 2024. • The progress of major adaptations will be monitored … (AI summary)
Response (Stockport Metropolitan Borough Council): • Stockport Metropolitan Borough Council (SMBC) stated it would collaborate with Stockport Homes to develop and publish target timescales for adaptations and establish a Sharepoint site for monitoring progress by … (AI summary)
Responded
Lily Jahany
Concerns: Concerns were raised about the lack of mandatory first aid training for student accommodation staff, and the Crisis Team's Standard Operating Procedure regarding proactive information gathering from other agencies for patients not yet under their direct care.
Response (Student Roost): • Student Roost has trained over 70 team members as Mental Health First Aiders. • The organisation launched the #BehindEveryDoor campaign in 2022, utilising the Hub of Hope app for … (AI summary)
Response (Leicestershire Partnership Trust): • The Trust reviewed the Crisis Resolution Home Treatment Team Standard Operating Procedure and the Mental Health Central Access Point Standard Operating Procedure. • These procedures were updated to clarify … (AI summary)
Responded
Elizabeth McCann
Concerns: Concerns included insufficient staffing and supervision for probation officers and police Sexual Offender Management Units. The coroner also identified limited information sharing protocols with external services and poor quality internal investigations by Greater Manchester Police.
Response (Pennine Care NHS Foundation Trust): • The Trust implemented a new Standard Operating Procedure for the Health and Wellbeing College, which includes a protocol for referral, enrolment, and risk management, with cross-reference checks against internal … (AI summary)
Response (Department of Health and Social Care): • The Trust commissioned an external review of the Health and Wellbeing College, which is currently ongoing. • The College developed a standard operating procedure for student enrolment, including information … (AI summary)
Response (Home Office): • The Home Office is developing a new multi-agency public protection system (MAPPS) to improve functionality and data sharing for offender management. • The Government will work with the College … (AI summary)
Response (HM Prison and Probation Service): • HM Prison and Probation Service (HMPPS) is continuing national recruitment for Probation Officers, with a target to bring in at least 1,000 new Trainee Probation Officers by March 2025, … (AI summary)
Responded
Select committee recommendations(194)— showing 50 strongest matches
#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 …
#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 …
#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 …
#27 —
Recommendation: There are currently no arrangements in place for sharing of information about an individual customer’s financial circumstances or receipt of social tariffs, between companies, regulators, government or other organisations. This means that it can be challenging to identify customers who …
#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 …
#35 —
Recommendation: The government should confirm that it has committed the resources needed to deliver on plans for a wider Universal Credit data share with local authorities in 2027. It should publish regular updates on progress. (Recommendation, Paragraph 134)
Response status not verified
#34 —
Recommendation: The Crisis and Resilience Fund could play a vital role in targeting additional support at Universal Credit claimants affected by the increase to 67. However, as things stand, local authorities have access to only 35 to 40% of the data, …
Response status not verified
#20 —
Recommendation: The Government should create a power for the Electoral Commission to compel financial institutions to provide information relating to the source funds used in regulated political donations and regulated campaign spending. This power should also apply to crypto currency platforms. …
Response attribution not verified
#18 —
Recommendation: We welcome the proposed improvement to the Electoral Commission’s data sharing powers under Clause 69. (Conclusion, Paragraph 107)
Response attribution not verified
#8 —
Recommendation: The Committee are pleased to hear about the work the Ministry has done with the DWP to make Universal Credit more accessible to those leaving prisons. We also welcome the increase in the Subsistence Grant for those who are leaving …
Response attribution not verified
#17 —
Recommendation: The Department told us that it works with different parts of the public sector and Government, such as the Ministry of Justice, to deliver its immigration enforcement services, and that this cooperation may not appear in its performance data.46 We …
Response attribution not verified
#8 —
Recommendation: We recommend that Social Security Scotland consider all mechanisms for acquiring their own data where possible if they are requesting data which DWP does not hold. DWP and Social Security Scotland should develop a shared protocol and agreement about data …
Response attribution not verified
#7 —
Recommendation: We recommend that the DWP should prioritise delivering the six to 16-year-old data required by the Scottish Government, or work with the Scottish Government to find an alternative type of data, so that the Scottish Government are able to roll …
Response attribution not verified
#23 —
Recommendation: The DWP and Welsh Government should work together to improve the signposting of benefits, grants, and allowances by producing a toolkit for Work Coaches. It should cover all devolved and local authority support. The DWP should report back to us …
Response attribution not verified
#34 — DWP seeks new Fraud Bill powers to access bank data on UC claimant savings.
Recommendation: DWP also highlighted the importance of access to data, particularly because one of the big areas of UC overpayments related to people who had savings that they did not tell DWP about. It said that some of the powers in …
Response attribution not verified
#15 — HMRC, Companies House, and Insolvency Service commit to increasing collaboration to tackle phoenixism.
Recommendation: At Autumn Budget 2024, the government announced that it was increasing collaboration between HMRC, Companies House and the Insolvency Service to tackle phoenixism.40 The Insolvency Service told us that, since the publication of the National Audit Office’s report, it had …
Response attribution not verified
#14 — ECCTA significantly enhanced data and intelligence sharing between Companies House and HMRC.
Recommendation: Prior to the introduction of ECCTA in March 2024, Companies House had limited scope to share data or insight with other public bodies such as HMRC. The new measures under ECCTA include the ability to proactively share information with other …
Response attribution not verified
#3 — Develop a joint plan for HMRC, Companies House, Insolvency Service to tackle corporate fraud.
Recommendation: HMRC, Companies House and the Insolvency Service have failed to work collaboratively, missing opportunities to increase the tax take. Due to the fraudulent use of UK company registrations, contrived insolvencies and phoenixism to evade tax, HMRC, Companies House and the …
Response attribution not verified
#28 — Department recognises ongoing challenges in sharing cross-government data across key sectors.
Recommendation: The Department explained how single shared priorities also helped evaluate programmes objectively but acknowledged it would like to go further through joining up data and information, which the Opportunities mission could help give impetus to. It said it had made …
Response attribution not verified
#6 — Set out how the Opportunities Mission will join data and embed cross-government working.
Recommendation: The Department is relying on the ‘Opportunities Mission’ to bring together its own, and wider government’s, work to support disadvantaged children but it remains unclear how this will work in practice. The Department must work with other areas of government …
Response attribution not verified
#10 — DSIT highlights need for cultural change and new initiatives to overcome data sharing barriers.
Recommendation: We challenged DSIT on what it was doing to address barriers to data sharing in government and it told us a change in culture is needed and government bodies need to think about the collective interest of the public when …
Response attribution not verified
#9 — Inadequate access to good-quality data impedes government's AI implementation efforts.
Recommendation: Access to good–quality data was identified as a barrier to implementing AI by 62% of the 87 government bodies responding to the NAO’s survey.16 We received written evidence expressing a range of views on this topic, illustrating the complexity of …
Response attribution not verified
#13 — Department still lacks solutions for matching income and energy supplier data effectively.
Recommendation: The Department acknowledged that it does not have “a full answer at this stage” to the issues with matching income data with energy supplier data, despite it being almost three years since the spike in energy prices.31 Fair by Design …
Response attribution not verified
#12 — Significant technical challenges impede effective targeting of energy support, particularly income data.
Recommendation: The Department said that even if it had wanted to, it would not have been able to target support at the time of introducing the schemes due to challenges with identifying household income to determine an appropriate level of support.26 …
Response attribution not verified
#2 — Set out plan by September 2025 for targeting future consumer support, addressing data matching challenges.
Recommendation: The Department would not yet be in a position to provide more targeted support to consumers and so reduce wasteful expenditure. Most of the £44 billion of support was provided through the schemes that were universal in nature, which means …
Response attribution not verified
#17 — Ensure early notification and coordinated planning of utility connections for new housing developments.
Recommendation: Coordination of street works for new housing developments is not happening as often as it should. The Department for Transport should work with the Ministry of Housing, Communities and Local Government on how best to ensure that authorities are notified …
Response attribution not verified
#15 — Mandate utility companies to share upcoming work plans earlier, improving coordination with authorities.
Recommendation: Collaboration and coordination of works between utility companies and local authorities relies on sharing information on upcoming works well in advance. There are currently no requirements on utility companies to share plans for their upcoming work with local authorities. The …
Response attribution not verified
#19 — Liaise with DHSC to assess domestic workforce plans addressing social care skills shortages.
Recommendation: We highlighted that expanding the Skilled Worker visa route had helped the social care sector to reduce vacancy rates to around 131,000. We were concerned that the Home Office had now turned the tap off and asked what analysis it …
Response attribution not verified
#10 — Develop formal cross-government processes to understand Skilled Worker route impacts and regional skill shortages.
Recommendation: Despite this, we were concerned that collaboration was not effective and that there had been insufficient consideration of the impacts of rule changes. In particular, we were not convinced that there had been sufficient collaboration between the Home Office and …
Response attribution not verified
#29 — Report progress addressing data sharing barriers for local authorities accessing benefit data by 2025.
Recommendation: DWP should report back by the end of 2025 on progress in addressing the barriers to data sharing identified by the Minister, particularly in relation to enabling DWP to give local authorities more visibility of Pension Credit and Universal Credit …
Response attribution not verified
#28 — Government recognises need for improved data sharing to increase means-tested benefits take-up.
Recommendation: We welcome the Government’s recognition of the importance of better data sharing arrangements to increase take-up of means-tested benefits, and the work it is doing to address the issues. (Conclusion, Paragraph 141)
Response attribution not verified
#18 — Report on legislative changes to enable data sharing for social tariffs and targeting households.
Recommendation: The Government should report back to the Committee by the end of 2025 on: the changes to primary legislation for data sharing needed to enable the introduction of a social tariff; and any short-term changes to secondary legislation that could …
Response attribution not verified
#2 — Establish an Energy Data Sharing Taskforce to improve support schemes and tackle fuel poverty.
Recommendation: The Government should immediately establish an Energy Data Sharing Taskforce involving energy suppliers, government departments, HMRC, local authorities, the National Health Service and relevant third parties. This should establish clear and effective mechanisms for data sharing with the specific ambition …
Response attribution not verified
#1 — Accelerate effective data sharing between stakeholders to improve support schemes and tackle fuel poverty.
Recommendation: More effective data sharing between key stakeholders will be essential in making all government support schemes fairer, better targeted and cost effective. We welcome the Government’s plans to improve data sharing across Whitehall but believe it must move further and …
Response attribution not verified
#3 — Mandate regular meetings between Transport Secretary and counterparts; expedite procurement response to support British manufacturers.
Recommendation: The Secretary of State for Transport should meet regularly with her counterparts in the Departments for Business and Trade, Education and Skills, Work and Pensions, Energy Security and Net Zero, and the Cabinet Office with a focus on how the …
Response attribution not verified
#2 — Mobilise cross-government support and cultivate talent to capitalise on transport manufacturing decarbonisation opportunities.
Recommendation: The Government’s legislation on the provision of bus and rail services, and policies promoting transition to EVs and fuel innovation in aerospace, provide once-in-a-generation opportunities for production and employment. Delivering on these opportunities will require the Department of Transport to …
Response attribution not verified
#9 — BBC's digital account data cannot directly support licence fee enforcement activities.
Recommendation: We queried why digital audience engagement through the accounts necessary to use iPlayer cannot support more digital licence fee enforcement activities. The BBC told us that its household-address based licensing system does not match individual based BBC account data, so …
Response attribution not verified
#19 — TrustMark lacks direct collaboration with Companies House to prevent directors avoiding remediation responsibilities.
Recommendation: The National Audit Office also reported that some company directors are closing and restarting their businesses to avoid remediation responsibilities.40 TrustMark told us it has developed a watchlist and can stop a new business operating until it has fixed the …
Response attribution not verified
#20 — New Act grants DWP expanded powers to compel third-party data for fraud investigations.
Recommendation: The Public Authorities (Fraud, Error and Recovery) Act, which received Royal Assent in December 2025, extends the Department’s powers to tackle fraud and error and recover any associated losses.36 The Department’s new powers include the ability to compel banks and …
Response attribution not verified
#18 — DWP identifies potential in cross-government data to combat benefit fraud and error.
Recommendation: The Department told us that there were data sources from across government and beyond that its systems could potentially use to help drive down fraud and error, and that it was very keen to exploit such opportunities.31 We note that …
Response attribution not verified
#4 — Set out plans for cross-departmental data sharing to verify Universal Credit household composition
Recommendation: The Department is not doing enough to share data with other government departments and thereby improve the accuracy of benefit payments. Administering the benefits system is complex: for example, targeting benefits such as Universal Credit to claimants’ needs and circumstances …
Response attribution not verified
#11 —
Recommendation: We recommend that the Home Office works with digital identity providers to ensure that there is an effective mechanism for them to share the intelligence they currently gather through digital right to work checks, so that this can support enforcement …
Response status not verified
#63 —
Recommendation: To successfully support people experiencing poverty many of these agencies require good collaborations and communications with the DWP and Social Security Scotland. Professor McKeever, Ulster University, emphasised the need for a ’better systemic approach’142 at the organisational level ‘of what …
Response attribution not verified
#60 —
Recommendation: Citizen’s Advice Scotland stated that to achieve a ‘no wrong door policy’ it would require: efforts to ensure that people receive information about other benefits they might be entitled to that are delivered by a different agency–for instance if someone …
Response attribution not verified
#55 —
Recommendation: We recommend that Social Security Scotland consider all mechanisms for acquiring their own data where possible if they are requesting data which DWP does not hold. DWP and Social Security Scotland should develop a shared protocol and agreement about data …
Response attribution not verified
#39 —
Recommendation: The most pressing data sharing issue between the two governments relates to the planned rollout of the Scottish Child Payment to children aged six to 16, a policy priority for the Scottish Government. Currently the Scottish Government offers £10 a …
Response attribution not verified
#38 —
Recommendation: The Cabinet Secretary also highlighted her disapproval of the current processes used for data sharing between the governments. She described the current system of looking at data sharing opportunities on a benefit-by-benefit basis as a ‘work-in-progress’98 which may need to …
Response attribution not verified
#37 —
Recommendation: Oral evidence we received from the Scottish Government highlighted an unequal relationship between it and the DWP in relation to sharing existing data. The Scottish Government Cabinet Secretary for Social Security and Older People highlighted that it must make individual …
Response attribution not verified
#36 —
Recommendation: The Scottish Government outlined how the access to DWP-held data about claimants, caseloads, and trends is necessary to develop devolved administrative systems. In their evidence they stated that data sharing to help manage the transfer of claimants from the DWP …
Response attribution not verified
HMICFRS recommendations(1)
ICIBI immigration recommendations(8)
A further inspection of the EU Settlement Scheme (July 2020 – March …
Recommendation 9 (expanded to reflect latest findings) Clarify what “reasonable enquiries” the Home Office will make (for example of other government departments and other agencies) on behalf of individuals who …
An inspection of the Border Force intelligence functions at the Humber ports …
Review the collection function to improve tasking volumes and relationships with other intelligence functions within Border Force intelligence and frontline functions, including:an assessment of the effectiveness of its geographical structure …
An inspection of the immigration system as it relates to the social …
Work with enforcement and regulatory partners to develop and agree a multi partner memorandum of understanding (MOU). The MOU should define:
An inspection of the Home Office’s use of age assessments (July 2024 …
In relation to the end-to-end age dispute process: In order to enable them to plan and use their resources effectively, provide local authorities with data on the number of individuals …
An inspection of the Border Force intelligence functions at the Humber ports …
Work with the Multi-Agency Hub Strategic Governance Board to review the identity and branding of the Forward Intelligence Cell (FIC) in Hull and undertake engagement to improve the understanding of …
A re-inspection of Border Force’s management of Project KRAKEN at small seaports …
The Home Office should develop an engagement strategy that encompasses Border Force, stakeholder, and law enforcement agency activities to raise awareness of Project Kraken and identify opportunities for smarter working …
An inspection of Border Force’s fast parcels operations (May–July 2023)
Work with His Majesty’s Revenue and Customs to obtain management information from Centaur for goods seized from fast parcels.
An inspection of Border Force’s fast parcels operations (May–July 2023)
Work with industry and other government departments to improve the provision of fast parcel data from all operators to enable intelligence-based targeting.
PPO death in custody recommendations(7)
The Governor and Deputy Director of Immigration Prison Teams (North …
The Governor and Deputy Director of Immigration Prison Teams (North and South) should review current processes for the sharing of information between prison and Home Office staff at Maidstone and share their findings with the Ombudsman.
The Head of Probation Delivery Unit for Dyfed-Powys
The Head of Probation Delivery Unit for Dyfed-Powys should ensure that when a risk is identified, appropriate referrals are promptly completed to the relevant community services.
The Regional Probation Director
The Regional Probation Director should ensure that accurate and up to date information about a resident’s risk is shared with AP staff prior to their arrival, in line with national instructions.
The Governor
The Governor should ensure that prison staff inform healthcare staff when a prisoner asks to see them.
The Head of Healthcare at Isle of Wight
The Head of Healthcare at Isle of Wight should ensure that healthcare staff arrange a proper handover to the receiving prison where a prisoner has more complex health care needs.
The Governor of HMP Downview and Regional Probation Director
We bring this to the attention of the Governor of Downview and Regional Probation Director to consider whether any improvements could be made to how staff communicate and share information.
The Governor and Head of Healthcare
The Governor and Head of Healthcare should review their information sharing protocol for prisoners with serious medical conditions such as epilepsy.
IOPC learning recommendations(8)
Recommendations - West Midlands Police, June 2021
The IOPC recommends that West Midlands Police consider the benefits of implementing a protocol with relevant third parties, such as Housing providers, when dealing with any request for a welfare check. This recommendation is made as the result of a …
Recommendations - Metropolitan Police Service, January 2026
The IOPC recommends that the Metropolitan Police Service (MPS) creates Memorandums of Understanding (MOU) with neighbouring forces to support effective management of cross border incidents and misrouted calls. This recommendation has arisen as a result of a review of the …
Recommendations - Cleveland Police, May 2022
The IOPC recommends that Cleveland Police should improve its processes and record keeping to show the flow of information between partner agencies and demonstrate actions taken and accountability. This follows an IOPC investigation whereby historically information was shared from one …
Recommendation - Hampshire Constabulary, September 2024
The IOPC recommends that Hampshire Constabulary creates and implements a memorandum of understanding (MOU) regarding sharing patient information with University Hospital Southampton NHS Foundation Trust. This follows an investigation in which a man was found by police in a hospital …
Operation Linden recommendations - South Yorkshire Police and College of Policing, November …
The IOPC recommends that South Yorkshire Police continues to improve processes that enable SYP and partner agencies to better collaborate so that information that should be available and considered by everyone is effectively shared, understood and acted upon in a …
Investigation into the West Yorkshire Police response to reports of injuries to …
The IOPC recommend that West Yorkshire Police (WYP) ensure that they review their mechanisms already in place, by the use of dip sampling or regular audits between WYP, Children’s Social Care (CSC) and their partner agencies to ensure that WYP …
Investigation into a complaint about contact with a woman prior to her …
The IOPC recommends that the North West Ambulance Service (NWAS), Greater Manchester Police (GMP), Cumbria Constabulary, Cheshire Constabulary, Merseyside Police, and Lancashire Constabulary finalise, agree, and implement the Joint Operating Protocol (JOP) as soon as practicable. Each agency should take …
Recommendation - Metropolitan Police Service and Ministry of Justice, March 2025
The IOPC recommends that the Metropolitan Police Service (MPS) and Ministry of Justice (MOJ) work together to review the process for responding to alleged breach of bail conditions to ensure that, where an electronic monitoring breach is identified, adequate checks …
NAO audit recommendations(26)
Delivery of employment support schemes in response to the COVID-19 pandemic
b) work with the Cabinet Office and government?s counter-fraud functions to improve protocols and thus increase the consistency of data collected on grant claimants, and the pace at which data can be shared between HMRC and other public bodies, in …
Rejected
Using data analytics to tackle fraud and error
Recommendation 7: a) The Public Sector Fraud Authority (PSFA) and the Government Digital Service (GDS)should build on the Digital Economy Act 2017 data-sharing process to introduce a managed process to support public bodies to share data. This managed process should …
Using data analytics to tackle fraud and error
Recommendation 6: The Public Sector Fraud Authority and the Government Digital Service (GDS) should maintain an overview of the key datasets required to support most fraud and error data analytics, and work with the bodies that maintain those datasets to …
Immigration: Skilled Worker visas
Before the end of 2025, work with relevant government agencies and stakeholders to establish new working arrangements to develop a more effective joined-up approach to tackling exploitation of visa holders. Specifically, these should: establish ways of working with the Fair …
Accepted
Immigration: Skilled Worker visas
Before the end of 2025, work with relevant government agencies and stakeholders to establish new working arrangements to develop a more effective joined-up approach to tackling exploitation of visa holders. Specifically, these should: review data-sharing arrangements with local authorities and …
Accepted
Immigration: Skilled Worker visas
Before the end of 2025, work with relevant government agencies and stakeholders to establish new working arrangements to develop a more effective joined-up approach to tackling exploitation of visa holders. Specifically, these should: identify ways to improve communication with overseas …
Accepted
Immigration: Skilled Worker visas
Improve its understanding of the extent to which the Skilled Worker visa route is meeting its objectives by: identify the data it needs ? including from other departments ? to allow it to better understand how the route is being …
Accepted
Investigation into student finance for study at franchised higher education providers
more systematically share data and testing results, such as from statistical testing to identify anomalies or targeted sampling of provider data audits, to better understand risks and focus investigative work
Accepted
Improving resettlement support for prison leavers to reduce reoffending
By April 2024, HMPPS and DWP should complete analysis to understand overlaps and gaps in services using high-quality data on what support its local staff are providing to prison leavers. They should use this information to provide assurance that government?s …
Accepted
Support for vulnerable adolescents
We recommend that those central government departments involved should, through formal governance, work together to: a) build on recent data-sharing exercises to understand better the relationship between risk factors and adverse outcomes for vulnerable adolescents;
Accepted
Delivery of employment support schemes in response to the COVID-19 pandemic
In determining how the government should respond in a future crisis: i) HMRC should identify the data it would need to increase accessibility of future schemes and reduce deadweight costs and error and fraud. It should consider plans to improve …
Accepted
Delivery of employment support schemes in response to the COVID-19 pandemic
While payments under the schemes have ended, the need to bear down on error and fraud has not. HMRC should: a) as part of strengthening its methodology for remaining compliance work, analyse its performance in tackling the main risks of …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
p) We recommend the Central Digital and Data Office work with departments and the Public Sector Fraud Authority to extend the remit of the essential shared data assets plan to: Consider what data-sharing arrangements could be set up now. In …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
o) We recommend the Central Digital and Data Office work with departments and the Public Sector Fraud Authority to extend the remit of the essential shared data assets plan to: Review the extent to which these datasets are accessible and …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
n) We recommend the Central Digital and Data Office work with departments and the Public Sector Fraud Authority to extend the remit of the essential shared data assets plan to: Work out now what current datasets might be needed in …
Accepted
Introducing Integrated Care Systems: joining up local services to improve health outcomes
a) DHSC and the Department for Levelling Up, Housing & Communities should, by April 2023, establish transparent arrangements across government and with wider stakeholders to tackle the drivers of poor health outcomes, including education, employment, benefits, and transport;
Accepted
The asylum and protection transformation programme
The Home Office should build on its work to understand the wider impacts of changes to the asylum system by using this dynamically to inform decision-making within the Programme and more widely. It should: routinely collect the necessary data to …
Accepted
The Restart scheme for long‑term unemployed people
c) gather and use provider information to evaluate Restart and inform future provision. This should include information from the providers on participants? barriers to work and how these have changed while on the programme, so that DWP can identify specific …
Accepted
The Restart scheme for long‑term unemployed people
b) improve participants? customer journey between the job centre and provider for future contracted-out employment support programmes. This will require a better flow of information between jobcentres and providers so that they can coordinate their efforts to support the participant …
Accepted
Test and trace in England – progress update
d) The Department, through NHST&T, should fill gaps in its data and make full use of this information to identify which groups are not engaging with the system at each stage and why. It should, by October 2021, publish its …
Partially accepted
Protecting consumers from unsafe products
d) Work with local Trading Standards services to improve coordination between local and national regulation. It should engage with local services to understand what is and is not working in practice and consider how to get better data on local …
Accepted
Protecting consumers from unsafe products
b) Speed up efforts to ensure it has the data and intelligence it needs to identify and prioritise areas of most risk to consumers. It has made progress in understanding barriers to getting good data, but now needs to establish …
Accepted
The adult social care market in England
e) address significant gaps in the performance and cost data it collects on care, particularly on self-funders and unmet need. In doing so, it should be mindful of, and assess, the potential burden on local authorities and care providers;
Accepted
Department for Work and Pensions annual report and accounts 2018-19
The Department should: • make better use of its data on income from other benefits to identify misreporting of benefit income and eradicate this cause of overpayments and underpayments;
Accepted
Investigation into government’s actions to combat waste crime in England
Make use of data from police databases and systems to enhance intelligence gathering and improve collaboration with partners.
Accepted
Gambling regulation: problem gambling and protecting vulnerable people
c) enhance its analytical capability to better identify consumer harm and make greater use of the intelligence it has available. For example, it could develop a more systematic and detailed approach to recording and analysing information from consumers who make …
Accepted
IMB annual reports(2)
Elmley (2022)
HMP Elmley, a local prison, navigated Covid disruptions to improve prisoner experience and reduce violence through increased key work and a young adult strategy. While the Board noted improvements in safety scrutiny, complaint resolution, and resettlement opportunities, significant concerns remain regarding the treatment and information provision for foreign national prisoners by the Home Office. Other challenges include the poor condition of the prison estate, persistent staffing shortages across key departments, and inadequate activity spaces impacting rehabilitation efforts.
PRISON
Key concerns
Huntercombe (2022)
HMP Huntercombe returned to a full regime in 2022, and the Board commended staff for their work. However, significant concerns remain, particularly regarding the ongoing detention of foreign nationals beyond their sentence expiry due to Home Office delays in processing deportation orders. The prison also faces challenges with an antiquated heating system, water ingress in healthcare, reduced education provision due to staffing, and issues with inter-prison property transfers.
PRISON
Key concerns
IMB individual recommendations(14)
Feltham (2025)
Improve information sharing between social services and the YCS, so looked-after children (LACs) receive entitlements.
HMPPS
Huntercombe (2020)
With Home Office colleagues, to resolve the issue around prisoners held under immigration powers post-sentence – see paragraphs 7.3.2. and 7.3.3.
Ministry of Justice
Heathrow Short Term Holding Facility (2020)
[London Heathrow Airport] For detainees brought from IRCs to the airport for interview, Border Force should ensure that their officers inform C&C when their enquiries have concluded so that the movement order for transport is activated (para. 4.5).
Other
Feltham (2023)
What will the Government do to achieve better information sharing between Social Services and Youth Custody Services so that Looked After Children (LAC) can easily receive their statutory entitlements? Will you follow up on measures promised last year about how this can be addressed?
Other
Morton Hall IRC (2020)
Greater efforts should be made by the Home Office to reduce the number of people coming into detention from prison. Better use should be made of the time in prison to resolve their immigration cases, thus minimising the need for immigration detention in the first place.
Other
Cardiff (2020)
The Board would again ask that the minister raise this issue with the Home Office and provide it with a copy of the response.
Home Office
In Progress
Downview (2021)
Collate data centrally regarding the numbers of dependent children of prisoners to enable effective family engagement.
HMPPS
In Progress
Morton Hall (2022)
that many prisoners who are held under Immigration Act powers post-sentence (rule IS91) do not receive timely notification from the HO (see paragraphs 3.2.5, 7.3.4 ).
Ministry of Justice
Leicester (2023)
When will a finance, benefit and debt service be available in HMP Leicester?
HMPPS
Kent Coast Short Term Holding Facilities (STHF) (2023)
Recommend that work towards regaining/having access to the European security system, which was available before BREXIT) to help Border Force teams when assessing suitability (in terms of criminal events) of detained persons.
Home Office
Gatwick IRC (2021)
There should be some supplementary basic information provided by the Home Office on the steps in the asylum claim process that arrivals will go through while held in the RSTHF. The Home Office should follow the suggestion in paragraph 8 of Detention Services Order 06/2013 to repeat the important basic information through use of a format such as posters and …
Home Office
Gatwick pre-departure accommodation (2020)
We again ask the minister to consider the establishment of a system for monitoring the arrest and transfer into detention of families which is demonstrably independent of the Home Office.
Ministry of Justice
Wandsworth (2021)
Home Office immigration enforcement officers left the prison in March 2020 and did not return for the duration of the reporting period. Their absence meant that in most cases foreign nationals relied on prison officers and the charity, Befriending Support Team (BEST), to answer questions, resolve issues and errors, and serve notices of case progress and/or removal. This was a …
Home Office
In Progress
Heathrow Immigration Removal Centre (2022)
The Home Office needs to prioritise communication between the various teams working within immigration enforcement, as well as probation staff, to ensure, among other things, that delays in decisions regarding 'approved' accommodation and delays in the removal of TSFNOs willing and able to return to their countries of origin are reduced to a minimum.
Home Office
Health investigations(15)
An independent investigation into the care and treatment of Mr … — Rec 18
When staff are in receipt of information about a possible offence the Trust must ensure that there is a process for relevant information to be shared with the police in a timely fashion and that staff follow the relevant risk policy.
south_east
Independent investigation into the care and treatment of Mr H — Rec 4
The Trust should build awareness of risks and gang culture in the catchment area, and develop appropriate links with Police to ensure that they are connected to local established networks for raising awareness, information sharing and action about those at risk from or engaged in gang activity.
london
Accepted
Independent investigation: Dorothy Shepherd, Winchcombe (2010) — Rec 1
A high level discussion between the Trust and local police needs to take place to agree to implement the components outlined within the Memorandum of Understanding; Investigating patient safety incidents involving unexpected death or serious untoward harm published by Department of Health, Association of Chief Police Officers, Health and Safety …
south_west
An independent investigation into the care and treatment of mental … — Rec 1
The Trust and the probation service should agree a protocol for the management of MHTRs. This should include an information sharing agreement, key milestones for contact/meetings and escalation pathways when concerns are identified.
Mersey Care NHS Foundation Trust
north_west
Independent investigation into the care and treatment of Mr J — Rec 4
The trust should assure itself that guidance and information is available to frontline staff in relation to engaging with the police and probationary services.
Mr J who committed a homicide in 2014. Mr J was in receipt of services from East London NHS Foundation Trust
london
Independent investigation: Peter Hartley, Keighley (2001) — Rec 6.3.1
Review and update the information sharing policy with the Police and other agencies.
north_east_yorkshire
Independent investigation: John Redhead, Potters Bar (2007) — Rec 18
A high level discussion between the Trust and local police needs to take place to agree to implement the components outlined within the Memorandum of Understanding10.
east_of_england
*Mental health homicide investigation legacy report into the care and … — Rec L5
The trust should continue to develop relationships with partnership agencies. This should include reviewing the protocols with partnership agencies to ensure effective communication and information sharing. This should take place within the next three months.
south_east
*Independent investigation into the care and treatment of Mr P: … — Rec 3
Where service users are in receipt of benefits via appointeeship that involve members of the Trust or Local Authority in any way, the Trust and Local Authority should ensure there is a clear documented plan and process for dispensing of the benefit, and adequate oversight and governance arrangements are in …
south_east
Assurance Review — Rec RR3
For NHS England: complete work to agree and introduce the Memorandum of Understanding.
north_west
Assurance Review — Rec 4b
In the meantime, the Trust and the local Constabulary should agree a local memorandum of understanding to inform the management of health care incidents that are also subject to criminal investigation.
north_west
Assurance Review — Rec 4a
NHS England and Improvement should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in healthcare settings.
north_west
An independent investigation into the care and treatment of a … — Rec 7
Agencies involved in managing individuals through the MAPPA process must ensure that information about risks and management of those risks is passed to other areas when an individual moves to the jurisdiction of another MAPPA group. The Trusts involved in this case must review their existing MAPPA policies with this …
Mr P in Dorset NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust
south_west
An independent investigation into the care and treatment of Mr … — Rec 9
SWYPFT’s forensic services and West Yorkshire Police Authority should agree a protocol in relation to the management of patients in the locality who are under Section 37/41 of the Mental Health Act 1983. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
Published February 2022 This is the executive summary of the independent investigation into the care and treatment of Mr A. South West Yorkshire Partnership NHS Foundation Trust
north_east_yorkshire
Independent investigation into the care and treatment of Mr J — Rec 4
The trust should assure itself that guidance and information is available to frontline staff in relation to engaging with the police and probationary services.
Mr J, published on 25 August 2020. Mr J was in receipt of services from South London and Maudsley NHS Trust
london
Detention investigations(2)
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R33
G4S and the SMT should consider with the Home Office the possibility of providing the welfare team with training in immigration processes. (To be completed within 6 months)
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 63
IND seeks speedily to reach agreement with the Prison Service about sharing of information with both DEPMU and security managers in removal centres.
Immigration Detention
Independent reviews(50)
Fisher Review (Part 2) — Rec 14
The Government to conduct a comprehensive review of the data-sharing provisions and arrangements to enable the detection and investigation of fraud. This should include sharing within and between the public and private sectors.
Justice & Legal
Fisher Review (Part 2) — Rec 13
Section 3 of the Criminal Justice Act 1987 should be amended to mirror the information gateway in Section 7 of the Crime and Courts Act 2013, thereby enabling the Serious Fraud Office to share and receive information with greater flexibility and operational reach.
Justice & Legal
Fisher Review (Part 2) — Rec 12
a. The Home Office, working with the National Crime Agency (NCA) and Information Commissioner’s Office, should provide guidance on voluntary and compelled data-sharing for public and private sector organisations, drawing upon section 7 of the Crime and Courts Act 2013, regulation 103(1) of the Money Laundering, Terrorist Financing and Transfer …
Justice & Legal
Fisher Review (Part 2) — Rec 11
Until a statutory framework has been created, establish a single memorandum of understanding between public bodies setting out how data and intelligence can be shared between these agencies, for the purpose of detecting and investigating fraud.
Justice & Legal
Fisher Review (Part 2) — Rec 10
UK law enforcement agencies should collaborate with the private legal sector market in a fair, transparent and open manner, to facilitate the recovery of losses sustained by a victim of fraud.
Justice & Legal
Fisher Review (Part 1) — Rec 12
There should be consideration of the establishment of a 'data bubble' between law enforcement and the Crown Prosecution Service so that data and information can be shared unredacted for the purposes of a charging decision.
Justice & Legal
Rejected
Corry Defra Regulation Review — Rec 5
Support better cooperation between regulators and appoint a lead regulator for all major projects in which multiple regulators have an interest. Some changes to regulatory structures or regulations would be necessary to grant a lead regulator authority to make decisions on behalf of other regulators. In the meantime, Defra should …
Other
Sayce Carer's Allowance Review — Rec 5
Recommendation 5: Use data better to improve service to carers, by processing all alerts generated by HMRC promptly and recording accessibility requirements, and to inform policy makers and the public, through improving data and analysis on CA.
Employment & Work
Sayce Carer's Allowance Review — Rec 4
Recommendation 4: Ensure interactions between CA, UC and other benefits work more seamlessly for carers, including immediately creating an effective workaround to ensure any arrears are routinely identified and offset against overpayments.
Employment & Work
Pitt Floods Review — Rec 36
The Environment Agency should make relevant flood visualisation data, held in electronic map format, available online to Gold and Silver Commands.
Other
Pitt Floods Review — Rec 35
The Met Office and Environment Agency should issue joint warnings and impact information on severe weather and flooding emergencies to responder organisations and the public.
Other
Pitt Floods Review — Rec 17
All relevant organisations should have a duty to share information and cooperate with local authorities and the Environment Agency to facilitate the management of flood risk.
Other
Bean Economic Statistics Review — Rec D10
Recommended Action 10: Remove obstacles to the greater use of public sector administrative data for statistical purposes, including through changes to the associated legal framework, while ensuring appropriate ethical safeguards are in place and privacy is protected.
Other
Bean Economic Statistics Review — Rec D
Strategic Recommendation D: Make the most of existing and new data sources and the technologies for dealing with them Remove obstacles to the greater use of public sector administrative data for statistical purposes, including through changes to the associated legal framework, while ensuring appropriate ethical safeguards are in place and …
Other
Litchfield WCA Review Year 5 — Rec 32
DEL and the SSA should continue to work together to identify the information gathered during the WCA process that would be of greatest use to advisers at the Job and Benefit offices. Mechanisms to facilitate the effective sharing of this information with DEL should then be developed as a priority.
Employment & Work
Litchfield WCA Review Year 5 — Rec 30
DSD works with DWP to better understand the general issues relating to the high numbers of young people being assigned to the Support Group and that consideration is also given to issues which may be specific to Northern Ireland.
Employment & Work
Litchfield WCA Review Year 5 — Rec 28
The Department should work with the MOJ to ensure that suitable and sufficient evidence can be accessed as simply and speedily as possible for people leaving prison who make an application for ESA or require reassessment.
Employment & Work
Litchfield WCA Review Year 5 — Rec 26
The Department should work with the DH to ensure that suitable and sufficient evidence can be accessed as simply and speedily as possible for long stay hospital patients who make an application for ESA or require reassessment.
Employment & Work
Litchfield WCA Review Year 5 — Rec 25
The Department should continue its good work with the MOD to ensure that suitable and sufficient evidence can be accessed as simply and speedily for ex-Service personnel who make an application for ESA.
Employment & Work
Litchfield WCA Review Year 5 — Rec 17
The Department should explore ways and options of improved information between DWP assessments, including Personal Independence Payment, Disability Living Allowance, Industrial Injuries Disablement Benefit, Fit for Work and the Work Capability Assessment.
Employment & Work
Litchfield WCA Review Year 4 — Rec 1
Sharing information from the WCA on capability for work with Work Programme Providers should be addressed as a priority.
Employment & Work
Goldacre Review — Rec IG 14
Consider including health data in the Digital Economy Act Increasingly health data needs to be linked with other administrative datasets to understand, for example, the social determinants of health. This would be made easier if all public datasets were governed in the same way. There will need to be extra …
Health & Social Care
Narey Review of Children's Residential Care — Rec 2
I recommend that the Department for Education urge local authorities and consortia, and all providers, to subscribe to Link Maker.
Other
Wood Review of LSCBs — Rec 18
To incentivise all applicants for devolution deals to include in their proposals arrangements for establishing multi-agency arrangements for protecting children.
Other
Wood Review of LSCBs — Rec 17
For the Home Office and Departments of Communities and Local Government, Health, and Education to issue joint advice and guidance on the critical importance of effective and speedy sharing of information and data in relation to protecting and safeguarding children. This should focus on the expectation that unless there is …
Other
Wood Review of LSCBs — Rec 12
To consider issuing new guidance on the responsibilities of a chief officer nominated by each of health, the police and local government to agree the multi-agency arrangements and processes in an area.
Other
Wood Review of LSCBs — Rec 10
The role of schools in providing early help to children and young people should be included in the Department for Education's review of the role of a local authority in education. This should include the role of the police and health services.
Other
Wood Review of LSCBs — Rec 3
To require the three key agencies, namely health, police and local authorities, in an area they determine, to design multi-agency arrangements for protecting children, underpinned by a requirement to work together on the key strategic issues set out in this report and referenced in recommendation 2.
Other
Wood Review of LSCBs — Rec 2
To require all areas to move towards new multi-agency arrangements for protecting children within a prescribed period. Local areas/regions would need to establish a plan which would describe how services would: meet the new statutory framework; be coordinated; be led by senior officials; be evaluated for their effectiveness; involve a …
Other
Harrington WCA Review (Year 2) — Rec 8
DWP consider ways of sharing outcomes of the WCA with Work Programme providers to ensure a smoother claimant journey.
Employment & Work
Harrington WCA Review (Year 1) — Rec 13
The review recommends better communication between Decision Makers and Atos healthcare professionals to deal with borderline cases.
Employment & Work
Harrington WCA Review (Year 1) — Rec 12
The review recommends Decision Makers are able to seek appropriate chosen healthcare professional advice to provide a view on the accuracy of the report.
Employment & Work
Angiolini Review — Rec 49
In cases where the IPCC and HSE are actively involved, Coroners should hold prompt and regular pre-Inquest hearings requiring the agencies to liaise closely and account for the progress of their work and coordination.
Policing & Security
Accepted
Fisher Review (Part 2) — Rec 27
Use trade agreements and memorandums of understanding to promote international law enforcement cooperation on evidence gathering, asset recovery, and extradition in fraud/economic crime cases affecting UK residents.
Justice & Legal
Sayce Carer's Allowance Review — Rec 10
Recommendation 10: Reclassify CA overpayments caused by the systemic issues set out in this report as not recoverable, and ensure, for cases where carers claim UC and CA, all UC arrears are identified and paid.
Employment & Work
Caldicott Review 2013 — Rec 16
Given the number of social welfare initiatives involving the creation or use of family records, the Review Panel recommends that such initiatives should be examined in detail from the perspective of Article 8 of the Human Rights Act. The Law Commission should consider including this in its forthcoming review of …
Health & Social Care
Litchfield WCA Review Year 5 — Rec 21
The Department should work with the Department for Education and the devolved administrations to develop improved mechanisms for providing information about the world of work, including the WCA, to those with learning disabilities at the point of leaving education.
Employment & Work
Litchfield WCA Review Year 5 — Rec 18
The Department should work with the Department of Health and other appropriate government departments to explore how DWP can make use of the WCA and the evidence gathered to ensure individuals are sign posted to appropriate support.
Employment & Work
Wood Review of LSCBs — Rec 31
If the national study recommends the introduction of a national database for CDOPs, the Department of Health should consider expediting its introduction.
Other
Wood Review of LSCBs — Rec 13
The Care Quality Commission, Her Majesty's Inspectorate of Constabulary and Her Majesty's Inspectorate of Probation should review their inspection frameworks to ensure they focus on child protection practice without being burdensome on service providers. Their inspections should be proportionate and always assess the contribution the agency they inspect makes to …
Other
Wood Review of LSCBs — Rec 1
To replace the existing statutory arrangements for LSCBs and introduce a new statutory framework for multi-agency arrangements for child protection.
Other
Youth Justice Board Review — Rec 12
The YJB to publish data around the new KPIs as soon as possible and share the data regularly with youth justice services, MOJ’s YJPU and other government departments to inform decision making. The YJB to undertake greater engagement with the sector around how these KPIs fit with its performance oversight …
Justice & Legal
Youth Justice Board Review — Rec 2
The roles of the YJB and MOJ’s policy team should be clearly defined as per Diagram 1, in summary: The YJB’s role is to share data, insights and trends and to continue to independently advise ministers. MOJ’s policy team’s role is to provide impartial advice to the Minister for Youth …
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
Litchfield WCA Review Year 5 — Rec 33
The SSA and Tribunal Service should continue working together to better define the information that would be most conducive to improving decision making without placing an undue burden on either organisation. Any enhanced feedback system should be extended to the Provider so that the performance of HCPs can also be …
Employment & Work
Flanagan Review of Policing — Rec 22
I support the roll out of the Simple Speedy Summary Justice Initiative, and recommend that the Streamlined Process, Virtual Courts and Integrated Prosecution teams, be implemented nationally by 2012, taking into account lessons learned from each pilot and the local business case for implementation. (a) The Crown Prosecution Service and …
Policing & Security
Narey Review of Children's Residential Care — Rec 15
The Department for Education and the Home Office should urge police services and local authorities to replicate the south-east protocol, or to agree similar arrangements. And, where they are not already doing so, to apply a restorative justice approach in dealing with children's unacceptable behaviour.
Other
Wood Review of LSCBs — Rec 19
Government departments should review the range of Boards and guidance (e.g. Health and Wellbeing Boards, Local Family Justice Boards, Community Safety Partnerships) with a view to reducing the burden, and therefore cost, on the health agencies, the police, local government and other agencies.
Other
Field Review on Poverty and Life Chances — Rec 13
Local Authorities should pool data and track the children most in need in their areas. A Local Authority should understand where the children who are most deprived are, and how their services impact upon them. Central Government should review legislation that prevents Local Authorities using existing data to identify and …
Other
Angiolini Review — Rec 39
Where the NHS Trust is only one of a number of agencies investigating a death involving both police contact and NHS contact with the deceased there should be early, regular and formal communication and coordination with the IPCC and other agencies to minimise confusion, loss of evidence and delays.
Policing & Security
Accepted
PHSO casework decisions(9)
P-001538 — Independent Case Examiner
Ms R complained DWP failed to act on new letting agent details, didn't inform her about APA cancellation or creation, and didn't suspend a tenant's claim, leading to missed rent. She also alleged the ICE ignored key email evidence.
UK Government
Sep 2022
P-004508 — Child Maintenance Service (CMS)
Mr C complained CMS failed to promptly review his maintenance liability, didn't offer to translate a Polish court order, took inappropriate enforcement action, and ignored his income reduction, causing distress.
UK Government
Upheld
Dec 2025
P-001909 — HM Revenue and Customs
Mr A complained CMS wrongly demanded child maintenance from 2009 due to alleged fraud, and CMS and HMRC failed to investigate, causing stress and financial hardship.
UK Government
Mar 2023
P-003887 — Department for Work and Pensions
Mr and Dr A complained DWP did not adequately support them with Carer’s Allowance, Attendance Allowance, and Support for Mortgage Interest (SMI), ignoring requests and causing stress.
UK Government
Jul 2023
P-004493 — Child Maintenance Service (CMS)
Mr H complained CMS wrongly changed his case to Collect and Pay, made it sensitive without his knowledge, refused to revert to Direct Pay, and failed to account for direct payments, causing severe distress.
UK Government
Dec 2025
P-001062 — Department for Work and Pensions
DWP failed to act on requests to pay housing benefits directly to the landlord for two properties, resulting in tenants receiving payments and not paying rent, causing significant financial loss and stress.
UK Government
Upheld
Apr 2021
P-001919 — HM Revenue and Customs
Mr A complained HMRC is demanding repayment for a tax credit overpayment he believes resulted from a fraudulent claim by his ex-partner, causing him significant distress.
UK Government
Mar 2023
P-002559 — Child Maintenance Service (CMS)
Miss A complained on behalf of Mr O that CMS failed to consider another child in maintenance calculations, used incorrect HMRC data, breached data protection, and incorrectly debited arrears. He sought apology and recalculation.
UK Government
Apr 2024
P-002271 — HM Revenue and Customs
Mrs A complained HMRC pursued a tax credit debt through DWP despite her direct debit being cancelled and her belief the debt was cleared by her sister.
UK Government
Oct 2023
LGO / SPSO decisions(119)
23-019-295 — Derbyshire County Council
Summary: We will not investigate this complaint about the Council’s communication with Mrs X about her eligibility for benefits. This is because there is not enough evidence of fault.
LGO (Local Government & …
Adult Care Services
Apr 2024
24-005-754 — Surrey Heath Borough Council
Summary: We will not investigate Mr X’s complaint about the Council failing to tell him that deductions being made from his disability benefits had been stopped. This is because there is insufficient evidence of fault. In addition, the claimed fault has not caused any significant injustice and an investigation would …
LGO (Local Government & …
Benefits And Tax
Sep 2024
25-005-166a — Greater Manchester Mental Health NHS Foundation Trust (25 …
Summary: Mr A complained that a care coordinator, working for an integrated mental health and social care service, failed to support his son to apply for Universal Credit. We have not found fault by either the responsible Council or NHS Trust. However, we have found fault in how both organisations …
LGO (Local Government & …
Health
Upheld
Dec 2025
25-005-166 — Bolton Metropolitan Borough Council
Summary: Mr A complained that a care coordinator, working for an integrated mental health and social care service, failed to support his son to apply for Universal Credit. We have not found fault by either the responsible Council or NHS Trust. However, we have found fault in how both organisations …
LGO (Local Government & …
Adult Care Services
Upheld
Dec 2025
22-003-271 — London Borough of Lambeth
Summary: We will not investigate this complaint about the Council’s refusal to pay housing benefit because there was a right of appeal to a tribunal.
LGO (Local Government & …
Benefits And Tax
Jun 2022
22-002-939 — Leeds City Council
Summary: We will not investigate this complaint about the Council not providing Ms G with a single person council tax reduction. The Council told us it has taken action to resolve the matter but if not it would be reasonable for Ms G to lodge an appeal at the Valuation …
LGO (Local Government & …
Benefits And Tax
Jun 2022
24-003-376 — Gateshead Metropolitan Borough Council
Summary: We will not investigate Mr X’s complaint about the cost of his care and the Council’s failure to share information with the Department of Work and Pensions. There is insufficient evidence of fault to justify our involvement and the Council has exercised discretion to waive the care costs.
LGO (Local Government & …
Adult Care Services
Jul 2024
24-008-419 — Durham County Council
Summary: We will not investigate this complaint about the Council’s decision not to award another Discretionary Housing Payment. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
Sep 2024
24-012-739 — London Borough of Harrow
Summary: We will not investigate this complaint about the Council’s decision regarding Mr X’s entitlement to Council Tax Support. Mr X used his statutory right of appeal to the Valuation Tribunal. We cannot also consider the matter.
LGO (Local Government & …
Benefits And Tax
May 2025
25-001-053 — Northumberland County Council
Summary: We will not investigate this complaint about enforcement of a Council tax debt because there is no evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
May 2025
24-013-910 — Wirral Metropolitan Borough Council
Summary: Mrs B complained the Council told her she was entitled to council tax support (CTS), but later told her she was not, resulting in a large overpayment. There was fault by the Council. It delayed reviewing Mrs B’s CTS entitlement after it had received a notification her circumstances had …
LGO (Local Government & …
Benefits And Tax
Upheld
Jun 2025
24-010-265 — London Borough of Redbridge
Summary: We will not investigate this complaint about the Council’s delay in reviewing the complainant’s entitlement to housing benefit, as well as her dissatisfaction with its entitlement decision about this and council tax reduction. This is because the complainant could reasonably ask for a review and appeal in respect of …
LGO (Local Government & …
Benefits And Tax
Upheld
Nov 2024
25-023-066 — London Borough of Lambeth
We will not investigate Mrs X’s complaint about the Council’s decision to stop her housing benefit. This is because part of her complaint is late and we have seen no good reason why she could not have come to us sooner. I have not found enough evidence of fault to …
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-021-140 — Cheshire East Council
on the lessons that can be learnt from our complaints about end of life care given in care homes and in the home.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-021-031 — London Borough of Barnet
on the lessons that can be learnt from our complaints about end of life care given in care homes and in the home.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-013-054 — Sefton Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s management of Mr X’s business rates account. This is because the Valuation Office Agency is best placed to deal with this matter.
LGO (Local Government & …
Benefits And Tax
Jan 2026
PSOW-202300604 — Newport City Council
Ms A complained that she was unhappy with Newport City Council’s decision not to backdate funding she believed she was entitled to as a Guardian. Ms A said that over a period of 7 years, the Council had not kept in touch with her/the child in her care, from a …
PSOW (Public Services Om…
Local Government
Sep 2023
21-017-894 — London Borough of Barnet
We will not investigate this complaint about how the Council handled a housing benefit appeal. The Council has already investigated and provided a remedy where it identified fault and we would not achieve a different outcome.
LGO (Local Government & …
Benefits And Tax
Mar 2022
22-005-316 — Wirral Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s decisions regarding housing benefit for tenants as they can be appealed to a tribunal.
LGO (Local Government & …
Benefits And Tax
Jul 2022
22-005-690 — London Borough of Croydon
Summary: We will not investigate Mr X’s complaint the Council delayed dealing with his notification of a rent increase and failed to refer the increase to the rent officer. We are satisfied the Council has taken appropriate action to remedy any injustice mainly by ensuring the full rent increase is …
LGO (Local Government & …
Benefits And Tax
Upheld
Aug 2022
23-020-625 — Pendle Borough Council
Summary: We will not investigate this complaint about the council tax arrears the Council is holding Mrs X responsible for. This is because she has right of appeal to the Valuation Tribunal.
LGO (Local Government & …
Benefits And Tax
Apr 2024
23-013-040 — Havant Borough Council
Summary: Miss B complained that the Council delayed in dealing with her review request against large overpayments of housing benefit and council tax support and continued to try to recover the debt during the period of delay. This cause Miss B significant distress and caused her partner to borrow money …
LGO (Local Government & …
Benefits And Tax
Upheld
Apr 2024
23-020-913 — Halton Borough Council
Summary: We will not investigate Miss X’s complaint about the Council holding her liable for council tax on a property she no longer lives in. This is because she has right of appeal to the Valuation Tribunal. In addition, we will not investigate Miss X’s complaint regarding the Council’s alleged …
LGO (Local Government & …
Benefits And Tax
Apr 2024
23-019-910 — Manchester City Council
Summary: We will not investigate Mr X’s complaint about the Council’s response to his information requests. This is because it is reasonable for Mr X to complain to the Information Commissioner’s Office.
LGO (Local Government & …
Benefits And Tax
Apr 2024
24-003-504 — Eastleigh Borough Council
Summary: We will not investigate this complaint about Mrs X’s business not receiving business rates relief in 2022/23. This is mainly because there is not enough evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
Jul 2024
24-008-859 — Melton Borough Council
Summary: We will not investigate this complaint about the Council’s retrospective claim for housing benefit made without the complainant’s knowledge and delay in responding to the complaint. We do not consider Mr X has suffered a significant personal injustice because of the Council’s actions. And we consider an apology for …
LGO (Local Government & …
Benefits And Tax
Sep 2024
24-018-591 — Bristol City Council
Summary: We will not investigate this complaint about housing benefit and council tax reduction overpayments. This is because it is reasonable to expect Mrs X to appeal the Council’s decisions to the Tribunal.
LGO (Local Government & …
Benefits And Tax
Jun 2025
25-004-453 — City of Doncaster Council
Summary: We will not investigate this complaint about an unsuccessful application for a Discretionary Housing Payment. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
Aug 2025
24-009-464 — Cornwall Council
Summary: We will not investigate this complaint about whether the Council is acting in Mr C’s best interests in its role as appointee for benefits. An Ombudsman investigation would not achieve a worthwhile outcome, and not achieve the outcome the complainant wants; for a family member to be appointee. The …
LGO (Local Government & …
Adult Care Services
Nov 2024
24-009-850 — North Lincolnshire Council
Summary: We will not investigate this complaint about the recovery of a housing benefit overpayment. Mr X used his right to appeal to the tribunal. We cannot look at matters already considered by a tribunal. As we are not investigating the core of the complaint, we will not consider closely …
LGO (Local Government & …
Benefits And Tax
Dec 2024
25-011-077 — Durham County Council
Summary: We will not investigate this complaint about information the Council has recorded or shared. The Information Commissioner’s Office is better placed to consider data concerns. There is not enough evidence of fault in the Council’s assessment of housing and care needs, it is entitled to rely on recorded data. …
LGO (Local Government & …
Adult Care Services
Dec 2025
25-008-144 — Guildford Borough Council
We will not investigate Mr X’s complaint about council tax liability and banding. There is another body better placed to consider the matter.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-017-683 — Redcar & Cleveland Council
We will not investigate this complaint about the validity of a liability order as it is not within our legal remit. There is insufficient separable injustice caused to Mr X from the Council’s complaint handling to warrant our further involvement.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-014-854 — London Borough of Barking & Dagenham
We will not investigate this complaint about recovery of a housing benefit overpayment. This is because there is not enough evidence of fault by the Council to justify investigation. Part of Mr X’s complaint is late.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-013-865 — Newcastle-under-Lyme Borough Council
We will not investigate this complaint about a council tax discount. This is because the Council has agreed to remedy the injustice to the complaint. Part of the complaint is premature.
LGO (Local Government & …
Benefits And Tax
Feb 2026
25-013-198 — Bristol City Council
We will not investigate Mr X’s complaint about the Council’s recovery of his council tax debt. There is not enough evidence of fault to justify us investigating.
LGO (Local Government & …
Benefits And Tax
Feb 2026
21-009-630 — Waverley Borough Council
Summary: We cannot investigate this complaint about a housing fraud investigation that was concluded in 2016. This is because we have no power to investigate a council when it is acting as a landlord and because the Housing Ombudsman has already considered the complaint. We also cannot investigate allegations of …
LGO (Local Government & …
Other Categories
Jan 2022
21-013-715 — Tameside Metropolitan Borough Council
Summary: We will not investigate this complaint about Ms X’s housing benefit claim as she can appeal to a tribunal.
LGO (Local Government & …
Benefits And Tax
Jan 2022
21-018-274 — London Borough of Wandsworth
Summary: We will not investigate this complaint about the Council’s decision to recover housing benefit it had overpaid. This is because it is not unreasonable to expect the complainant to have used his right of appeal.
LGO (Local Government & …
Benefits And Tax
Mar 2022
21-002-624 — Wirral Metropolitan Borough Council
Summary: We will not investigate this complaint that the Council discriminated against the complainant and will only let him pay his council tax by direct debit. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
Mar 2022
21-018-094 — London Borough of Havering
Summary: We will not investigate this complaint about council tax liability and council tax support. This is because it is reasonable to expect Mr Y to appeal to the Valuation Tribunal and it is not a good use of public resources to investigate this complaint about complaint handling.
LGO (Local Government & …
Benefits And Tax
Mar 2022
21-013-442 — London Borough of Hounslow
Summary: We will not investigate this complaint about council tax liability and council tax support. It would be reasonable for the complainant to appeal to the Valuation Tribunal. We will also not investigate parts of the complaint about fraud and the Council causing him to lose his business. There is …
LGO (Local Government & …
Benefits And Tax
Mar 2022
21-018-820 — Milton Keynes Council
Summary: We will not investigate this complaint about the Council’s refusal to exempt the complainant from paying Council Tax. This is because it is not unreasonable to expect the complainant to have used his right of appeal against the Council’s decision.
LGO (Local Government & …
Benefits And Tax
Mar 2022
21-007-369 — City of Bradford Metropolitan District Council
Summary: Mr B complained on behalf of Mr C that the Council had refused to forward his housing benefit appeal to the Tribunal service. We found the Council at fault, but we do not consider this caused Mr C an injustice.
LGO (Local Government & …
Benefits And Tax
Upheld
Apr 2022
21-018-584 — Swale Borough Council
Summary: We will not investigate Ms X’s complaint that the Council has failed to have proper regard to her financial difficulties, could relieve her debt by a further discretionary housing payment, and failed to properly handle a complaint and subject access request. The Council has not caused Ms X injustice …
LGO (Local Government & …
Benefits And Tax
Apr 2022
21-011-453 — Luton Borough Council
Summary: Mrs X complained about the way the Council has dealt with her claims for housing benefit and council tax reduction. Mrs X believes the Council wrongly ended her benefit claim, used wrong calculations and did not consider evidence properly. The significant delays in dealing with Mrs X’s requests for …
LGO (Local Government & …
Benefits And Tax
Upheld
May 2022
21-016-029 — Barrow-in-Furness Borough Council
Summary: We will not investigate this complaint that the Council has charged council tax on a property that has been removed from council tax. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Benefits And Tax
May 2022
22-002-344 — London Borough of Barnet
Summary: We will not investigate this complaint about the Council’s decision to recover overpaid housing benefit dating back to 2011. This is because the complainant has the right to defend himself in court if the Council takes recovery action and the Council has not had a reasonable opportunity to respond …
LGO (Local Government & …
Benefits And Tax
Jun 2022
21-013-960 — London Borough of Merton
Summary: Miss X complained the Council incorrectly calculated her entitlement to housing benefit and wrongly refused to award Discretionary Housing Payment which has resulted in significant rent arears. The delays and errors in the way the Council dealt with Miss X’s housing benefit and Discretionary Housing Payment claims amount to …
LGO (Local Government & …
Benefits And Tax
Upheld
Jun 2022
22-004-443 — Liverpool City Council
Summary: We will not investigate this complaint about the Council’s refusal of Miss X’s application for discretionary housing payment. There is insufficient evidence of fault which would warrant an investigation.
LGO (Local Government & …
Benefits And Tax
Jul 2022
Domestic Homicide Reviews(57)— showing 50 strongest matches
Rotherham — recommendation 17.7
The SRP MARAC Protocol and near miss protocol should be updated and explicitly state the need to share information where there is an indication of serious injury and professional judgement indicates this should be assessed as high risk should be referred to MARAC and IDVA without delay
Safer Rotherham Partnership
Bury — recommendation 4
That Team Bury Community Safety Partnership considers how it can work together to know when a reconciliation between a victim and perpetrator has, or is thought to have, taken place when separation is seen as a protective factor for a child.
Team Bury Community Safety Partnership
Bury — recommendation 2
That Team Bury Community Safety Partnership considers how it can best reinforce the importance of professionals being aware that family and friends very often hold additional information to that which a victim reports, and to determine how such information might be accessed within an agency’s confidentiality framework.
Team Bury Community Safety Partnership
Bromley — recommendation 4.5.9
That the identification (flagging) of domestic abuse perpetrators be introduced in all criminal justice agencies to ensure that the characteristics of such abuse are addressed within reports, sentencing and joint responses.
All criminal justice agencies
Bromley — recommendation 4.5.7
That the MPS (with ACPO) consider the viability of a National Flagging System for serial perpetrators and repeat victims of domestic abuse to ensure the most dangerous perpetrators are identified and response are made commensurate to that risk.
Metropolitan Police Service | Association of …
Metropolitan Police Service
Bromley — recommendation 4.5.5
Probation should request from Police a full intelligence picture on all domestic abuse perpetrators.
Probation
Probation Service
Wiltshire — recommendation 4
Concerns about the vulnerability of customers are shared with other departments and services, particularly Adult Social Services and the homelessness teams.
Wiltshire Council
Wiltshire Council
Wiltshire — recommendation 1
Housing Benefit Staff to attend MARAC meetings and share any concerns with their team.
Wiltshire Council
Wiltshire Council
Wiltshire — recommendation 1
The new Wiltshire Substance Misuse Service will build links and participate, when appropriate in the MARAC, MAPPA and ASBRAC boards.
Wiltshire Council Substance Misuse Commissioning Team
Wiltshire — recommendation 4
NHS Wiltshire will work with other key Wiltshire agencies to extend the Multi-Agency Safeguarding Hub (MASH) to adults. The MASH is staffed with professionals from a range of agencies including police, probation, fire, ambulance, health, education and social care. These professionals share information to ensure early identification of potential significant …
NHS Wiltshire
NHS Bath and North …
Wiltshire — recommendation 1
NHS Wiltshire considered, how agencies involved should share information, for example if a person is charged with driving over the limit should a GP be informed? There could be a possible list of events in which a GP would be notified; this could include violent incidents, incidents with weapons or …
NHS Wiltshire
NHS Bath and North …
Wiltshire — recommendation 2
An appropriate member of the Community4 team in the North and West to attend partnership agency meetings (ASBRAC, MARAC, SWITCH) as a method of joined up working and for sharing information relating to the risk to Community 4 workers and partnership agencies alike.
Community4
Wiltshire — recommendation 1
To sign up to the Wiltshire Strategic Agreement to share information.
Community4
Wiltshire — recommendation 3
In order to share information about vulnerable adults and assess risks at the earliest stage partners should consider building on the MASH model currently being implemented in Children’s Services to include ‘adults at risk’. Wiltshire Safeguarding Adults Board oversees the development of a pilot “MASH “programme in Wiltshire.
Wiltshire Police | Wiltshire Council | …
Wiltshire Police
Wiltshire — recommendation 1
Work together to agree a protocol whereby information is shared with and from GPs about issues which relate to patients being a risk to themselves or others. This would include, sharing information relating to domestic abuse, drink driving, firearm applications/reviews, drug or alcohol abuse, and use of violence or weapons. …
Wiltshire Police | Wiltshire Council | …
Wiltshire Police
Wiltshire — recommendation 2
The organisations who are invited to be signatories to the Agreement are reviewed to include organisations both statutory and voluntary that have contact with the public in Wiltshire. The Review is aware that this has already been actioned.
Wiltshire Assembly’s Public Services Board
Brent — recommendation Brent Social Care
Brent Social Care audits cases to ensure that partners are suitably engaged in CIN and child protection work.
Brent Children's Social Care
London Borough of Brent
Durham — recommendation 3
SDP to ask all agencies to review how they share information in relation to excessive use of alcohol where cases indicate this is appropriate to prevent or reduce both violent crime and offences of Domestic Abuse happening in the future.
All agencies
Durham — recommendation 2b
Any perpetrator of violent crime (GBH) should, as a matter of course, be subject to targeted bail checks in order to reduce or minimise the risk to the victim(s). This should be based on the potential risks presented to the victim and witnesses. Information sharing with agencies is critical to …
Durham Constabulary
Durham Constabulary
Lancaster — recommendation 4
UHMBFT clinical service team to work with the local MAPPA coordinator to strengthen information sharing of individuals who pose a risk to the others who may access care from UHMBFT.
University Hospitals of Morecambe Bay NHS …
University Hospitals of Morecambe …
Harrow — recommendation 12
Get information from other London boroughs in terms of how they are measuring outcomes.
Hestia
Harrow — recommendation 11
To ensure the MARAC list is distributed at least 8 days prior to the MARAC meeting, and to consider using CAADAs recommended pro-formas for case list, minutes and action plan agenda, to ease administrative demand
Hestia
Harrow — recommendation 11
Person to person discussion between Trusts regarding the discharge of a client to the community where serious adult or child safeguarding concerns are identified.
Ealing Hospital
Ealing Hospital NHS Trust
Bournemouth — recommendation R8
Bournemouth Borough Council Drug & Alcohol Commission Team to review the current MDT panel Public Health Dorset referral form, to ensure it enables additional information from other processes such as safeguarding and MARAC to be clearly referenced.
Bournemouth Borough Council Drug & Alcohol …
Central Bedfordshire — recommendation 1.10.12
Where referrals are received from the Police relating to a domestic incident arrest and information and detail is sparse, the Safeguarding Team will make attempts to contact the PPU. The PPU will receive an email requesting urgent contact and further detail be shared with the safeguarding team and relevant locality …
Central Bedfordshire Council Adult Social Care
Central Bedfordshire Council
Stoke-on-Trent — recommendation Derbyshire County Co
Local Authorities transferring cases should provide robust information at the onset of a request to transfer a case to ensure robust safeguarding decision making is achieved for children. Escalation processes should be invoked where information is not received or is inadequate for safeguarding children.
Derbyshire County Council Children’s Services
Derbyshire County Council
Stoke-on-Trent — recommendation Stoke-on-Trent Child
Children’s social care services to ensure that consideration is given to contacting GPs when a CIN assessment is being completed where the consent of parent or carers with parental responsibility has been given.
Stoke-on-Trent Children and Young People’s Service
Stoke-on-Trent City Council
Liverpool — recommendation 3
When there is information available indicating that an individual is abusing the benefit system, then details of that abuse must be shared with the Department of Works and Pensions.
Merseyside Police
Merseyside Police
Liverpool — recommendation 6
That Citysafe explore with the Department for Work and Pensions, Liverpool Clinical Commissioning Group and Liverpool Adult Social Care the feasibility and circumstances of when the Department for Work and Pensions could make referrals to those organisations for people in receipt of carer’s allowance.
Citysafe | Department for Work and …
Department for Work and …
Manchester — recommendation 8.4
It is recommended that the CSP undertake further discussions with the DWP regarding any further checks and balances that then DWP can take to ensure that any applications for benefits are cross referenced with relevant housing providers in order to ensure that tenancy agreements are not being breached.
Manchester Community Safety Partnership
Tewkesbury — recommendation 17.1.1
That the Information Commissioner provides clarification/guidance re the legality of domestic abuse specialist support services being able to retain information relating to perpetrators of domestic abuse, to enable them to provide information, via the police, to safeguard vulnerable new partners of the perpetrators, under Domestic Violence Disclosure Scheme (Clare’s law).
Information Commissioner's Office
Information Commissioner
Bury — recommendation 2
Review MASH information sharing Pathway within PCFT.
Pennine Care NHS Foundation Trust
Pennine Care NHS Foundation …
Bromley — recommendation 4.5.3
The MPS and Probation Services (NPS and CRC) review how closer work between the police CSUs and Probation could strengthen the management of domestic abuse cases.
Metropolitan Police Service | National Probation …
Metropolitan Police Service
Lambeth — recommendation 4.7.4
The findings of this report should be shared with the Lead on Foreign National Offenders, Diversity Team, London Probation Trust and National Advisor to the National Offender Management Service on Equality Rights and Decency (Foreign National Offenders). He should consider how to advise UKBA about the weaknesses in their practice …
London Probation Trust | National Offender …
Probation Service
Stoke-on-Trent — recommendation Stoke_City_Council_1
Information to be shared between Cooperative Working and external partners more effectively through the use of a “consent to share” form for service users.
Stoke-on-Trent City Council
Stoke-on-Trent City Council
Wiltshire — recommendation 1
Persistent offenders identified in the MARAC or MAPPA process, the chair ensures that a case Officer is appointed. Following this appointment a thorough investigation should be instigated into the reported offences, and an effective witness strategy implemented to secure evidence.
Wiltshire Police | Multi Agency Risk …
Wiltshire Police
Oldham — recommendation 2
The CSCP should initiate a brief review of MARAC based on the learning from this review. This should include assurance that: • MARAC meetings are provided with reliable and well researched information to enable robust decision making that results in appropriate safety planning and clear case management. • All relevant …
Oldham Community Safety and Cohesion Partnership
Rochdale — recommendation ii
The Home Office consult with the Ministry of Defence and the College of Policing to consider whether there are satisfactory arrangements in place for sharing information about the suitability of individuals who are perpetrators of domestic abuse and are either members, or prospective members, of HM armed forces;
Home Office
Home Office
Rochdale — recommendation i
That Rochdale Safer Communities Partnership (RSCP) request Greater Manchester Police to consider how all relevant background information about a perpetrator can be made available to police officers when they attend reports of domestic abuse;
Rochdale Safer Communities Partnership (RSCP) | …
Greater Manchester Police
Bournemouth — recommendation R4
Bournemouth Community Safety Partnership to reinforce that it is good practice for staff from statutory agencies to ascertain if individuals they are working with are already open to any safeguarding processes.
Bournemouth Community Safety Partnership
Bournemouth — recommendation R3
Dorset Police to advice officers investigating serious crime that they should ascertain if victims/ witnesses are already open to any safeguarding processes. This is to work with agencies already involved with the individual and assess the impact of their continued involvement in the investigation on the any safeguarding concerns.
Dorset Police
Dorset Police
Gwynedd — recommendation 8
Future revisions to the protocol to include general practitioners as consultees / representation as a member of the working group.
CMHT | General Practice
Dental Practice Board
Central Bedfordshire — recommendation 2
The CSP to work with partners in the BDAP to agree a mechanism for collating and sharing findings and recommendations systematically from local DHRs.
Central Bedfordshire Community Safety Partnership
Stoke-on-Trent — recommendation Derbyshire County Co
Cases should not be approved for closure without ensuring that partner / third sector agencies involved in the case have been consulted to ensure planned activities have been achieved or are in progress sufficiently that safeguards for the child will not be detrimentally affected by the closure.
Derbyshire County Council Children’s Services
Derbyshire County Council
Rotherham — recommendation 17.9
IMR author training should be provided to all agencies within the Safer Rotherham Partnership and to 3rd sector organisations. The training should include critical analysis as a key component.
Safer Rotherham Partnership
Portsmouth — recommendation 9
Training to be multi-agency wherever possible to assist in making learning 'system wide'
CSP
Middlesbrough — recommendation 3
Identify partners in Community safety Partnership and implement a communication plan on how learning and recommendations can be shared effectively across the partnership and monitor impact of this.
Middlesbrough Community Safety Partnership
Chelmsford — recommendation 1
To have in place a clear contact strategy between CSC and UKBA for each young UASC to ensure that information between the two agencies is shared, as the UASC travels through the asylum process.
Essex County Council Children’s Social Care
Essex County Council
Harrow — recommendation 5
Ensure that there is consistency and presence by the referring agency for cases
Hestia
Harrow — recommendation 10
(Safe Transfer of Women) STOW project in progress to transfer postnatal discharge information electronically from nhs.net to nhs.net address across London.
Ealing Hospital
Ealing Hospital NHS Trust
CJINI inspection reports(6)
Inspection of the Benefit Investigation Service of the Social Security Agency
Inspections and prosecutions by Departments and other bodie…
May 2006
Inspection of the Benefit Investigation Service of the Social Security Agency: A Follow-Up Review
Inspections and prosecutions by Departments and other bodie…
May 2008
An Inspection of the Voluntary Community and Social Enterprise Sector’s Engagement with the Criminal Justice System in Northern Ireland
Voluntary and Community Sector, The Criminal Justice System
May 2019
Policing and Community Safety Partnerships
Policing and Community Safety Partnerships (PCSPs), Other A…
Aug 2019
Public Protection Inspection III: A thematic inspection of the public protection arrangements Northern Ireland
Risk Management and public protection arrangements, Probati…
Oct 2019
BASE 2: Working to support individuals under threat – An Inspection of the role Base 2 in threat verification
Other Inspections and Reviews, Other Agencies and Organisat…
Mar 2020