Poor prevention and early intervention
Over-reliance on hospital discharge solutions rather than prioritising prevention and early intervention strategies in health and social care.
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.
7 inquiry recs
92 PFD reports
299 committee recs
9 HSSIB recs
14 CQC actions
18 HMICFRS recs
4 NAO recs
1 PHSO rec
94 IMB recs
12 PHSO decisions
48 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(7)
FR-4 — Public Awareness Campaign
Recommendation: The Inquiry recommends that the UK government and the Welsh Government commission regular programmes of activity to increase public awareness about child sexual abuse and the action to take if child sexual abuse is happening or suspected in England and …
Gov response: We accept the importance of bringing child sexual abuse out of the shadows and creating more national awareness of the scale and nature of the issues and how to report concerns and cases of child …
Accepted in Part
R95 — Blue light protocol for at-risk registers
Recommendation: HSCTs must develop registers of those at risk of requiring unplanned inpatient treatment, similar to the NHS England ‘blue light protocol’, in order to target community resources efficiently and prevent the person having to leave their home in the community.
Response Pending
6 — Review and reduce cell lock-in periods
Recommendation: The Home Office, in consultation with the contractor responsible for operating each immigration removal centre, must review the current lock-in regime and determine whether the period of time during which detained people are locked in their cells could be reduced. …
Gov response: A maximum 9-hour overnight lock-in period has been implemented. The government has also noted a drive to improve the range of activities available to detainees.
Accepted in Part
1 — Monitor Brook House contract performance robustly
Recommendation: The Home Office must actively and robustly monitor the performance of the Brook House contract, including satisfying itself that any self-reported information is accurate. This may include engagement with monitoring bodies and appropriate stakeholders. Penalties must be attached to inadequate …
Gov response: The Home Office has introduced new contracts requiring internal audit programmes and self-reporting by service providers. Two Home Office teams operate in each IRC: detention services compliance teams for on-site contract monitoring, and Detention Engagement …
Accepted in Part
COVID-M4.3 — Improve Vaccine Uptake Monitoring and Evaluation
Recommendation: Each of the four UK public health or health security agencies should work together to: maintain accurate, UK-wide insight into the state of vaccine uptake and hesitancy; and understand the measures proven to be effective in increasing uptake across the …
Gov response: No formal response published by this government.
Unknown
COVID-M4.2 — Formalise Community Vaccine Equity Networks
Recommendation: The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should maintain networks with local communities to produce targeted vaccination strategies and communications. To achieve this: The Scottish Government, Welsh Government and Northern Ireland Executive should establish local community …
Gov response: No formal response published by this government.
Unknown
AC-1a — Open Registration
Recommendation: The scheme be opened to registration to everyone who may be eligible.
Gov response: The remaining 11 recommendations focus on IBCA delivery. Further detail on these will be set out by IBCA in due course.
Accepted
Prevention of Future Deaths reports(92)— showing 50 strongest matches
Ann Margaret Spearing
Concerns: Despite clear malnutrition and learning difficulties, the deceased was repeatedly assessed by mental health, hospital, and eating disorder services, yet consistently misdiagnosed or found not to have a treatable condition.
Response (Bristol Clinical Commissioning Group): Bristol has recently reviewed, redesigned and is currently re-procuring its specialist mental health and learning disability services and has piloted an enhanced advice and guidance support scheme to GPs.
Responded
Amna Umer Ahmed
Concerns: Low awareness of Sudden Arrhythmic Death (SAD) among GPs and a lack of clear guidelines for urgent referral of at-risk patients contribute to missed diagnoses.
Response (Royal College of General Practitioners): The Royal College of General Practitioners acknowledges the concerns, describes its role in GP training and standards, and references existing curriculum and resources related to cardiovascular disease and sudden adult …
Overdue
Amanda Vickers
Concerns: A severe shortage of specialist crisis home beds, with no clear availability, contributed to a patient's death while awaiting admission, highlighting inadequate commissioning by the CCG.
Response (Cumbria Clinical Commissioning Group): Cumbria Clinical Commissioning Group is reviewing the existing framework for wellbeing and mental health and developing a new mental health strategy in partnership with stakeholders. A review of mental health …
Responded
Oliver Hiscutt
Concerns: Lack of mandatory formal paediatric child health training for GPs results in inadequate skills to assess and manage sick children effectively.
Overdue
Samarjit Singh
Concerns: The lack of a Specialist Community Perinatal Mental Health Service and a Mother and Baby in-patient unit in the region resulted in sub-optimal treatment and declined referrals for mothers with severe postnatal depression.
Response (Wirral Clinical Commissioning Group): NHS Wirral CCG established a working group to review the perinatal mental health pathway. They are revising the Liaison Psychiatry service specification to include dedicated consultant psychiatrist time and requiring …
Response (Department of Health): The Department of Health acknowledges the coroner's concerns regarding perinatal mental health services in the Wirral and Liverpool. They state that commissioning of local services is the responsibility of Clinical …
Overdue
Helena Farrell
Concerns: The report identifies an inadequate referral system and staffing levels at CAMHS, a failure to recognise the escalation of incidents, unrealistic expectations of the school nurse, and a lack of verification of the school counsellor's qualifications.
Response (Cumbria NHS Foundation Trust): Cumbria Partnership NHS Foundation Trust has significantly redesigned the CAMHS referral system, with a 48-hour response target for urgent referrals. The recommendations from the Serious Untoward Incident report have been …
Response (Cumbria County Council): Cumbria County Council will remind schools of their duty to ensure counselors are appropriately qualified by the end of September and will undertake a sample audit later in the school …
Responded
Emmanuel Akinmuyiwa
Concerns: The absence of a clear regional protocol for sickle cell disease management led to staff lacking knowledge of crisis symptoms and necessary treatment, compounded by funding issues.
Overdue
Sian Armstrong
Concerns: A significant delay occurred in providing Cognitive Behavioural Therapy (CBT) for a child, Sian Armstrong, who was assessed as needing it, highlighting a lack of timely access to critical mental health support.
Overdue
Aleysha McLoughlin
Concerns: The training system for professionals working with young people regarding self-harm requires a comprehensive review, as self-harm is a growing public health crisis.
Response (Department of Health): The Department for Education is developing an assessment and accreditation system for child and family social workers. DCLG is focussed on supporting local services to provide early, integrated support for …
Responded
Baby Olsberg
Concerns: Antenatal screening for Group B Streptococcus (GBS) and prophylactic intrapartum antibiotics for positive cases are not routinely offered by the NHS, potentially putting babies at risk.
Response (Royal College of Obstetricians and Gynaecologists): The RCOG acknowledges the concerns but refers to their guideline which aligns with the National Screening Committee's recommendation against routine screening for GBS.
Response (N.I.C.E): NICE acknowledges the concerns but refers to the UK National Screening Committee's current position that screening for GBS is not supported by the evidence, and that NICE's guideline does not …
Response (Department of Health): The Department of Health acknowledges concerns about GBS screening but states that the UK National Screening Committee does not currently support universal screening due to insufficient evidence. They note that …
Responded
Emma Carpenter
Concerns: Critical specialist eating disorder services for children lacked long-term funding and inpatient bed provision. Insufficient funding for school nurses caused poor communication between mental health and education systems.
Response (Department of Health): The Department of Health provided NHS England with £7 million in 2014/15 to increase CAMHS Tier 4 bed provision and improve access. Health Education England plans to commission 340 training …
Response (NHS England): NHS England has invested in inpatient CAMHS beds, developed national service specifications for acute inpatient mental health units, and is planning to commission inpatient beds based on need. They highlight …
Response (Doncaster and Bassettlaw Hospitals NHS Trust): The Trust has communicated with Nottinghamshire Health Care Foundation Trust, offering a formal service level agreement and a named consultant to support patients from the Bassetlaw area receiving treatment at …
Responded
Isabella Drew
Concerns: Inadequate national guidance and audit procedures prevent healthcare providers from consistently advising pregnant women about whooping cough vaccination. Poor communication links between antenatal healthcare providers also pose risks.
Response (Department of Health): The Department of Health acknowledges the coroner's concerns regarding advice and support for pregnant women about whooping cough vaccination. They note that NHS England is responding on behalf of the …
Response (NHS England): NHS England will consider the coroner's concerns about integrating pertussis and immunisation services into routine maternity care as part of an independent review of maternity services in England. Public Health …
Responded
Curt Falk
Concerns: A patient died from a viral infection (SCC) preventable by vaccination, but current policy excludes males from this vaccination, indicating a risk of future deaths in men from this infection.
Response (JCVI): Public Health England will submit work on the cost-effectiveness of extending the HPV vaccination programme to adolescent boys to JCVI by early 2017. In November 2015 JCVI advised that a …
Overdue
William Higgleton
Concerns: A critical lack of psychotherapy services for patients with anti-social personality disorder means their primary treatment is unavailable, creating a risk of future deaths.
Response (William Higgleton): NELFT and CCGs will review care pathways for patients with anti-social personality disorder, ensuring support to access existing services per NICE guidelines and develop a communication plan. The review, commencing …
Overdue
Simon Klineberg
Concerns: Concerns include insufficient psychiatric bed availability, inadequate resourcing for home treatment teams, and significant waiting lists for psychological therapy, especially for high-risk patients.
Overdue
Christina O’Brien
Concerns: Limited community respite care options for mentally ill individuals, with the withdrawal of beneficial facilities like "Dove House" without alternative provision, preventing comprehensive support for their distress.
Overdue
Oliver Ford
Concerns: The telephone triage process lacked a robust risk assessment, and any assessments were often undocumented. Insufficient PCLS weekend cover led to crucial follow-up delays for patients triaged on Fridays.
Response (Avon and Wiltshire NHS Trust): The telephone triage process now includes the access trigger tool, which assesses risk. There are now two clinicians on duty at PCLS until 8pm Monday to Friday, and the clinicians …
Responded
Thomas Green
Concerns: A referral to Adult General Psychiatry for an inpatient was not considered or actioned, resulting in no psychiatric follow-up or treatment plan for complex PTSD upon discharge; a commissioning gap exists for complex PTSD services.
Response (Tameside and Glossop CCG NHS Trust): Tameside and Glossop CCG will clarify the Individual Funding Request process by 1/6/17, review and establish clear pathways into MH support for people with complex needs within four months, and …
Overdue
Vadims Aleksejevs
Concerns: There is a lack of clarity on whether adult social care or addiction services provide outreach to vulnerable homeless individuals on campsites, and an unclear statutory duty to house them.
Response (Vadims ALEKSEJEVS): Northampton Borough Council outlines its existing strategy to tackle homelessness, including borough-wide rough sleeper counts, street outreach workers, a 3-year strategy, and the opening of an all-year-round Nightshelter.
Overdue
Annabel Lewis
Concerns: Mental health services failed to adequately assess risk, record crucial details, or proactively engage with a vulnerable young person and her parents after an initial declined appointment.
Overdue
Isabel Gentry
Concerns: The deceased's death from meningitis B could have been prevented by vaccination, highlighting an ongoing risk if the teenage group, which is at increased risk, is not included in the vaccination program.
Overdue
John Haughey
Concerns: The widespread availability of alcohol-based hand washing gels poses a risk of consumption by confused patients, and there's inadequate dissemination of this hazard and the need for formal risk assessments across sectors.
Overdue
Jamie Pashley
Concerns: The system over-relied on individuals proactively managing their rehabilitation post-detoxification. Concerns included a lack of fixed appointments, follow-up calls, and limited availability of an alcohol liaison nurse post-discharge.
Response (Kings College Hospital NHS Trust): The Trust acknowledges concerns about alcohol dependency patient follow-up. They are considering a business case to expand the Alcohol Liaison team to reduce ED attendances and admissions.
Overdue
Tomas Kelly
Concerns: Parents of a child with Down Syndrome were not adequately informed of their child's increased infection risks, and routine chickenpox vaccination for this vulnerable group should be considered.
Response (Joint Committee on Vacccination and Immunisation): The JCVI is currently reviewing its advice on varicella vaccination and will consider including children with Down’s syndrome in the list of high-risk groups during meetings in 2018.
Responded
Evelyn Fisher
Concerns: The over-70 driving license renewal system relies on self-reporting and lacks mandatory objective testing, failing to prevent individuals with unrecognised cognitive impairment from driving.
Overdue
Charlie Craig
Concerns: British Cycling does not conduct health assessments or medical screening for young riders on its World Class Programme, missing opportunities to identify potential cardiac abnormalities.
Response (British Cycling): British Cycling will implement new cardiac screening guidelines developed with Liverpool John Moores University for all athletes on the World Class Programme and apprentice level. Apprentice riders will not be …
Responded
Raymond Davidson
Concerns: Persistent operational staff shortages and overwhelming demand are causing severe and unacceptable ambulance response delays. Additionally, telephone contact not directly with the patient compromised the initial clinical review.
Overdue
Bernard Gerrard
Concerns: Emergency ambulance services are experiencing unacceptable delays in vehicle response times, even for urgent calls, due to insufficient funding and overwhelming demand.
Response (East Midlands Ambulance Service NHS Trust): EMAS is negotiating with its Coordinating Commissioner regarding the contract settlement for 2018/19 and 2019/20, and anticipates recruiting and training additional frontline operational staff and staff within the Emergency Operations …
Overdue
William Abrahams
Concerns: The current AAA screening program excludes individuals over 65 at its introduction, and the "opt-in" nature for asymptomatic conditions may hinder participation, risking undetected aneurysms.
Response (NHS England): NHS England London Region Public Health Commissioners will continue to support London AAA screening programmes to improve men's awareness of their options to attend screening. Targeted work with GPs in …
Responded
Karen Edgar
Concerns: Critically underfunded child and adolescent mental health services in Cumbria result in long treatment delays, risking lives and causing lasting harm.
Response (Department of Health Social Care): The Department of Health acknowledges concerns and states that commissioning of mental health services is a matter for the local NHS. They note that local commissioners have made considerable investment …
Overdue
Alfie Scambler-Holt
Concerns: The absence of a national PEWS scoring system creates inconsistency across trusts, leading to varied escalation processes and potential risks for children transferred between hospitals.
Overdue
Enric Elliott
Concerns: Vulnerable young mothers who book late for maternity care are often excluded from the Family Nurse Partnership due to rigid gestation limits, despite late booking indicating increased risk.
Response (Whittington Health NHS Trust): The Trust acknowledges concerns about referral criteria for the Family Nurse Partnership (FNP) programme and is working with the national FNP team to test the impact on programme outcomes for …
Responded
David Sargeant
Concerns: The patient could not receive an ADHD diagnosis or treatment due to commissioning gaps, lack of specialist psychiatrists, and impracticalities of out-of-county referrals for ongoing care.
Response (Kernow Clinical Commissioning Group): The CCG acknowledges the concerns about ADHD diagnosis and treatment and states that it has committed to developing a new adult ADHD pathway for Cornwall, due to be established in …
Responded
Neil Swaisland
Concerns: The withdrawal of funding for MIND's counselling services by the Council and CCG risks future deaths from self-harm and suicide among vulnerable individuals.
Response (Milton Keynes Council): Milton Keynes Council has a contract for counselling services in place with MIND, which will be maintained until April 2019 whilst MIND develop additional funding opportunities for their services.
Response (Milton Keynes Clinical Commissioning Group): Milton Keynes CCG has invested year on year into Improving Access to Psychological Therapies (IAPT) service provision and invested in a Primary Care Plus (PCP) service working with general practice …
Responded
Edward Farmer
Concerns: A national campaign is needed to highlight the inherent risks of rapid alcohol consumption and initiation events, focusing on identifying at-risk individuals and the importance of timely medical intervention.
Response (Department of Health and Social Care2): Following a roundtable event, Universities UK and Newcastle University published guidance to raise awareness of the dangers of initiations and excessive alcohol consumption among students. Public Health England is engaged …
Response (Department for Education): The Department for Education highlights the publication of comprehensive guidance by Universities UK and Newcastle University, "Initiations at UK Universities", which addresses the risks of initiations and excessive alcohol consumption …
Response (Newcastle University): Newcastle University and the Students' Union have undertaken several actions, including enhanced training for student leaders, revised guidance, increased communications and awareness campaigns, and closer collaboration between university departments and …
Response (Department of Health and Social Care): The Department of Health and Social Care will work with government colleagues and other health sector bodies to determine the best course of action regarding the risks of alcohol consumption.
Response (Secretary of State): The Secretary of State for Education has deferred a response until the department has worked with colleagues in the health and education sectors on designing measures to raise awareness of …
Response (NUS): NUS plans to convene a meeting with the Home Office, Department for Education, Public Health England, Universities UK, and the Office for Students before the end of March 2019 to …
Responded
Douglas Minns
Concerns: The coroner raises concerns about the withdrawal of a falls service, which provided home visits to assist those who had fallen, assessing that this puts patients' lives at risk and suggests re-introducing the service due to strains on the ambulance service.
Response (Milton Keynes Clinical Commissioning Group): Milton Keynes CCG describes community-based services that superseded a previous falls service, including a Home 1st Rapids service and the Staying Steady service, and asserts that these meet the original …
Responded
Jack May
Concerns: Inadequate university mental health services, characterized by long waits and limited appointments, combined with patchy, poorly trained pastoral support from personal tutors, allowed students to "slip through the net."
Response (Cardiff University): Cardiff University acknowledges the coroner's concerns and provides a detailed explanation of its student support services, personal tutoring policies, and local pastoral care. They state they are not complacent and …
Responded
Noah Lomax
Concerns: The CAMHS/GP referral form is inadequate, resulting in insufficient information for risk assessment and delayed care; the Trust should reconsider redesigning the form.
Response (Sheffields Childrens NHS Trust): The CAMHS team has commenced a review of the referral form, and a draft form was sent to the Clinical Director for Mental Health commissioning at Sheffield Clinical Commissioning Group …
Responded
Reece Lapina-Amarelle
Concerns: The report identifies a lack of resources and treatment for individuals with serious mental illness and substance misuse issues, as well as insufficient information sharing between mental health services and substance misuse services.
Response (Department of Health and Social Care): The Department of Health and Social Care acknowledges the concerns and notes the NHS England and Improvement response. They commissioned a review of the Mental Health Act and will publish …
Response (NHS England): NHS England expresses condolences and acknowledges the concerns raised, referencing existing initiatives to improve mental health services and digital tools. It notes that the Department of Health and Social Care …
Responded
Mohan Acharya
Concerns: Emergency department crowding is a significant risk factor associated with increased mortality among admitted patients, contributing to approximately 500 deaths annually.
Response (the Department of Health and Social Care): The Department of Health and Social Care highlights NHS plans to improve urgent and emergency care, including implementation of the NHS Long Term Plan, expansion of NHS 111, and embedding …
Responded
Rifky Grossberger
Concerns: Insufficient communication of blind cord dangers to new parents, absence of a national safety leaflet, and missed opportunities for healthcare professionals to provide warnings contributed to the risk.
Response (NHS England): NHS England highlights the existing advice available on the NHS Choices website and the role of Health Visitors in delivering the Healthy Child Programme. PHE aims to reduce preventable accidents …
Response (Royal College of Nursing): The RCN has reviewed and strengthened its guidance about the potential risks of strangulation and suffocation on its clinical webpages for Health Visitors, Midwives, School Nurses, Children’s Nurses, Neonatal Nurses …
Responded
Isaac Newton
Concerns: Despite guidance, young parents are continuing unsafe co-sleeping practices, often involving alcohol or drugs, and are not appreciating or following advice on safe sleeping environments, risking infant deaths.
Response (Dept of Health and Social Care): The Department of Health and Social Care detailed actions taken to raise awareness of co-sleeping risks, including releasing two short films with advice and incorporating safe sleeping advice into the …
Responded
Reggie-Jay Payne
Concerns: Group B Strep infection risks were not discussed during pregnancy, screening was not offered, and antibiotics were not administered, potentially contributing to the baby's death.
Overdue
Carolyne Senior
Concerns: Hospital staff lacked sufficient specialist mental health advice to properly assess and mitigate falls risks for patients with mental health needs, leading to inadequate care plans.
Response (Barnsley Hospital NHS Foundation Trust): The Trust updated falls risk assessments to consider mental health, including a direct reference to contacting Mental Health Liaison. They have also informed nursing staff of these changes and shared …
Responded
Michelle Turner
Concerns: Critical funding for peer support workers, who offer invaluable 'lived experience' and essential support for mental health and substance misuse, may be lost, jeopardizing vital services.
Response (Blackpool CCG): The CCG has agreed to extend the current peer support worker provision until March 2022 and is transforming community mental health services as part of the Long-Term Plan, which includes …
Responded
Violet Jackman
Concerns: Safe sleeping advice was inadequately communicated to both parents, and reduced health visitor services during the pandemic further compromised support for new parents.
Response (Department of Health and Social Care): The DHSC outlines existing guidance, training and resources related to safe sleeping for infants, including collaboration with Public Health England and the Lullaby Trust. It also notes advice given to …
Responded
Cyril Cheetham
Concerns: The "Alternative to Transfer" service for care homes, designed to reduce ambulance calls, introduces an additional triage layer that may delay admissions, yet lacks proper audit for adverse outcomes or deaths.
Response (Dept of Health and Social Care): The Department of Health and Social Care acknowledges the concerns and states that the planning and commissioning of local health services is the responsibility of CCGs. They note that Stockport …
Response (Stockport Clinical Commissioning Group): Stockport CCG has addressed concerns about the ATT service by agreeing that any visit required following initial telephone assessment will be performed by Mastercall, with exceptions only when a GP …
Responded
Averil Hart
Concerns: Widespread and continuing lack of training, knowledge, and experience among medical professionals regarding eating disorders, coupled with a severe shortage of specialists, risks future deaths.
Response (NHS England): NHS England and NHS Improvement are improving adult eating disorder services with a national programme backed by investment. They are also improving data on the prevalence of eating disorders in …
Response (GMC): The GMC has used its regulatory powers to address inconsistency in training to address patient safety concerns, and is working with medical schools to ensure ED training is delivered more …
Response (Department of Health Social Care): The Department of Health and Social Care acknowledges concerns about eating disorder treatment and highlights the Mental Health Recovery Action Plan, which includes significant funding to expand children's and adult …
Response (NHS England): HEE has a range of high quality training available via its e-Learning arm, e-Learning for Healthcare, around eating disorders, particularly on its MindEd programme, which is targeted at professionals and …
Responded
Anastasia Uglow
Concerns: There is a critical need to raise sepsis awareness across all schools, as healthy teenagers can rapidly deteriorate, leading to tragic consequences if the condition is left untreated.
Response (Department for Education): The Department for Education noted the recommendations and is making progress by working with the Outdoor Education Advisers' Panel (OEAP) and the UK Sepsis Trust to update national guidance in …
Responded
Steven Regoli
Concerns: Inadequate systems existed for providing in-depth mental health support to patients with anxiety and non-engagement issues, leaving families as the sole caregivers and preventing necessary intervention.
Overdue
Select committee recommendations(299)— showing 50 strongest matches
#41 —
Recommendation: Accepting there is a lack of government appetite to reintroduce broad categories of law back into the legal aid scheme, the Ministry of Justice should reduce barriers to providers giving holistic early legal advice. For example, it should allow providers …
Response Pending
#40 —
Recommendation: The restrictive scope of the legal help scheme undermines early intervention, causing legal issues to escalate and contributing to increased harm and use of resources. (Conclusion, Paragraph 119)
Response Pending
#17 —
Recommendation: The Department and Ofsted should update the early years foundation stage profile and early years inspection framework to emphasise that, for young children, reading should be focused on building enjoyment and engagement over school readiness and the teaching of phonics. …
Response Pending
#15 —
Recommendation: The early years is a crucial stage for developing a love of reading and engagement with books and stories. We agree with the Department that developing literacy and reading skills is essential, but at this early stage, joy must lead …
Response Pending
#36 —
Recommendation: While we acknowledge the costs of policy changes to the food industry, these are marginal when compared to the huge costs of inaction on obesity to society, the economy and the health service. In the event that policy relating to …
Response Pending
#33 —
Recommendation: A more strategic and holistic view of food policy that seeks to improve the healthiness of food and the food environment is needed. The government should either extend the scope of existing regulation or create new regulation to ensure that …
Response Pending
#32 —
Recommendation: The current regulatory framework does not create a level playing field across all settings where food is purchased, largely ignores the out-of-home sector, has a blind spot around delivery apps and is littered with loopholes that ultimately undermine the intended …
Response Pending
#30 —
Recommendation: The government needs to build and fund a more robust enforcement regime for existing and upcoming regulation, which should include: a. improved, ring-fenced funding and an improved training offer for local authority trading standards and environmental health teams to improve …
Response Pending
#29 —
Recommendation: We are concerned by the lack of enforcement of policies and recommend the government review the extent to which its policies are being enforced and, in its response to us, set out detail on resources available for enforcement. (Recommendation, Paragraph …
Response Pending
#28 —
Recommendation: Policies to support a reduction in the consumption of HFSS foods stand no chance of success if they are not strongly enforced. Businesses need to be clear that there will be consequence for failing to meet their legal requirements to …
Response Pending
#27 —
Recommendation: The Food (Promotion and Placement) (England) Regulations 2021 should be updated no later than January 2027 to: a. include a requirement to place fruits and vegetables in prominent instore locations like checkouts and store entrances; and b. extend the definition …
Response Pending
#26 —
Recommendation: It is concerning that HFSS foods continue to feature prominently on pages on retailer websites that are not covered by existing regulations, particularly special offers pages. We know that price is a driver of shopping habits and so believe that …
Response Pending
#25 —
Recommendation: Existing regulation could be better used to play a more active role in building healthier retail environments. While we are encouraged that changing shop layouts is one of the government’s suggested ways of achieving healthier sales, given there will likely …
Response Pending
#24 —
Recommendation: A holistic, consistent and watertight approach to restricting the exposure of children to all HFSS advertising needs to be developed. It should include: 56 a. bringing brand and range advertising into the scope of existing regulations as soon as possible …
Response Pending
#23 —
Recommendation: On a local level, some local authorities are working hard to improve their own food environment through bans to outdoor advertising, but they are severely limited due to only being able to target council-owned assets. To ensure a consistent approach, …
Response Pending
#22 —
Recommendation: Advertising methods are changing quickly, with the rising prominence of social media advertising, digital advertising, sport sponsorship, online gaming and direct marketing through app notification. Existing regulations do not adequately address these forms of advertising. Further delay to strengthening restrictions …
Response Pending
#21 —
Recommendation: The evidence is clear: advertising impacts on the consumption of HFSS foods. The government has already accepted this to some degree given the action already taken to restrict exposure to HFSS advertising, but it must be bolder. Its current approach …
Response Pending
#19 —
Recommendation: While some local authorities have already been using the planning system to improve their local food environment, the changes to the National Planning Policy Framework should encourage more local authorities to refuse applications for hot food takeaways and fast-food outlets …
Response Pending
#18 —
Recommendation: To drive further reformulation, we recommend that the government: a. continues to explore how the SDIL can be expanded and sets out a timetable for reducing the threshold to its originally intended 4g per 100ml; b. develops an equivalent of …
Response Pending
#17 —
Recommendation: We acknowledge the efforts that manufacturers have gone to in reformulating products to remove sugar, salt and fat and increase fibre, and the challenges that can come from this for smaller businesses. Taxation has been shown to drive producer behaviour …
Response Pending
#16 —
Recommendation: In addition, the government should take steps to explore how to ensure the effectiveness of front-of-pack labelling in the long term, including: a. how to make front-of pack information clear for consumers and ensure it avoids contradictory health and nutrition …
Response Pending
#15 —
Recommendation: The government should introduce mandatory front-of-pack labelling by January 2028. While we acknowledge that the traffic light approach is not perfect, we nevertheless recommend using the pre-existing label as its template as this is familiar to consumers and widely used …
Response Pending
#14 —
Recommendation: Clear and consistent labelling supports customers to make more informed choices about the food they are buying. Existing traffic light labelling is not mandatory, and it is inconsistently applied: this needs to change. (Conclusion, Paragraph 67)
Response Pending
#13 —
Recommendation: We therefore repeat the recommendation previously made by Sir Henry Dimbleby that the government should establish a “Community Eatwell” programme to provide healthy eating support to families and individuals on low incomes experiencing food-related ill health. The government should also …
Response Pending
#12 —
Recommendation: Local projects to support access to healthier foods are doing fantastic work in their communities and seeing real results, using local knowledge and building strong community relationships to drive change. Community projects need to be a core part of any …
Response Pending
#8 —
Recommendation: As part of plans for large businesses to report on healthy sales and progress towards healthy sales targets, the government should require those businesses to report on the price promotions it offers, specifically the percentage of such promotions on healthier …
Response Pending
#5 —
Recommendation: Mandatory healthy sales reporting should be launched as soon as possible, with targets set for supermarkets within the next 12 months and for the wider food industry by the end of the Parliament. (Recommendation, Paragraph 24)
Response Pending
#4 —
Recommendation: Healthy sales reporting and targets are the government’s flagship policy for addressing the food environment in the 10 Year Health Plan, with much resting on their implementation and success. It has been over a year since the 10 Year Health …
Response Pending
#3 —
Recommendation: The government should also commit to regularly reviewing and updating the nutrient profile model so that we do not go another 22 years, or more, between updates. Reviewing and implementing an updated nutrient profiling model on a 10-year cycle would …
Response Pending
#19 —
Recommendation: We welcome the focus on young people in the National Plan to End Homelessness, not least given the elevated risks young people can face through abuse, family breakdown and care leaving. Ensuring young people can get the right support at …
Response Pending
#21 —
Recommendation: The DWP should improve its forward planning by using a systems-based approach to minimise the risk of gaps in provision and maintain continuity of support for people who need employment assistance. This includes planning programme transitions in a way that …
Response Pending
#20 —
Recommendation: In its response to this report, the government should set out clearly how individuals affected by gaps between the Work and Health Programme Pioneer and the rollout of Connect to Work will be supported going forward. This should include an …
Response Pending
#19 —
Recommendation: We heard evidence that some areas experienced a gap in provision where referrals to the Work and Health Programme Pioneer ended before Connect to Work was fully mobilised. Although the two programmes serve different cohorts, the absence of both in …
Response Pending
#9 —
Recommendation: To help ensure that mental health needs are properly identified before they reach crisis point, we recommend that the Government considers introducing an English equivalent to the right to a mental health assessment that appears in the Mental Health (Wales) …
Gov response: We appreciate that many mental health inpatients under 18 are informal patients and that advocacy plays a vital role in supporting choice and the person as an individual. The Bill already extends the right to …
Accepted
#12 —
Recommendation: We recommend that the Government develop and implement a proactive outreach strategy aimed at individuals and communities likely to be at high risk of TNR. This strategy should be developed within 12 months and include clear timelines for how engagement …
Gov response: 1. As noted in the response to Recommendation 2, TNR in the UK tends to be targeted and specific. While TNR does not affect large numbers of people across the UK, its impacts can be …
Position Not Stated
#22 —
Recommendation: We recommend that the Department’s “national movement campaign” include targeted messaging aimed at the least active and people approaching older age. These messages should demonstrate how movement can be incorporated into daily habits, use relatable role models and focus on …
Response Pending
#34 —
Recommendation: In our 2019 review of the Ministry’s progress in transforming rehabilitation, we concluded that the Ministry would not make sustained progress with reducing reoffending until it could provide the support offenders desperately needed on leaving prison, including securing stable accommodation. …
Gov response: 5.1 The government agrees with the Committee’s recommendation. Target implementation date: March 2021 5.2 The department welcomes and agrees with the Committee’s recommendation on the need for a strategic approach to the complex issue of …
Accepted
#5 —
Recommendation: The Ministry’s efforts to reduce the £18.1 billion cost of reoffending are being put at risk by the absence of a cross-government strategy. Reoffending has a substantial cost to the economy, in addition to its considerable impact on the emotional …
Gov response: 5.1 The government agrees with the Committee’s recommendation. Target implementation date: March 2021 5.2 The department welcomes and agrees with the Committee’s recommendation on the need for a strategic approach to the complex issue of …
Accepted
#9 — MHCLG exploring incentives and best practice sharing for homelessness prevention funding.
Recommendation: MHCLG told us that it was actively looking at ways to incentivise and support local government to move more funding into preventive rather than reactive activity.13 We pressed MHCLG on how it might achieve this. It explained that local authorities …
Gov response: The government agrees with the Committee’s recommendation. Target implementation date: April 2025 The Ministry for Housing, Communities and Local Government (MHCLG) wrote to the Committee alongside this Treasury Minute with its plans for incentivising local …
Accepted
#8 — National homelessness prevention strategies remain limited, delaying support for vulnerable families.
Recommendation: In its written submission, the Shared Health Foundation emphasised that, aside from plans to build more houses, national prevention strategies for all forms of homelessness remain limited. It claimed that many families facing homelessness are told by local authorities to …
Gov response: The government agrees with the Committee’s recommendation. Target implementation date: April 2025 The Ministry for Housing, Communities and Local Government (MHCLG) wrote to the Committee alongside this Treasury Minute with its plans for incentivising local …
Accepted
#27 — Departmental annual report shows significant omissions on preventative and end-of-life care.
Recommendation: The NHS Long Term Plan states that ill health prevention helps the public to stay healthy, as well as moderating demands on the NHS. The Department recognised in its 2023–24 Annual Report that there “is still much work to do …
Gov response: 2.1 The government agrees with the Committee’s recommendations. Target implementation date: September 2025 2.2 The department is committed to the continuous improvement of its Annual Report and Accounts (ARA) to ensure the content is as …
Accepted
#30 — VAWG Strategy lacks specific provisions to address harmful attitudes among boys beyond RSE.
Recommendation: We asked DfE specifically what role boys are playing in the prevention work it was delivering through the VAWG Strategy. DfE told us that there is not a part of the new VAWG Strategy specifically designed to address harmful attitudes …
Gov response: 6.1 The government agrees with the Committee’s recommendation. Target implementation date: September 2025 6.2 The new VAWG Strategy will place prevention at the very heart of the government’s approach to halving VAWG in a decade. …
Not Addressed
#25 — Home Office makes little progress on VAWG prevention, straining criminal justice system capacity.
Recommendation: The NAO found that, to date, the Home Office has made little progress developing measures to prevent violence against women and girls (VAWG).58 The Home Office told us that it expects that reported rates of VAWG will increase initially due …
Gov response: 6.1 The government agrees with the Committee’s recommendation. Target implementation date: September 2025 6.2 The new VAWG Strategy will place prevention at the very heart of the government’s approach to halving VAWG in a decade. …
Not Addressed
#7 — Require DSIT to outline Online Safety Act's impact on children's safety and VAWG prevention.
Recommendation: We are concerned that government departments’ approach to tech–enabled violence against women and girls is not sufficiently agile to address the threats posed by online harm. Tech–enabled VAWG is a rapidly evolving threat. For example, in 2024 the revenge porn …
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented The Department for Education supports online safety in schools through its statutory safeguarding guidance, Keeping children safe in education. The department regularly consult on the guidance …
Accepted
#6 — Mandate Home Office to outline greater emphasis on preventative VAWG measures and inter-departmental collaboration.
Recommendation: We are concerned that, to date, the approach to tackling violence against women and girls has not put enough emphasis on preventative measures that are necessary to achieve long–term change. Although it is imperative that all survivors receive effective support, …
Gov response: The government agrees with the Committee’s recommendation. approach to halving VAWG in a decade. A key part of the Home Office’s approach will be improving the policing, criminal and family justice response. However, enforcement alone …
Accepted
#14 — Spending shifts from preventative to late intervention services, increasing later costs and worsening outcomes.
Recommendation: MHCLG recognises the importance of investing in prevention but also the challenge of funding it when finances are constrained.34 Preventative services help stop, delay or reduce the need for statutory services and can help to deliver better outcomes.35 Over the …
Gov response: 3.1 The government agrees with the Committee’s recommendation. Recommendation implemented 3.2 As outlined in HM Treasury’s Permanent Secretary’s letter to the Committee on 7 August 2025, the government’s approach to public sector reform is informed …
Accepted
#3 — Provide details on how local government finance settlement will support greater investment in prevention.
Recommendation: Significant financial pressures are constraining local authorities’ ability to invest in prevention, leading to less early intervention services which could help manage demand. Preventative services can be used to manage demand by helping to stop, delay or reduce the extent …
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented As outlined in HM Treasury’s Permanent Secretary’s letter to the Committee on 7 August 2025, the government’s approach to public sector reform is informed by a …
Accepted
#12 — Develop comprehensive strategy for children at risk of extra-familial harm, including professional training.
Recommendation: The Department for Education must put in place a strategy for supporting children and young people at risk of extra-familial harm. This should include: better training for professionals to spot and respond to extra- familial risks; ensuring that young people …
Gov response: We have strengthened the multi-agency response to extra-familial harm through updated statutory guidance (Working Together to Safeguard Children, 20238), which now explicitly recognises harm outside the home and mandates coordinated safeguarding responses. This is supported …
Position Not Stated
#27 — Accelerate adult social care commission timescale and fully fund sector by Parliament's end
Recommendation: The timescale for the commission into adult social care should be brought forward, and it must present actionable reforms to the sector as part of its interim findings in 2026. The Government must not wait for the commission to publish …
Gov response: 44. The independent commission into adult social care, chaired by Baroness Louise Casey of Blackstock and reporting to the Prime Minister, is underway. It will engage with people who draw on care, their families, staff, …
Position Not Stated
#26 — Proposed timescale for adult social care commission risks insufficient and delayed reform
Recommendation: While we support the new independent commission into adult social care led by Baroness Casey, we are concerned that the proposed timescale means that urgent reforms to social care services will not be implemented soon enough to overcome the severity …
Gov response: 44. The independent commission into adult social care, chaired by Baroness Louise Casey of Blackstock and reporting to the Prime Minister, is underway. It will engage with people who draw on care, their families, staff, …
Response Not Attributed
HSSIB safety recommendations(9)
Potential under-recognised risk of harm from the use of propranolol
The Practice has reorganised the main display board in the waiting area to focus on mental health support. 4.2 Analysis and findings from the wider investigation Propranolol use
Safety Action
Management of chronic asthma in children aged 16 years and under
It may be beneficial for a health intervention to be delivered to enhance the general public’s knowledge and understanding of asthma, emphasising the potential seriousness of the condition. This could be linked to the modernisation of the Healthy Child Programme, …
Safety Observation
Management of chronic asthma in children aged 16 years and under
HSIB recommends that Public Health England develops resources for young people and their parents/carers to raise awareness and enable them to self-manage asthma more effectively.
Safety Recommendation
Management of chronic asthma in children aged 16 years and under
HSIB recommends that NHS England and NHS Improvement, as a commissioning body, supports local systems to implement evidence-based interventions, such as standardised information and wheeze management plans, for the parents/carers of pre-school children. This will be undertaken in conjunction with …
Safety Recommendation
Investigation report: Mental health inpatient settings - out of area placements
Healthcare services can improve patient safety by conducting assessments for neurodevelopmental conditions such as autism and attention deficit hyperactivity disorder, where it is safe and clinically indicated, at the earliest opportunity when a person is in contact with community and …
Safety Observation
Investigation report: Mental health inpatient settings - out of area placements
Mental health services can improve patient safety by reviewing their community mental health services to see if they meet the needs of their population with the aim of keeping as many people as possible out of inpatient services and thus …
Safety Observation
Digital tools for online consultation in general practice
National healthcare organisations can improve patient safety by considering how long-term condition management and proactive health promotion can be accomplished alongside the online consultation model of general practice, which may limit opportunities to provide holistic care to patients.
Safety Observation
Insulin: supporting safe self-administration for patients in the community with a mental health problem
HSSIB recommends that the National Institute for Health and Care Research, in collaboration with relevant research and policy stakeholders: 1) maps the knowledge gaps surrounding type 1 diabetes and disordered eating (including those identified in this investigation); and 2) assesses …
Safety Recommendation
Never events: analysis of HSIB's national investigations
It is recommended that NHS England and NHS Improvement develops and commissions programmes of work to find strong and systemic safety barriers for specific incidents where barriers are felt to be possible but are not currently available.
Safety Recommendation
CQC inspection actions(14)
Charlton House Medical Centre
Arrangements for monitoring and review of patients with long-term conditions continued to place patients at risk of harm.
Must Do
Doncaster Royal Infirmary
The trust must assess, monitor, and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity.
Must Do
Waterbeach Surgery
Continuetomonitorandimproveuptakeforcervicalscreeningprogramme.
Should Do
Linden Road Surgery
Continue to monitor, and take actions to improve, attendance for cervical screening.
Should Do
Crown Street Surgery
Improve the uptake of cervical cancer screening.
Should Do
Camphill Health Centre
Continuetotakemeasurestoimprovetheuptakeofchildhoodimmunisationsandcervicalscreening.
Should Do
Bousfield Surgery
Take action to improve cervical screening and childhood immunisation uptake.
Should Do
Melville House
The provider must ensure people are supported to live healthy lives and access healthcare support promptly.
Must Do
B&H Care Ltd
The provider must ensure effective systems are in place to support people to maintain their health and wellbeing, including effectively identifying, monitoring, and managing people's health needs, and seeking and acting upon advice from health professionals.
Must Do
Crown Street Surgery
Improve the uptake of cervical cancer screening.
Should Do
Bousfield Surgery
Continuetoworktoimprovetheuptakeofcancerscreening.
Should Do
Gillmoss Medical Centre
Continuetoworktoimprovetheuptakeofcervicalcancerscreeningandimmunisation.
Should Do
The Highwood Surgery
Continueto improve the uptake of cervical screening.
Should Do
Dr Jude's Practice - Riverside & Picton
Continue to take steps to improve the childhood immunisations and cervical screening rates for the practice.
Should Do
HMICFRS recommendations(18)
FRS 2018-19 CoC Recommendations: West Sussex Fire and Rescue Service
Cause of concern: Prevention activity doesn't always align with risks identified in the IRMP. Home fire safety checks aren't being done in a timely manner and there is a large backlog of high-risk cases. Recommendation: The service should ensure it …
Recommendation
FRS 2021-22 CoC Recommendations: Norfolk Fire and Rescue Service
Cause of concern: The service hasn’t made prevention activity a high enough priority and it isn’t adequately identifying those most at risk from fire. Recommendation: By 28 February 2022, the service should put in place plans that are designed to …
Recommendation
FRS unknown CoC Recommendations: Hertfordshire Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service. The service should implement a robust and consistent method of identifying risk and vulnerability. It should detail how it will prioritise home fire safety checks to those …
Recommendation
FRS 2021-22 CoC Recommendations: Hereford and Worcester Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service and it is not adequately identifying those most at risk from fire. Recommendation: By 31 August 2021, the service should have plans in place for the …
Recommendation
FRS 2023-25 CoC Recommendations: Devon and Somerset Fire and Rescue Service
Cause of concern: The executive board recognises it needs to do more in prevention. But not enough progress has been made since our last inspection to make prevention a sufficiently high priority for the service. The service should implement a …
Recommendation
FRS 2021-22 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service, and it is not adequately identifying those most at risk from fire. Recommendation: By 30 September 2021, the service should have plans in place for:- the …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to determine its highest-risk premises to inform its risk-based inspection programme. Recommendation: Within 28 days, the service should review its action plan, detailing how it will develop a …
Recommendation
FRS 2021-22 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to determine its highest risk premises to inform its risk-based inspection programme. Recommendation: By 31 August 2021, the service should review its systems and processes for dealing with …
Recommendation
FRS 2021-22 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to develop prevention activity that prioritises those most at risk of fire. Recommendation: By 31 August 2021, the service should develop a clear prevention strategy that prioritises the …
Recommendation
FRS 2023-25 CoC Recommendations: Devon and Somerset Fire and Rescue Service
Cause of concern: The executive board recognises it needs to do more in prevention. But not enough progress has been made since our last inspection to make prevention a sufficiently high priority for the service. The service should implement a …
Recommendation
FRS 2023-25 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since our last inspection to address its areas for improvement and provide clear direction to make sure that its teams can prioritise work according to risk. Recommendation: Within 28 days, the service …
Recommendation
FRS 2021-22 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service, and it is not adequately identifying those most at risk from fire. Recommendation: By 30 September 2021, the service should have plans in place for:- the …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
NAO audit recommendations(4)
NHS Financial Management and Sustainability
DHSC, NHSE and ICSs need to intensify their efforts to manage current and future demand for healthcare by preventing more serious ill health. This should include: ? work to improve understanding of what ICBs and providers have had success doing …
Partially accepted
Support for children and young people with special educational needs
DfE should: i) improve the data, incentives and processes to ensure children's needs are identified and supported as early as possible, particularly within early years
Accepted
The effectiveness of government in tackling homelessness
We recommend that DLUHC should consider how it can support local authorities to focus more on homelessness prevention.
Accepted
Tackling serious and organised crime
The Department should continue to support organisations to tackle the underlying causes of serious and organised crime. In 2015-16, 4% of the front-line spending on tackling serious and organised crime was estimated to have been spent on Prevent activities, compared …
Accepted
PHSO ombudsman recommendations(1)
IMB individual recommendations(94)— showing 50 strongest matches
Wandsworth (2020)
The poor quality of the resettlement provision continued to be of serious concern. What is being done to improve this?
HMPPS
In Progress
Swaleside (2020)
In our report last year, we mentioned that it is essential that residents are provided with resettlement services, preferably in a prison nearer to their home as they reach the end of their sentences. This service has not been provided from Swaleside. Though there were only 17 residents released from the prison in the last year, none of them were …
HMPPS
In Progress
Bristol (2020)
The Ministry of Justice should review the cases of certain prisoners coming into prison for minor offences because there is nowhere else in the community for them to go, and where their outcomes may be better if they are supported in the community or through more specialist placements.
Ministry of Justice
In Progress
The Mount (2023)
Education programmes have not improved during the reporting period, due to the lack of investment. Too few prisoners are enabled to access programmes to help them on release. During the year 50% of workshops stood empty due to the lack of instructors or any meaningful activities leading to qualifications to improve employment opportunities on release.
HMPPS
The Mount (2023)
The Board is concerned that, as a training and resettlement prison, the prison is failing to provide meaningful education, employment and training. This is made worse by the prison having a number of short-term prisoners arriving. Too many prisoners are released before completing their offending behaviour programmes and with no accommodation on release.
Ministry of Justice
Ford (2025)
The cuts to the education budget have had a significant impact on Ford’s ability to provide purposeful activity in support of the core reducing reoffending objective for Ford. Will HMPPS commit to restoring the education budget at HMP Ford to a level that enables the prison to deliver both meaningful education and skills provision?
HMPPS
Rejected
Hewell (2022)
The Prison Service, working with the Probation Service, should place more emphasis on therapeutic interventions to address longstanding trauma, neurodiversity and social/psychological problems of prisoners. Too many come into the prison and leave without any intervention; this mitigates against successful resettlement and reduction in reoffending. It is not enough to pin change on the introduction of key work delivered by …
HMPPS
In Progress
Warren Hill (2023)
The prison has prioritised the need to ensure support for prisoners on release in order to reduce the recall rate. The IMB would like to see further development in this area, including the use of digital technologies which are so critical to successful functioning in the modern world.
Governor / Director
The Mount (2023)
There needs to be a complete overhaul of the use of the workshops and how they can better serve the needs of prisoners in terms of training and future employment.
HMPPS
Swansea (2023)
Post-release accommodation remains a significant problem. We understand this is not an issue that can be easily resolved but would like to see the targeting of funding towards the resolution of this particular problem. The Board is very clear in its view that lacking a ‘roof over your head’ is a major contribution to reoffending.
Other
In Progress
Lowdham Grange (2023)
To ensure that high-quality and innovative programmes of rehabilitation, mental health provision, education, skills development and self-improvement are available for all prisoners. This must include defined standards and the minimum number of programmes to be delivered.
HMPPS
Lowdham Grange (2023)
To give priority in the matter of resourcing the probation services with regard to pre-release management and to support for prisoners after their release back into the community.
HMPPS
Doncaster (2024)
The lack of adequate probation and community support for prisoners being released into the community is negatively impacting on prisoners who, without the necessary accommodation and support, are at a greatly increased chance of them returning to prison. The Board requests that resources, necessary within the community to ensure that those released have the opportunity to rehabilitate into society and …
HMPPS
In Progress
Brixton (2024)
HMP Brixton is the final stage in a chain of reception/training/resettlement prisons; but population pressures ‘upstream’ have led to the ‘inappropriate’ sort of prisoner arriving in Brixton, one who has unaddressed issues and insufficient sentence time remaining to resolve them. This means that they leave Brixton ill-equipped to avoid reoffending. How does the Minister plan to change this?
Ministry of Justice
In Progress
Aylesbury (2024)
Prioritise pre-release welfare and employment planning by establishing and funding stronger statutory links between prisons, external agencies offering ex-offender support, and employers.
Ministry of Justice
In Progress
Lancaster Farms (2020)
The Board remains disappointed that constraints placed upon the Governor result in ROTL is rarely used, despite the designation of the establishment as a resettlement prison (see paragraph 11.5).
HMPPS
Rejected
Lancaster Farms (2020)
The Board believes that the monitoring of resettlement would be enhanced by having access to data, and cooperation from all the agencies with resettlement responsibilities, both inside the prison and in the community (see paragraph 11.1).
Ministry of Justice
Implemented
Hull (2020)
Improving the initial education assessments to overcome the disengagement that leads some prisoners into reoffending.
HMPPS
In Progress
Hull (2020)
Develop better feedback on prisoners’ after release so that prisons can see whether their resettlement straegies are working.
Ministry of Justice
In Progress
Whatton (2021)
Will the Prison Service review, with other agencies, the timely notification of approved premises for released prisoners, to give them the best chance of resettlement and rehabilitation?
HMPPS
In Progress
Wayland (2021)
The Board believes that, despite the challenges, there should be a serious attempt to identify those with the greatest need for resettlement assistance and do what is possible to provide this and so recommends to the Prison Service (see section 7.3).
HMPPS
In Progress
Hindley (2021)
As raised last year, Covid-19 and the introduction of new contracts have had a negative impact on the information advice and guidance available to men prior to and on release. Resolving this now needs to be a priority to ensure prisoners receive comprehensive support at this time of potential vulnerability.
Governor / Director
Bedford (2021)
It is very surprising that the removal of the community rehabilitation companies (CRCs) and the reintegration of probation services in June 2021 could not be coordinated with the letting of new finance, debt and benefits contracts, which, we understand, will not be in place until February 2022, some eight months later. Without support in these key areas, released prisoners are …
HMPPS
In Progress
Thameside (2022)
Work with other government departments to provide sufficient resources so that prisoners have adequate resettlement support and guidance on release such as housing and employment which is known to reduce recidivism.
Ministry of Justice
Thameside (2022)
Provide sufficient resourcing for the probation service to ensure adequate support to both sentenced and remand prisoners before and after their release.
Ministry of Justice
Portland (2022)
Will HMPPS consider reverting to a properly-funded resettlement service based within each establishment? How will HMPPS ensure that the implementation of new policies and systems is well managed and delivered in a way that does not adversely impact on the safety, fair and humane treatment, health and wellbeing and progression towards a successful resettlement of all those entrusted to its …
HMPPS
Lowdham Grange (2022)
To give priority to resourcing of probation services to the required levels within the prison estate and in the community, so that prisoners have adequate support and guidance before and after their release.
HMPPS
In Progress
Durham (2022)
What can be done to give remand prisoners access to probation services prior to release (7.5.2)?
HMPPS
Whatton (2023)
Will the Prison Service ensure that adequate funding is made available to HMP Whatton to provide for effective and meaningful resettlement training for its prisoners approaching release?
HMPPS
In Progress
Styal (2023)
What financial support can be given for pre-release planning for remand prisoners? Currently in Styal, basic services are provided but there is no funding for these, nor is there funding for the level of service available to sentenced prisoners.
Ministry of Justice
Wandsworth (2024)
Will the Remand Project continue to be funded? Are there any other initiatives in place to assist the rehabilitation of remand prisoners?
Ministry of Justice
In Progress
Swinfen Hall (2024)
Can HMPPS provide funding to support HMP Swinfen Hall with the release of prisoners, bearing in mind that the prison currently has no funding to support prisoners on release and some 80 prisoners are expected to be released directly from the prison in the coming year?
HMPPS
Implemented
Stoke Heath (2024)
Can the prison be creative in finding more places for prisoners to be trained or employed and less time in their cells?
Governor / Director
Stoke Heath (2024)
It would be encouraging if men in resettlement prisons could be actively engaged in resettlement activities, i.e. they should spend less time in their cells and more in purposeful work and training for vocational qualifications.
Ministry of Justice
Stoke Heath (2024)
The Minister should arrange for appropriate resourcing to prevent overcrowding and allow the means to educate and provide skills to reduce reoffending.
Ministry of Justice
Send (2024)
The initiative to tackle obesity in prisoners needs to be followed through.
Governor / Director
Lincoln (2024)
What support can be provided to help remand prisoners with release planning, as they are not eligible for probation services?
HMPPS
In Progress
Isis (2024)
What plans are there for a strategy that aims to reduce violence among young offenders in the community before they are sentenced, after sentencing and after their sentence is over?
Ministry of Justice
In Progress
Hewell (2024)
Will the Minister extend support for prisoners after release to reduce recall and re-offending?
Ministry of Justice
Noted
Elmley (2024)
Improve funding for vocational work-based opportunities for prisoners to support effective transition back into legitimate paid employment on release and promote greater opportunities for prisoners to directly improve their living environment.
HMPPS
In Progress
Bristol (2024)
There appears to be insufficient support for prisoners on release to prevent them returning to prison for short periods of time and/or being recalled due to relatively minor licence breaches. How will the Minister address this?
Ministry of Justice
In Progress
Thameside (2025)
The Director should consider reinstating the restorative justice post.
Governor / Director
East Sutton Park (2025)
Could the Prison Service work with closed women’s establishments to ensure that prisoners arriving at HMP ESP have a minimum of six months left to serve to enable them to benefit from release on temporary licence (ROTL) and be properly prepared for release and resettlement?
HMPPS
In Progress
Doncaster (2025)
In the Board’s view, the Probation Service nationally is critically understaffed and poorly managed, leaving people before and after release without proper support. This creates a ‘revolving door’ of reoffending and rising recidivism. What action will the Prison Service take to fix staffing and management so individuals get the support they need to break this cycle?
HMPPS
In Progress
Askham Grange (2025)
The Board looks forward to seeing what new developments there may be to ensure that prisoners get the best experience whilst at HMP/YOI Askham Grange to reduce re-offending and have a successful resettlement in the community on release.
Governor / Director
Noted
Brinsford (2023)
The length of time prisoners remain on remand before appearing in court continues to be too long. Prisoners are being released into the community following sentencing at court without attending any programmes to examine their offending.
Ministry of Justice
Standford Hill (2020)
We would again commend the work done on resettlement and its success in reducing reoffending after prisoners leave Standford Hill. We believe that the prison has the physical potential for expansion, so that this work could be capitalised on; however, the prison desperately needs its own kitchen facilities and the upgrading of cell block C before this can be achieved.
Other
In Progress
Portland (2020)
In order to maximise the opportunities for learning and change provided to prisoners while in custody, investment needs to be put into accommodation, employment and learning opportunities in the community post-release.
Ministry of Justice
In Progress
Hull (2020)
Develop the key worker scheme to better understand the needs of young adults making use of, for example, the maturity screening toolkit.
Governor / Director
Highpoint (2020)
JobCentrePlus withdrew all support from the prison in March 2020. The Board asks the minister to investigate this action, in light of the fact that other services were maintained across the estate by remote means. The continuation or return of Covid restrictions should not deprive those due for release of this vital support.
Ministry of Justice
In Progress
PHSO casework decisions(12)
P-001359 — A medical practice in the Reading area
Mr U complained his diabetic medication was stopped, his diabetes was not properly monitored, eyesight concerns were ignored, and his COVID-19 vaccine was delayed.
NHS in England
Upheld
Apr 2022
P-001781 — A practice in the Plymouth area
Mrs E complained the Practice negligently prescribed quinine sulphate without monitoring and an unnecessary duplicate medication, leading to her mother's hospitalisation, injury, and decline.
NHS in England
Feb 2023
P-001895 — A practice in the Bury area
Mrs R complained the Practice failed to timely prescribe fluoxetine for her tics, body jerks, facial drooping, and fatigue, causing unnecessary suffering for three years.
NHS in England
Mar 2023
P-004387 — County Durham and Darlington NHS Foundation Trust
Mrs O complained the District Nursing team neglected her mother's hygiene, failed to report concerns or symptoms of organ failure, and didn't collect samples, contributing to her mother's death.
NHS in England
Dec 2025
P-004413 — A practice in the West Suffolk area
A man complained his late wife was not referred for an X-ray and was repeatedly misdiagnosed, delaying her diagnosis and treatment for cancer.
NHS in England
Dec 2025
P-001806 — A practice in the West Midlands area
Ms O complained her mother, Ms I, was not properly treated by the Practice, failing to refer her for specialist support or section her, leading to her death from severe malnutrition.
NHS in England
Feb 2023
P-003906 — A practice in the Doncaster area
Ms L complained her GP practice failed to treat DVT, mental health issues, stomach problems, diabetic symptoms, menopause symptoms, and hypermobility over many years, significantly impacting her life.
NHS in England
Jul 2023
P-004475 — A practice in the South Gloucestershire area
Miss X complains the Practice failed to diagnose her daughter's pneumonia and fluid on her lungs in November 2024, despite ongoing symptoms, leading to serious illness.
NHS in England
Not Upheld
Dec 2025
P-003005 — A practice in the Exeter area
Miss O complained the Practice delayed timely specialist support for her mother, that a doctor was unprofessional, and that the complaint was improperly handled, contributing to her mother's deterioration and death.
NHS in England
Sep 2024
P-002915 — A practice in the Birmingham area
Mr A complained the Practice failed to schedule his wife's annual flu vaccination, leading to her contracting flu and pneumonia, which caused her death.
NHS in England
Sep 2024
P-004358 — Midlands Partnership University NHS Foundation Trust
The Trust wrongly blamed Miss K's mental health for A's difficulties and refused autism assessment (2014-2018), causing distress and delayed support.
NHS in England
Nov 2025
P-004359 — Midlands Partnership University NHS Foundation Trust
The Trust refused to acknowledge B's severe developmental delays or assess for autism (2018-2019), leading to distress and a delayed diagnosis.
NHS in England
Nov 2025
LGO / SPSO decisions(48)
21-010-585 — Bristol City Council
Summary: Mr X complained the Council was taking too long to investigate complaints about unlawful houses in multiple occupation (HMOs) in its area. We found fault because there was unreasonable delay in enforcement investigations. The Council has agreed to a remedy, to resolve the injustice caused by the fault we …
LGO (Local Government & …
Planning
Upheld
Mar 2022
21-012-092 — Stockton-on-Tees Borough Council
Summary: The Council failed to properly consider Mrs X’s application for a blue badge and failed to offer her the opportunity to appeal its decision.
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
21-006-136 — Westminster City Council
Summary: Ms T complains that the Council has not taken the necessary action to address her concerns about anti-social behaviour from a café near to her home. She says this is having a negative effect on her life and her property has been targeted by the perpetrators. We find fault …
LGO (Local Government & …
Environment And Regulation
Upheld
Apr 2022
23-014-194 — Dorset Council
Summary: Mrs E complains her son’s school was following an out-of-date Education, Health and Care Plan. We uphold her complaint due to fault by the Council in its actions around this. Mrs E also complains about the school’s actions around a teacher’s use of language, inappropriate emails and suspensions of …
LGO (Local Government & …
Education
Upheld
Aug 2024
24-002-218 — Wirral Metropolitan Borough Council
Summary: Miss X complained about the Council’s delay completing her child, Y’s Education, Health and Care needs assessment. We find fault, causing injustice to Y and avoidable distress and uncertainty to Miss X. The Council has agreed to apologise and make a payment to Miss X.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-020-681 — Suffolk County Council
Summary: We found fault in the way the Council carried out an Education Health and Care needs assessment for the complainant’s (Mrs X) daughter (Y) and in the Council’s communication with Mrs X. This fault caused Y and Mrs X injustice.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-019-057 — London Borough of Wandsworth
Summary: HOS found the Council has provided reasonable redress for Ms X’s complaint regarding works to her kitchen. LGSCO did not find fault in how the Council assessed whether Ms X’s property could be adapted to meet her needs. LGSCO found fault in how the Council decided Ms X’s priority …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2024
23-018-792 — Liverpool City Council
Summary: There was delay by the Council in agreeing and putting in place transport for Y’s college placement and lateness by the taxi the Council commissioned. This caused avoidable distress, inconvenience and missed education. The Council will apologise and make payments.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-018-774 — Liverpool City Council
Summary: There was a delay issuing Y’s final Education, Health and Care Plan naming his post 16 college placement. This caused avoidable distress, inconvenience and a delay in appeal rights. The Council will apologise, make symbolic payments and review its procedures to minimise the chance of recurrence.
LGO (Local Government & …
Education
Upheld
Aug 2024
201404348 — South Lanarkshire Council
Mr C complained about how the council handled his concerns about nuisance and anti-social behaviour. He had complained about damage to common areas, noise nuisance and the keeping of chickens which he believed attracted vermin. We found that the council followed their policy when Mr C reported neighbour nuisance and …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Mar 2015
202303409 — West Dunbartonshire Council
C complained that the council failed to deal with concerns that they raised about alleged anti-social behaviour (ASB) involving a neighbour. During our investigation, we considered whether or not the council had followed their anti-social behaviour policy (ASB policy) in relation to their handling of C’s concerns. We found that …
SPSO (Scottish Public Se…
Local Government
Upheld
Jun 2025
21-010-089 — Middlesbrough Borough Council
Summary: Mr X complained the Council failed to properly investigate anti-social behaviour from his neighbour. The Council was at fault for failing to consider all available options, for delaying looking into support for the alleged perpetrator, and for failing to regularly send Mr X’s CCTV evidence to the estate agent …
LGO (Local Government & …
Environment And Regulation
Upheld
Jul 2022
23-018-415 — Bristol City Council
Summary: Ms X complained about the way the Council dealt with her reports of anti-social behaviour. The Council failed to properly monitor and keep Ms X updated on the actions of the ASB case review. The Council’s complaint handling and communication was also inadequate. These faults caused Ms X distress, …
LGO (Local Government & …
Environment And Regulation
Upheld
Aug 2024
201005261 — Dundee City Council
Mr C lived in a sheltered housing complex. He complained that the council wrongly cautioned him about antisocial behaviour after a complaint was made against him that claimed he was responsible for noise nuisance. We found, from looking at the information provided by Mr C and at the council's records, …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jun 2012
201305629 — The City of Edinburgh Council
Mrs C's neighbour is a council tenant living in temporary accommodation. Mrs C said that the tenant was noisy on a number of occasions, and she was unhappy with the council's response to the problem. She complained that the council were not dealing with this effectively, and that a housing …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jul 2014
201608278 — Falkirk Council
Ms C is a council tenant and she reported a number of incidents of her neighbour's anti-social behaviour to the council. Ms C complained that the council failed to address her complaints about her neighbour's anti-social behaviour within a reasonable timescale. The council advised Ms C they can only investigate …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Sep 2017
201608217 — North Lanarkshire Council
Mr C complained about the council as he felt that they had failed to appropriately investigate reports of anti-social behaviour he and his wife had made about their previous neighbour. He claimed that the council had failed to liaise with Police Scotland over charges brought against the neighbour and that …
SPSO (Scottish Public Se…
Local Government
Partly Upheld
Sep 2017
201602803 — South Lanarkshire Council
Miss C complained about the way the council dealt with her complaint to them. She was also was unhappy that the council had issued warnings following an investigation into allegations of anti-social behaviour. We were satisfied that the council demonstrated that a fair and balanced investigation into complaints of anti-social …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Nov 2017
201805833 — North Lanarkshire Council
Mr C complained that the council had unreasonably acted in contravention of the title deeds of his property, that they had unfairly discriminated against him and his family and that they had failed to investigate his complaints over six months. We found that the council had taken reasonable steps to …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Mar 2020
202407333 — North Glasgow Housing Association Ltd
C complained that the association did not reasonably address reports of antisocial behaviour. C is the Chief Executive of a charity who owns a property in a block where other properties are owned by the association. The charity's tenant complained of antisocial behaviour from one of their neighbours and the …
SPSO (Scottish Public Se…
Local Government
Upheld
Dec 2025
25-013-384 — Mansfield District Council
LGO (Local Government & …
Environment And Regulation
25-013-070 — London Borough of Hackney
LGO (Local Government & …
Environment And Regulation
25-005-573 — Milton Keynes Council
LGO (Local Government & …
Environment And Regulation
21-015-886 — Leeds City Council
Summary: Mrs X says the Council’s delay in investigating her complaint led to a company going into liquidation. This means she cannot get her money back. The Council is at fault because of the delays in its response. However, this failing did not cause Mrs X significant personal injustice which …
LGO (Local Government & …
Environment And Regulation
Upheld
Mar 2022
24-004-655 — Wakefield City Council
Summary: We will not investigate this complaint about the Council’s handling of Ms X’s report of anti-social behaviour by a person who is a neighbour of family members. This is because there is no evidence to suggest fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Aug 2024
23-021-006 — Milton Keynes Council
Summary: We will not investigate this complaint about the Council’s failure to take sufficient action against a council tenant who Mr X says is causing noise nuisance and anti-social behaviour. We cannot investigate complaints about the management of tenancies by social housing landlords.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-005-999 — Torbay Council
Summary: We will not investigate this complaint about the Council’s handling of reports of neighbour anti-social behaviour (ASB) and nuisance made by Mr X. This is because an investigation is unlikely to add to that already carried out by the Council or lead to a significantly different outcome.
LGO (Local Government & …
Environment And Regulation
Aug 2024
23-017-648 — South Kesteven District Council
Summary: We will not investigate this complaint about anti- social behaviour. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. This is an ongoing case being investigated by the Council so there is no worthwhile outcome to …
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-005-184 — London Borough of Enfield
Summary: We will not investigate this complaint about a Fixed Penalty Notice for fly tipping. This is because the complainant could have raised a defence in court.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-004-766 — Stoke-on-Trent City Council
Summary: We will not investigate this complaint about the Council’s handling of Miss X’s reports of noise nuisance. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-020-850 — Manchester City Council
Summary: Mr X complained the Council repeatedly missed waste collections from his property and failed to deal with reports of fly-tipping and stolen bins, causing frustration and distress. We found the Council at fault, and it agreed to apologise and make payments for the distress it caused. We also found …
LGO (Local Government & …
Environment And Regulation
Upheld
Sep 2025
24-019-295 — St Albans City Council
Summary: We will not investigate this complaint about the Council’s investigation into an alleged statutory nuisance from a neighbouring business. This is because
LGO (Local Government & …
Environment And Regulation
Sep 2025
25-007-962 — Royal Borough of Kingston upon Thames
Summary: We will not investigate Ms Z’s complaint about how the Council has handled her noise complaints since 2023. Part of the complaint is late. There is not enough evidence of fault and an investigation would be unlikely to lead to a different outcome.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-007-136 — Stevenage Borough Council
Summary: We will not investigate Mr X’s complaint about how the Council has dealt with his concerns about a development near his home. There is not enough evidence of fault on how the Council investigated Mr X’s concerns to justify our involvement. Mr X has also raised concerns that fall …
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-004-556 — Stafford Borough Council
Summary: We will not investigate this complaint about a missed refuse collection. This is because the injustice is not significant enough to justify investigation.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-005-845 — Dartford Borough Council
Summary: We will not investigate this complaint about the Council’s handling of its garden waste and general refuse collection services. There is insufficient evidence of fault, and we cannot achieve the outcome the complainant is seeking.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-010-062 — Birmingham City Council
Summary: We will not investigate Mr X’s complaint about the Council’s failure to collect waste bins due to industrial action. This is because we have no jurisdiction to investigate matters which affect all or most people in the Council’s area.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-001-904 — London Borough of Lambeth
Summary: We will not investigate this complaint about how the Council responded to a noise nuisance concern. This is because
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-006-455 — Reading Borough Council
Summary: We will not investigate this complaint that the Council refuses to consider Mr X’s ongoing complaints about noise nuisance from his neighbour. This is because we are unlikely to find enough evidence of fault by the Council to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Nov 2025
24-014-369 — Norwich City Council
Summary: We will not investigate this complaint about the advice provided by the Council’s pest control service. This is because there is not enough evidence of fault to justify an investigation.
LGO (Local Government & …
Environment And Regulation
Nov 2024
24-014-470 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about the Council’s decision that the complainant must pay to replace bins that were stolen. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Environment And Regulation
Dec 2024
24-014-099 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about the time taken by the Council to deliver bins to the complainant. This is because there is insufficient evidence of injustice.
LGO (Local Government & …
Environment And Regulation
Dec 2024
24-005-529 — Cumberland Council
Summary: Miss X complains about a lack of action from the Council following its decision to issue an Abatement Notice to her neighbour. We have concluded our investigation having made a finding of fault. The evidence demonstrates excess delay in reaching a decision on what further action to take, if …
LGO (Local Government & …
Environment And Regulation
Upheld
Dec 2024
201501711 — West Lothian Council
Mr C, who is a council tenant, complained to us about two issues regarding reports he had made to the council about the anti-social behaviour of his neighbour. Firstly, he complained that the council failed to follow their policies and procedures by deciding not to investigate his reports. We found …
SPSO (Scottish Public Se…
Local Government
Partly Upheld
Nov 2015
201404811 — South Lanarkshire Council
Mrs C complained about the council's handling of complaints about some of their tenants in a neighbouring property, which was used by the council to temporarily house homeless households from 2011 to 2014. Mrs C complained about the way her complaints were handled by the council and, in particular, that …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Nov 2015
25-008-206 — Wakefield City Council
Summary: We will not investigate this complaint about the Council’s response to reports of antisocial behaviour. This is because there is not enough evidence of fault to justify our involvement.
LGO (Local Government & …
Environment And Regulation
Dec 2025
25-004-995 — Coventry City Council
Summary: We will not investigate this complaint about the Council’s decision not to investigate Mrs Y’s complaint about trading standards enforcement. The complaint is late and there is no good reason why it could not have been made sooner.
LGO (Local Government & …
Environment And Regulation
Aug 2025
24-014-958 — Bedford Borough Council
Summary: We will not investigate this complaint about a taxi licence decision. This is because the complaint is late and there are not good reasons to investigate the complaint now.
LGO (Local Government & …
Environment And Regulation
Nov 2024