Poor recruitment checks
Failure to gather and record all necessary information for recruitment purposes, potentially leading to unsuitable staff being hired.
Source spread
Where this theme appears
This theme appears across 15 independent accountability sources, so the source mix matters as much as the headline total.
26 inquiry recs
27 PFD reports
13 committee recs
175 CQC actions
9 PPO recs
3 IOPC recs
2 NAO recs
15 IMB recs
4 IMB reports
1 Scottish FAI
10 DHR recs
2 LGO/SPSO decisions
1 Law Commission project
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(26)
62 — Schools notify inspectorate of DBS referrals
Recommendation: The Department for Education and the Welsh Government should: require schools to inform the relevant inspectorate when they have referred a member of staff to the Disclosure and Barring Service, the Teaching Regulation Agency or the Education Workforce Council; and …
No response yet
54 — Lambeth foster carer vetting review
Recommendation: Lambeth Council should review the application of recruitment and vetting procedures for all current foster carers directly provided by Lambeth Council, to ensure that the procedures have been followed correctly. In addition, Lambeth Council should seek assurances from external agencies …
Gov response: 8.3 Make sure our current staff working with children, councillors and our foster carers have appropriate and up-to-date DBS (Disclosure and Barring Service) certificates, and implement an online DBS process that enables better monitoring of …
Accepted
36 — Guidance on DBS for overseas work
Recommendation: The Home Office should ensure explanatory guidance is issued, providing clarity to recruiting organisations and individuals concerning the use of the Disclosure and Barring Service scheme for work and volunteering outside the UK.
Gov response: 22. The DBS currently signposts applicants to the ICPC if their work abroad makes them ineligible for DBS certificates. The Home Office will work with the DBS to ensure that this message is reinforced in …
Accepted
35 — Mandatory DBS for work with children overseas
Recommendation: The Home Office should introduce legislation making it mandatory for: (a) all UK nationals and residents of England and Wales to provide a prospective employer overseas with an enhanced DBS certificate before undertaking work with children overseas which if in …
Gov response: 18. We have considered carefully the recommendation to introduce legislation to make it mandatory for UK nationals and residents of England and Wales to provide prospective employers with an enhanced DBS certificate before undertaking work …
Not accepted
34 — DBS certificates for overseas work
Recommendation: The Home Office should introduce legislation permitting the Disclosure and Barring Service to provide enhanced certificates to UK nationals and residents of England and Wales applying for: 1. work or volunteering with UK-based organisations, where the recruitment decision is taken …
Gov response: 11. The Government shares the Inquiry’s concerns that effective protections should be in place for children abroad. Criminal record checks are an important part of these protections and the Government wants to ensure that overseas …
Not accepted
33 — Assessment of potential risks posed by foster carers and residential care staff
Recommendation: Nottingham City Council should assess the potential risks posed by current and former foster carers directly provided by the council in relation to the sexual abuse of children. They should also ensure that current and former foster carers provided by …
No response yet
31 — DBS and training compliance for Church officers
Recommendation: Individuals engaged in regulated activity who have failed to undergo a DBS check or complete compulsory training should not be permitted to hold voluntary offices within the Church. Failure by ordained clergy to comply with either requirement should result in …
No response yet
FR-11 — Extend Disclosure Regime Overseas
Recommendation: The Inquiry recommends (as originally stated in its Children Outside the United Kingdom Phase 2 Investigation Report, dated January 2020) that the UK government introduces legislation permitting the Disclosure and Barring Service to provide enhanced certificates with barred list checks …
Gov response: We accept the need to review whether disclosure arrangements can be further strengthened for those working with children overseas, and we will consider the scope of further strengthening the regime, taking into account the findings …
Accepted in part
FR-10 — Improve DBS Referral Compliance
Recommendation: The Inquiry recommends that the UK government takes steps to improve compliance by regulated activity providers with their statutory duty to refer concerns about the suitability of individuals to work with children to the Disclosure and Barring Service, including: all …
Gov response: We accept the need to improve compliance with statutory duties to inform the Disclosure and Barring Service about individuals who may pose a risk of harm to children. We will work with the relevant bodies …
Accepted in part
FR-9 — Greater Use of DBS
Recommendation: The Inquiry recommends that the UK government enables any person engaging an individual to work or volunteer with children on a frequent basis to check whether or not they have been barred by the Disclosure and Barring Service from working …
Gov response: We accept subject to further assessment of feasibility and impact, taking into account the findings of the Bailey Review of Disclosure and Barring Regime published in April 2023.
Accepted in part
R9 — GP certification of fitness for NHS employment
Recommendation: We recommend that consideration be given to how General Practitioners might, with the candidate's consent, be asked to certify that there is nothing in the medical history of a candidate for employment in the National Health Service which would make …
Gov response: Guidance on occupational health is to be issued shortly which will cover all these recommendations. Together with the English National Board's new guidelines, this guidance will establish better procedures for selection of student nurses for …
Accepted in part
R6 — Sickness records available to occupational health
Recommendation: We recommend that the possibility be reviewed of making available to Occupational Health departments any records of absence through sickness from any institution which an applicant for a nursing post has attended or been employed by (para 5.5.14).
Gov response: Guidance on occupational health is to be issued shortly which will cover all these recommendations. Together with the English National Board's new guidelines, this guidance will establish better procedures for selection of student nurses for …
Accepted in part
R5 — Health screening for newly qualified nurses
Recommendation: We recommend that nurses should undergo formal health screening when they obtain their first posts after qualifying (para 5.5.13).
Gov response: Guidance on occupational health is to be issued shortly which will cover all these recommendations. Together with the English National Board's new guidelines, this guidance will establish better procedures for selection of student nurses for …
Accepted in part
R4 — No nursing employment where major personality disorder
Recommendation: We recommend that no candidate for nursing in whom there is evidence of major personality disorder should be employed in the profession (para 5.4.11)
Gov response: Guidance on occupational health is to be issued shortly which will cover all these recommendations. Together with the English National Board's new guidelines, this guidance will establish better procedures for selection of student nurses for …
Accepted in part
R1 — Sickness-absence record for entrants to nursing
Recommendation: We recommend that for all those seeking entry to the nursing profession, in addition to routine references the most recent employer or place of study should be asked to provide at least a record of time taken off on grounds …
Gov response: Recommendation 1. We recommended that, for all those seeking entry to the nursing profession, in addition to routine references the most recent employer or place of study should be asked to provide at leas: a …
Accepted
21 — Nursing staff selection and appraisal
Recommendation: Procedures for the selection and appointment of nursing staff (including internal promotions) should be brought into line with the recommendations of the Report of the National Nursing Staff Committee and a staff appraisal system, as recommended by that Committee, introduced …
Unknown
FR-8 — Registration in Young Offender Institutions
Recommendation: The Inquiry recommends (as originally stated in its Sexual Abuse of Children in Custodial Institutions: 2009-2017 Investigation Report, dated February 2019) that the UK government introduces arrangements for the professional registration of staff in roles responsible for the care of …
Gov response: We accept the need for registration, noting that internal registration is most appropriate for the young offender institution and secure training centre workforce. We are exploring proposals for how it could operate.
Accepted in part
FR-7 — Registration of Care Home Staff
Recommendation: The Inquiry recommends (as originally stated in its Interim Report, dated April 2018) that the UK government introduces arrangements for the registration of staff working in care roles in children's homes, including secure children's homes. Registration should be with an …
Gov response: We accept that rigorous registration of staff working in care roles in children’s homes is essential and we are looking at how best to implement this as part of the Stable Homes, Built on Love …
Accepted in part
27 — Professional registration for custodial care staff
Recommendation: As the Inquiry set out in its Interim Report, professional registration of the workforce in settings responsible for the care of vulnerable children complements regulation of institutions by a separate, independent regulator. The Government has agreed in principle that professional …
No response yet
25 — Amendment of Safeguarding Vulnerable Groups Act 2006
Recommendation: The Chair and Panel recommend that the Home Office ensures that the Safeguarding Vulnerable Groups Act 2006 is amended so that, where a fitness to practise hearing has been conducted by the keeper of a relevant register and has resulted …
Gov response: 60. The Home Office therefore considers that automatic barring would be disproportionate. Further, as the behaviour or incident prompting the fitness to practise hearing will have been referred to the DBS by the employer under …
Not accepted
24 — Registration of children's home care staff
Recommendation: The Chair and Panel recommend that the Department for Education introduces arrangements for the registration of staff working in care roles in children's homes. Registration should be with an independent body charged with setting and maintaining standards of training, conduct …
Gov response: 56. The Government agrees in principle that further workforce regulation could provide an effective additional means of protecting children. We are mindful that introducing professional registration for all staff in care roles in children’s homes …
Accepted in part
R30 — Overseas applicant checking
Recommendation: Proposals should be brought forward as soon as possible to improve the checking of people from overseas who want to work with children and vulnerable adults.
Gov response: The CRB undertook a comprehensive overseas survey in 2002, which was followed by a visit last year to Australia by the Deputy Chief Executive. This identified Australia as not only a high priority, in terms …
Accepted
R28 — Broader consent on Police Check Form
Recommendation: The consents that applicants currently give on the 'Police Check Form' should be sufficiently broad to enable the requisite checks to be undertaken.
Gov response: Initial consideration of the current consent statement requirements has been carried out, and it was proposed to incorporate this change within the change for Recommendation 27. However, until the data-sharing agreements with the various relevant …
Accepted
R27 — Information verification confirmation
Recommendation: Registered Bodies should be required to confirm that they have checked the information on the 'Police Check Form' in accordance with CRB guidance.
Gov response: As a consequence, a Proposed Change paper has been submitted to the CRB’s principal IT supplier, Capita, with an amended declaration by the registered person to emphasise the countersignatory’s unambiguous responsibility to authenticate any documentation, …
Accepted
RHI-8 — Job-Specific Recruitment
Recommendation: A fundamental shift is needed in the approach used within the Northern Ireland Civil Service with regard to recruitment and selection for government jobs. This must involve an up-front assessment of the skills that are required to fulfil the specific …
Gov response: These recommendations can be accepted in full. They have been addressed through work to date, including: • job-specific appointments within the NICS generalist grades; • the piloting of Cabinet Office’s “Commercial Skills Assessment and Development …
Accepted
R29 — Incomplete applications returned to Registered Body
Recommendation: Incomplete or withdrawn applications should in future be returned to the Registered Body, and not to the applicant.
Gov response: The CRB raised the necessary changes with its IT supplier, Capita, through the normal PPP Agreement Change Procedure. 6.81 The Contract Change Note has been signed and the change will need to be scheduled into …
Accepted
Prevention of Future Deaths reports(27)
James Boylan
Concerns: The coroner noted removable bathroom rails created ligature points, staff were unaware they were removable, and an undetected blade was brought onto the ward. Concerns were also raised about fragmented communication preventing an overall view of the patient's escalating condition and the incomplete dissemination of assessments.
Response (Department of Health): • NHS England has developed resources and audit tools to support clinical staff in mental health risk assessment and multidisciplinary working. • NHS England has developed further suicide prevention measures … (AI summary)
Overdue
Thomas Warren
Concerns: The coroner noted that the NHS Trust did not require its recruitment agency to perform registration or fitness-to-practice checks on a locum doctor. The Trust was also unaware of prior concerns and ongoing investigations regarding the doctor's performance in other health services.
Response (Department of Health): • The Department of Health established a Secondary Care Locum Doctor Working Group in November 2013, which made recommendations to strengthen arrangements for locum doctor recruitment and quality assurance. • … (AI summary)
Response (Lewisham Greenwich NHS Trust): • The Trust confirmed that all staff recruitment, including agency medical staff, is completed in line with NHS Employment Check Standards. • The Trust stated it regularly reviews policy and … (AI summary)
Overdue
William Hafele
Concerns: The coroner identified gaps in training for police and hospital staff regarding missing persons procedures and responsibilities. Ineffective communication between police and the hospital led to critical risk assessment information being omitted and reclassification not being communicated.
Response (Surrey Police): • The Missing Persons Policy was updated to comply with new Association of Chief Police Officers guidelines. • Guidance was circulated to personnel to ensure necessary details are provided for … (AI summary)
Response (Surrey Borders Partnership NHS): • The Trust emphasised the importance of the Missing Persons (MISPER) process to staff and assigned a Clinical Assurance team member to ensure compliance. • Staff were instructed to complete … (AI summary)
Responded
George Hulme
Concerns: Agency staff lacked information and adequate induction to identify residents, resulting in an incorrect file retrieval and potentially inappropriate treatment. Resident rooms were also not clearly marked, which could lead to identification confusion during emergencies.
Overdue
Rubel Ahmed
Concerns: The coroner raised concerns about the continued practice of locking detainees in rooms overnight, contrary to previous recommendations. The report also identified deficiencies in staff detention awareness training, communication of detainee circumstances, and protected time for personal officers.
Response (Home Office): • A comprehensive Detention Awareness training package is in place for all staff, and work is underway to implement a programme of regular refresher training. • The use of electrical … (AI summary)
Overdue
Derek Thomas
Concerns: The coroner noted that procedures for identifying suicidal intent failed under demanding conditions due to insufficient support for inexperienced staff. There was also a lack of clarity and communication between GEOAmey and prison reception staff regarding the handover of critical SASH forms.
Response (HM Prison and Probation Service): • HMP Durham's Head of Operations instructed reception staff to physically check and cross-reference all documentation, obtain signatures, and verbally hand over self-harm warnings and court return information. • A … (AI summary)
Response (HMP Durham): • Nursing staff have been instructed to read and review all documents provided for patients during reception screening. • Staff have been reminded at meetings and briefings about the importance … (AI summary)
Response (Care UK): • Care UK stated it ceased to be the healthcare provider at HMP Durham on 31st March 2015. • Care UK indicated it would forward the coroner's concerns to heads … (AI summary)
Response (GEOAMEY): • Refresher training for escort and court officers on completing the Prisoner Escort Record (PER) is 90.91% complete, with remaining officers scheduled to complete it. • The organisation is undertaking … (AI summary)
Overdue
Peter Lawrence
Concerns: The coroner identified that risk factors may be missed or inadequately recorded for new prisoners, particularly those with limited background information. Further concerns included insufficient interaction with a personal officer, a missed opportunity for risk identification.
Overdue
Ivy Atkin
Concerns: The coroner identified a regulatory gap where the CQC did not independently assess the suitability of a care home's Nominated Individual, who had criminal convictions, due to an interpretation of Regulation 6. This particularly affects small family-owned companies.
Response (Department of Health): • The Department of Health stated that the Nominated Individual role is administrative and that the current system provides proportionate assurance. • The Department of Health noted that the Fit … (AI summary)
Response (CQC): • The CQC established a working group to consider the concerns and concluded it would not directly check Disclosure and Barring Service (DBS) certificates for Nominated Individuals. • The CQC … (AI summary)
Overdue
Jeff Miles
Concerns: The coroner raised concerns regarding an employee's 13-year exposure to white spirit, which included both direct skin contact and vapour inhalation, leading to their death.
Overdue
Mark Berry
Concerns: Hospital staff delayed police notification of a potentially suspicious death due to confusion over procedures. Concerns were also raised about insufficient basic incident details, such as the address, in ambulance service handovers, particularly from private providers.
Overdue
Kevin Miles
Concerns: The coroner noted that the process for certifying divers fit to dive does not require obtaining the diver's GP records, identifying a risk of health conditions being misreported or undisclosed. This absence could lead to divers being certified unfit to dive, endangering themselves and potential rescuers.
Response (UKDMC): • The UKDMC discussed the coroner's concerns regarding the diver medical certification process. • The UKDMC stated it saw no reason to alter the current system. • It described the … (AI summary)
Overdue
Polly Drew
Concerns: The recruitment process for a doctor with significant responsibility and access to anaesthetic drugs was inadequate, leading to concerns about the appointed doctor working alone and posing potential risks.
Overdue
Kamil Iddrisu
Concerns: The coroner noted that non-UK military selection candidates are not screened for sickle cell trait, which significantly increases their risk during military exercise, and recommended urgent screening for all such candidates.
Response (Ministry of Defence): • The Ministry of Defence implemented a two-stage screening process for all Army candidates, comprising a Family Origins Questionnaire and subsequent blood tests for those identified as high risk of … (AI summary)
Response (Ministry of Defence): • The Ministry of Defence issued a new Defence policy (DIN 2022DIN06-021) on 4 November 2022, mandating Sickle Cell Trait screening for all military recruits across the Army, Royal Navy, … (AI summary)
Responded
Arthur Hughes
Concerns: The coroner noted a lack of protocol for observing and assessing locum staff in practice, potentially leading to them working beyond their capabilities. There was also a reluctance at a managerial level to supplement locum references with telephone calls.
Response (Betsi Cadwaladr University Health Board): • The Standard Operating Procedure for locum appointments was amended to ensure central collection and follow-up of local induction and assessment of practice pro forma, with revised implementation dates set … (AI summary)
Overdue
Jane Jowers
Concerns: The coroner raised concerns regarding the absence of a statutory procedure for international criminal conviction checks, which could lead to unsuitable individuals working with vulnerable adults and children.
Response (DBS): • The Disclosure and Barring Service (DBS) stated that it does not propose further action regarding statutory international criminal background checks. • It noted that consideration of further statutory obligations … (AI summary)
Responded
Angela Best
Concerns: The coroner highlighted that monitoring a discharged patient's relationship status, a key risk assessment condition, relied on his self-reporting despite known untruthfulness. No independent investigation mechanism existed, meaning unreliability was inherent in the system.
Response (Ministry of Justice): • The Mental Health Casework Section (MHCS) will review conditions of discharge and revise associated guidance to encourage a more investigative approach to patient supervision. • MHCS is drafting and … (AI summary)
Responded
Caden Stewart
Concerns: Physical Education Instructors were unaware of PSI 58/2011 requirements, and communication gaps meant officers responsible for welfare checks were not informed Caden felt unwell. The wing officer did not ensure Caden saw healthcare nor hand over this information to their successor.
Response (HM Prison and Probation Service): • HM Prison and Probation Service issued a Notice to Staff reminding PE staff of policy requirements and the need for appropriate gym supervision. • Daily roll books were introduced … (AI summary)
Responded
Richard Franks
Concerns: Information about Mr Franks' stated intent to commit suicide and distress at court was not communicated to prison staff, which prevented an ACCT assessment and increased monitoring. The coroner noted that sharing such protective information does not breach professional privilege.
Response (David Ake Co Solicitors): • The firm stated it would ensure that appropriate organisations are reminded each time a threat to self-harm is repeated. (AI summary)
Responded
Liam Lyes-Watson
Concerns: The coroner identified issues with an untrained call handler not speaking directly with the caller, a blanket policy preventing discussion with callers, and insufficient action taken with information received. Consideration was also recommended for recording incoming calls.
Response (Midlands Partnership NHS Trust): • The Trust confirmed the call handler received additional training and stated that all new call handlers will be supervised until assessed as competent. • The Trust reinforced to staff … (AI summary)
Responded
Amy Henderson
Concerns: The coroner noted issues with the transfer of critical patient information between an NHS hospital and a private hospital, alongside a lack of clarity among private hospital staff regarding responsibility for removing banned items upon admission.
Response (NHS England): • NHS England stated that the Shared Care Records programme's 2023/25 plan acknowledges the role of independent sector providers. • NHS England asked regional colleagues to confirm whether Priory Woking … (AI summary)
Overdue
Ivan Ignatov
Concerns: The required face-to-face mental health assessment for the detainee did not take place. The police custody system also lacked a structured way to record a detainee's first arrest and other key risk factors, hindering comprehensive risk assessment.
Response (Dorset and Wiltshire Fire and Rescue): • The Service confirmed its commitment to the Joint Emergency Services Interoperability Programme (JESIP) principles. • It stated that all incident commanders are trained in JESIP doctrine and their application … (AI summary)
Response (Dorset Police): • Dorset Police updated the Niche system to include a dropdown menu for capturing detainee risk factors and is implementing further changes to prompt consideration of detainee risk and vulnerability … (AI summary)
Response (Maritime and Coastguard Agency): • HM Coastguard stated it had substantive plans in place to work with partners locally and nationally to improve safety. (AI summary)
Response (National Fire Chiefs Council): • The National Fire Chiefs Council (NFCC) tracks Prevention of Future Deaths Reports and shares them with its members. • The NFCC will establish a process to provide additional national … (AI summary)
Response (South Western Ambulance Service NHS Foundation Trust): • SWASFT implements Joint Emergency Services Interoperability Principles (JESIP) through regular training for all staff and commanders to improve multi-agency working and clear communication. • The Trust is strengthening relationships … (AI summary)
Response (NHS England): • NHS England noted that Dorset Healthcare Criminal Justice Liaison and Diversion Team and Dorset Police are implementing a new referral form and process, joint training, and a review of … (AI summary)
Response (College of Policing): • The College of Policing stated it would amend the checklist for custody officers regarding detainee assessment and inform forces of this change. • The College noted it has produced … (AI summary)
Response (Associations of Ambulance Chief Executives): • The Associations of Ambulance Chief Executives (AACE) stated it is not constituted to mandate or direct UK ambulance service clinical practice. • AACE noted it is not responsible for … (AI summary)
Response (NicheRMS): • The facts of the report have been circulated to Niche Technology customers. • Views are being sought on changes needed to reduce the chance of a similar occurrence. • … (AI summary)
Response (National Police Air Service): • The Senior Coroner's requested visit to NPAS Bournemouth has been completed. • NPAS and HMCG have agreed to hold joint familiarisation briefings and monthly communication meetings. • Work will … (AI summary)
Response (Royal National Lifeboat Institution): • The Royal National Lifeboat Institution (RNLI) is updating its ResilienceDirect platform page to provide details on its capabilities to emergency services partners. • The RNLI is compiling material to … (AI summary)
Responded
Emma Morrissey
Concerns: The health tourism company relied on patient self-declaration for surgical fitness, lacking independent assessment or clear questions. The coroner also noted no investigation into the operating table death, discrepancies in medical documentation, and inadequate embalming for repatriation.
Response (Response Cornwall Partnership NHS Foundation Trust): • The company revised its formal documents to encourage UK health checks and require detailed health information from patients before treatment abroad. • The Patient Health Questionnaire was revised, increasing … (AI summary)
Response (Department of Health and Social Care): • The UK Government expressed concerns to the Turkish Ministry of Health and has been consulting with stakeholders on medical tourism. • Officials are investigating global medical tourism and will … (AI summary)
Responded
Barbara Rymell
Concerns: The coroner raises concerns about the insufficient English language proficiency of care workers, noting that the current B1 test level is inadequate for communicating effectively with emergency medical professionals when caring for vulnerable individuals.
Response (Home Office): • The Home Office stated it did not consider raising English language requirements for Skilled Workers to be appropriate or practical. • The Government announced that from Spring 2024, only … (AI summary)
Overdue
Nicholas Harrison
Concerns: The coroner identified deficiencies in mental health act assessments by Approved Mental Health Practitioners (AMPHs), including insufficient information gathering and non-compliance with legal requirements. AMPH responses to Nearest Relative requests also did not always meet statutory duties.
Response (Welsh Government): • The Welsh Government established a National Strategic Programme for Mental Health in May 2024. • A Mental Health Patient Safety Programme has been established, focusing on improvements in specific … (AI summary)
Response (City and County of Swansea): • The Council committed to delivering specific refresher training to its Approved Mental Health Professional team on gathering, weighting, and recording collateral information. • The Approved Mental Health Professional assessment … (AI summary)
Response (Swansea Bay University Health Board): • The Health Board has implemented new processes and provided additional training for staff regarding Mental Health Act assessments, collateral information gathering, and risk assessments on inpatient wards. • Steps … (AI summary)
Response (Swansea Bay University Health Board): • The health board directed staff to ensure plans of care are placed at the front of clinical notes or on the digital front page. • The health board directed … (AI summary)
Responded
Ian Harris
Concerns: The coroner noted concerns that drivers with medical conditions can provide inaccurate information to independent GPs for HGV licence renewals, as these GPs cannot verify medical history. It suggests requiring reports from the driver's own GP or allowing independent GPs access to records.
Response (DVLA): • The DVLA stated it would continue to work with stakeholders to raise awareness of the impact medical conditions may have on fitness to drive. • The DVLA stated it … (AI summary)
Responded
Peter Anzani
Concerns: Concerns included inadequate recording of vital observations and staff training at the hospital, alongside long patient waiting lists resulting from staffing shortages and rejected funding requests from NHS England.
Response (NHS England): • NHS England stated that a nurse-led triage process is undertaken to clinically risk assess and prioritise patients for follow-up clinics. • NHS England confirmed that its Specialised Commissioning funds … (AI summary)
Response (The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust): • The Trust implemented visual notices and provided additional observation machines in clinical areas to support accurate recording of patient observations. • A new electronic patient record system, Apollo, is … (AI summary)
Overdue
Gareth Chumber-Kelly
Concerns: The coroner noted repeated deficiencies in the ACCT process, an inefficient reception process leading to the loss of vital prisoner information, and the suspension of suicide and self-harm training for staff despite a high risk of self-inflicted deaths.
Response (SERCO): • Serco stated that its staff handed over a Suicide and Self-Harm warning form to prison reception staff. • Serco will ensure its representative raises the issue of missing documentation … (AI summary)
Response (HM Prison and Probation Service): • HMP Pentonville has introduced a digital induction passport and appointed a Head of Early Days to review reception procedures. • Digital Person Escort Records (DPERs) are available for prisoners, … (AI summary)
Overdue
Select committee recommendations(13)
#17 — Require pre-appointment scrutiny for the next permanent CCRC Chair due to recent failings.
Recommendation: We reiterate the importance of our request for pre-appointment scrutiny of the next permanent chair. We believe this is vital given the recent failings of the CCRC and the shortcomings of the previous chair. (Conclusion, Paragraph 54)
Response attribution not verified
#187 — Amend HMPPS recruitment to mandate face-to-face interviews by local governors for frontline staff
Recommendation: HMPPS must amend its recruitment process to ensure that all frontline staff, including prison officers, undergo a mandatory face-to-face interview process led by local governors. This critical step addresses the identified deficiency in governors not having direct involvement in the …
Response attribution not verified
#7 — Amend prison staff recruitment to grant Governors ultimate decision and mandate face-to-face interviews.
Recommendation: Governors must have the ultimate decision on the recruitment of staff who work in their prison. HMPPS must amend its recruitment process to ensure that all frontline staff, including prison officers, undergo a mandatory face-to-face interview process led by Governors …
Response attribution not verified
#18 —
Recommendation: In increasing the resilience of institutions and technology, the UK must not lose sight of people-based threats. People are an organisation’s greatest asset, but they can also be its most unpredictable vulnerability. The UK’s adversaries can be expected to target …
#11 —
Recommendation: An enhanced DBS check is the highest level of criminal record check available, yet it seemingly does not guarantee that licensing authorities receive all the information they need to make sound judgements about licence applications. We are concerned that the …
Response status not verified
#22 —
Recommendation: On caseworking capacity, the Home Office told us that caseworker numbers had fluctuated in recent years, rising from 623 in 2021 to 2,547 in 2024 before reducing to 2,168 in 2025. The NAO found that increased demand for caseworker capacity …
Response status not verified
#186 — Align HMPPS personnel vetting requirements with tier-one security agencies and mandate lifelong vetting
Recommendation: HMPPS must immediately commit to aligning its personnel vetting requirements with those of other tier-one security and law enforcement agencies, such as the police. While the nature of the work differs, the threat profile is comparable. This alignment must establish …
Response attribution not verified
#5 —
Recommendation: The Ministry and HMPPS are relying on a provider to deliver the new secure school model, but the approach they are taking is untested and there are insufficient safeguards in place. The Ministry and HMPPS appointed a provider, Oasis Charitable …
Response attribution not verified
#70 —
Recommendation: The Government and the NHS should consider establishing a volunteer reserve database so that volunteers who have had appropriate checks can be rapidly called up and deployed in an emergency rather than needing to begin from scratch.
Response attribution not verified
#70 —
Recommendation: The Government and the NHS should consider establishing a volunteer reserve database so that volunteers who have had appropriate checks can be rapidly called up and deployed in an emergency rather than needing to begin from scratch.
Response attribution not verified
#12 —
Recommendation: There were fundamental failures in the implementation and oversight of the care worker visa route when it was expanded in 2022, which led to unexpectedly high numbers of arrivals in a short space of time. The Home Office significantly underestimated …
Response status not verified
#44 —
Recommendation: We recommend that the Government work with Sport England to identify steps that can be taken to streamline volunteer administration. This might include establishing a central register so that qualifications and DBS checks can be carried between sports and activity …
Response attribution not verified
#13 — Mandate educational settings to ensure staff awareness of harassment policies and conduct background checks.
Recommendation: The OfS should also require educational settings to ensure that all staff, permanent, temporary and those visiting, are aware of policies around abuse and harassment, including the consequences of inappropriate behaviour. People invited to teach students should undergo background and …
Response attribution not verified
CQC inspection actions(175)— showing 50 strongest matches
The York Hospital
The trust should ensure that it follows the recommended period for repeating and recording Disclosure and Barring Service checks for directors.
Should Do
Sunderland Royal Hospital
The trust must ensure directors have an appropriate disclosure and barring service check and ensure this is repeated where required or the risks of not repeating checks are considered and assessed.
Must Do
South Tyneside District Hospital
The trust must ensure all staff have an appropriate disclosure and barring service check and ensure this is repeated where required or the risks of not repeating checks are considered and assessed.
Must Do
South Tyneside District Hospital
The trust must ensure directors have an appropriate disclosure and barring service check and ensure this is repeated where required or the risks of not repeating checks are considered and assessed.
Must Do
Scarborough Hospital
The trust should ensure that it follows the recommended period for repeating and recording Disclosure and Barring Service checks for directors.
Should Do
Scarborough Hospital
The trust must ensure that all bank and agency staff had a full induction and competencies assessed prior to them working in the medical service.
Must Do
Glenfield Hospital
The trust should ensure all Disclosure and Barring Service (DBS) checks are up-to-date and stored correctly in staff employment records.
Should Do
Glenfield Hospital
The trust should ensure all documents relating to recruitment practices are retained in line with the trust policy.
Should Do
Doncaster Royal Infirmary
The trust should consider a review of the timescales for Disclosure and Barring (DBS) re-checks for executive and non-executive directors to be undertaken sooner than every 10 years.
Should Do
Cumberland Infirmary
The trust should ensure that it follows the recommended period for repeating and recording Disclosure and Barring Service checks for directors and that all qualifications are copied and recorded with in directors files. Regulation 5(3)(d).
Should Do
Tower Hamlets Out of Hours GP Service
Review DBS security checking protocols so that the provider may be assured that they are up to date.
Should Do
Sheffield Children's Hospital
Review the risks associated with DBS checks.
Should Do
Kent Central Ambulance Service Ltd
The service should embed their new process for using the standardised risk assessment tool where a DBS check identifies a record of concern.
Should Do
Alder Hey Children's Hospital
Complete checks to ensure that processes for securing Disclosure and Barring Service (DBS) renewals are effective
Should Do
Chy Byghan Residential Home
The provider must ensure people who use services are protected against the risks associated with unsafe recruitment practices.
Must Do
Chatham House
The provider must ensure people who use the service are fully protected by their recruitment practices, including obtaining application forms and written references for new staff.
Must Do
Chandos Lodge Nursing Home
The provider did not always implement procedures to ensure staff were of a good character prior to them working with adults at risk.
Must Do
Assured Care Formby
Staff were not recruited safely.
Must Do
Trent Lodge Residential Care Home
The provider must ensure service users and others are protected by effective recruitment procedures and practice.
Must Do
St Paul's Lodge
The registered person had failed to ensure that recruitment and selection procedures designed to keep people safe had been correctly followed.
Must Do
Redcot Lodge Residential Care Home
The provider must operate effectively established recruitment procedures to meet the regulations.
Must Do
Park Grange Care Home
We found there were gaps in potential staff's employment history and it was not clear who had been approached to provide a reference.
Must Do
Manor House Care Home
Appropriate recruitment checks were not always undertaken before staff started to work at the service to ensure staff were suitable to work with vulnerable people.
Must Do
Haisthorpe House
The provider must ensure people who used services are protected against receiving care and treatment from staff that are unsuitable to work in the service because the provider has ensured staff are of good character and information about them specified …
Must Do
Benthorn Lodge
The registered person failed to ensure that robust recruitment practices were carried out to ensure only people suitable to work with vulnerable people were recruited.
Must Do
Yanah Care
The provider must ensure that staff are recruited safely and have received induction and training to meet the needs of people receiving support.
Must Do
Wii Care Limited
The provider has failed to establish and operate effective recruitment procedures.
Must Do
West Farm House
Safe recruitment practice was not being followed.
Must Do
Walfinch West Suffolk
The provider must ensure recruitment checks are completed on all new staff to check their suitability or competence to work with vulnerable people prior to commencing employment.
Must Do
Tralee Rest Home
There was no policy in place to address risks associated where previous cautions or convictions were recorded, and a deficiency in recruitment procedures where risk assessments were not completed despite a recorded conviction.
Should Do
Aarondale House
The provider develops a system to ensure relevant checks are made to ensure staff are of good character and suitable for their role prior to employment.
Should Do
The Old Post Office
The provider must complete recruitment checks effectively.
Must Do
The Briars
Recruitment procedures had not been fully established and operated effectively to ensure that persons employed were suitable to work at the service.
Must Do
TerraBlu Homecare
A robust approach to recruitment was not taken make sure only suitable staff with the competence and skills were employed to provide care. This was a breach of Regulation 19 (1)(2)(3).
Must Do
Sundial Cottage Rest Home Ltd
Systems to ensure only fit and proper persons were employed were not sufficiently robust. This was a breach of regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
Must Do
St George's Hotel
We recommend the provider seek reputable advice regarding safe recruitment practices.
Should Do
Spindrift Care Home Limited
The provider had not ensured appropriate checks were undertaken before staff commenced their employment, to confirm they were safe to work with vulnerable people.
Must Do
Shire Oak House
No system in place to ensure staff recruitment measures are taken effectively.
Must Do
Royalcare- Thanet
The provider and registered manager failed to operate effective recruitment processes and ensure information specified in Schedule 3 of the Health and Social Care Act was available for each member of staff.
Must Do
Roky Care Ltd
The provider must ensure recruitment processes are established and operated effectively to ensure people are protected from the risk of harm.
Must Do
Paxigate Healthcare Limited
The required pre-employment checks had not been fully completed to help ensure staff employed were suitable. This included completing a new Disclosure and Barring Service (DBS) check and obtaining additional references.
Must Do
Paxigate Healthcare Limited
Improvements were needed in the recruitment of staff to ensure the provider followed their own policy and procedure.
Must Do
Meadow Green
The provider must ensure fit and proper persons are employed by referring staff who are unsuitable to work with vulnerable groups to the DBS, in line with Regulation 19 (2) (a).
Must Do
M N Pulse Solutions
Improvements were needed in obtaining references.
Must Do
M N Pulse Solutions
Improvements were needed to ensure staff were consistently recruited in a safe way.
Must Do
Lindcare Ltd
The provider must ensure safe staffing and recruitment procedures are established and operated effectively to ensure that persons employed are of good character, including robust recruitment checks, complete employment application forms, and comprehensive references from previous employers.
Must Do
Kingfishers Nursing Home
Recruitment procedures were not established and operated effectively to ensure that fit and proper persons were employed. All information specified in Schedule 3 was not available for each such person employed.
Must Do
Johnstons Homecare Ltd
The provider must ensure that safe recruitment practices are always followed when recruiting staff.
Must Do
Hope Homecare Services Limited
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Must Do
Heatherdene Residential Care Home
The provider had failed to ensure that robust staff recruitment procedures were followed to ensure only fit and proper persons were employed.
Must Do
PPO death in custody recommendations(9)
The Head of Healthcare
The Head of Healthcare should ensure that prisoners receive a secondary screen within seven days of their initial reception health screen.
The Head of Healthcare at HMP Wymott
The Head of Healthcare at HMP Wymott should carry out an audit to assure themselves that secondary reception screenings are being completed in accordance with guidance, and report back to the Ombudsman within two months.
The Head of Healthcare
The Head of Healthcare should review the quality and compliance with policy of reception and secondary health screens in the previous 12 months, ensure that prisoners are referred to the mental health team when appropriate, and identify any improvements required.
The Governor
The Governor should review the reception process to understand why staff did not see Mr Faherty’s PER and ensure that reception staff understand how to use this information within the first night screening.
The Operational Manager and Head of Healthcare
The Operational Manager and Head of Healthcare should ensure that staff conducting reception assessments always examine and consider the Person Escort Record, and any other documents that arrive with the prisoner, to assess whether the prisoner has any risk factors …
The Director of HMP Northumberland
The Director should review the process for allocating prisoners to positions of trust, to ensure there is an auditable record that relevant security information and potential risks have been fully considered.
The Director and the Head of Healthcare
The Director and the Head of Healthcare should ensure that reception staff: • are aware of the risk factors that might increase a prisoner’s risk of suicide and self-harm; • consider all relevant documentation that arrives with the prisoner, in …
The Governor (HMP Wandsworth)
The Governor should ensure that the new local foreign national strategy is developed to include actions to identify risk and to provide support for foreign national prisoners who may not proactively engage with existing support provision.
The Governor and Head of Healthcare (HMP Wandsworth)
The Governor and Head of Healthcare should ensure that interpreting services are used properly across HMP Wandsworth, including by: • Ensuring staff use appropriate interpreting services when discussing complex matters with prisoners with limited English. • Implementing monitoring to identify …
IOPC learning recommendations(3)
Collision following pursuit - Thames Valley Police, May 2019
The IOPC recommends that Thames Valley Police (TVP) makes sure that all relevant checks are carried out before officers who have transferred from another force are authorised to drive with Thames Valley Police. This should include ensuring that officers meet …
Investigation into recruitment irregularities and the actions of a civilian staff member …
The IOPC recommends that British Transport Police puts in place measures to ensure that the recruitment policy is adhered to. This follows an IOPC investigation which considered two separate recruitment exercises. Although there was a recruitment policy in place, this …
Investigation into recruitment irregularities and the actions of a civilian staff member …
The IOPC recommends that British Transport Police reviews its recruitment policy in light of the issues raised in this investigation and makes amendments to address any areas for improvement. This should include: - ensuring that the roles, responsibilities and lines …
NAO audit recommendations(2)
Civil service leadership capability
g. Cabinet Office should develop a plan for external recruitment as part of its work on the new SCS strategy, reflecting assessments of priority areas (for example for particular skills or organisations) and whether the current system is working. It …
Accepted
NHS England’s modelling for the Long Term Workforce Plan
Recommendation 13: NHSE's modelling should incorporate more realistic assumptions on the minimum level of international recruitment of doctors in future.
Accepted
IMB annual reports(4)
London short term holding facilities (STHF) (2025)
This report details the operations of London's Short-Term Holding Facilities (STHFs) from February 2024 to January 2025. While positive aspects include safe environments, respectful staff interactions, and improved medical support, significant concerns persist. These include extended detention times in unsuitable conditions, particularly for children, lack of privacy, and inadequate access to medication and reliable translation services. The IMB makes recommendations to the Minister, UK Border Force/Home Office, and Mitie Care & Custody to address these systemic issues, many of which are recurring from previous reports.
PRISON
Key concerns
South and West short term holding facilities (2025)
This IMB report details monitoring of multiple Short-Term Holding Facilities (STHFs) in the South and West region for the year ending January 2025. Key concerns include inconsistent access to detention records, inadequate healthcare arrangements, and persistent facility issues such as heating and hot water, alongside varied provision of hot food. While the Board notes positive engagement from Border Force staff and some improvements in record-keeping, it highlights areas requiring urgent attention to ensure humane treatment and effective oversight of detained individuals.
PRISON
Key concerns
South and East Short Term Holding Facilities (STHF) (2025)
The South and East IMB report highlights significant concerns regarding the inhumane conditions and inadequate facilities across its Short-Term Holding Facilities. Key issues include severe overcrowding, particularly at Luton and Stansted, where detainees, including vulnerable individuals and families, are held for extended periods without sufficient sleeping provision, privacy, natural light, or exercise areas. The Board also expressed disappointment over persistent maintenance problems, delayed responses to disability access reviews, and the routine, non-compliant use of handcuffs at Luton Airport.
PRISON
Key concerns
North East Midlands, Yorkshire & Humber STHF (2025)
The IMB report for North East Midlands, Yorkshire & Humber STHFs highlights generally positive staff-detainee interactions and a relaxed atmosphere at Swinderby RSTHF, but raises significant concerns across the wider STHF estate. Key issues include inadequate risk identification processes, the inhumane policy of confiscating medication, and the unsuitability of several holding facilities. The Board's ability to monitor effectively is severely hampered by restricted access to records and persistent unresponsiveness from the Home Office regarding critical concerns, including medical confidentiality breaches and emergency response failures.
PRISON
Key concerns
IMB individual recommendations(15)
Swinfen Hall (2024)
The HMPPS prison officer appointment process has resulted in some unsuitable appointments. Why are the Governing Governors not permitted to review the suitability of newly appointed band 3 staff prior to their starting the job at the prison?
HMPPS
In Progress
Wandsworth (2025)
Officer recruitment has been poor, leading to a high turnover of often unsuitable staff. Recruitment is handled centrally. Will the Prison Service consider allowing the prison to become involved in the process so that applicants receive a realistic impression of the role?
HMPPS
Implemented
Littlehey (2025)
The Board is, again, disappointed that, despite repeated requests for change, the IMB recruitment process continues to be inadequate and inappropriate to support the timely recruitment of candidates with the necessary qualities and skills. Again, the Board is eager to know what improvements the Minister plans to address this issue.
Ministry of Justice
In Progress
The Mount (2022)
On staffing levels and new recruits, the Prison Service needs to better appraise applicants as to their suitability for the role. A lot of effort and money is wasted when trainees leave because they cannot cope with the environment. Numbers recruited should not be the only measure. The number that finish their training who are still employed 12 months later …
HMPPS
In Progress
New Hall (2023)
Speedier security and background checks for new recruits to enable them to come into the prison within an appropriate time from initial offer.
HMPPS
Durham (2023)
Why are vetting processes taking so long? The delay has resulted in some successful candidates for healthcare positions taking other posts whilst awaiting clearance. (6.1.2)
HMPPS
Wandsworth (2025)
The quality of new staff recruited centrally was often poor and training was inadequate. What steps are being taken to improve training and reject unsuitable candidates?
Ministry of Justice
In Progress
Swinfen Hall (2025)
The HMPPS prison officer appointment process continues to result in some unsuitable appointments. As governing governors are not permitted to review the suitability of newly appointed band 3 staff prior to their starting the job at the prison, is the Prison Service accepting that staff appointed lack confidence and competence?
HMPPS
In Progress
Onley (2025)
Delays in the vetting process are impacting on non-operational appointees taking up employment. The Minister should address these delays.
Ministry of Justice
Noted
Swaleside (2025)
The inexperience of staff is compounded by the limited training they receive. This is not sufficient to commence employment. What steps will the Minister take to involve Governors in the recruitment process, and what is the rationale for the exclusion of Governors from the process?
Ministry of Justice
In Progress
Wandsworth (2023)
Staff recruitment is managed centrally. Would the Service consider involving HMP Wandsworth in the process to ensure that suitable staff are selected and given a realistic understanding of the role, thus reducing staff turnover?
HMPPS
Holme House (2023)
Can the vetting process be speeded up to ensure that new staff are in post without unnecessary delay?
HMPPS
Implemented
Wandsworth (2024)
Staff recruitment is managed centrally. Would the Service consider involving HMP Wandsworth in the process to ensure that suitable staff are selected and given a realistic understanding of the role, thus reducing staff turnover?
HMPPS
Partially Accepted
Wandsworth (2024)
Officer recruitment has been poor, leading to a high turnover of often unsuitable staff. Recruitment is handled centrally. Will the Service consider allowing the prison to become involved in the process so that applicants receive a realistic impression of the role?
HMPPS
Partially Accepted
Birmingham (2025)
What steps will the Prison Service take to increase recruitment whilst also improving the process to include face-to-face interviews for prison officers?
HMPPS
Partially Accepted
Health investigations(18)
Independent investigation: Leonie McGlashan, Wood Green (1995) — Rec 4
The East London and The City Health Authority should ensure that there are clear and comprehensive protocols for the employment and induction of temporary and locum staff, particularly those appointed to take the lead in a unit as busy as P.I.C.U. at Hackney Hospital. These protocols should ensure that such …
london
Independent investigation: Carmelita Tulloch, Vauxhall, London (2006) — Rec Recommendation Numbe
The Trust’s Human Resources department should have in place a system of identifying transferable qualifications of overseas trained psychologists and ensure that qualifications, skills and experience are commensurate with current United Kingdom requirements.
london
Independent investigation: Jenny Foote, Acton (2015) — Rec 5
The Trust must ensure that it has a robust process for checking that all staff are appropriately registered with their professional body, and this should include ensuring that any agency staff employed are appropriately registered.
london
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust: … — Rec 22
The job description for SHFT’s Investigation Officer role should include specific qualities required for that post. The minimum qualities should include, integrity, objectivity and honesty.
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust
south_east
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (8)
Public officials, including senior civil servants, who are responsible for recommending the appointment of someone with whom they have a close personal relationship should generally withdraw from the appointment process. At the very least, they must ensure that their judgement is subject to independent verification. We recommend that the Department …
West London Mental Health NHS Trust
london
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (2)
Some celebrities may have the necessary qualities and the desire to contribute to the NHS in a non-executive capacity, but they should not be exempt from the usual selection process, which would include careful consideration of the benefits and risks. Celebrities should not be considered for operational or executive NHS …
West London Mental Health NHS Trust
london
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (1)
Many celebrities make a significant contribution to improving patient wellbeing and help to raise charitable funds, but that does not imply that they should be exempt from standard procedures governing access to NHS patients. NHS bodies should ensure that any celebrity they may consider appointing should be subject to the …
West London Mental Health NHS Trust
london
An independent investigation into the care and treatment of Darren … — Rec 6
As part of all primary and secondary mental health practitioners and service /operational managers’ recruitment interviews the interviewee should be asked to demonstrate how the Think Family Agenda underpins their practice.
Isle of Wight NHS Trust
south_east
Independent investigation into the care and treatment of Mr Z — Rec 5
The Trust must ensure that it has a robust process for checking that all staff are appropriately registered with their professional body, and this should include ensuring that any agency staff employed are appropriately registered.
Mr Z, published on 8 th October 2020. Mr Z was in receipt of services from West London NHS Trust
london
Accepted
Independent investigation: Keziah Flux Edmonds, East Cowes, IoW (2016) — Rec 6
As part of all primary and secondary mental health practitioners and service /operational managers’ recruitment interviews the interviewee should be asked to demonstrate how the Think Family Agenda underpins their practice.
south_east
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 20
The Trust should develop with some urgency a volunteer policy. This should cover volunteers’ employment checks, induction, training, access to the Trust and clarity about the boundaries of their roles (source: chapters four, six, eight and nine).
Leeds Teaching Hospitals NHS Trust
north_east_yorkshire
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 18
A unified HR system should be established across the Trust that fulfils the recruitment and employment requirements for all employees, volunteers and contractors in a consistent manner (source: chapters eight, nine and ten).
Leeds Teaching Hospitals NHS Trust
north_east_yorkshire
Independent investigation: Stephanie Barton, Boston (2007) — Rec 3
Locum staff need a thorough induction on taking up their appointment.
midlands
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (5)
The closed and introspective institutional culture of Broadmoor failed to prevent some instances of psychological, physical and sexual abuse of patients, including those committed by Savile, and discouraged staff from reporting or taking effective action. We believe that the much-needed improvement has been achieved, principally through recruitment, induction, training, continuing …
West London Mental Health NHS Trust
london
Themes and lessons learnt from NHS investigations into matters relating … — Rec R11
NHS hospital trusts should review their recruitment, checking, training and general employment processes to ensure they operate in a consistent and robust manner across all departments and functions and that overall responsibility for these matters rests with a single executive director.
national
Accepted
Themes and lessons learnt from NHS investigations into matters relating … — Rec R10
All NHS hospital trusts should ensure that arrangements and processes for the recruitment, checking, general employment and training of contract and agency staff are consistent with their own internal HR processes and standards and are subject to monitoring and oversight by their own HR managers.
national
Accepted
Themes and lessons learnt from NHS investigations into matters relating … — Rec R7
All NHS hospital trusts should undertake DBS checks (including, where applicable, enhanced DBS and barring list checks) on their staff and volunteers every three years. The implementation of this recommendation should be supported by NHS Employers.
national
Accepted
Themes and lessons learnt from NHS investigations into matters relating … — Rec R6
The Home Office should amend relevant legislation and regulations so as to ensure that all hospital staff and volunteers undertaking work or volunteering that brings them into contact with patients or their visitors are subject to enhanced DBS and barring list checks.
national
Not Accepted
Independent reviews(26)
Chapman Police Disciplinary Review — Rec 4
The police institute psychometric and ethics scenario testing in the recruitment and the selection process to remove those who may exhibit potential future behaviours inimical to decision making and service as a police officer.
Policing & Security
Beecroft Employment Law Review — Rec 17
Rather than updating the BRP system to include the records of everyone with a right to work in the UK, a record should be created for each person who applies successfully for a job after a certain date. Having decided to offer the applicant a job the potential employer would …
Employment & Work
Cavendish Review — Rec 6
Employers should be supported to test values, attitudes and aptitude for caring at recruitment stage. NHS Employers, HEE and the National Skills Academy for social care should report on progress, best practice and further action on their recruitment tool by summer 2014. Making Caring a Career
Health & Social Care
Carter Review of ITT — Rec 15
DfE should undertake a review of the effectiveness of the skills tests in selecting high quality trainees.
Other
Narey Review of Children's Residential Care — Rec 32
I recommend that the Department identify and promulgate best practice in recruitment to children's homes. That should include advice on how, as far as possible, employers can screen out those whose behaviour might fall short of the immense challenge that this work can present.
Other
Social Work Task Force — Rec 1
Recommendation 1: Calibre of Entrants — The Social Work Task Force recommends that criteria governing the calibre of entrants to social work education and training be strengthened.
Other
Bailey DBS Review — Rec 9
The DBS carries out the work necessary to establish the feasibility and cost of redesigning the Update service to enable employers, who have been given permission to carry out status checks, to receive notification of any change to the status of the certificate.
Other
Bailey DBS Review — Rec 8
The Home Office and the DBS continue the work of assessing what, if any, further steps can be taken to mitigate the risk of individuals circumventing the DBS identification validation process, including the consideration of mandating the provision of a birth certificate as one of the documents establishing identity.
Other
Bailey DBS Review — Rec 7
Enhanced DBS checks together with children's barred list checks are made mandatory for applicants for the grant or renewal of a close protection licence.
Other
Bailey DBS Review — Rec 6
Enhanced DBS checks together with barred lists checks are made mandatory for applicants for the grant or renewal of a door supervisor's licence.
Other
Bailey DBS Review — Rec 5
An enhanced criminal record check is made mandatory for all councillors in Unitary and Single Tier Authorities who are being considered for appointment to any committee involved in decisions on the provisions of children's services or services for vulnerable adults. I accept that this would require legislation and therefore some …
Other
Bailey DBS Review — Rec 4
Self-employed persons seeking to work with children or vulnerable adults are rendered eligible to apply for an enhanced DBS certificate with barred list check.
Other
Bailey DBS Review — Rec 3
The legislation governing enhanced checks with barred lists checks is amended so that aid workers, who are nationals or residents here, whose contracts of employment are made here and whose work would bring them into contact with aid beneficiaries overseas are eligible.
Other
Shawcross Review — Rec 29
The Home Office should implement a further due diligence procedure around the recruitment of intervention providers. This involves a comprehensive assessment of social media accounts and other public platforms to ensure the authenticity of views presented throughout the recruitment process.
Policing & Security
Accepted
Casey Review — Rec 3
Vetting standards should be changed with immediate effect to guard against those who intend to abuse the powers of a police officer. The Met should introduce new end-to-end processes throughout an officer or staff member's service – from initial recruitment and vetting through to leaving the force – with a …
Policing & Security
Accepted
Casey Review — Rec 2
The Met should embed and enforce the highest policing ethical values and standards across all of its systems and management, from recruitment and vetting through to supervision and the misconduct process, making sure these are adhered to by all its officers and staff, and that those who breach the standards …
Policing & Security
Accepted
Hodgson Charities Act Review — Rec 18
The Government should consider if and how to widen the types of criminal offences disqualifying individuals from charity trusteeship, taking into account the need to support rehabilitation of former offenders.
Other
Kark Fit and Proper Persons Review — Rec 3
The creation of a mandatory reference requirement for each Director. We recommend that full, honest and accurate mandatory employment references should be required from any relevant employer where an employee is moving from a post covered by Regulation 5 to a post covered by Regulation 5. Such references must not …
Health & Social Care
Chapman Police Disciplinary Review — Rec 10
A register of police officers and staff members is established. Any officer or police staff member that is dismissed is struck off and disbarred from service in any police force, and from working in bodies such as the IPCC and HMIC. Any police officer or staff member who resigns or …
Policing & Security
Beecroft Employment Law Review — Rec 18
Consideration should also be given to issuing each person whose records have been added in this way to the BRP system with a physical BRP.
Employment & Work
Beecroft Employment Law Review — Rec 16
I do not believe that it is sensible to make individuals pay £8 p.a. to be included in the premium service. The costs of collecting the money, including chasing those who have forgotten to pay or decided not to pay, will be considerable. For those who don't pay but do …
Employment & Work
Young Health & Safety Review — Rec 11
Professionalise health and safety consultants with a qualification requirement that all consultants should be accredited to professional bodies. Initially the HSE could take the lead in establishing the validation body for qualifications, working with the relevant sector and professional bodies. However, this function should be run by the professional bodies …
Other
Angiolini Review — Rec 86
Police recruitment and training should incorporate the different personal skills and experiences needed to fulfil duties relating to the needs of highly vulnerable groups, including empathy, communication skills and the ability to employ de-escalation techniques. This should be embedded in the police appraisal process with assessment made on the correct …
Policing & Security
Accepted
Shawcross Review — Rec 28
Higher education staff responsible for authorising on-campus events with external speakers should be provided with training on how to manage and assess risk. Where necessary this should include conducting effective due diligence checks, and guidance on how to balance statutory obligations under the Prevent Duty with the legal requirement to …
Policing & Security
Accepted
Shawcross Review — Rec 25
Ensure Prevent does not fund, work with, or consult with extremism-linked groups or individuals, and applies the same thresholds for non-engagement across ideologies. Training should include engagement process and principles, and a due diligence function to assess risk attached to engagement decisions. As a broader matter of principle, government as …
Policing & Security
Accepted
Modern Slavery Act Review — Rec 52
ICTAs should not be required to have formal social work qualifications on appointment but should have other relevant experience or qualifications relevant to child trafficking and criminal justice, social care, asylum and immigration.
Justice & Legal
Accepted
LGO / SPSO decisions(2)
21-011-656 — Aman Care Limited
Summary: We will not investigate this complaint about a carer. This is because the alleged harassment and stalking by a carer is best dealt with by the Police. And we have no remit to consider the carer’s employment with the care company.
LGO (Local Government & …
Adult Care Services
Jan 2022
20-014-241 — Surrey County Council
Summary: Mr D complains the Council failed to properly vet a trader. He says as a result he was defrauded out of £17,000, causing him enormous mental distress. We have found no fault.
LGO (Local Government & …
Environment And Regulation
Not Upheld
Jan 2022
Domestic Homicide Reviews(10)
Norfolk — recommendation G
A review will be undertaken of our Succession Application form as to the information gathered and whether this needs to include more about the applicant’s history.
L&Q Housing Association
Milton Keynes — recommendation 11
Local Parish Councillors and those involved in visiting vulnerable families must have successfully completed the Disclosure and Barring Service process
Milton Keynes Community Safety Partnership
Milton Keynes — recommendation 8
All those being recruited in the role of Domestic Abuse Champion should be subject to DBS checks, prior to selection into the position
Milton Keynes Community Safety Partnership
Flintshire — recommendation 16.56
We recommend that TRBL ensure that all its officials and organisers think very carefully about placing anyone in any position within the organisation, however lowly the role, after they have committed an act of Domestic Abuse at a TRBL event. We say this because doing so not only gives the …
The Royal British Legion | Flintshire …
Tamworth — recommendation i
When arranging supervised contact, children's social care should ensure that basic police checks are undertaken on all those providing supervised contact. If it is decided that police checks or formal assessments are unnecessary, the rationale for these decisions should be clearly documented
children's social care
East Sussex — recommendation KSSCRC3
KSS CRC to ensure that the competencies of temporary and/or agency staff are checked.
Kent Surrey and Sussex Community Rehabilitation …
Essex Community Rehabilitation Company
Manchester — recommendation 8.6
For Greater Manchester Integrated Care Board to explore the issue of background checks for persons providing care on an informal or unregulated basis, to amend policy where appropriate and to incorporate into continuing professional development.
Greater Manchester Integrated Care Board
NHS Greater Manchester ICB
Fenland — recommendation 5
The FCSP should contact the Safeguarding board to satisfy itself on the level of checking carried out on paid carers. It is important to stress that the perpetrator in this case was in a relationship with Laraine and was not in receipt of funding for the care he provided for …
Fenland Community Safety Partnership
Newcastle-Under-Lyme — recommendation a
In Private Fostering arrangements which are unplanned or provided in an emergency the Child Protection team based in Headquarters must be asked to include in checks: i. The LADO (local authority designated officer) database ii. PPRC (persons posing a risk to children) database iii. Checks with Staffordshire Police PPU (public …
Staffordshire County Council Families First
Hammersmith and Fulham — recommendation 8c
H&F Children’s Services manager to ensure that dates of birth and full police checks are completed and recorded and considered as part of s47 core assessments.
Hammersmith and Fulham Children’s Social Care