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 12 independent accountability sources, so the source mix matters as much as the headline total.
8 inquiry recs
7 PFD reports
30 committee recs
75 CQC actions
2 ICIBI recs
3 PPO recs
5 IOPC recs
1 IMB rec
4 detention investigation 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(8)
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 …
Gov response: On 30 June 2022, the UK government stated that it will consider setting nationally accredited standards and levels of safeguarding training in schools further. It also stated that Keeping Children Safe in Education guidance was …
Accepted in Part
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 …
Gov response: Between January and March 2022, Methodist Church, Triratna Buddhist Order and Community and United Reformed Church stated that they had updated their safeguarding policies and practices, and The Baptist Union for Great Britain stated that …
Accepted
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: On 27 July 2021, Lambeth Council stated that all councillors are required to complete safeguarding training as well as training on corporate parenting. Councillors were provided with a handbook explaining the role of corporate parenting …
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 …
Gov response: On 30 April 2021, the Catholic Council for the Inquiry stated that it had mandated that clergy and parish safeguarding representatives must undergo baseline safeguarding training, supplemented by biennial refresher training. The reach of mandatory …
Accepted
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: The Home Secretary made a statement to Parliament on 22 June 2004, the day the Bichard Inquiry Report was published, accepting all 31 recommendations in full. The government stated it was "in principle, accepting Sir …
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: The Home Secretary made a statement to Parliament on 22 June 2004, the day the Bichard Inquiry Report was published, accepting all 31 recommendations in full. The government stated it was "in principle, accepting Sir …
Accepted
Prevention of Future Deaths reports(7)
Gordon Thornhill
Concerns: Incomplete VTE risk assessments by junior doctors, a consultant's failure to identify this and document their own assessment, and a significant delay in providing thromboprophylaxis.
Response (Doncaster and Bassetlaw Teaching Hospitals NHS Trust): The Trust is re-launching the "Stop the Clot" campaign to ensure VTE prophylaxis is appropriately undertaken and in a timely manner. There is a quality improvement project on the medical …
Responded
Edward Bilbey
Concerns: England Boxing lacked adequate child protection policies, enforcement, and up-to-date records for welfare officers, leaving clubs vulnerable and compromising child safety measures.
Response (England Boxing): England Boxing had already implemented remedial actions to increase safety and awareness, including revising the Rule Book to make safeguarding responsibilities clear, introducing mandatory DBS checks, and implementing safeguarding training. …
Response (DCMS): DCMS acknowledges the concerns, describes existing safeguarding measures and engagement with sports bodies, but states they do not intend to introduce further sport-specific legislation at this time. They will work …
Responded
Adrian Balog
Concerns: National safeguarding guidance for children omits "obesity" as a sign of neglect, contrasting with malnourishment, which risks failing to identify and protect obese children at risk.
Response (Secretary of State for the Department for Education): The Secretary of State acknowledges concerns about including 'obesity' as an indicator of abuse and neglect in safeguarding guidance, highlighting existing guidance on safeguarding children's welfare and health. They note …
Responded
Archie Bruce
Concerns: The Rugby Football League's Welfare Policy allows clubs outside the Super League to relax illicit drug education and conduct rules, risking young players who need consistent guidance due to their immaturity.
Response (Rugby Football League): The RFL will review its Overseas Code of Conduct, with specific reference to player behaviour, this year. Ongoing training will reflect any changes made.
Responded
Carol Taylor
Concerns: No system prevents staff non-compliant with mandatory training, including basic life support, from working on inpatient wards, posing a particular risk to vulnerable elderly patients.
Response (Essex Partnership University NHS Trust): The Trust has implemented measures to ensure staff are competent, including mandatory training checks and escalation procedures. They have also formed a Physical Health Task and Finish Group to review …
Response (Ministry of Justice): The Minister acknowledges the concerns and offers condolences, deferring to the Director General of Operations at HMPPS for a detailed response.
Response (HM Prison Probation Services): HMPPS published guidance on managing self-neglect in prisons in July 2024. They implemented a new booking tool for ACCT reviews in August 2024, introduced a new shift pattern for key …
Responded
John Rust
Concerns: Mandatory training for automated CSF drainage systems is not adequately enforced, with many staff untrained. There's no sustainable plan to ensure all current and future clinical staff receive essential training on critical equipment.
Response (University Hospitals Birmingham NHS Foundation Trust): Response from Deputy CEO and Chief Medical Officer, University Hospitals Birmingham NHS Foundation Trust, with no specific actions mentioned.
Responded
Georgia Scarff
Concerns: School staff unfamiliarity with the safeguarding system led to missed recordings. The lack of a single national safeguarding information management tool for schools creates inconsistent practices and risks.
Overdue
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 Pending
#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 …
Gov response: It is our intent that the agreement will take effect in mid-2027. We have been listening to businesses and understand concerns raised about how the new agreement could affect them. We know that some businesses …
Position Not Stated
#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)
Gov response: It is our intent that the agreement will take effect in mid-2027. We have been listening to businesses and understand concerns raised about how the new agreement could affect them. We know that some businesses …
Response Not Attributed
#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 Pending
#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 …
Gov response: We welcome the recognition of the role of volunteers and the intention of improving their experience across a number of areas. Sport and physical activity depends on a large workforce, currently 10.5 million volunteers, 2.6 …
Position Not Stated
#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 …
Gov response: In schools, we want to make sure teachers can access high quality professional development that supports them to deliver the best teaching for all pupils, including those with SEND. We are considering how we can …
Not Addressed
#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 …
Gov response: In schools, we want to make sure teachers can access high quality professional development that supports them to deliver the best teaching for all pupils, including those with SEND. We are considering how we can …
Not Addressed
#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 …
Gov response: We welcome the recognition of the role of volunteers and the intention of improving their experience across a number of areas. Sport and physical activity depends on a large workforce, currently 10.5 million volunteers, 2.6 …
Response Not Attributed
#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 …
Gov response: Agree 73. The FCDO agrees that adolescents and other marginalised groups can be vulnerable to a range of safeguarding risks, and we work closely with partners to ensure organisations have a strong safeguarding culture and …
Accepted
#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 …
Gov response: The Department for Education welcomes the Committee’s recommendation. This is a matter for the Office for Students.
Not Addressed
#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 …
Gov response: HMG position: Agree Equity and safeguarding considerations are an integral part of delivering good value for money in the FCDO. We agree that securing value for money in development programmes should not compromise the safeguarding …
Response Not Attributed
#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 …
Gov response: In February, the Home Office published clear guidance on Prevent thresholds, titled Key Principles of Prevent, to help ensure there is a shared understanding of the purpose of Prevent and the circumstances in which it …
Under Consideration
#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 …
Gov response: 2. Keeping Children Safe in Education is updated annually, including testing with stakeholders. There is a consultation on substantive changes. The next consultation of the guidance will be launched later this year.
Position Not Stated
#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. …
Gov response: 1. The updates to Keeping Children Safe in Education made it explicit that all schools should understand that sexual harassment and sexual violence might happen in any school, and that they should prepare and act …
Position Not Stated
#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 …
Gov response: 1. The updates to Keeping Children Safe in Education made it explicit that all schools should understand that sexual harassment and sexual violence might happen in any school, and that they should prepare and act …
Response Not Attributed
#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 …
Gov response: The Department for Education has been in dialogue with the Office for Students about a proposed new registration condition for some time and significant progress has been made. The Office for Students received a significant …
Not Addressed
#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 …
Gov response: 2a. PAC recommendation: The Department should develop a plan by June 2026 (one year after the publication of the SDR) for increasing the number of Cadets which sets out how it will: • ensure that …
Not Addressed
#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.
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 …
Response Not Attributed
#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 …
Gov response: In 2021, we published our review of sexual abuse in schools and colleges, and updated our handbooks to strengthen requirements for inspectors to assess how well schools address sexual harassment and abuse. Since then, we …
Partially Accepted
#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 …
Gov response: DfE has contracted with IFF Research to undertake quantitative and qualitative research to understand the quality of implementation, including teacher confidence in teaching the statutory requirements. This research will help us to understand barriers and …
Position Not Stated
#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 …
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 …
Accepted
#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. …
Gov response: The private security industry plays a key role in public protection, and this includes the protection of women and girls in live music venues and the wider night-time economy. The Security Industry Authority sets training …
Accepted
#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 …
Gov response: 122. We agree with the Committee that access to work experience should be as straightforward as possible. We will look at what more we can do to address barriers to organising work experience. Careers Hubs …
Accepted
#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 …
Gov response: The Government agrees that administrative requirements and concerns around safeguarding should not form a barrier to schools being able to arrange work experience placements and that access should be as easy as possible. We currently …
Accepted
#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 …
Gov response: The Government agrees that recording studios should provide a safe environment for all who work in them. There are no plans at the present time to introduce new licensing requirements for commercial recording studios. The …
Not Accepted
#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 …
Gov response: The UK Government acknowledges the importance of work to ensure that the Northern Ireland framework for safeguarding children and young people protects those abused by paramilitary or organised crime gangs. This is a policy area …
Accepted
#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 …
Gov response: In March 2023, we published our evaluation report on our pilot of the NHS Complaint Standards. The pilot saw us work with 11 NHS organisations and one private provider to explore how best to embed …
Position Not Stated
#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 …
Gov response: In March 2023, we published our evaluation report on our pilot of the NHS Complaint Standards. The pilot saw us work with 11 NHS organisations and one private provider to explore how best to embed …
Position Not Stated
CQC inspection actions(75)— showing 50 strongest matches
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
University Hospital Lewisham
The service should ensure specialist staff have access to appropriate safeguarding supervision to carry out their duties.
Should 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 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 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
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 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
Queen Elizabeth The Queen Mother 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
Queen Elizabeth The Queen Mother 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
Queen Elizabeth The Queen Mother Hospital
The trust must ensure all staff receive training in safeguarding adults and children.
Must Do
Queen Elizabeth The Queen Mother 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
North Devon District Hospital
The service must ensure staff are compliant with up-to-date safeguarding adults’ level 3 training.Regulation(12(2)(c)
Must Do
Montagu Hospital, Mexborough
Thetrustshouldcontinuetoensurethatallstaffcompletesafeguardingtrainingrelevanttotheirrole.
Should Do
Montagu Hospital, Mexborough
Thetrustshouldcontinuetoensurethatallstaffcompletesafeguardingtrainingrelevanttotheirrole.
Should Do
Montagu Hospital, Mexborough
Thetrustshouldcontinuetoensurethatallstaffcompletesafeguardingtrainingrelevanttotheirrole.
Should Do
Montagu Hospital, Mexborough
Thetrustshouldcontinuetoensurethatallstaffcompletesafeguardingtrainingrelevanttotheirrole.
Should Do
Montagu Hospital, Mexborough
Thetrustmustimplementeffectivesystemsandprocessestoensureallnursingandmedicalstaffarecompliantwithmandatorytraining,includingbutnotlimitedto,safeguardingvulnerableadultsandchildren,toalevelappropriatefortheirrole.Regulation18(2)(a)
Must Do
Montagu Hospital, Mexborough
Thetrustmustensureallnursingstaffcompletemandatoryandsafeguardingtrainingmodulesrelevanttotheirroleaspertrustpolicytomeettarget.ThismustincludetrainingintheMentalCapacityActorDeprivationofLibertySafeguards.Regulation18(1)(2)(a)
Must Do
Montagu Hospital, Mexborough
Thetrustmustensurethatallstaffparticularlymedicalstaffcompletesafeguardingtrainingrelevanttotheirrole.Regulation18(2)(a)
Must Do
Montagu Hospital, Mexborough
Thetrustmustensurethatallstaffparticularlymedicalstaffcompletesafeguardingtrainingrelevanttotheirrole.Regulation18(2)(a)
Must Do
Montagu Hospital, Mexborough
Thetrustmustimplementeffectivesystemsandprocessestoensureallnursingandmedicalstaffarecompliantwithmandatorytraining,includingbutnotlimitedto,safeguardingvulnerableadultsandchildren,toalevelappropriatefortheirrole.Regulation18(2)(a)
Must Do
Leighton Hospital
The service must ensure that all staff are up to date with maternity mandatory training modules, safeguarding training and regular ‘skills and drills’ training.
Must Do
Kettering General Hospital
The service should ensure staff complete mandatory training, including but not limited to life support training, safeguarding and learning disability training and to ensure there are effective systems to monitor compliance with trust targets.
Should Do
Great Western Hospital
The service must ensure staff are up to date with maternity mandatory training modules. Including safeguarding training level 3 for both adults and children
Must Do
Gloucestershire Royal Hospital
The trust must ensure that the intercollegiate guidance for safeguarding children and young people on safeguarding training is followed regarding staff training.
Must Do
Ellesmere Port Hospital
The trust must ensure that mandatory training (including safeguarding) compliance meet the trust target.
Must Do
Ellesmere Port Hospital
The trust must ensure that there are sufficient numbers of qualified staff that have completed mandatory training requirements including safeguarding.
Must Do
Doncaster Royal Infirmary
The trust should continue to ensure that all staff complete safeguarding training relevant to their role.
Should Do
Doncaster Royal Infirmary
The trust must ensure all nursing staff complete mandatory and safeguarding training modules relevant to their role as per trust policy to meet target. This must include training in the Mental Capacity Act or Deprivation of Liberty Safeguards.
Must Do
Doncaster Royal Infirmary
The trust must ensure that all staff particularly medical staff complete safeguarding training relevant to their role.
Must Do
Doncaster Royal Infirmary
The trust must implement effective systems and processes to ensure all nursing and medical staff are compliant with mandatory training, including but not limited to, safeguarding vulnerable adults and children, to a level appropriate for their role.
Must Do
Yeovil District Hospital
The service must ensure staff are up to date with maternity mandatory training modules, including adult and children’s safeguarding training at level 3.
Must Do
UHBW Bristol Campus
The service must ensure medical staff have completed an appropriate level of safeguarding training to carry out their duties.
Must Do
The James Cook University Hospital
The service should ensure all medical staff complete safeguarding training.
Should Do
St Helier Hospital and Queen Mary's Hospital for Children
The service must ensure all staff are up to date with maternity mandatory and safeguarding training modules.
Must Do
Southmead Hospital
The service should ensure that it improves safeguarding training compliance for medical staff, especially doctors in training.
Should Do
Queen Alexandra Hospital
The service should continue to ensure that staff are up to date with the maternity and safeguarding mandatory training modules.
Should Do
Musgrove Park Hospital
The service must ensure staff are up to date with the appropriate level of safeguarding training in line with national guidance.
Must Do
Goole & District Hospital
The service must ensure all MLU staff complete the appropriate level of Safeguarding Adults and Children training in line with trust policy and intercollegiate guidelines.
Must Do
Epsom General Hospital
The service must ensure all staff are uptodate with maternity mandatory and safeguarding training modules.
Must Do
Birmingham Children's Hospital
The trust must ensure all staff complete mandatory training, including but not limited to safeguarding, learning disability and Mental Capacity Act 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(3)
Themes and lessons learnt from NHS investigations into matters relating … — Rec R4
All NHS trusts should ensure that their staff and volunteers undergo formal refresher training in safeguarding at the appropriate level at least every three years.
national
Accepted
Themes and lessons learnt from NHS investigations into matters relating … — Rec R8
The Department of Health and NHS England should devise and put in place an action plan for raising and maintaining NHS employers’ awareness of their obligations to make referrals to the local authority designated officer (LADO) and to the Disclosure and Barring Service.
national
Accepted
Themes and lessons learnt from NHS investigations into matters relating … — Rec R5
All NHS hospital trusts should undertake regular reviews of: - their safeguarding resources, structures and processes (including their training programmes); and - the behaviours and responsiveness of management and staff in relation to safeguarding issues to ensure that their arrangements are robust and operate as effectively as possible.
national
Accepted
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
LGO / SPSO decisions(138)
25-014-003 — Hertfordshire County Council
LGO (Local Government & …
Adult Care Services
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
LGO (Local Government & …
Children S Care Services
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
LGO (Local Government & …
Adult Care Services
25-013-137 — Portsmouth City Council
LGO (Local Government & …
Adult Care Services
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
LGO (Local Government & …
Adult Care Services
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