Mandatory safeguarding training
Failures in ensuring all staff complete mandatory training, particularly safeguarding vulnerable adults and children.
Source spread
Where this theme appears
This theme appears across 15 independent accountability sources, so the source mix matters as much as the headline total.
9 inquiry recs
8 PFD reports
30 committee recs
248 CQC actions
2 ICIBI recs
3 PPO recs
5 IOPC recs
1 IMB rec
4 detention investigation recs
504 DHR recs
1 PHSO decision
138 LGO/SPSO decisions
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(9)
4 — Safeguarding and contracts of employment
Recommendation: i. All Trusts must provide safeguarding training to all staff (appropriate to their role and expertise) and Board members, including Non-Executive Directors. This training should include how to deal with concerns and suspicions about deliberate harm caused by staff. ii. …
Gov response: On the crucial issue of safeguarding, just as Lady Justice Thirlwall recommends, compulsory training, a new protocol, employment requirements. Madam Deputy Speaker, a revised NHS safeguarding framework was published in April 2026, but I have …
Response Unclear
61 — Nationally accredited safeguarding training in schools
Recommendation: The Department for Education and the Welsh Government should: set nationally accredited standards and levels of safeguarding training in schools; make the highest level of safeguarding training mandatory for headteachers, designated safeguarding leads in England or designated safeguarding persons in …
No response yet
55 — Religious organisation child protection policies
Recommendation: All religious organisations should have a child protection policy and supporting procedures, which should include advice and guidance on responding to disclosures of abuse and the needs of victims and survivors. The policy and procedures should be updated regularly, with …
No response yet
53 — Lambeth councillor safeguarding training
Recommendation: All Lambeth Council elected members should receive training on: (i) safeguarding and (ii) corporate parenting. Newly elected members should receive training on these matters as soon as possible following their election. Training should be mandatory and repeated on a regular …
Gov response: 2.5 Ensure that all newly-elected councillors complete mandatory corporate parenting, safeguarding and Equalities, Diversity and Inclusion (EDI) training as part of their induction and have refresher training each year for the duration of their term …
Accepted
48 — Mandatory Catholic safeguarding training
Recommendation: The Catholic Bishops' Conference of England and Wales should ensure that safeguarding training is mandatory for all staff and volunteers in roles where they work with children or victims and survivors of abuse. It should also be a requirement that …
No response yet
WATE-(14) — Remind professionals of their role in identifying and reporting child abuse
Recommendation: Steps should be taken through training and professional and other channels periodically to remind persons outside social services departments who are or may be in regular contact with looked after children, such as teachers, medical practitioners, nurses and police officers, …
Unknown
WATE-(13) — Arrange sexual abuse awareness training for social services and other staff
Recommendation: Area Child Protection Committees should arrange training in sexual abuse awareness for social services staff and for those from other departments, agencies and organisations in their area.
Unknown
R17 — Trained panel member requirement
Recommendation: From a date to be agreed, no interview panel to appoint staff working in schools should be convened without at least one member being properly trained.
Gov response: A steering group has been set up to oversee the development and delivery of training in response to the requirements of Recommendations 16 and 17. The steering group includes DfES and NCSL officials, representatives of …
Accepted
R16 — Interview training for headteachers
Recommendation: Head teachers and school governors should receive training on how to ensure that interviews to appoint staff reflect the importance of safeguarding children.
Gov response: A steering group has been set up to oversee the development and delivery of training in response to the requirements of Recommendations 16 and 17. The steering group includes DfES and NCSL officials, representatives of …
Accepted
Prevention of Future Deaths reports(8)
Gordon Thornhill
Concerns: Junior doctors did not fully complete mandatory VTE risk assessments, and a consultant's assessment did not identify this issue nor was it documented. There was also a delay exceeding 24 hours in providing thromboprophylaxis.
Response (Doncaster and Bassetlaw Teaching Hospitals NHS Trust): • The Trust confirmed that VTE prophylaxis is addressed during induction and via an electronic package, and a letter was issued to consultants and associate specialists. • A quality improvement … (AI summary)
Responded
Edward Bilbey
Concerns: England Boxing lacked adequate and enforceable child protection and safeguarding measures, along with a policy for checking compliance. This resulted in outdated welfare officer information and registered inactive coaches at a club.
Response (England Boxing): • England Boxing has updated its rule book, overhauled its website, and drafted new emergency action policies. • It has restructured coaching courses, introduced mandatory safeguarding training, and updated certification … (AI summary)
Response (DCMS): • The department works with Sport England and the Child Protection in Sport Unit (CPSU) to review and strengthen safeguarding provision. • Publicly funded sports organisations are required to meet … (AI summary)
Responded
Adrian Balog
Concerns: National safeguarding guidance documents do not include childhood obesity as a sign or symptom of neglect. The coroner noted this absence is a concern, with public health experts suggesting it should be included to protect children.
Response (Secretary of State for the Department for Education): • The Department for Education stated that existing statutory guidance, Working Together to Safeguard Children and Keeping Children Safe in Education, provides mechanisms for addressing concerns where a child's weight … (AI summary)
Responded
Archie Bruce
Concerns: The coroner raised concerns about the Rugby Football League's Welfare Policy, which allows non-Super League clubs to seek dispensations from rules regarding drug education. This creates an inconsistent approach for young players who would benefit from a defined Code of Conduct across all tiers of the sport.
Response (Rugby Football League): • The Rugby Football League is considering removing the provision that allows clubs outside the Super League to apply for a dispensation from the Player Welfare Policy and Standards. • … (AI summary)
Responded
Carol Taylor
Concerns: The coroner identified no system to prevent staff non-compliant with mandatory training, including basic life support, from working on in-patient wards, which is particularly relevant for elderly patients at higher risk of medical collapse.
Response (Essex Partnership University NHS Trust): • The Trust stated that ward managers use training trackers to monitor staff compliance with mandatory training, including basic life support, and support staff in booking required training. • The … (AI summary)
Responded
John Rust
Concerns: The coroner raised concerns about the lack of mandatory and sustainable training for clinical staff on automated CSF drainage systems, noting only 55% of relevant staff were trained with no clear plan for future staff in a high-rotation department.
Responded
Georgia Scarff
Concerns: The coroner noted that not all staff at Royal Hospital School were proficient in using the CPOMS safeguarding system, leading to information not being recorded. There is also no single national safeguarding information management tool for schools, which could result in important details being missed due to staff unfamiliarity.
Overdue
Georgia Scarff
Response (Department for Education): The Department for Education plans to introduce an information sharing duty and a Single Unique Identifier via the Children’s Wellbeing and Schools Bill to improve safeguarding information sharing, though it … (AI summary)
Response (Royal Hospital School): The Royal Hospital School introduced a new assessment template, strengthened its safeguarding leadership, and implemented regular safeguarding updates and meetings. Following the inquest, all staff attended in-person CPOMS training, were … (AI summary)
Responded
Select committee recommendations(30)
#12 —
Recommendation: We agree with the minister that every local authority must require drivers to have an enhanced DBS check and to be checked against the adults’ and children’s barring lists. We also recommend that requirements for safeguarding training and clear requirements …
Response status not verified
#11 — Secure a minimum 24-month implementation period for SPS agreement adjustments
Recommendation: The Government should secure an implementation period of at least 24 months for sectors to make necessary adjustments resulting from the SPS agreement. Once a common SPS area is established all legislative changes adopted under dynamic alignment must include a …
Response attribution not verified
#10 — Sectors require sufficient time to adapt to SPS agreement regulatory changes
Recommendation: It is essential that sectors are given sufficient time to adapt to regulatory changes introduced by an SPS agreement. This ensures compliance without causing unnecessary disruption and reflects timeframes afforded to EU member states. (Conclusion, Paragraph 39)
Response attribution not verified
#27 —
Recommendation: National standards should include mandatory disability awareness and equality training for drivers and operators, to be provided to a high minimum standard of quality, with clear refresher requirements and effective enforcement against non-compliance. (Recommendation, Paragraph 104)
Response status not verified
#44 —
Recommendation: We recommend that the Government work with Sport England to identify steps that can be taken to streamline volunteer administration. This might include establishing a central register so that qualifications and DBS checks can be carried between sports and activity …
Response attribution not verified
#54 — Mandate SEND continuing professional development for all educators via qualification or module incorporation.
Recommendation: SEND CPD should be made mandatory to ensure that all educators are equipped to meet the diverse needs of children and young people with SEND. This could be achieved through a nationally recognised supplementary qualification in SEND that all existing …
Response attribution not verified
#52 — Mandatory SEND-specific continuing professional development for educators remains absent.
Recommendation: It is deeply concerning that SEND-specific continuing professional development (CPD) is not mandatory. The education workforce must be consistently equipped with up-to-date, evidence-based knowledge through ongoing CPD to ensure an inclusive mainstream with high-quality support for children and young people …
Response attribution not verified
#1 — Mandate compulsory safeguarding training for all staff, including vendors, at music festivals.
Recommendation: We recommend that all staff working at music festivals, including vendors, be given compulsory safeguarding training, and this be a requirement that licensing authorities consider when approving events. This might be done along lines similar to training provided in voluntary …
Gov response: The Government agrees with the Committee that safeguarding training for staff is vital to ensure people attending events such as festivals can do so safely. The Government welcomes initiatives such as Ask Angela and LSAVI …
Accepted
#43 —
Recommendation: We recognise the importance of providing safe environments for everyone attending sports clubs or activity groups and would not want to advocate for anything that would compromise this. However, we call on the Government to be mindful of the added …
Response attribution not verified
#20 — Ensure FCDO-funded aid programme staff receive training to recognise and signpost safeguarding concerns.
Recommendation: People accessing SRHR services may be vulnerable, such as adolescents. The FCDO should ensure that staff who are delivering FCDO-funded aid programmes receive training to be able to recognise safeguarding concerns when interacting with aid recipients. These staff should be …
Response attribution not verified
#13 — Mandate educational settings to ensure staff awareness of harassment policies and conduct background checks.
Recommendation: The OfS should also require educational settings to ensure that all staff, permanent, temporary and those visiting, are aware of policies around abuse and harassment, including the consequences of inappropriate behaviour. People invited to teach students should undergo background and …
Response attribution not verified
#10 — FCDO's current programming fails to adequately safeguard people with disabilities from exploitation.
Recommendation: People with disabilities are significantly more at risk of sexual exploitation, as well as other forms of exploitation, highlighting the importance of their appropriate safeguarding. However, we are not convinced that the FCDO is doing all it can to properly …
Response attribution not verified
#10 —
Recommendation: We recommend that the Home Office makes a clear, specific statement to clarify the role of Prevent in addressing non-ideological cases, and makes any necessary updates to relevant Prevent guidance and training to reflect that position. The government should also …
Response attribution not verified
#4 — Undertake evaluation of KCSiE guidance implementation, impact, and barriers within six months.
Recommendation: The Government should undertake an evaluation of how well schools are following the Keeping Children Safe in Education guidance and the impact that guidance is having in practice. The evaluation should include 33 scrutiny of any barriers preventing schools from …
Response attribution not verified
#3 — Schools lack adequate time and funding for effective KCSiE guidance implementation.
Recommendation: The Government has updated the statutory Keeping Children Safe in Education guidance to include tackling peer-on-peer sexual harassment and sexual violence. This is a positive step to ensure that schools better protect children and young people from harmful sexual behaviour. …
Response attribution not verified
#1 — Ensure all schools recognise sexual harassment seriousness and receive funding for effective safeguarding.
Recommendation: Sexual harassment and sexual violence continues to be a scourge in our schools, with many girls and women feeling powerless. The issues are longstanding and warnings have been frequent, including from our predecessor Committee. It is saddening that it took …
Response attribution not verified
#12 — Stipulate clear, independent internal reporting pathways for harassment within OfS guidance for educational settings.
Recommendation: We support the Office for Students’ proposed new condition of registration aimed at protecting students from harassment and sexual misconduct. Its effectiveness will depend, in part, on students and staff feeling both able to recognise and report misconduct and that …
Response attribution not verified
#11 — Department has robust three-tier safeguarding framework for cadets, including DBS checks and training.
Recommendation: The Department also described in its letter the cadet safeguarding arrangements that it has in place. Each of the armed forces is responsible for safeguarding its cadets, but they adhere to the same basic safeguarding principles set out in the …
Response attribution not verified
#2 — Outdoor music festivals require higher safeguarding standards for their younger, more vulnerable attendees.
Recommendation: We believe that a more formal and higher standard is required for outdoor music festivals owing to the comparatively younger age of festival-goers and the additional vulnerability that arises from their camping over at such festivals.
Response attribution not verified
#2 — Undertake further thematic review of safeguarding policies and investigate abuse against female staff.
Recommendation: Ofsted did not act quickly enough in undertaking its review in 2021, however we welcome it and their commitment to strengthen requirements for inspectors to assess how schools address sexual harassment and abuse. Should Ofsted inspectors find a lack of …
Response attribution not verified
#7 — Improve the teaching of honour-based abuse within Relationships, Sex and Health Education settings
Recommendation: The Government is currently reviewing the content of relationships, sex and health education (RSHE) taught in schools. It is clear from the evidence we received that the teaching of honour-based abuse is currently inadequate. The ongoing review of RSHE should …
Response attribution not verified
#5 — Set out progress on police and safeguarding professionals' honour-based abuse training
Recommendation: In response to this Report, the Government should set out the progress made in implementing the national training package for frontline police officers on recognising so-called honour-based abuse. The Government must also set out the steps it will take to …
Gov response: We recognise the importance of professionals having the right skills and understanding to respond effectively to HBA. We are clear that cultural sensitivities must not be a barrier to tackling these crimes. That is why …
Position Not Stated
#4 — More work needed to empower honour-based abuse victims and ensure safeguarding
Recommendation: We welcome the steps taken by the police service in response to the concerns raised in the super-complaint on honour-based abuse brought by Liberty and the Halo Project in 2020. However, there is still more work to be done if …
Response attribution not verified
#20 — Integrate survivor-led training on sexual harassment into Security Industry Authority accreditation for venue staff.
Recommendation: Security Industry Authority accreditation for security staff to work at live music venues should include training on dealing with discrimination, sexual harassment and abuse. That training should be survivor-led and provided by accredited organisations dedicated to improving safety for women. …
Response attribution not verified
#26 — Consult on administrative requirements for work experience to reduce burdens on schools.
Recommendation: The Department should consult on the administrative requirements for schools and employers to provide work experience and consider whether any requirements can be removed or lightened without compromising the safety and wellbeing of pupils. It must work with the Careers …
Response attribution not verified
#25 — Administrative requirements create barriers for schools arranging work experience placements.
Recommendation: We have heard that administrative requirements, particularly concerns around safeguarding, may form a barrier to schools being able to arrange work experience placements. Safeguarding is an essential aspect of every school and college’s work. The opportunity for young people to …
Response attribution not verified
#15 — License all commercial recording studios, including sexual harassment risk assessments and clear reporting pathways.
Recommendation: A recording studio should be a safe space for all those who work there. Frequently this is not the case, and commercial self-interest is prioritised over personal safety. We recommend that all commercial recording studios should be licensed. That licensing …
Response attribution not verified
#8 — Share good practice to improve NRM awareness and use among NI welfare and justice agencies.
Recommendation: We are concerned about the lack of use of the National Referral Mechanism (NRM) in NI. The NRM is a tool for public agencies to provide a strategic safeguarding response to paramilitary activity. While we acknowledge that support for modern …
Response attribution not verified
#13 — Outline departments adopting PHSO Complaint Standards and present plan for full implementation
Recommendation: We reiterate the recommendation from our previous report that the Cabinet Office should strongly encourage Government departments and public bodies to sign up to the Government Complaint Standards. In its response to this report, the Government should outline how many …
Response attribution not verified
#12 — Publish PHSO Complaint Standards training proportions and targets for NHS and government staff
Recommendation: We welcome the progress that has been made in developing and rolling out Complaint Standards for the UK Government and the NHS. These Standards have the potential to improve the quality of public services and the handling of complaints. Ensuring …
Response attribution not verified
CQC inspection actions(248)— showing 50 strongest matches
Queen's Medical Centre
The trust should ensure that all staff receive mandatory training to enable them to recognise, report abuse and provide safe and effective care to women and babies.
Should Do
Nottingham City Hospital
The trust should ensure that all staff receive mandatory training to enable them to recognise, report abuse and provide safe and effective care to women and babies.
Should Do
Nottingham City Hospital
The trust should ensure that all staff receive mandatory training to enable them to recognise, report abuse and provide safe and effective care to women and babies.
Should Do
William Harvey Hospital
The trust must ensure safeguarding training rates for medical staff are improved to the trust target.
Must Do
William Harvey Hospital
The trust must ensure medical and nursing staff are up to date with mandatory training in key skills. This includes safeguarding adults and children training to the appropriate level.
Must Do
William Harvey Hospital
The trust must ensure medical staff are up to date with mandatory training in key skills. This includes safeguarding adults and children training to the appropriate level.
Must Do
William Harvey Hospital
The trust must ensure all staff receive training in safeguarding adults and children
Must Do
William Harvey Hospital
The trust must ensure medical and nursing staff are up to date with mandatory training in key skills. This includes safeguarding adults and children training to the appropriate level.
Must Do
Westmorland General Hospital
The trust should consider what actions the service can take to improve safeguarding adults and safeguarding children level three training rates for doctors and nurses.
Should Do
Westmorland General Hospital
The trust should take appropriate actions to improve staff mandatory training, including safeguarding training in line with trust compliance targets.
Should Do
Westmorland General Hospital
The service must ensure medical staff complete all required safeguarding level 3 training.
Must Do
Westmorland General Hospital
The trust must take action to improve safeguarding adults and safeguarding children level three training rates for doctors and nurses.
Must Do
West Cumberland Hospital
The trust must ensure that mandatory training including resuscitation, infection prevention and control and safeguarding meet the trust target for all staff.Regulation12(1)(2)(c).
Must Do
University Hospital Lewisham
The service should ensure specialist staff have access to appropriate safeguarding supervision to carry out their duties.
Should Do
University College Hospital & Elizabeth Garrett Anderson Wing
The service should continue to ensure all staff complete mandatory training, including advance life support and safeguarding adults and children’s training in line with the trust’s own targets.
Should Do
The York Hospital
The service should ensure ED medical staff complete their required level of safeguarding training, especially for safeguarding children.
Should Do
The York Hospital
The trust must ensure that medical staff complete safeguarding training, PREVENT Awareness, Mental Capacity Act and Deprivation of Liberty Safeguards training sessions.
Must Do
The York Hospital
The trust must ensure that medical staff and additional clinical staff complete safeguarding training and PREVENT Awareness training sessions.
Must Do
The Tunbridge Wells Hospital at Pembury
The service must ensure staff complete all mandatory training, including safeguarding training as well as role specific training modules such as CTG training and are competent in carrying out CTGs.
Must Do
The Royal Oldham Hospital
The trust should consider what actions the service can take to improve safeguarding adults and safeguarding children level three training rates for doctors.
Should Do
The Princess Royal Hospital
The service must ensure all staff complete mandatory and legally required training and medical staff complete safeguarding children’s level 3 training in line with trust targets.
Must Do
The Ipswich Hospital
The service must ensure staff complete mandatory and safeguarding training in line with the trust target.
Must Do
The County Hospital
The provider must ensure it has sufficient numbers of suitably qualified, competent, skilled and experienced staff who receive such appropriate training to carry out the duties they are employed to perform and ensure staff are trained to the right competency …
Must Do
Stroud Maternity Hospital
The service must ensure staff are up-to-date with mandatory safeguarding training. Regulation 12(1)(2)(c).
Must Do
St Albans City Hospital
The trust must ensure medical staff are up to date with safeguarding training.
Must Do
Scarborough Hospital
The service should ensure ED medical staff complete their required level of safeguarding training, especially for safeguarding children.
Should Do
Scarborough Hospital
The trust must ensure that medical staff complete safeguarding training, PREVENT Awareness, Mental Capacity Act and Deprivation of Liberty Safeguards training sessions.
Must Do
Scarborough Hospital
The trust must ensure that medical staff and additional clinical staff complete safeguarding training and PREVENT Awareness training sessions.
Must Do
Salford Royal Hospital
The trust must ensure that staff receive training in key skills including mandatory training including resuscitation, safeguarding and Practical Obstetric Multi-Professional Training (PROMPT) appropriate to their role.
Must Do
Salford Royal Hospital
The trust must ensure that staff receive training in key skills including mandatory training including resuscitation, safeguarding and Practical Obstetric Multi-Professional Training (PROMPT) appropriate to their role.
Must Do
Salford Royal Hospital
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to life support, learning disabilities and autism and safeguarding training.
Must Do
Salford Royal Hospital
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to safeguarding and training on learning disability and autism.
Must Do
Salford Royal Hospital
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to life support, training on learning disabilities and autism and safeguarding training.
Must Do
Salford Royal Hospital
The service must ensure that levels of medical and nursing staff training in safeguarding, resuscitation techniques and other mandatory training courses meet trust targets.
Must Do
Salford Royal Hospital
The trust must ensure that staff receive training in key skills including mandatory training including resuscitation and safeguarding appropriate to their role.
Must Do
Saint Mary's Hospital
The service must ensure that staff complete safeguarding training appropriate to their roles. Regulation 12(1)(2)(c)
Must Do
Royal Victoria Infirmary
The service must ensure that all staff complete safeguarding training appropriate to their role.
Must Do
Royal Victoria Infirmary
The service must ensure that all staff complete safeguarding training appropriate to their role.
Must Do
Royal Sussex County Hospital
The trust should review safeguarding arrangements in line with the intercollegiate guidance for safeguarding to ensure staff training is suitable for frontline staff.
Should Do
Royal Stoke University Hospital
The service must ensure staff are up to date with maternity mandatory training modules, including safeguarding adults and child protection training.
Must Do
Royal Shrewsbury Hospital
The trust should ensure staff are knowledgeable and understand the Mental Capacity Act 2005 and the procedures and documentation used to assess a patient’s capacity.
Should Do
Royal Shrewsbury Hospital
The trust should ensure that all staff complete Mental Capacity Act and Deprivation of Liberty Safeguards training.
Should Do
Royal Shrewsbury Hospital
The service must ensure all staff complete mandatory and legally required training and medical staff complete safeguarding children’s level 3 training in line with trust targets.
Must Do
Royal Lancaster Infirmary
The service must ensure medical staff are compliant with their mandatory training including safeguarding level 3.
Must Do
Royal Hallamshire Hospital
The trust should ensure that compliance with safeguarding training compliance continues to improve.
Should Do
Rochdale Infirmary
The trust must ensure that staff receive training in key skills including mandatory training including resuscitation, safeguarding and Practical Obstetric Multi-Professional Training (PROMPT) appropriate to their role.
Must Do
Rochdale Infirmary
The trust must ensure that staff receive training in key skills including mandatory training including resuscitation, safeguarding and Practical Obstetric Multi-Professional Training (PROMPT) appropriate to their role.
Must Do
Rochdale Infirmary
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to life support, learning disabilities and autism and safeguarding training.
Must Do
Rochdale Infirmary
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to safeguarding and training on learning disability and autism.
Must Do
Rochdale Infirmary
The service must ensure staff receive the required training to enable them to carry out the duties they are employed to perform. This includes but is not limited to life support, training on learning disabilities and autism and safeguarding training.
Must Do
ICIBI immigration recommendations(2)
An inspection of the use of hotels for housing unaccompanied asylum-seeking children …
Strengthen assurance and monitoring mechanisms to ensure it is satisfied that contractors are meeting safeguarding and other requirements, including, but not limited to:
An inspection of contingency asylum accommodation for families with children in Northern …
The Home Office should strengthen assurance and monitoring arrangements to ensure accommodation providers, and their contractors and sub-contractors, are meeting all the standards set out in the Asylum Support Contracts …
PPO death in custody recommendations(3)
The Head of Healthcare
The Head of Healthcare should ensure that healthcare staff are compliant in the correct level of safeguarding training in accordance with their roles as set out in the Royal College of Nursing (RCN) Intercollegiate Document for ‘Adult Safeguarding: Roles and …
The Head of Healthcare (Northamptonshire Healthcare NHS Foundation Trust at …
The Head of Healthcare should ensure that healthcare staff are aware of NHFT’s policy for safeguarding responsible adults and that staff adhere to the policies, procedures and guidelines.
The Governor
The Governor should ensure that all staff understand and follow the safeguarding policy, particularly with regard to the division of responsibilities for action to be taken.
IOPC learning recommendations(5)
Recommendations - Cleveland Police, May 2022
The IOPC recommends that Cleveland police should identify all officers and staff who must undergo it's mandatory child sexual exploitation (CSE) training packages. The force should maintain accurate and auditable records of all officers and staff who have attended such …
Recommendations - Metropolitan Police Service, June 2024
The IOPC recommends that MPS takes steps to ensure that all police officers who regularly come into contact with members of the public, whether face-to-face or by some other means, receive training created by NPCC in 2021 on APSP. They …
Recommendation - Hertfordshire Constabulary, April 2026
The IOPC recommends that Hertfordshire Constabulary take steps to assure itself that police officers and staff likely to be involved in the handling of cross-border missing person investigations, especially those where mental health and safeguarding risks are present, are aware …
National recommendation - National Police Chiefs' Council, February 2021
The IOPC recommends that the National Police Chiefs’ Council (NPCC) takes steps to ensure that all police forces provide training to officers and staff who regularly come into contact with members of the public, whether face-to-face or by some other …
Recommendations - Cleveland Police, February 2021
The IOPC recommends Cleveland Police reviews its management systems for performance and training to ensure there are robust mechanisms in place to ensure staff comply with all mandatory training packages, while ensuring performance reviews are carried out and maintained.
IMB individual recommendations(1)
Health investigations(91)
Independent investigation: Jean Darbyshire, Wigan (2009) — Rec 9
All registered health and social care practitioners mentioned in this report should receive an update for safeguarding and Mental Capacity Act training and their caseload should be subject to specialist supervision for a period of six months following the publication of this report;
north_west
Independent investigation: Alan Clarke, Salisbury (2008) — Rec 7
• The Trust should ensure that its policy on Safeguarding Adults is reviewed: • with reference to the South West Safeguarding Adult Threshold Guidance; • to enshrine emerging locally agreed best practice and ensure that it employs language that is consonant with local multi-agency guidance, policies and protocols. • The …
south_west
Independent investigation: William Kean, Canning Town (2004) — Rec Five
It is recommended that the Trust ensure that all relevant staff are compliant with the training provided by the Trust that takes into account safeguarding both adults and children when assessing risk and planning care. This should remain part of the initial and subsequent care planning process and audited in …
london
Independent investigation: Vera Croghan, Norwich (2020) — Rec 2
The trust will ensure that mandatory domestic abuse and safety planning/risk assessment training addresses assessment of risk and is relevant to all parties living or staying within a household.
east_of_england
Independent investigation: Valerie Jozunas, Wimbish, Saffron Walden (2020) — Rec 12
This investigation fully supports the recommendation from the EPUT investigation that Community Mental Health teams have a scenario-based learning session on safeguarding issues. This should include the importance of considering the needs of patients who are carers and additional support required including respite care.
east_of_england
Independent investigation: Tom Easton, Old St, London (2006) — Rec 6
The East London Foundation Trust should audit the training on Safeguarding Children to ensure that all relevant community staff have received the training and any follow-up or updating training and that they are sure of their responsibilities under this legislation
london
Independent investigation: Sandra Bowring (Vincent), Rhyl, Denbighshire (2006) — Rec 2
Training in the protection of vulnerable adults should be reviewed and provided as a priority for all mental health staff in Local Authority, Trust and Primary Care services to ensure that, in addition to awareness, it can be certain that POVA procedures are implemented and that current practice is consistent …
wales
Independent investigation: Ryan Lowry, Manchester (2020) — Rec 4
The CMHT’s practitioners should have additional specific safeguarding training relating to the findings of Sancus Solutions and the Serious Incident Report. The Trust should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
north_west
Independent investigation: Philip Slater, Silsden (2017) — Rec 9
Bradford District Care NHS Foundation Trust and Airedale NHS Foundation Trust should undertake a review of their safeguarding training modules to ensure that the potential risks of domestic violence to the elderly are being adequately addressed. Evidence of this should be made available to Sancus Solutions at their quality assurance …
north_east_yorkshire
Independent investigation: Paige Shatlock Jones (PS/J), Hucknall, Notts (2003) — Rec 2
There needs to be clarity on what training staff should attend irrespective of discipline or geographical boundaries. Safeguarding children training needs to be formalised and structured across the organisation(s).
midlands
Independent investigation: Michael Galloway, Illingworth (1999) — Rec 6.15
The panel recommends that appropriate steps are taken to ensure that all staff have mandatory Child Protection Training. This training should cover staff on the in-patient ward, as well as Community Mental Health Team staff and their managers.
north_east_yorkshire
Independent investigation: Lauren O’Neill, Carryduff, Co.Antrim (2005) — Rec 10
Counselling bodies should make child protection training including refresher training a mandatory component of ongoing registration.
northern_ireland
Independent investigation: Lauren O’Neill, Carryduff, Co.Antrim (2005) — Rec 9
DHSSPS in conjunction with Boards’ ACPCs should review the content and uptake of child protection training delivered to GPs and should consider making such training mandatory for all relevant staff and practitioners.
northern_ireland
Independent investigation: Lauren O’Neill, Carryduff, Co.Antrim (2005) — Rec 8
All Boards and Trusts should review the child protection training and awareness of all staff, including access to policies and procedures.
northern_ireland
Joint Domestic Homicide Review and independent mental health homicide investigation … — Rec 12
The Trust must seek assurance that safeguarding supervision is accessible and provided to staff within ward environments in accordance with NHS England Safeguarding Accountability and Assurance Framework 2019.
north_west
Independent investigation: John Curran, Highbury & Islington (2006) — Rec R30
The trust should ensure that all staff are familiar with child protection procedures and understand how to operate them. The trust should audit compliance.
london
Independent investigation: Jim Ward, Ayr (2007) — Rec 12
NHS Board A and SWD1 must ensure that all workers involved in the Mr F case receive refresher training in child protection issues. They should also consider whether this may equally applicable to the rest of their workforce.
scotland
Report of a review in respect of: The provision of … — Rec 10
In relation to mandatory training and a system of recording training across the Ablett Psychiatric Unit, Betsi Cadwaladr University Health Board should ensure that: a. Mandatory staff training regarding Mental Capacity Act (2005) and DoLS, is facilitated; and b. A comprehensive system that is used by all wards should be …
wales
Independent investigation: Casey Kearney, Doncaster (2012) — Rec 17
YAS will review within 6 months all safeguarding training resources to update and emphasise the impact of mental health issues and the risks associated with non-conveyance to hospitals.
north_east_yorkshire
Independent investigation: Casey Kearney, Doncaster (2012) — Rec 2
Doncaster Safeguarding Childrens and Adult Safeguarding Boards will review the systems in place and training that is provided to support leadership throughout partnership organisations.
north_east_yorkshire
Independent investigation: Gillian PhilippsDavid Oakes, Stansted Mountfitchet (2015) — Rec 1
The Trust should provide evidence that their revised domestic abuse and safeguarding training is being delivered, by reporting on and monitoring training and safeguarding supervision figures against targets.
east_of_england
Independent investigation: Bertha Martin, Cleadon (2008) — Rec 18.
The investigation panel recommends that mandatory training in relation to safeguarding vulnerable adults should be offered to practitioners across all agencies, including GPs, to foster a collaborative approach (involving collective responsibility) when issues arise which relate to safeguarding vulnerable adults. There should be a robust audit of the efficacy of …
north_east_yorkshire
Independent investigation: Annie Garbutt, Mirfield (2007) — Rec R8
The trust should ensure the current e-learning level 1a child safeguarding training provides staff, who have regular contact with parents or children, with the knowledge and skills to carry out their safeguarding responsibilities.
north_east_yorkshire
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 9
Increase awareness of GP role and responsibility in Safeguarding Adults with the development and implementation of individual practice Safeguarding Adult Policy. This policy should include recognising and managing Domestic Violence.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 4
Key services including Health and the Local Authority should require specific standards in training for providers so that all professionals and practitioners are able to ensure domestic abuse identification, assessment and appropriate referral.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 25
To access Hampshire domestic abuse training programme.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 24
Have a specific module within the Sovereign training framework covering domestic abuse.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 21
Refresher domestic violence training for all Customer Service Advisors and Housing Officers.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 20
Each service within the Society to ensure that at least one member of staff attends specialist domestic violence training each year, if this is appropriate to the role of the service. This is in order to keep teams up to date with the issues, and to maintain awareness of the …
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 14
Include training re: management of domestic abuse on forthcoming Vulnerable Adult Champions Programme.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 13
Ensure training re: management of domestic abuse is always included on the orientation for Emergency Department nurses and doctors.
south_east
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 1
All services involved in this review should ensure relevant staff are fully trained in identifying, assessing and responding to domestic abuse.
south_east
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 4
All safeguarding promotional material, educational material or information used in the Trust should be explicit in the inclusion of all patient contact and support services (source: chapters six and eight).
Leeds Teaching Hospitals NHS Trust
north_east_yorkshire
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 3
There should be a Trust-wide campaign to raise awareness of the safeguarding duty to patients across all patient contact staff and volunteer groups (source: chapters six, seven and eight).
Leeds Teaching Hospitals NHS Trust
north_east_yorkshire
Mental health homicide investigation legacy report into the care and … — Rec 7
The Trust must maintain its current model of two practitioners in every community team trained to Level 3 Safeguarding, and ensure availability of Level 2 training for all community practitioners.
south_west
Accepted
*Mental health homicide investigation legacy report into the care and … — Rec L4
The trust should ensure that staff have received training in the trust’s latest adult protection policy. Compliance should be monitored through a regular audit programme.
south_east
An independent investigation into the care and treatment of mental … — Rec 4
The CMHT’s practitioners should have additional specific safeguarding training relating to the findings of Sancus Solutions and the Serious Incident Report. The Trust should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
Greater Manchester Mental Health NHS FT
north_west
An independent investigation into the care and treatment of Darren … — Rec 5
The involved IAPT and SPA practitioners and managers must receive additional bespoke safeguarding and domestic violence training. Safeguarding and domestic violence should be a standing agenda item within both IAPT and SPAs' supervision and team meetings.
Isle of Wight NHS Trust
south_east
An independent investigation assurance review (published June 2021) can be … — Rec 1
NAViGO must review their procedures for safeguarding adults and children, to include domestic violence, against the 2016 NICE Quality Standard (QS116) 2016 and seek opportunities for specific multiagency training in how to identify and respond to domestic violence, using the learning from this independent investigation to prevent recurrence.
north_east_yorkshire
An independent inquiry into the care and treatment of Ms … — Rec 9
We recommend that the content of mandatory safeguarding training for all health and social care staff should include material and information about domestic abuse/violence. It should highlight examples of incidents that might trigger a safeguarding alert. More specialist training should be available in relation to domestic abuse
south_east
An assessment of a mental health trust’s internal investigation of … — Rec R3
The trust should ensure that all staff know how to identify and report safeguarding concerns when a patient has a forensic history and a potential for violence. This is so that the risks to family/carers are properly considered and acted upon to help keep them safe.
north_east_yorkshire
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, … — Rec 23
All agencies must use the findings from this investigation within safeguarding training for staff. All agencies must ensure staff are familiar with the requirements of, and their responsibilities under, the London Multi-Agency Adult Safeguarding Policy and Procedures.
london
Accepted
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, … — Rec 13
The Metropolitan Police Service (MPS) should review the learning from this investigation to update its programme of safeguarding awareness and policy within 6 months of receiving this report.
london
Accepted
Independent investigation of the care and treatment of Mr N — Rec 3
Within three months. Trust 2 should ensure that Contextual Safeguarding Training provides information for safeguarding both adults and children.
midlands
*Independent investigation into the care and treatment of Patient E: … — Rec 18.
The investigation panel recommends that mandatory training in relation to safeguarding vulnerable adults should be offered to practitioners across all agencies, including GPs, to foster a collaborative approach (involving collective responsibility) when issues arise which relate to safeguarding vulnerable adults. There should be a robust audit of the efficacy of …
Northumberland, Tyne and Wear NHS Foundation Trust
north_east_yorkshire
Independent investigation into the care and treatment of Mr J — Rec 6
The trust should assure itself that members of the COAST understand and can effectively implement the trust safeguarding policy as part of their assessment of patients, their families and/or carers.
Mr J who committed a homicide in 2014. Mr J was in receipt of services from South London and Maudsley NHS Foundation Trust
london
Independent investigation into the care and treatment of Mr DB: … — Rec 22
Stockport Community Safety Partnership : guidance on domestic abuse by children to parents should be included in domestic abuse strategies
Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust
north_west
Independent investigation into the care and treatment of Mr DB: … — Rec 19
Pennine Care NHS Foundation Trust and Stockport NHS Foundation Trust : Domestic abuse training material should be reviewed to ensure that it includes domestic abuse in both children and adults safeguarding; including that any individual in a domestic arrangement may abuse anyone else in that setting
Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust
north_west
Accepted
Independent investigation into the care and treatment of Mr DB: … — Rec 18
Stockport CCG : GP practice staff must undertake adult safeguarding and domestic abuse training.
Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust
north_west
Independent investigation into the care and treatment of Mr DB: … — Rec 12
Stockport Community Safety Partnership : should assess the results of the Domestic Abuse strategy thus far, with emphasis on increasing the access to training to frontline healthcare staff, and ensuring that child to parent violence is included
Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust
north_west
Detention investigations(4)
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R26
In consultation with the LSCB, managers should review the training of staff in relation to safeguarding and child protection to ensure that they are given regular training to help them understand and meet their responsibilities for safeguarding and promoting the wellbeing of children.
Immigration Detention
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R25
In consultation with the LSCB, managers should review and redraft Yarl’s Wood’s child protection and safeguarding policies to ensure that they clearly and consistently identify the extent of staff responsibilities for safeguarding and promoting the wellbeing of children, including children in the community, and conform to the requirements of the …
Immigration Detention
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R24
Managers at Yarl’s Wood should actively engage with the local authority safeguarding team and the safeguarding adults board and ensure establish appropriate and ongoing information sharing to secure the safeguarding of residents.
Immigration Detention
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R23
Managers at Yarl’s Wood, in consultation with the local safeguarding adults board, should devise appropriate adult safeguarding policy and practice, including staff training.
Immigration Detention
Independent reviews(11)
Laming Review (Baby P) — Rec 35
The Department of Health should work with partners to develop a national training programme to improve the understanding and skills of the children's health workforce (including paediatricians, midwives, health visitors, GPs and school nurses) to further support them in dealing with safeguarding and child protection issues.
Other
Laming Review (Baby P) — Rec 34
The Department of Health should promote the statutory duty of all GP providers to comply with child protection legislation and to ensure that all individual GPs have the necessary skills and training to carry out their duties. They should also take further steps to raise the profile and level of …
Other
Laming Review (Baby P) — Rec 30
All Children's Trusts should have sufficient multi-agency training in place to create a shared language and understanding of local referral procedures, assessment, information sharing and decision making across early years, schools, youth services, health, police and other services who work to protect children. A named child protection lead in each …
Other
Laming Review (Baby P) — Rec 29
Children's Trusts should ensure that all staff who work with children receive initial training and continuing professional development which enables them to understand normal child development and recognise potential signs of abuse or neglect.
Other
Tickell Review of the EYFS — Rec 29
I recommend that the safeguarding and welfare requirements are made more explicit about warning signs in the behaviour of adults working in a setting. I also recommend that the EYFS sets out clearly the high level content of the child protection training that lead safeguarding practitioners are required to attend. …
Education
Modern Slavery Act Review — Rec 75
Government should work closely with relevant organisations (including the CPS, College of Policing, Criminal Bar Association, professional bodies representing solicitors and the Judicial College) to ensure there is mandatory training on recognising modern slavery for all participants in the criminal justice system. This is a priority for frontline officers and …
Justice & Legal
Accepted
Taylor Youth Justice Review — Rec 14
The College of Policing should introduce mandatory child-specific training for all custody sergeants. (Paragraph 70)
Justice & Legal
Timpson Review — Rec 5
To support the school workforce to have the knowledge and skills they need to manage behaviour and meet pupil needs, DfE should ensure that accessible, meaningful and substantive training on behaviour is a mandatory part of initial teacher training and is embedded in the Early Career Framework. This should include …
Education
Accepted
Taylor Youth Justice Review — Rec 10
Further work should be undertaken by the Home Office, local authorities, the police, the Ministry of Justice, the Department for Education and the Welsh government to agree a complete set of mandatory national standards for appropriate adult schemes against which inspections should be conducted. These standards should cover those matters …
Justice & Legal
Modern Slavery Act Review — Rec 74
The recommendations made in Caroline Haughey’s 2016 Review of the Modern Slavery Act relating to training and the need for specialist advocates in modern slavery cases should now be implemented.
Justice & Legal
Accepted
Modern Slavery Act Review — Rec 72
For all potential victims of modern slavery, it is essential that defence lawyers are aware of the statutory defence and advise their clients to disclose at the earliest possible stage if they are a victim of trafficking or modern slavery. This is even more important in the cases of children. …
Justice & Legal
Accepted
LGO / SPSO decisions(138)
25-014-003 — Hertfordshire County 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 & …
Adult Care Services
Feb 2026
25-014-636 — Worcestershire County Council
We will not investigate this complaint about the Council’s decision a safeguarding concern raised by Miss X did not meet the threshold for a safeguarding enquiry. There is not enough evidence of fault to justify investigating.
LGO (Local Government & …
Adult Care Services
Feb 2026
25-013-452 — Isle of Wight Council
We will not investigate this complaint about the Council’s failure to provide early support to Mrs X’s child. This is because most of the events complained about are late. The remaining complaint points relate to matters that took place inside a school or Mrs X had right of appeal for.
LGO (Local Government & …
Children S Care Services
Feb 2026
25-013-104 — Hampshire County Council
We will not investigate Mrs X’s complaint about children services’ actions. The Council investigated it through its Children Act statutory complaints’ procedure and we are unlikely to reach a different outcome.
LGO (Local Government & …
Children S Care Services
Feb 2026
25-016-558 — Leeds City Council
Summary: We will not investigate this complaint about the Council’s alleged lack of support to Mr X and the failure to safeguard his children. The law says we cannot investigate complaints about court action or what happened in court. It is reasonable for Mr X to raise all concerns as …
LGO (Local Government & …
Children S Care Services
Feb 2026
NIPSO-202001708 & 202002322 — South Eastern Health and Social Care Trust
We investigated concerns about how a Health Trust dealt with allegations of an intimate relationship between two care home residents. Our report criticised the Trust for not doing a more thorough investigation into the claims, and asked it to carry out an audit of previous safeguarding referrals.
NIPSO (NI Public Service…
Health & Social Care
Upheld
Dec 2023
NIPSO-202000387 — Western Health and Social Care Trust
The Western Trust approved two special chairs for an autistic child to use in school without properly assessing his needs. The Trust should also have given the school clearer instructions on how the chairs were to be used.
NIPSO (NI Public Service…
Health & Social Care
Upheld
Oct 2024
21-013-693 — Nottinghamshire County Council
Summary: We will not investigate Mr X’s complaint about the outcome of the Council’s safeguarding enquiry after he raised a concern that his brother was being financially abused. This is because there is no sign of fault by the Council.
LGO (Local Government & …
Adult Care Services
Mar 2022
21-011-045 — East Sussex County Council
Summary: Dr B complained ESC Council and the NHS Trust failed to properly safeguard her when it undertook an investigation into allegations of physical assault when she lived in a care home jointly funded by the CCG and BHC Council. She also complained about the home’s investigation and its decision …
LGO (Local Government & …
Adult Care Services
Upheld
Mar 2022
21-016-767 — Devon County Council
Summary: We will not investigate this complaint about the Council’s safeguarding investigation. There is not sufficient evidence of fault by the Council to justify investigating.
LGO (Local Government & …
Adult Care Services
Mar 2022
21-007-746 — London Borough of Bexley
Summary: Miss X complained on behalf of her mother, Mrs Y, that the Council wrongly initiated a safeguarding enquiry because of non-payment of care home charges. Miss X says she tried to resolve the issue, but the Council did not properly communicate with her. Miss X says the Council’s actions …
LGO (Local Government & …
Adult Care Services
Not Upheld
Mar 2022
21-006-887 — Birmingham City Council
Summary: Mr X complained about the way the Council dealt with a safeguarding report about his mother. We found there was fault in the Council’s actions that warranted a remedy. We also found fault in the way the Council responded to the complaint.
LGO (Local Government & …
Adult Care Services
Upheld
Apr 2022
21-018-769 — Bournemouth, Christchurch and Poole Council
Summary: We will not investigate this complaint about the Council mistakenly sending the complainant a copy of a confidential internal email about him, the contents of which he disputes. This is because the Council has apologised for the error. There is no on-going injustice and nothing for us to add …
LGO (Local Government & …
Adult Care Services
Apr 2022
21-000-088 — Bristol City Council
Summary: Ms C, who was a Shared Lives Carer, complained about the way in which the Council responded to allegations made against her. I found the Council failed to effectively communicate with Ms C and there was a delay in completing the safeguarding enquiry. The Council has agreed to apologise …
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
21-008-511 — Telford & Wrekin Council
Summary: Ms Z, on behalf of Mr X, complained about the Council’s actions in respect of a Care Act assessment and its failure to properly communicate with him about this causing distress. There is evidence of fault as the Council delayed in providing the care package, failed to provide full …
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
22-003-796 — Buckinghamshire Council
Summary: We will not investigate this complaint about how the Council handled safeguarding concerns relating to Mrs Y’s actions around her son’s (Mr X’s) finances, care and medical needs. Any fault in its actions did not cause the injustice Mrs Y claims it did.
LGO (Local Government & …
Adult Care Services
Jul 2022
22-003-795 — Brighton & Hove City Council
Summary: We will not investigate this complaint about how the Council handled safeguarding concerns relating to Mrs Y’s actions around her son’s (Mr X’s) finances, care and medical needs. Any fault in its actions did not cause the injustice Mrs Y claims it did.
LGO (Local Government & …
Adult Care Services
Jul 2022
21-011-791 — City of Bradford Metropolitan District Council
Summary: Mrs X complained about various aspects of the way the Council considered a Safeguarding Adult Review. We found there was delay and fault in the process. We recommended a payment to Mrs X and Mr Y and various actions to review process and procedures.
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2022
22-001-645 — Suffolk County Council
Summary: Mr B complained the Council discharged his father in to his and his mother’s care despite them not agreeing to care for him. He said this put his mother at risk of harm from abuse and physical injury. He complained the Council did not provide support or respite. He …
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2022
23-018-925 — Thurrock Council
Summary: We ended the investigation of Mrs X’s complaints about a council-run care home because they are late. And complaints about a GP and about access to records are not for the Local Government and Social Care Ombudsman. Mrs X needs to raise these matters with the Information Commissioner and …
LGO (Local Government & …
Adult Care Services
Jun 2024
25-006-764 — West Sussex County Council
Summary: We will not investigate Mr X’s complaint about the Council’s actions in its children’s services involvement with his family. This is because there is no sign of fault in the Council’s decision not to consider his complaint whilst the case is subject to ongoing court proceedings
LGO (Local Government & …
Children S Care Services
Sep 2025
25-005-770 — Oldham Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council providing insufficient support to Ms X and its communication with her daughter. This is because there is not enough evidence of fault by the Council and there is no worthwhile outcome achievable by us investigating.
LGO (Local Government & …
Adult Care Services
Sep 2025
25-000-919 — Stockport Metropolitan Borough Council
Summary: Ms X complained the Council failed to meet Mrs Y’s care needs. Ms X says this impacted Mrs Y’s physical health and emotional wellbeing. We find no fault with the Council.
LGO (Local Government & …
Adult Care Services
Not Upheld
Nov 2025
25-004-457 — London Borough of Brent
Summary: We will not investigate Ms X and Ms Y’s complaint about their mother, Ms Z. Due the length of time which has passed, we are unlikely to be able to reach reliable conclusions or achieve meaningful outcomes for Ms X, Ms Y and Ms Z.
LGO (Local Government & …
Adult Care Services
Nov 2025
25-001-276 — Suffolk County Council
Summary: Mrs C complained about the way the Council carried out a safeguarding investigation into concerns she raised against a care provider looking after her relative, Mrs E and counter-concerns raised by the Care Provider. We found some fault in the way the Council communicated with Mrs C about the …
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2025
25-012-670 — Essex County Council
Summary: We will not investigate this complaint the Council failed to respond properly to adult safeguarding concerns. That is because the complaint it late and there is no good reason to exercise discretion and consider it now.
LGO (Local Government & …
Adult Care Services
Nov 2025
24-009-726 — Kirklees Metropolitan Borough Council
Summary: We will not investigate Mr X’s complaint about the Council’s Local Authority Designated Officer (LADO) service. This is because there is insufficient evidence of fault causing significant injustice. The ICO is better suited to considering Mr X’s data retention concerns.
LGO (Local Government & …
Children S Care Services
Nov 2024
24-011-452 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about the Council’s involvement in the care of Ms X’s child. This is because it is about matters that have happened in court.
LGO (Local Government & …
Children S Care Services
Nov 2024
24-006-533 — Surrey County Council
Summary: We will not investigate this complaint about adult safeguarding. The Council has accepted fault and will apologise and act to improve future service. We are satisfied with the Council’s actions in response to the complaint. It is unlikely we could add to the Council’s investigation or reach a different …
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2024
23-020-569 — Cambridgeshire County Council
Summary: Mr Y complains about the Council’s involvement with various aspects of his mother’s care and support following her discharge from hospital in 2023. Some of the complaints raised by Mr Y are on behalf of his mother, Mrs W. Mr Y does not have authority to represent a complaint …
LGO (Local Government & …
Adult Care Services
Upheld
Dec 2024
24-011-576 — Wirral Metropolitan Borough Council
Summary: We will not investigate Mr X’s complaint about how the Council removed his relative from his care and investigated under its safeguarding procedures. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. We are unlikely to …
LGO (Local Government & …
Adult Care Services
Dec 2024
25-014-548 — Oxfordshire County Council
We will not investigate this complaint about the way the Council considered and responded to safeguarding concerns. There is not enough evidence of fault to justify investigating. The Information Commissioner’s Office and the Court of Protection are better placed to consider other parts of the complaint.
LGO (Local Government & …
Adult Care Services
Feb 2026
25-011-746 — Birmingham City 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 & …
Adult Care Services
Jan 2026
25-013-137 — Portsmouth City Council
Summary: We cannot investigate Ms X’s complaint about detention under the Mental Health Act. We do not have the power to investigate matters considered in Court.
LGO (Local Government & …
Adult Care Services
Feb 2026
NIPSO-202001973 — Western Health and Social Care Trust
A woman complained that her daughter, who had autism, anxiety and depression, was not cared for properly during her 7 months stay in a children’s home.
NIPSO (NI Public Service…
Health & Social Care
Dec 2023
25-010-732 — Kent County 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 & …
Adult Care Services
Jan 2026
20-011-656 — Cornwall Council
Summary: There was delay in the support the Council had agreed to provide to Mr C, particularly in managing his finances. There was poor communication with Mrs B and the Council should have held a multi-disciplinary risk meeting earlier. Mrs B suffered an injustice as a result as she was …
LGO (Local Government & …
Adult Care Services
Upheld
Mar 2022
21-017-818 — London Borough of Sutton
Summary: We will not investigate Mr X’s complaint about how the Council completed safeguarding enquiries into his late mother’s care. That is because there is insufficient evidence of fault to justify our involvement.
LGO (Local Government & …
Adult Care Services
May 2022
21-009-619 — Solihull Metropolitan Borough Council
Summary: Ms B complains the Council initiated a safeguarding investigation into unfounded allegations of financial abuse against a service user, Mr Y. She says the Council suspended her direct payments and her bank accounts were frozen, leaving her destitute. The Ombudsman does not find fault in how the Council conducted …
LGO (Local Government & …
Adult Care Services
Not Upheld
Jul 2022
21-009-445 — Thurrock Council
Summary: X complained about poor service and poor communication from the Council’s adult social care teams. The Council was at fault. It did not respond appropriately to reported safeguarding concerns, did not comply with an agreed reasonable adjustment and communicated with X poorly. The Council has agreed to consider the …
LGO (Local Government & …
Adult Care Services
Upheld
Jul 2022
21-004-089 — London Borough of Havering
Summary: There was no fault in the Council’s safeguarding investigation. There was fault by the Council when it failed to follow up Mrs B’s request to see oral hygiene charts and to meet with her to discuss its investigation. The Council has agreed to take the action recommended to remedy …
LGO (Local Government & …
Adult Care Services
Upheld
Jul 2022
22-005-921 — Torbay Council
Summary: We will not investigate this complaint about how the Council completed safeguarding enquiries. That is because we could not add to the Council’s previous investigation.
LGO (Local Government & …
Adult Care Services
Aug 2022
23-018-620 — Dorset Council
Summary: We will not investigate this complaint about the Council’s Child Protection assessment. This is because there is not enough evidence of injustice to warrant an investigation and we could not achieve the outcomes Mr X seeks
LGO (Local Government & …
Children S Care Services
Apr 2024
23-018-479 — Lancashire County Council
Summary: We will not investigate this complaint about the actions of a social worker leading up to an Initial Child Protection Conference. This is because there are other bodies better placed to consider this complaint.
LGO (Local Government & …
Children S Care Services
Apr 2024
23-018-808 — London Borough of Ealing
Summary: We will not investigate this complaint about the Council’s handling of a reported safeguarding concern. This is because there is no worthwhile outcome achievable by our investigation.
LGO (Local Government & …
Adult Care Services
Apr 2024
23-018-763 — Staffordshire County Council
Summary: We will not investigate this complaint about adult social care in a residential care home. The complainant alleges neglect, which would be more appropriately investigated by the relevant safeguarding authority or by a court. The person using the service has died so we can achieve no personal remedy for …
LGO (Local Government & …
Adult Care Services
Apr 2024
23-004-664 — London Borough of Barnet
Summary: Mr X complained about the Council’s actions under its child protection procedures. We found fault because the Council used incorrect wording in assessments, misinterpreted some documentation and did not give Mr X enough time to review paperwork before a child protection conference. This caused Mr X avoidable distress and …
LGO (Local Government & …
Children S Care Services
Upheld
Apr 2024
23-019-619 — Wirral Metropolitan Borough Council
Summary: We will not investigate this complaint about alleged abuse suffered in school, as well as the Council failing to offer alternative education provision. This is because we have no jurisdiction to investigate what happens in schools. Further, the complaint refers to events in 1998 and so is historical. We …
LGO (Local Government & …
Children S Care Services
Apr 2024
23-011-292 — London Borough of Hounslow
Summary: Mrs B complained the Council failed to provide satisfactory care to her uncle, Mr C. The Council’s safeguarding enquiry found that acts of neglect and omission had occurred in Mr C’s care. This is fault, which caused Mr C injustice. We found the Council has not properly addressed the …
LGO (Local Government & …
Adult Care Services
Upheld
Apr 2024
24-023-397 — Surrey County Council
Summary: We will not investigate this complaint alleging an officer did not keep information confidential. This is because there is no evidence of fault with the Council’s response.
LGO (Local Government & …
Adult Care Services
Jun 2025
Domestic Homicide Reviews(504)— showing 50 strongest matches
Lincoln — recommendation 1
The Safeguarding Midwives will continue to remind all Midwives via their annual Midwifery Mandatory Training Safeguarding sessions to document all safeguarding information on the Electronic Maternity system in addition to any paper documentation and inform the Safeguarding Midwives if they become aware of any domestic abuse within a relationship so …
United Lincolnshire Hospital Trust
United Lincolnshire Hospitals NHS …
Lincoln — recommendation ii)
Recording the names of those who attend appointments, and the reason for this, is discussed within the level 3 safeguarding training delivered by the CCG safeguarding team. Clinical staff at the practice are in the process of booking on to sessions of this.
GP Practice
Lincoln — recommendation ii)
Professional curiosity has been included in further LCHS safeguarding mandatory training, and safeguarding supervision for all staff within LCHS. The LCHS safeguarding team also provides an advice hub for contacts from any LCHS staff members who have experienced concerns from a contact with a patient where their aggressive behaviour may …
Lincolnshire Community Health Services
Lincolnshire Community Health Service …
Cheltenham — recommendation GHCNHST.3
GHCNHST level 2 manadatory safeguarding training has been based around a family where domestic abuse impacts on each family member from a baby to an older adult with care and suport needs. Includes reference to alcohol misuse and MAPPA.
Gloucestershire Health and Care NHS Trust
Gloucestershire Health and Care …
West Lancashire — recommendation 30
Southport and Ormskirk Hospital Trust to reinforce to staff the Importance of completion of the safeguarding questions in A&E and highlight this through safeguarding training
Southport and Ormskirk Hospital NHS Trust
Southport and Ormskirk Hospital …
West Lancashire — recommendation 13
WLCSP to request the NHS Lancashire Integrated Care Board West Lancashire locality re-emphasise and promote awareness of the safeguarding duty of independent clinical practitioners.
NHS Lancashire and South Cumbria Integrated …
NHS Lancashire and South …
Manchester — recommendation GMMH 4
Safeguarding Adults Level 3’ training module to include information on ‘Chemsex’ as a complexity factor to raise staff awareness and to inform them of specialist advice available.
GMMH
Greater Manchester Mental Health …
Manchester — recommendation GMMH 3
Level 3 Safeguarding Adults/Domestic abuse training module to be updated to include specific information on same sex intimate partner violence and other complexity factors such as polysubstance use.
GMMH
Greater Manchester Mental Health …
Manchester — recommendation 1
The Manchester Community Safety Partnership works with the Manchester Safeguarding Partnership, the Manchester Integrated Care Board, IRIS Manchester and the Betsi Cadwaladr University Health Board to seek assurance that all independent practitioners (General Practitioners and other independent contractors) are aware of their safeguarding duties and receive training and support to …
Manchester Community Safety Partnership | Manchester …
Betsi Cadwaladr University Health …
Sheffield — recommendation STHFT 2
To raise awareness through levels 2 and 3 Safeguarding training of the ‘Think Family’ approach when undertaking assessments.
Sheffield Teaching Hospitals Foundation Trust (STHFT)
Gloucester — recommendation 4
All client-facing staff to have mandatory domestic violence training that is refreshed regularly and that includes information about the dynamics of domestic abuse.
Gloucester Health and Care NHS Foundation …
Derby — recommendation 5
Assurance should be provided by partners that all domestic abuse related multi-agency and single agency training includes information regarding additional risks and triggers of domestic abuse associated with pregnancy and that agencies identify key staff requiring training and that this is delivered/completed.
All partners
Tower Hamlets — recommendation 7.1.9
Briefing on violence between siblings and inter-generational conflicts in the context of domestic abuse, to be added as good practice in our DA training content.
Metropolitan Thames Valley Housing
Swindon — recommendation 14
Clinician involved to ensure up to date with adult safeguarding training.
CARE UK
Care UK
Plymouth — recommendation 11
School 2 and School 3 must ensure that their DSL’s receive child abuse/ safeguarding update training.
School 2 | School 3
Kent — recommendation 13
Additional safeguarding training should be considered best practice for schools who operate separate pastoral support systems.
Education Safeguarding Service
Oxford — recommendation 3
Thames Valley Police to devise an innovative and effective way of delivering the message to front line officers of the importance of identifying and responding to offences, vulnerability and safeguarding issues when dealing with potentially vulnerable people. This is to include the vital role of supervision.
Thames Valley Police
Thames Valley Police
Oxford — recommendation 4
Advice to appraisers to discuss safeguarding specifically at appraisal
Oxfordshire Clinical Commissioning Group
Lancaster — recommendation 5.
All practice staff should receive domestic abuse training.
East Lancashire Clinical Commissioning Group
Lancaster — recommendation 4
Pennine Lancashire Community Safety Partnership work with the Lancashire Safeguarding Children‘s Board to assist this and other nurseries in raising awareness and increasing their understanding of domestic abuse as well as in training them about the need to recognise and report the risks presented by perpetrators of domestic abuse who …
Pennine Lancashire Community Safety Partnership | …
Somerset — recommendation 3
Specific training in domestic abuse and knowledge of the GP champion approach.
Somerset Clinical Commissioning Group
NHS Somerset Clinical Commissioning …
Bath and North East Somerset — recommendation R19
Staff are up to date with mandatory child and adult safeguarding training
GP Practice
Hackney — recommendation IMR4
Hackney Borough Police ensure their front-line staff have access to and attend multi-agency training delivered by the City and Hackney Safeguarding Children Board to further promote their understanding of partnership working and the role of other agencies in protecting children and young people from harm (see recommendation 4).
Metropolitan Police Service (Hackney Borough Police) …
Sefton — recommendation 10
Lead to be highlighted during Safeguarding Training Electronic Communication to staff The profile of the AAR team will be raised through a media campaign across the trust
Southport and Ormskirk Hospitals NHS Trust
Sefton — recommendation 8
Flow Chart to be reviewed so it is fit for purpose – include capacity / consent when a crime had been committed / how to send: check receipt of referrals/ referral document to be included within the Policy. Safeguarding Training to include the appropriateness of capacity / consent when a …
Southport and Ormskirk Hospitals NHS Trust
Sefton — recommendation 6
Safeguarding Training to include responsibilities / capacity/ consent / body mapping of injuries
Southport and Ormskirk Hospitals NHS Trust
Sefton — recommendation 5
Safeguarding Adults Policy CORP 77 staff awareness and education Safeguarding Training to include referrals process
Southport and Ormskirk Hospitals NHS Trust
Chiltern — recommendation STARS Recommendation
All staff to complete child protection training commensurate with their role.
South Staffordshire and Shropshire Healthcare Trust …
Elmbridge — recommendation 9
Integrate domestic abuse awareness into safeguarding training for all staff (and ensure those staff already trained in safeguarding receive this training).
Independent Secondary School
Kingston upon Thames — recommendation 45
Explore the local response to threats to abduct a child/remove from the jurisdiction. Ensure appropriate guidance on child abduction is circulated to LSCB member agencies. All agencies to ensure that their risk assessment tools in relation to domestic violence and safeguarding children, include reference to the threat of child abduction. …
Kingston LSCB
Kingston upon Thames — recommendation 21
Safeguarding training to stress the importance of safely writing in the woman’s hospital notes if the answer to the question is ‘yes’.
St George’s Maternity Service
St George's University Hospitals …
Kingston upon Thames — recommendation 20
Mandatory safeguarding training for all midwives to be updated to level 3
St George’s Maternity Service
St George's University Hospitals …
Kingston upon Thames — recommendation 8
Information sharing and confidentiality embedded in safeguarding training.
South West London and St George’s …
South West London and …
Kingston upon Thames — recommendation 5
Domestic Violence and Mental health embedded in Safeguarding Children training for all practitioners.
South West London and St George’s …
South West London and …
Kingston upon Thames — recommendation 3
Impact of Domestic Violence to be embedded in safeguarding and risk training.
South West London and St George’s …
South West London and …
Kingston upon Thames — recommendation 2
Impacts of parental mental illness to be embedded in safeguarding and risk training.
South West London and St George’s …
South West London and …
St Helens — recommendation 30
All schools should identify at least one trained designated person able to deal with the problems that might arise with the children of problem drug users (Hidden Harms, 2003).
Public Health
Leeds — recommendation YAS4
YAS will remind the local management teams of their responsibility for ensuring frontline staff are up to date with level 2 safeguarding training.
Yorkshire Ambulance Service
Yorkshire Ambulance Service NHS …
Leeds — recommendation YAS3
YAS will ensure the 3 staff that are currently non-compliant in safeguarding level 2 are update within 3 months.
Yorkshire Ambulance Service
Yorkshire Ambulance Service NHS …
Leeds — recommendation 4
The Safeguarding Children Board, Safeguarding Adult Board and Safer Leeds will extend the availability of training for front-line practitioners.
Safeguarding Children Board | Safeguarding Adult …
Cornwall — recommendation 3.2
Create a Culture of TELL, ASK and REFER by; Raising awareness of Domestic Abuse in the Community to encourage increased reporting to REACH Ensuring the commissioned provider delivering LSCB Safeguarding Children Training includes a Domestic Abuse Specific module including the DASH Risk Assessment. Including a specific Domestic …
The DASV & SOC Strategy Lead
Bristol — recommendation 17.2.3
Emergency Department (ED) Bristol Royal Infirmary (BRI) Staff to consider domestic violence and safeguarding when patients attend the unit, and take the appropriate action.
University Hospitals Bristol NHS Foundation Trust
University Hospitals Bristol and …
Bristol — recommendation 17.2.3
The Bristol Domestic and Sexual Abuse Strategy Group will remind agencies of the importance of domestic and sexual abuse training for staff and to offer help in designing training to those organisations.
Bristol Domestic and Sexual Abuse Strategy …
Kirklees — recommendation 3
To specially train the Safeguarding Champions for outpatients to a higher level so that they can risk assess and carry out face to face consultations with a patient who may disclose domestic abuse whilst visiting their department.
Calderdale and Huddersfield NHS Foundation Trust
Calderdale and Huddersfield NHS …
Kirklees — recommendation 1
All Outpatient staff to undergo awareness training on Domestic Abuse; to identify domestic abuse, how to appropriately refer to specialist services and multi-agency discussions e.g. MARAC.
Calderdale and Huddersfield NHS Foundation Trust
Calderdale and Huddersfield NHS …
Kirklees — recommendation 1
CAMHS practitioner’s to be updated regarding their roles and responsibilities when a child makes a disclosure of domestic abuse the importance of understanding the emotional impact of domestic abuse on children even when they are not being directly targeted.
South West Yorkshire Partnership NHS Foundation …
South West Yorkshire Partnership …
Kirklees — recommendation 1
That Kirklees Safer Stronger Communities Partnership will seek formal assurance from all partners and local providers of domestic abuse services that coercive controlling behaviour is incorporated into all domestic abuse training programmes provided by the organisation
Kirklees Safer Stronger Communities Partnership
Bristol — recommendation 13
Domestic Abuse Awareness and MARAC training is made mandatory for all front line workers within the drug and alcohol workforce.
Bournemouth DACT
Colchester — recommendation 11
Agencies should report to the Community Safety Partnership compliance rates with mandatory safeguarding training.
Colchester Community Safety Partnership
Barnsley — recommendation A11
Recommend that staff continue to be regularly updated on safeguarding issues and Berneslai Homes' role in identification, support, referral and partnership working (this is in line with our Vulnerability Strategy 'Something Doesn't Look Right').
Berneslai Homes