Public protection planning
Absence of clearly recorded notes on anticipated charges, required evidence, and objectives for sustained public protection operations.
Source spread
Where this theme appears
This theme appears across 16 independent accountability sources, so the source mix matters as much as the headline total.
109 inquiry recs
16 PFD reports
191 committee recs
2 HSSIB recs
24 HMICFRS recs
3 ICIBI recs
3 PPO recs
38 IMB recs
5 Scottish FAIs
18 detention investigation recs
536 DHR recs
83 LGO/SPSO decisions
58 CJINI reports
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry recommendations(109)— showing 50 strongest matches
67 — Consider extending ATP coverage
Recommendation: GWT and Railtrack should consider extensions to the present coverage of ATP (para 15.14).
Unknown
190 — Public understanding of child protection
Recommendation: Steps should be taken to improve the public understanding of and encourage debate about the work of child care and child protection in Scotland including the work of the Children’s Hearings and the Reporter (19.27).
Unknown
61 — Risk management model for highest-risk prisoners
Recommendation: The risk management model for the management of prisoners to whom MAPPA applies and who have been identified as posing the greatest risk to the public should be adopted by all establishments. Prisoners who have been identified as being a …
Unknown
52 — Lambeth Council comprehensive action plan
Recommendation: Lambeth Council should develop and publish a comprehensive action plan which details the actions that it will take in response to the issues raised throughout the Inquiry's investigation report. The action plan should be developed and published within six months …
Gov response: Through our engagement in the Inquiry process and following the public hearings in June and July 2020, we considered the lessons learned and developed and completed actions for ongoing improvement in services. Following publication of …
Accepted
8 — Mandatory comprehensive Rule 34 and Rule 35 training
Recommendation: The Home Office (in collaboration with NHS England as required) must ensure that comprehensive training on Rule 34 and Rule 35 of the Detention Centre Rules 2001 is rolled out urgently across the immigration detention estate. Staff must be subject …
Gov response: 6.4.3. Careful consideration has been given to training linked to Rule 34 and Rule 35 of the DC Rules 2001. NHS England is developing interim clinical guidance to support GPs undertaking Rule 35 assessments and …
Accepted, fully or in part (not specified)
4 — Ensure reasonable internet and computer access for detainees
Recommendation: The Home Office and its contractors must ensure reasonable access to computers and the internet. Contractors must comply in full with Detention Services Order 04/2016: Detainee Access to the Internet, in particular: Computers and the internet provided for detained people's …
Gov response: 6.2.2. Access to activities and regime are important factors built into new service contracts. All service contracts require adherence to DSOs including the mandatory provision of and regulated access to IT equipment and internet services. …
Accepted, fully or in part (not specified)
2 — Require IRC contracts to uphold Rule 3 humane detention principles
Recommendation: The Home Office must ensure that each contract for the management of an immigration removal centre must expressly require compliance with the overriding purpose of Rule 3, which is to provide "the secure but humane accommodation of detained persons in …
Gov response: 6.1.1.The government is committed to addressing the key issues found in the report around the terms and monitoring of contracts, holding the most senior service provider managers to account as well as those delivering services …
Accepted in part
COVID-M1.7 — Publish Exercise Reports and Lessons
Recommendation: For all civil emergency exercises, the governments of the UK, Scotland, Wales and Northern Ireland should each (unless there are reasons of national security for not doing so): publish an exercise report summarising the findings, lessons and recommendations, within three …
Gov response: The government agrees that, given the UK-wide cross-cutting implications, the UK government should publish findings and lessons from all Tier 1 civil emergency exercises (except where there are justifiable reasons not to do so, such …
Accepted
POH-16 — Clarify whether HCRS and OCS assessment processes differ
Recommendation: The Department shall make a public announcement in which (a) it clarifies whether there will be any differences in the process for assessing financial redress, between the merged HCRS and OCS, and the process currently operating in OCS and if …
Gov response: DBT confirms that the HCRS will apply the same principles as the previous OC scheme, ensuring no OC claimant is disadvantaged by the transfer to HCRS. DBT has published further guidance on GOV.UK about the …
Accepted
POH-14 — Post Office to engage in negotiations during HSSA appeal period
Recommendation: During the nine-month period afforded to claimants to submit an appeal to the Department in HSSA, the Post Office shall engage in negotiations and/or mediation with any claimants who notify the Post Office of a desire to seek a negotiated …
Gov response: Prior to the publication of the Inquiry’s report, DBT had been in discussion with claimants’ legal representatives about the deadlines for submission of HSS Appeals. In the light of the representatives’ concerns, DBT has agreed …
Accepted
POH-12 — Amend GLOS to allow claimants oral submissions at panel hearings
Recommendation: The scheme documents governing GLOS should be amended so that a right is conferred upon claimants (exercisable by the claimants themselves or their recognised legal representatives) to make oral submissions in support of their claim at the hearing convened by …
Gov response: All claimants in the GLOS already had the right to make oral submissions for up to one hour in support of their claim at the hearing convened by the independent panel. The same approach is …
Accepted
MAI-99 — Review licensing guidance on event healthcare
Recommendation: The Department for Levelling Up, Housing and Communities should review the guidance given to all licensing authorities on the decisions they make in relation to venues that hold events, and on what level of event healthcare services may be required …
Gov response: Accepted in full
Accepted
MAI-96 — Force Duty Officer not to handle media enquiries
Recommendation: The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: a. The Force Duty Officer is not expected to deal with media enquiries. b. The important task of …
Gov response: Accepted in full
Accepted
MAI-94 — Review firearms officer Post Incident Procedures delays
Recommendation: The College of Policing should assess whether delays in the provision of written accounts by some firearms officers involved in the response to the Attack were due to Post-Incident Procedures. If so, those procedures should be reviewed.
Gov response: Accepted in full
Accepted
MAI-93 — 24-hour qualified command structure rostering
Recommendation: The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has in place a system that means appropriately qualified and experienced personnel are rostered 24 hours each day so …
Gov response: Accepted in full
Accepted
MAI-92 — Emergency service hotline to Force Duty Officer
Recommendation: The College of Policing and Counter Terrorism Policing Headquarters should take steps to ensure that each police service establishes a hotline that enables those within the command structure of the three emergency services to make contact with the Force Duty …
Gov response: Accepted in full
Accepted
MAI-88 — Review Arena healthcare equipment provision
Recommendation: SMG should review its approach to the provision of healthcare service equipment at the Arena to ensure that adequate equipment is always available.
Gov response: Accepted in full
Accepted
MAI-87 — Healthcare provider relationship with NWAS
Recommendation: SMG should ensure that the healthcare service provider at the Arena has a strong working relationship with North West Ambulance Service.
Gov response: Accepted in full
Accepted
MAI-85 — NWFC involvement in multi-agency exercises
Recommendation: North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and the response to a Major Incident in line with the Joint Emergency Services Interoperability Principles (JESIP).
Gov response: Accepted in full
Accepted
MAI-83 — Review NWFC information policies during incidents
Recommendation: North West Fire Control should review its guidance and policies on how it receives and passes on information during a Major Incident. It is important that, for any update given, it is established when the last time the person receiving …
Gov response: Accepted in full
Accepted
MAI-82 — Allocate best-trained operators to Major Incident roles
Recommendation: North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major Incident. It should consider whether it is beneficial to allocate a Control Room Operator to monitor communications on …
Gov response: Accepted in full
Accepted
MAI-80 — North West Fire Control regular multi-agency exercising
Recommendation: North West Fire Control should ensure that it regularly tests how it operates, by ensuring that its staff participate in regular exercises and practical tests. These should include multi-agency exercises.
Gov response: Accepted in full
Accepted
MAI-76 — Review HART mobilisation policies
Recommendation: North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is available as soon as possible for an emergency where its specialist skills are required.
Gov response: Accepted in full
Accepted
MAI-75 — Operational Commander to gain situational awareness first
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume the role of Operational Commander only once they have achieved situational awareness.
Gov response: Accepted in full
Accepted
MAI-74 — NWAS predetermined attendance for Major Incidents
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to consider whether it should be updated to include a pre-determined attendance for Major Incidents.
Gov response: Accepted in full
Accepted
MAI-73 — NWAS predetermined attendance for specialist teams
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to consider whether, in order to speed up mobilisation, it should provide pre-determined attendances for the Hazardous Area Response Team, Ambulance Intervention Team and Special Operations Response Team crews …
Gov response: Accepted in full
Accepted
MAI-68 — Up-to-date site-specific plans for high-risk locations
Recommendation: North West Ambulance Service should ensure that it has up-to-date site-specific plans for all large, complex or high-risk locations within its area.
Gov response: Accepted in full
Accepted
MAI-67 — NWAS policy for relieving Operational Commanders
Recommendation: North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may be relieved and how that should occur and be communicated to the outgoing Operational Commander and beyond.
Gov response: Accepted in full
Accepted
MAI-66 — Multi-agency site-specific plans for NWAS
Recommendation: North West Ambulance Service should ensure that all its site-specific plans are multi-agency and that all Category 1 responders operating in the areas it serves have contributed to them.
Gov response: Accepted in full
Accepted
MAI-65 — NaCTSO guidance on terrorism risk assessments
Recommendation: NaCTSO should issue guidance in relation to the completion of risk assessments addressing the threat of terrorism.
Gov response: Accepted in full
Accepted
MAI-63 — Monitor LRF attendance and flag concerns
Recommendation: Local resilience forums should monitor attendance and participation at their meetings, and flag promptly any concerns about attendance by members to the leadership of the organisation concerned. The Home Office should ensure that this is being done by local resilience …
Gov response: Accepted in full
Accepted
MAI-62 — LRF oversight of lessons from exercises and incidents
Recommendation: Local resilience forums should establish procedures to ensure that they oversee the process of identifying the lessons to be learned from major exercises, or serious incidents, in their areas, and that they are responsible for overseeing the debriefing of those …
Gov response: Accepted in full
Accepted
MAI-61 — Independent inspection regime for LRFs
Recommendation: Local resilience forums have a vital role in the preparation for the response to any Major Incident. The Cabinet Office and the Home Office should consider implementing an independent inspection regime for local resilience forums.
Gov response: Accepted in full
Accepted
MAI-55 — Risk-based visitor restrictions for radicalising prisoners
Recommendation: I recommend that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses for radicalisation of others. This system should allow for proportionate restrictions to be applied to visitors to that person. …
Gov response: Accepted in full
Accepted
MAI-51 — Address Showsec failings identified in Volume 1
Recommendation: Improvements, to the extent that they have not already been made, should be made by Showsec to address the failings identified in Volume 1. Specific consideration should be given to how to address my concerns in relation to complacency.
Gov response: Accepted in full
Accepted
MAI-50 — Address Arena failings identified in Volume 1
Recommendation: Improvements, to the extent that they have not already been made, should be made at the Arena to address the failings identified in Volume 1. Specific consideration should be given to how to address my concerns in relation to complacency.
Gov response: Accepted in full
Accepted
MAI-47 — Sufficient resources for operational planning
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should work together to put in place robust systems, policies and guidance to ensure that all police services have sufficient resources dedicated …
Gov response: Accepted in full
Accepted
MAI-46 — Guidance on Major Incident plan review frequency
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for all police services on how often operational plans for responding to a Major Incident, including a terrorist incident, …
Gov response: Accepted in full
Accepted
MAI-45 — Ensure effective explosive detection dog deployment
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, Counter Terrorism Policing Headquarters and the College of Policing should take steps to ensure that all police services have in place effective systems for the prompt deployment of explosives detection …
Gov response: Accepted in full
Accepted
MAI-44 — Ambulance trusts submit resource recommendations
Recommendation: Having carried out that review, the trusts should make recommendations to their NHS commissioners about the additional and/or different resources they require in order to ensure that they are able to respond effectively to a mass casualty incident in the …
Gov response: Accepted in full
Accepted
MAI-43 — Guidance on covering deceased at mass casualty scenes
Recommendation: Guidance should be provided to event healthcare providers, to emergency service responders other than paramedics and to the public generally about the circumstances in which those who are believed to be dead should be covered. The guidance should make clear …
Gov response: Accepted in full
Accepted
MAI-42 — SMG sharing of emergency response plans
Recommendation: SMG should review its processes to ensure that it shares with Greater Manchester Police, Greater Manchester Fire and Rescue Service, British Transport Police and North West Ambulance Service its most current emergency response plans and policies for dealing with an …
Gov response: Accepted in full
Accepted
MAI-8 — Review mass casualty response capacity
Recommendation: Ambulance service trusts should review their capacity to respond to a mass casualty incident. That should include an assessment of whether they have an adequate number of trained specialist personnel to respond effectively to a mass casualty incident.
Gov response: Accepted in full
Accepted
MAI-7 — Robust version control for operational plans
Recommendation: All police services should ensure that they have robust version control arrangements in place for all plans.
Gov response: Accepted in full
Accepted
MAI-6 — Ensure Airwave Tactical Advisors availability
Recommendation: All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical Advisor is either on duty or on call at all times.
Gov response: Accepted in full
Accepted
MAI-5 — Major Incident training for North West Fire Control staff
Recommendation: All North West Fire Control staff should be trained on the best practices for responding to a Major Incident, as identified through its participation in exercises. North West Fire Control should ensure that learning is kept under review.
Gov response: Accepted in full
Accepted
24 — Sheriff power to exclude suspected abuser
Recommendation: Consideration should be given to empowering a Sheriff to order a suspected abuser to be excluded from contact with a child where abuse is suspected (15.51).
Unknown
132 — Timescale set at planning meetings
Recommendation: The timescale for investigative interviews should be determined at planning meetings (17.74).
Unknown
130 — Decide number of interviewers in advance
Recommendation: A decision should be made on the number of interviewers required prior to any interviews starting (17.72).
Unknown
19 — Early inter-disciplinary meeting and parental involvement
Recommendation: In any case of child sexual abuse an inter-disciplinary meeting should be held at the earliest stage (15.39). Parents should usually be informed from the outset that the suspicion exists and that the matter is being investigated. Their co-operation should …
Unknown
Prevention of Future Deaths reports(16)
Joyce Carney
Concerns: The report describes uncoordinated risk assessments between hospital staff and police officers observing a patient, and a lack of communication. This led to police misunderstanding the hospital layout and an insufficient safety plan for the patient, other patients, visitors, and staff.
Response (Wrightington Wigan and Leigh NHS Trust): • The Trust established a joint working group with Greater Manchester Police (GMP) to address the concerns. • The Trust and GMP developed and ratified a draft "Patient Under Escort … (AI summary)
Response (Department of Health): • The Department of Health shared the report with NHS Protect. • NHS Protect indicated it would support a joint Department of Health and Home Office initiative to develop national … (AI summary)
Response (Home Office): • The Minister for Policing, Fire, Criminal Justice and Victims will write to the National Policing Lead for Custody to raise the matter with Chief Constables across England and Wales. … (AI summary)
Responded
Jacqueline Oakes
Concerns: The coroner identifies a lack of a mechanism to alert other agencies when a high-risk offender is released after completing their full sentence, which hinders effective risk management.
Response (HM Prison and Probation Service): • HM Prison and Probation Service (HMPPS) stated it would increase National Probation Service (NPS) staff access to the ViSOR database. • HMPPS confirmed the NPS would create ViSOR records … (AI summary)
Overdue
Nguyen Quyen
Concerns: The coroner noted an over-reliance on offender self-reporting and significant breakdowns in information sharing between police and probation services. This included a cessation of active monitoring for some high-risk categories and insufficient meaningful engagement with offenders.
Response (HM Prison and Probation Service): • A new national Supervisory and Line Management Framework has been developed and is being rolled out across NPS Divisions, alongside new Lifer Review Panels, to enhance management oversight and … (AI summary)
Response (Northumbria Police): • Northumbria Police implemented a process in December 2018 to ensure information and intelligence sharing for Category 2 MAPPA offenders. • The NPICCS system was updated with a marker for … (AI summary)
Responded
John Gogarty
Concerns: The coroner identified insufficient follow-up in sharing information with the National Probation Service regarding a patient's association with a high-risk individual, which limited the Probation Service's opportunity to consider further safeguards.
Overdue
Philip Owen
Concerns: The coroner noted significant challenges in ensuring safe release for high-risk offenders serving short custodial sentences with no substantial probation supervision. Concerns were raised about the clarity of risk communication to sentencing authorities and the information shared with courts by prosecution and probation services.
Response (the HM Prison and Probation Service): • The HM Prison and Probation Service stated that a Probation Instruction (PI 05/2018) was issued on 20 July 2018. • The instruction sets out mandatory arrangements for regular liaison … (AI summary)
Responded
Katie Locke
Concerns: The coroner noted insufficient dissemination of information about the Potentially Dangerous Persons (PDP) process within police forces and partner agencies. This led to a lack of understanding among staff, hindering the proper use of the process.
Overdue
Frankie Macritchie
Concerns: The coroner identified a risk arising from dog attacks not being fully investigated and, where appropriate, dogs not being euthanised, which could lead to further serious incidents.
Response (Devon Cornwall Police): • The police investigated two reports in October 2016 concerning the dog, providing words of advice to the owner about keeping the dog secure. • The Chief Constable stated that … (AI summary)
Overdue
Terance Radford
Concerns: The Home Detention Curfew Policy permits early release directly from segregation units for prisoners deemed too risky for the general population. It also lacks a broad assessment of a prisoner's risk of harm to others and a framework for multi-agency information sharing.
Response (Ministry of Justice): • HM Prisons and Probation Service (HMPPS) is issuing an instruction to prison Governors that prisoners in segregation units may only be released on Home Detention Curfew if the Governor … (AI summary)
Responded
Daniel-John Varndell
Concerns: A probation officer unilaterally removed a licence condition requiring mental health appointments for a high-risk individual, without consulting MAPPA professionals or mental health practitioners. This lack of consultation could risk future deaths.
Pending
Jayden Booroff
Concerns: The coroner noted inadequate risk assessments that led to reduced observations. There were also concerns about miscommunication between the NHS Trust and emergency services regarding patient risk levels, including the absence of a single point of contact for updates.
Response (Essex Partnership University): • The Trust revised its handover processes, observation recording documents, and observation procedures, increasing auditing frequency and implementing an 'Engagement and Observation Plan'. • A one-page aide-mémoire using the SBARD … (AI summary)
Response (Essex Police): • Essex Police aligned its Missing Persons Procedure B1601 with College of Policing guidance, requiring contact with British Transport Police for suicide risk markers. • Advice and guidance were created … (AI summary)
Responded
Angela Craddock
Concerns: The coroner noted a lack of pre-sentence or post-sentence review for the offender, and that details of a restraining order were not effectively communicated within the prison or to community rehabilitation services. This meant staff were unaware of the order and its breaches, impacting risk assessment and recall procedures.
Response (Sodexo Government): • The Admissions department now photocopies all relevant documents, including restraining orders, upon receipt for collection by the Public Protection Team. • The Custody Department scans and emails restraining orders … (AI summary)
Response (HM Prison and Probabtion Service): • Cheshire HMCTS has introduced Dedicated Domestic Abuse Courts, with HMCTS, CPS, and Cheshire Police and Probation Services working to improve information sharing for sentencers. • The Probation Service is … (AI summary)
Responded
Terri Harris, John-Paul Bennett, Lacey Bennett and Connie Gent
Concerns: The coroner raises concerns that critical offender information was not clearly recorded or easily accessible in Probation Service records, impacting risk assessment. Domestic abuse and child safeguarding checks were also insufficient or lacking, posing ongoing risks.
Response (Derbyshire Healthcare NHS Foundation Trust): • Phoenix Futures will use a Probation Feedback Form to report attendance by individuals open to probation within 48 hours of attended appointments and 24 hours of failed appointments. • … (AI summary)
Response (HM Prison and Probation Service): • New guidance for recording closed cases and handling sensitive information will be issued by April 2024, and a new assessment service is being developed for rollout by 2026. • … (AI summary)
Response (Capita): • Capita reinforced safeguarding requirements for field operatives through briefings and a new e-learning module. • Additional safeguarding training was provided to Duty Shift Managers responsible for incident reporting. • … (AI summary)
Overdue
Zara Aleena
Concerns: The coroner identified significant understaffing within the Probation Service, which impacted assessment quality and staff supervision. Concerns were also raised about a poor understanding and application of risk assessment, a lack of appropriate training, and issues with the OASYS tool and alert systems.
Response (London Borough of Redbridge): • The London Borough of Redbridge stated that its CCTV operator training includes modules on behavioural body language to detect suspicious behaviours, such as those related to sexual harassment and … (AI summary)
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) has transferred the responsibility for Appropriate Authority decisions on review outcomes to the Directorate of Professional Standards, ensuring independence from the Basic Command Unit … (AI summary)
Response (Home Office): • The Home Office has funded interventions to address violence against women and girls in public spaces, including educational programmes and active bystander training. • The department stated it would … (AI summary)
Response (HMPPS and MoJ): • HMPPS and MoJ are implementing measures such as a Prioritisation Framework and Probation Reset to manage workloads, alongside ongoing recruitment efforts for Probation Officers. • A new digital risk … (AI summary)
Responded
Leah Croucher
Concerns: Breaches of probation terms by an individual known to be dangerous to females, alongside insufficient monitoring of sex offenders in the community, were noted. The coroner identified a need for improved information sharing between police and probation services.
Response (HMPPS Probation Service South Central): • The Probation Service has strengthened its management of individuals convicted of sexual offences through streamlined risk assessments and new policy frameworks. • The Thames Valley MAPPA Strategic Management Board … (AI summary)
Responded
Robert Day
Response (NHS England): NHS England states that existing national NICE guidance is applicable to frontline emergency services for managing patients who refuse treatment after an overdose. The response also details South East Coast … (AI summary)
Response (Home Office): The Home Office explains the existing legal framework under the Mental Capacity Act 2005 and Mental Health Act, outlining the limited powers available to police in such situations. It concludes … (AI summary)
Response (Department of Health and Social Care): The Department of Health and Social Care defers the national guidance concern to NHS England but commits to a consultation on powers under the Mental Health Act 1983. It highlights … (AI summary)
Responded
Bernadette Rosario
Response: The Department of Health and Social Care acknowledged the report and deferred the primary response to NHS England, stating they are best placed to address the concerns. The letter also … (AI summary)
Response (Devon Cornwall Police): Devon and Cornwall Police established an Investigation Academy three years ago, which has significantly improved investigator capacity, reduced workloads to no more than 15 live investigations in most areas, and … (AI summary)
Responded
Select committee recommendations(191)— showing 50 strongest matches
#193 —
Recommendation: Partnerships with a range of local organisations, outside formal commissioning processes for rehabilitative services, are also key to securing meaningful unpaid work placements that foster public support for community sentences.
Response attribution not verified
#192 —
Recommendation: Commissioned rehabilitative services are a key component of community sentences. The delivery partners of the Probation Service provide valuable services. The most recent commissioning wave, while imperfect, is considered by all parties as a step in the right direction.
Response attribution not verified
#164 —
Recommendation: Community sentences are more effective when the Probation Service is a fully engaged member of local partnerships, be it through the co-location of services or through cooperation forums, allowing information to circulate. This benefits offenders and there is also a …
Response attribution not verified
#160 —
Recommendation: We also heard about Integrated Offender Management (IOM), which the Government defines as âa cross-agency response to the crime and reoffending threats faced by local communitiesâ. 295 Pavan Dhaliwal told us that IOM provides a âgood exampleâ of âwhere the …
Response attribution not verified
#159 —
Recommendation: In terms of best practice in information sharing, the APPC pointed to the example of âsharing discussionsâ which arise from âMulti-Agency Public Protection Arrangements (MAPPA)â. These are âstatutory arrangements bringing together the police, probation and prison services to assess and …
Response attribution not verified
#157 —
Recommendation: Furthermore, we heard that local delivery could also help achieve the punitive and reparative aims of sentencing. The Criminal Justice Alliance told us that âin Scotland there is legislative responsibility to consult specific people and organisations on the types of …
Response attribution not verified
#153 —
Recommendation: Witnesses identified best practices in the management of Youth Offending Services (YOSs, see section starting at paragraph 130 on âborrowing best practices from youth justiceâ) to make the case for the local delivery of adult probation services. Phil Bowen, who …
Response attribution not verified
#91 —
Recommendation: Current efforts to improve treatment services and increase their availability should be sustained. Further investment in Community Sentence Treatment Requirements is required and should be a priority. CSTRs are key to reducing reoffending, putting offenders on a path away from …
Response attribution not verified
#68 —
Recommendation: The Government should invest in the services that underpin community orders to satisfy sentencers of their efficiency and availability. The emphasis should be put on intensive treatment, the effectiveness of which is established.
Response attribution not verified
#67 —
Recommendation: Community orders should be used more frequently. While it is the responsibility of the independent Judiciary to decide what sentence is appropriate in each case brought before Courts, it is the role of the Government to make sentences available to …
Response attribution not verified
#64 —
Recommendation: The public, too, is questioning the use and enforcement of community sentences. Gavin Dingwall told us that, âtoo often, there is a public perception that anything other than a custodial sentence is not an adequate response to an offenceâ and …
Response attribution not verified
#54 —
Recommendation: Damian Hinds MP argued that the apparent decline was the result of a change in the crime mix, with those offences which frequently attract a community sentence being less frequently committed, but nevertheless being penalised by a community sentence: âif …
Response attribution not verified
#30 —
Recommendation: Commissioned rehabilitative services are a key component of community sentences. The delivery partners of the Probation Service provide valuable services. The most recent commissioning wave, while imperfect, is considered by all parties as a step in the right direction.
Response attribution not verified
#21 —
Recommendation: An interesting approach is being tested in Ireland. While their efficacy remains to be confirmed, the mechanisms of the âIntegrated â Community Service Orders are intended to create incentives for people on probation to engage with rehabilitation and in a …
Response attribution not verified
#19 —
Recommendation: The better approach is to incentivise offenders. Deferred sentencing can be used to encourage offenders to engage with probation, rewarding positive behaviour in the deferred sentence. Various initiatives have been or are being piloted to create incentives for low-level, repeat …
Response attribution not verified
#18 —
Recommendation: The rehabilitative needs of low-level, repeat offenders are not being met. Increasing the tariff of their punishment, be it in an individual case or through a revision of sentencing guidelines, is not the solutionâit would set people up to fail, …
Response attribution not verified
#6 —
Recommendation: Increasing the use of community orders is likely to result in a decline of reoffending, which would result in long-term savings. While the most intensive types of community orders are expensive to deliver, they typically cost less than custody.
Gov response: 24. We believe that community orders provide the courts with a range of robust requirements to effectively punish and rehabilitate offenders. As set out in the response to JHAC3, there is persuasive evidence that community …
Position Not Stated
#1 —
Recommendation: Community sentences can be particularly flexible. When passing a community order, judges and magistrates can select from a range of requirements. This allows them to tailor the sentence to the individual case, setting out how to punish and rehabilitate the …
Response attribution not verified
#27 —
Recommendation: We support the conclusions of the House of Commons Transport Committee’s January 2022 report that comprehensive reform of road taxation is needed, to start an honest conversation with the public and work towards a system that is seen as fair …
Response attribution not verified
#26 —
Recommendation: It is crucial that the Government considers road taxation alongside other fiscal measures taken to drive EV uptake, giving consumers a clear and consistent steer on future total motoring costs. As the UK transitions away from petrol and diesel vehicles, …
Response attribution not verified
#25 —
Recommendation: However, Government should monitor prices, and assess whether the leasing market continues to work well for consumers.
Response attribution not verified
#21 —
Recommendation: The Government should accelerate its collaboration with industry to develop a ‘battery health standard’ that is objective and reliable.
Response attribution not verified
#20 —
Recommendation: Consumer confidence in the second-hand market is also currently being undermined by uncertainty and concerns about EV battery health. We welcome industry’s work to develop a ‘battery health standard’ that would give confidence to consumers.
Response attribution not verified
#3 —
Recommendation: The Government should take a more proactive and leading role in communicating a positive vision of the EV transition to consumers, and promoting comprehensive, clear, authoritative, accurate and balanced information. The Government should develop a communication strategy in collaboration with …
Response attribution not verified
#2 —
Recommendation: The Government’s concern at the scale of misinformation, however, has not been matched by commensurate urgency in tackling it. A joint consumer information campaign between Government and industry that was praised by several witnesses was ended in 2021. We heard …
Response attribution not verified
#53 —
Recommendation: The difference in resources between individual consumers and businesses has the potential to distort the feedback and representations that regulators receive. In some areas, this potential gap is at least partially remedied by statutory provision for independent consumer advocacy, as …
Response attribution not verified
#63 —
Recommendation: The Review of Electricity Market Arrangements and decisions on locational pricing should be concluded swiftly to avoid any disruptions to investment. It should ideally include a mechanism to introduce locational incentives for industrial and energy storage projects to build in …
Response attribution not verified
#49 —
Recommendation: The Government should build on initiatives from the National Grid Energy System Operator like the Demand Flexibility Service, expanding them and making them permanent. This should involve a robust programme of consumer research to ensure people who provide flexibility are …
Response attribution not verified
#31 —
Recommendation: The Government should work with UKRI to commission research into the safety aspects of hydrogen storage and transportation, as well as the public acceptability of hydrogen transport and storage facilities.
Response attribution not verified
#29 —
Recommendation: DESNZ should commission research in the next six months into the public acceptability of hydrogen storage, in particular in the local communities which are most likely to host it. A public information and dialogue campaign that explains the envisaged role …
Response attribution not verified
#28 —
Recommendation: We heard no evidence to suggest that hydrogen is unsafe, especially when used as an industrial gas. However, the public perception of safety is vital, as negative perceptions of hydrogen projects could prove to be an obstacle in the planning …
Response attribution not verified
#137 —
Recommendation: Where a local authority owns sites on a high street it may be able to relocate some services more easily 278 . For example, following regaining control of the Elmsleigh Shopping Centre in Staines-upon-Thames, Spelthorne Borough Council is building a …
Response attribution not verified
#135 —
Recommendation: We heard that relocating public services with a high number of regular visitors to a town centre could increase footfall in that area and was likely to have knock-on benefits for local businesses. 272 For example, redirecting some journeys to …
Response attribution not verified
#133 —
Recommendation: Local authorities should have community asset transfer policies to ensure transfers of ownership to a community group are possible where it is in the best interests of the local community. Public service delivery
Response attribution not verified
#132 —
Recommendation: Local authorities can also work with local communities and local businesses to regenerate their area, but this may be hampered by a lack of the necessary policies. If a local authority deems a property that it owns surplus to requirements …
Response attribution not verified
#130 —
Recommendation: Local authorities that already own assets on their local high street should ensure that they are being utilised to deliver the range of services and businesses wanted by local communities. This could include exploring innovative styles of lease, operating with …
Response attribution not verified
#129 —
Recommendation: Owning property on the high street can give local authorities greater influence over the make-up of a town centre and provides opportunities to deliver wider social and economic aims for their local area.
Response attribution not verified
#127 —
Recommendation: Taking ownership of a wider number of assets on a high street can allow local authorities to curate spaces with a masterplan designed to deliver a longer-term ambition. In some instances, local authorities could choose to minimise profits on rents …
Response attribution not verified
#126 —
Recommendation: As major retailers have exited high streets and town centres, some local authorities have chosen to purchase their local shopping centres seeking to ensure continued vitality for centres. For example, Spelthorne Borough Council took back the long lease on the …
Response attribution not verified
#121 —
Recommendation: Looking to address the issue of long-term vacant units on local high streets, the Levelling Up and Regeneration Act 2023 introduced High Street Rental Auctions (HSRA). 246 These are intended to give local authorities the power to require landlords to …
Response attribution not verified
#109 —
Recommendation: The Government should maintain its town-centre-first retail policy within the National Planning Policy Framework. Local planning Authorities should clearly set out in their Local Plan in what circumstances out-of-town developments would be permitted, and they should robustly apply the sequential …
Response attribution not verified
#108 —
Recommendation: When approving new developments and considering how to regenerate their high streets, local authorities should ensure that they are complementary to and optimise the unique offering that high streets can bring to a community. New retail centres must be considered …
Response attribution not verified
#99 —
Recommendation: The expansion of permitted development rights to convert Use Class E properties into homes risks damaging the vitality of high streets and reduces local control over the design and development of high streets. The Government should undertake a review of …
Response attribution not verified
#95 —
Recommendation: Permitted development rights (PDRs) allow certain building works and changes of use to take place without having to submit a planning application. The Government’s policy on PDRs for converting Use Class E properties to housing has changed regularly over the …
Response attribution not verified
#90 —
Recommendation: Local planning policy impacts where and how developers build new retail developments. Through the planning system, Local Planning Authorities (LPAs) can influence the mix of businesses on the high street and to some extent support certain businesses over others to …
Response attribution not verified
#87 —
Recommendation: High streets often face local issues and require local solutions; however, the Government still has a vital role in their success. The overall policy framework within which local authorities operate is largely set at a national level. This is particularly …
Response attribution not verified
#86 —
Recommendation: Anyone looking to reform high streets should involve the local authority at an early stage and develop a shared vision. Where a local authority is seeking to lead change it must work in partnership with landlords, business owners and the …
Response attribution not verified
#78 —
Recommendation: Local authorities can provide outdoor trading licences to encourage street activity and markets. Under the Licensing Act 2003, businesses that sell or supply alcohol must obtain a licence from a licensing authority including for late-night activity. 153 Budweiser emphasised that …
Response attribution not verified
#77 —
Recommendation: Local planning authorities are also responsible for approving individual planning applications. This is a reactive process. For example, they are involved in approving pubs and new buildings on high streets as well as retail parks and out-of-town shopping centres. The …
Response attribution not verified
#76 —
Recommendation: Local planning authorities are responsible for producing strategic policies for their areas and for granting planning permission for new buildings on the high street or other regeneration projects. As part of this role, the National Planning Policy Framework requires Local …
Response attribution not verified
HSSIB safety recommendations(2)
Undetected button/coin cell battery ingestion in children
It is recommended that the Department for Business, Energy and Industrial Strategy highlights to the general public the dangers of button/coin cell batteries.
Safety Recommendation
Undetected button/coin cell battery ingestion in children
It is recommended that the Department for Business, Energy and Industrial Strategy develops a strategy to improve button/coin cell battery safety, to include producing a fast-track standard covering/considering battery design, product casing, packaging and safe retailing practices.
Safety Recommendation
HMICFRS recommendations(24)
An inspection of the service provided to victims of crime by Greater …
The force should immediately reinforce the requirement for the use of investigation plans, where these should be recorded and the supervisory responsibilities for overseeing and reviewing these, and introduce effective governance arrangements so it can satisfy itself that this is …
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 an …
Recommendation
FRS 2018-19 CoC Recommendations: Gloucestershire Fire and Rescue Service
Cause of concern: Gloucestershire Fire and Rescue Service does not have a clear protection strategy that describes how it will manage its statutory responsibilities using its risk-based inspection programme (RBIP) to identify the highest-risk premises. The service has difficulty in …
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:- an …
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 put in place an effective system for joint …
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 2021-22 CoC Recommendations: London Fire Brigade
Cause of concern: The brigade doesn’t adequately prioritise HFSVs on the basis of risk. It doesn’t have a system in place that allows for the consistent assessment of risk levels among those people it has already identified as being at …
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 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 2018-19 CoC Recommendations: West Sussex Fire and Rescue Service
Cause of concern: West Sussex FRS doesn't have a clear strategy for using its risk-based inspection programme to identify the highest risk premises. The database it uses to manage premises information is unreliable and not always accurate. The service can't …
Recommendation
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 2018-19 CoC Recommendations: Surrey Fire and Rescue Service
Cause of concern: Surrey FRS doesn’t have a robust and sustainable system to support its operational response model. Recommendation: The service should put in place a response plan based on a thorough assessment of risk to the community.
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 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: 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: Some improvements in prevention have been made since our last inspection. The service has revised its prevention strategy, and this is giving its prevention and response teams better direction. But the service is still not adequately identifying …
Recommendation
FRS 2023-25 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Some improvements in prevention have been made since our last inspection. The service has revised its prevention strategy, and this is giving its prevention and response teams better direction. But the service is still not adequately identifying …
Recommendation
FRS 2018-19 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Avon FRS isn’t doing enough to keep the public safe through regulation of fire safety. Its risk-based inspection programme is entirely reactive, as its inspection department doesn’t have enough staff. Recommendation: The service should make sure it …
Recommendation
ICIBI immigration recommendations(3)
Inspection report of Border Force operations at Stansted Airport, January 2014
Recommendation 6 Review the guidance to “Monitoring Officers” regarding their safeguarding responsibilities and produce workable advice on how they are to satisfy themselves that a child or young person, or …
Inspection report of Border Force operations at Stansted Airport, January 2014
Recommendation 5 Ensure that sufficient “Roving Officers” are deployed at Stansted to discharge fully Border Force’s responsibilities for safeguarding passengers, both adults and children, in particular when 15 or more …
An inspection of Border Force operations at Stansted Airport
Recommendation 5 Ensure that sufficient “Roving Officers” are deployed at Stansted to discharge fully Border Force’s responsibilities for safeguarding passengers, both adults and children, in particular when 15 or more …
PPO death in custody recommendations(3)
The Governor of HMP Nottingham and Head of Healthcare at …
The Governor and Head of Healthcare should implement a robust quality assurance process, to ensure that healthcare staff properly record and authorising managers evidence that they have taken into account medical information when completing the escort risk assessment.
The Governor of HMP Whatton
The Governor should ensure that all staff undertaking risk assessments for prisoners taken to hospital understand the legal position on the use of restraints and that authorising managers show on the risk assessment that they have taken this information into …
The Director
The Director should ensure that all staff undertaking risk assessments for prisoners taken to hospital understand the legal position on the use of restraints, that authorising managers show on the risk assessment that they have taken this information into account …
IMB individual recommendations(38)
Thorn Cross (2020)
There have been 20 absconds during the reporting year. The prison responded by holding focus groups with prisoners and undertaking an analysis of those who had absconded, in an attempt to identify any shared underlying characteristics. The result of this work is that, on entry to Thorn Cross, some are identified for discrete monitoring to try to ‘nip in the …
Governor / Director
Hatfield (2025)
The IMB has noted that prisoners assessed for category D are not always suitable and/or prepared to enter a category D prison. Will the Prison Service consider a more through and rigorous assessment process?
HMPPS
Noted
The Verne (2020)
If it is necessary to discharge residents from The Verne directly into the community, then appropriate funding for a resettlement programme should be made available.
HMPPS
In Progress
Sudbury (2020)
What measures are proposed to ensure that the return of probation services to the public sector will be managed more smoothly than the privatisation, which led to huge disruption in release on temporary licence (ROTL) planning for many prisoners?
HMPPS
In Progress
Stocken (2020)
There needs to be more active and prompt allocation of re-categorised prisoners to a more appropriate location: too often, the movement of prisoners within the system is at the whim of governors and minor officials.
HMPPS
In Progress
Stafford (2020)
As in previous years, will HMPPS review: The model to transfer men convicted of sexual offences into resettlement establishments for the final part of their sentence, which does not work. HMP Stafford continues to release residents every month despite not being resourced as a resettlement prison. Furthermore, as a national resource, moving residents to their resettlement prison closer to home, …
HMPPS
In Progress
Littlehey (2020)
When will the Prison Service publish the promised framework, providing detailed guidance for governors regarding the management of men convicted of sexual offences?
HMPPS
In Progress
Bure (2020)
Will the minister continue to review the provision of pre-release resettlement facilities for men convicted of sex offences?
Ministry of Justice
In Progress
Swaleside (2021)
There is some concern regarding the pressure placed on public protection staff given in-cell telephony and Purple Visits. (see sections 4.4 and 7.4)
HMPPS
In Progress
Hollesley Bay (2021)
That the efforts being put into improving the site security are continued.
Governor / Director
Thorn Cross (2022)
To continue to pursue initiatives that will reduce the number of absconds (4.0.4) (4.0.5).
Governor / Director
In Progress
Thorn Cross (2022)
To ensure that the ministerial oversight of high risk prisoners transferring to the open estate does not cause undue delay (4.0.6).
Other
In Progress
Aylesbury (2022)
Improve forward planning, consultation and support to senior staff when prisons are required to house new categories of prisoner.
HMPPS
In Progress
Hewell (2023)
What is the Prison Service doing to improve the effectiveness of agencies working together to achieve effective release and resettlement? Despite good work being done by individual agencies, we see men being released without the dots having been joined; this negates in-prison work done to achieve positive resettlement and may increase the chances of homelessness, unemployment and re-offending.
HMPPS
Thameside (2025)
The lack of probation and community support for all prisoners means that they are more likely to return to prison. What measures is the Minister taking to address the shortfalls of probation and community support in the London area?
Other
In Progress
Stafford (2025)
At present prisoners convicted of sexual offences (PCoSOs) are unable to be considered for release on temporary licence (ROTL). This national policy negatively impacts on prisoners at HMP Stafford from integrating into society and finding suitable employment prior to release. Would the Minister consider commissioning a review of the ROTL national policy and its application to PCoSOs?
Ministry of Justice
Stafford (2025)
At present prisoners convicted of sexual offences (PCoSOs) are unable to be considered for release on temporary licence (ROTL). This national policy negatively impacts on prisoners at HMP Stafford from integrating into society and finding suitable employment prior to release. Would the Minister consider commissioning a review of the ROTL national policy and its application to PCoSOs?
Ministry of Justice
Noted
Scotland and Northern Ireland short-term holding facilities (STHF) (2025)
Men and women are still detained together at the residential facility at Larne House. Particularly given that men convicted of sexual offences have been detained at Larne House, what will the Minister do to stop this?
Ministry of Justice
Preston (2025)
Early release programmes have led to many prisoners being recalled for short periods, due to their failure to comply with licence conditions. What strategies are being taken to improve community offender management to reduce the number of recalls for non-compliance, and how will the Minister ensure that the prison is not unduly impacted by recall rates?
Ministry of Justice
In Progress
Nottingham (2025)
When will the Minister consider and review the recall system? The high number of recalls places enormous pressure on the prison and the purpose and effectiveness of the system is questioned.
Other
Implemented
Sudbury (2020)
Given the ongoing threat to prisoner safety posed by COVID-19, will the minister produce a more robust policy on early release under licence?
Ministry of Justice
Noted
Springhill (2020)
In light of the pandemic, are processes about special licences and release on compassionate grounds to be reviewed, with more delegated authority to the Governor and consideration given to local risk assessment?
Ministry of Justice
Noted
Send (2020)
The Board is concerned that fewer prisoners benefit from ROTL in preparation for their release, despite the implementation of the 2019 ROTL policy framework (7.5).
HMPPS
Noted
Ashfield (2021)
Can the Minister confirm how many of the 200 approved premises new placements can be used for prisoners convicted of sexual offences and the timescale for delivery of these placements?
Ministry of Justice
In Progress
Deerbolt (2022)
We would like to know what plans the Prison Service has to reduce recidivism levels at Deerbolt.
HMPPS
Channings Wood (2022)
What measures are planned to address the backlog in the provision of offending behaviour programmes? What is being done in order to minimise the detrimental effect on men awaiting courses prior to parole board hearings while at the same time ensuring that public safety requirements are met?
Ministry of Justice
Deerbolt (2023)
HMP/YOI Deerbolt is an important employer in the local community: are there further plans to improve the visibility of the prison in the community?
Governor / Director
In Progress
Swaleside (2024)
The Board remains concerned about the impact of the Offender Flow and Allocation system. Swaleside is a category B trainer in the Long-Term High Security Estate (LTHSE) but is now receiving younger prisoners with shorter sentences. This is detrimental to the stability of the prison and the wellbeing of older, longer sentenced prisoners, and creates resettlement problems at release.
HMPPS
In Progress
Styal (2024)
What progress has been made with the categorisation review referred to in the response to the Board’s previous annual report?
Other
In Progress
Deerbolt (2024)
HMP/YOI Deerbolt is an important employer in the local community. Are there further plans to improve the visibility of the prison in the community?
Governor / Director
Deerbolt (2024)
Are there further plans to improve the visibility of the prison in the community?
Governor / Director
Wetherby (2025)
What decisive actions will the Minister take to strengthen coordination and accountability between YOIs and partner agencies, such as immigration services, the adult estate and local authorities, to ensure a seamless and safe handover?
Ministry of Justice
Wandsworth (2025)
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
Implemented
The Mount (2025)
The Minister should ensure that prisons that hold IPP prisoners are structured and resourced to be able to provide the specialist help and support that they need, both while they are in prison and while they are preparing for the parole board and (hopefully) a life in the community.
Ministry of Justice
In Progress
Stafford (2025)
The Board recognises the Minister’s previous and well documented support for securing post release employment for large numbers of prison leavers. It is acknowledged that prisoners leaving HMP Stafford can face additional challenges due to their offending history. How does the Minister plan to address this issue in order to give the prisoners released from HMP Stafford a better chance …
Ministry of Justice
Stafford (2025)
The Board recognises the Minister’s previous and well documented support for securing post release employment for large numbers of prison leavers. It is acknowledged that prisoners leaving HMP Stafford can face additional challenges due to their offending history. How does the Minister plan to address this issue in order to give the prisoners released from HMP Stafford a better chance …
Ministry of Justice
In Progress
Rye Hill (2025)
The Board is interested to see what initiatives the government is able to facilitate to enable prisons that hold prisoners convicted of sexual offences (PCoSOs) to build meaningful national partnerships with employers and charities. It is also interested in the actions the government can take to encourage appropriate employment opportunities on release.
Ministry of Justice
In Progress
Ford (2025)
A consequence of the early release schemes in 2024-2025 is a change in the risk profile of prisoners arriving at HMP Ford: at the end of the reporting year, 180 (109 in 2024) were classified as ‘high risk’. These men require additional checks by the Probation Service in order for them to be approved for ROTL. Despite repeated assurances that …
Ministry of Justice
In Progress
Health investigations(151)
Independent investigation: Bridget MaclennanElizabeth Valad, Camden — Rec 11
Under such circumstances, the Multi-Agency Protection Panel (MAPP) is the most appropriate forum to discuss the risks of a person to others. Trusts and MAPPs need to agree procedures to determine how a case like this could best be brought to MAPP.
london
Independent investigation: Sarah Jane Coghlan, Middlesbrough (2003) — Rec 6
Consideration should be given at policy level in Government to two alternative issues. First, whether patients who have committed a very serious offence and who have received restriction orders under the provisions of S.41 of the Mental Health Act 1983 should remain under supervision for the rest of their lives. …
north_east_yorkshire
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec A
The Purchasing Authority should consider developing quality standards applicable to the care of patients with histories of violent offending. Such standards might include requiring Providers to ensure that a full range of assessment approaches, including access to forensic psychiatry services, is available to such patients.
east_of_england
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.4.a
A programme to be developed which: i. Builds on existing risk assessment/management training by including relevant details from our report. ii. Provides training concerning MAPPA for all agencies, involving key stake holders for MAPPA - police, prison and probation service, and mental health services.
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.g
Procedures and information systems Mental health services should develop clear policies and procedures relating to their interface with MAPPA. Mental health services may consider developing systems to ensure that without breaching confidentiality, patients known to both mental health and probation services can be identified and so managed safely.
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.e
MAPPA Reviews When a person on any level of MAPPA is arrested for a further offence, an urgent review should take place. If the offence is of a violent or sexual nature, a MAPPP meeting should be convened, with full multi-disciplinary involvement, to allow appropriate sharing of information and to …
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.d
Training In conjunction with the responsible authorities for MAPPA, mental health services should devise a programme of multi-disciplinary training for health staff and other agencies. The purpose of this training would include describing the organisation and function of MAPPA and the processes for sharing information between police, probation and health …
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.c
The CPA The mental health services should review existing CPA guidance and procedures to ensure that: All CPA meetings routinely question MAPPA registration. CPA documentation, including risk assessment pro-formas, is amended to incorporate MAPPA status. CPA policy and procedures is amended to include guidance on those circumstances which might indicate …
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.b
Police In collaboration with mental health services, the police should promote the role of the Public Protection Officer to mental health services. The purpose of this is to advertise the role of this officer as a resource and conduit into MAPPA.
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.2.a
Health involvement in MAPPA A senior mental health service manager should attend all level 2 meetings. We understand that a consultant forensic psychiatrist attends all level 3 meetings. The attendee should have received appropriate training in the interface between psychiatry and the criminal justice system, and must be senior enough …
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.1.e
Difficult to engage/out-of-contact, vulnerable, at-risk clients Where this part of the policy refers to communication with other agencies, the probation service should be included in the list of agencies to be considered.
london
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.1.c
Multi-agency working and public protection The policy should contain clear information about MAPPA. There should be specific and explicit references in the CPA documentation to the involvement of other agencies, including both the police and probation services and to MAPPA where appropriate. For example: CPA 1 screening information should include …
london
Independent investigation: Maurice Hilton, Peterlee (2006) — Rec 12
Similarly, staff should be made aware of the potential for referral to MARAC, and to MAPVA, and clear about the criteria and procedures as set out above.
north_east_yorkshire
Independent investigation: Maurice Hilton, Peterlee (2006) — Rec 11
Staff dealing with patients whose behaviour is clearly risky or potentially risky, who have a history of detention in hospital as offenders, or have had dealings with the criminal justice system for violent offences, need to know when, and how, it is appropriate to refer to MAPPA. The criteria and …
north_east_yorkshire
Independent investigation: Liaquat Ali, Bury (1999) — Rec 1.viii
In the handling of any serious incidents, when a person in contact with Mental Health services harms another, the Trust should consider their response to the victim and the victim’s family. We cannot suggest what that response should be, as much will depend on the nature of any injuries caused, …
north_west
Independent investigation: John Stevens, Woking (2001) — Rec 23
We recommend that the agencies concerned with public protection in Surrey review the criteria for referral to the CIAG and the BLIP system and that its membership agrees and implements a sharing of information protocol. This protocol should complement the existing arrangements for ‘Inter Agency Child Protection Guidelines and the …
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.h
CMHTs. Forensic ASWs or other specialist professionals working with mentally disordered offenders who work with or for CMHTs should have dedicated time allocated in order to deal with and develop links with MAPPA organisers.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.g
Procedures and information systems. Mental health services should develop clear policies and procedures relating to their interface with MAPPA. Mental health services may consider developing systems to ensure that without breaching confidentiality, patients known to both mental health and probation services can be identified and so managed safely.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.e
MAPPA Reviews. When a person on any level of MAPPA is arrested for a further offence, an urgent review should take place. If the offence is of a violent or sexual nature, a MAPPP meeting should be convened, with full multi-disciplinary involvement, to allow appropriate sharing of information and to …
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.d
Training. In conjunction with the responsible authorities for MAPPA, mental health services should devise a programme of multi-disciplinary training for health staff and other agencies. The purpose of this training would include describing the organisation and function of MAPPA and the processes for sharing information between police, probation and health …
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.c
The CPA. The mental health services should review existing CPA guidance and procedures to ensure that: All CPA meetings routinely question MAPPA registration. CPA documentation, including risk assessment pro-formas, is amended to incorporate MAPPA status. CPA policy and procedures is amended to include guidance on those circumstances which might indicate …
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.b
Police. In collaboration with mental health services, the police should promote the role of the Public Protection Officer to mental health services. The purpose of this is to advertise the role of this officer as a resource and conduit into MAPPA.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.2.a
Health involvement in MAPPA. A senior mental health service manager should attend all level 2 meetings. We understand that a consultant forensic psychiatrist attends all level 3 meetings. The attendee should have received appropriate training in the interface between psychiatry and the criminal justice system, and must be senior enough …
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.1.f
Current CPA policy and procedures should be amended to take into account the following: Process of risk assessment. This section of the policy should be amended to refer to MAPPA. It should contain a brief explanatory note about the function of MAPPA and about local routes to the MAPPPs.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.1.e
Current CPA policy and procedures should be amended to take into account the following: Difficult to engage/out-of-contact, vulnerable, at-risk clients. Where this part of the policy refers to communication with other agencies, the probation service should be included in the list of agencies to be considered.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.1.c
Current CPA policy and procedures should be amended to take into account the following: Multi-agency working and public protection. The policy should contain clear information about MAPPA. There should be specific and explicit references in the CPA documentation to the involvement of other agencies, including both the police and probation …
south_east
Independent investigation: David Huitson, Newcastle (2001) — Rec 4
That the Newcastle North Tyneside and Northumberland Mental Health NHS Trust should review arrangements for the support and supervision of potentially dangerous patients to ensure that inter-agency expertise, including the expertise of mental health social workers and the criminal justice agencies, is available to provide the most effective support to …
north_east_yorkshire
Independent investigation: Boris Reavey, Bedford (2008) — Rec 6
When a patient has a significant forensic history the multidisciplinary team should consider referring the patient to the local MAPPA to ensure that the safety of the public is made a priority. It is strongly recommended that the local MAPPA is approached by the local SEPT Forensic Service to consider …
east_of_england
Independent investigation: Simon Widger, Eastbourne, Sussex (2000) — Rec 8
When any defendant, having been identified by Multi-agency Public Protection Panels (MAPPP) as potentially dangerous, appears before the courts on any charge, then a system should be in place which ensures: - a) that the Court Assessment and Diversion Scheme is alerted to ensure an initial assessment is made with …
south_east
Independent investigation: Sandy Hadfield, Lincoln (& Derby) (2002) — Rec 4.10
As a Review Panel, whilst we support the new initiatives which have been introduced to date, we nevertheless recommend that the DfES brings the issues we have outlined to the attention of the Home Office, and Ministers who are responsible for the public protection agenda, as a matter of urgency.
midlands
Independent investigation: Ryan Merna, Poole — Rec 7
Agencies involved in managing individuals through the MAPPA process must ensure that information about risks and management of those risks is passed to other areas when an individual moves to the jurisdiction of another MAPPA group. The Trusts involved in this case must review their existing MAPPA policies with this …
south_west
Independent investigation: Robert Lewis, Sutton (2010) — Rec Eight
It is recommended that when professionals write to support an individual’s housing application that information regarding potential risk areas is disclosed. Regular audit of this should be undertaken in conjunction with the case record audits. Additionally a review of the application form should take place between the two organisations to …
london
Independent investigation: Robert Lewis, Sutton (2010) — Rec Two
It is recommended that following a serious incident such as a homicide by an individual receiving mental health services that the Trust’s responsibilities are aligned to the expectations set out within the Department of Health guidance HSG (94) 27 and their duty of care. This would ensure that families of …
london
Independent investigation: Paul BrownDorothy Brown, Liverpool (2014) — Rec 12
The Trust should ensure that care plans for patients with schizophrenia who are assessed as at risk of harming family members incorporate learning from the evidence on parricide
north_west
Independent investigation: Paul BrownDorothy Brown, Liverpool (2014) — Rec 3
Ongoing contact with family members or partners must form part of the core risk assessment and care planning by the care coordinator
north_west
Independent investigation: Paul BrownDorothy Brown, Liverpool (2014) — Rec 2
The planning of victim safety in partnership with individuals concerned, especially where this involves a family member or partner, must form part of the core risk assessment and treatment planning
north_west
Independent investigation: Nicole TownshendJane Malkin, Leicester (2007) — Rec 9
East Midlands Strategic Health Authority is requested to liaise with the Department of Health to determine the best way to explore with the DVLA the issue of communication with medical practitioners following its assessment of an individual’s fitness to drive. The IIT recommends that whenever fitness to drive has been …
midlands
Independent investigation: Nico Meli, Nottingham (2003) — Rec R1
Working with the police. This report has concluded that issues remain about how the trust worked with the police to manage the risks that VS presented. The trust needs to assure itself that it has effective working relations with local police. Attempts by the trust to engage the police in …
midlands
Independent investigation: Nicholas Windsor, Northampton (2006) — Rec R1
The Trust should undertake a thorough review of policy and working relationships with the County Constabulary, Probation Trust and other major ‘duty to cooperate’ agencies paying particular attention to: • The role and function of officers and staff allocated to the liaison and operational inter-agency function of Public Protection through …
midlands
Independent investigation: Nicholas Windsor, Northampton (2006) — Rec 1.5.1
If MAPPA is the chosen vehicle of the main multi-agency planning for such individuals outside that of the multi-disciplinary care team planning of the Trust’s mental health services then the Panel recommends there needs to be a clearly established agreed set of activities underpinning and holding this process together which …
midlands
Independent investigation: Marta Elena Vento, Bournemouth (2020) — Rec R9
The local police should ensure that the risk management process for persons under MAPPA is conducted at the earliest opportunity in order to identify the risks to the public, staff and the nominal themselves.
south_west
Independent investigation: Marta Elena Vento, Bournemouth (2020) — Rec R6
To enable offenders to be managed safely in the community, the criminal justice system should review release planning arrangements for those remand prisoners released suddenly from court to enable offenders to be managed safely in the community.
south_west
Independent investigation: Marta Elena Vento, Bournemouth (2020) — Rec R2
Statutory organisations who receive public protection notices (PPN) need to undertake a review of how they effectively consider the information contained within PPNs so that they take appropriate steps in respect of the person who is the subject of the report.
south_west
Independent investigation: John Uttley, Huddersfield (2017) — Rec 5
Potentially Dangerous Person awareness training should be a core requirement for all practitioners in SWYPFT’s forensic low secure unit and the Forensic Community Transition team. SWYPFT should provide evidence at Sancus Solutions’ quality assurance review that this recommendation has been implemented.
north_east_yorkshire
Independent investigation: Joanne Whitelegg, Bolton, Lancs (2000) — Rec 4.36
At the point in the future when return to the community is being planned for X, there should be consultation between all agencies including the current health provision, social services and the police, to review what has emerged about psychosocial risks and needs at the various stages of X’s life; …
north_west
Independent investigation: David Kemp, Great Yarmouth (2008) — Rec 14
That RMOs (now Responsible Clinicians, RCs) complete Section 17 leave forms when any detained patient is granted leave for any purpose. That a copy of the care plan, outlining appropriate measures to protect the public, be placed, for the guidance of the escorting nurses, in the ‘grab pack37’ which is …
london
Independent investigation: Caroline Evans, Llangadog, Camarthen (2003) — Rec 8.4.18
Multi-agency public protection arrangements (MAPPA) were in place at the time of the incident (with a mental health representative on the steering group) and continue to be in place in Carmarthenshire. In the panel’s view, these should involve a consultant psychiatrist with forensic psychiatry experience or interest and should follow …
wales
Independent investigation: Jason Dean, Eston, Middlesbrough (2018) — Rec 11
The Trust should provide guidance regarding recording and oversight for individuals subject to public protection measures such as MARAC and MAPPA.
north_east_yorkshire
The trust response to the Niche Independent Inquiry into the … — Rec 5
The Trust should ensure that all forensic patients are considered for referral to the local MAPPA process, and the decision, and reasons for it, recorded in the patient’s records.
south_west
Multi-agency systems review to identify the learning following five homicides … — Rec 15
Local multi-agency risk evaluation processes should be in place for high risk individuals. Development of multi-agency risk evaluation processes for high risk individuals.
south_west
Accepted
Scottish Fatal Accident Inquiries(5)
James Fraser and Daniel Heron
In terms of section 6(1)(e) of the 1976 Act that consideration should be given to requiring houses in multiple occupation, as legally defined, to be fitted with hard-wired smoke detector/alarm systems. In terms of section 6(1)(e) of the 1976 Act that consideration should be given to requiring all rooms adjoining potential escape routes in houses in multiple occupation (as legally …
Mar 1999
John Morton Murray
It would seem sensible for the practice to be extended to other shooting establishments and I so recommend. (How that is achieved is for consideration by others, although one possibility may be to write it into the conditions contained in in section 11(6) authorisations.) [98] I have also determined that it would have been a reasonable precaution for Cluny Clays …
Nov 2004
David Robb Thomson
I hope that early consideration will be given in the appropriate quarters to the operation of the present systems in place (1) for conveying requests to the appropriate prison for prisoners to be placed on protection in prison made by solicitors to the staff of the private security contractor in the custody suite at this court; and (2) for arranging …
Nov 2014
Steven Taylor
3. In terms of Section 6(1)(e) of the said Act, that the vulnerability assessment form completed by police custody security officers in respect of persons held in police custody should accompany such persons in addition to the Personal Escort Record. 4. In terms of Section 6(1)(e) of the said Act, that investigation should be carried out by the Scottish Prison …
Feb 2015
Shea John Ryan
Promoting the objective of protecting children (1) The Health and Safety Executive should review and consider revising its published guidance on the management of health and safety in construction (including HSG 150 “Health and Safety in Construction”; HSG 151 “Protecting the Public - Your Next Move”; and HSG L153 “Managing Health and Safety in Construction”) generally to emphasise and to …
Jul 2025
Other
8 recs
Detention investigations(18)
Assessment of government progress in implementing the report on the … — Rec 25
The Home Offce should ensure casework management processes allow for the detention gatekeeper to make decisions on all FNO cases entering immigration detention, including those transferring directly from prison at completion of a custodial sentence.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 30
Case progression panels should have fewer cases per panel to consider. The Home Offce should ensure that all required information, including information on vulnerability and AAR levels, is available and that all panel members are properly prepared on the cases before them.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 24
The Home Offce should strengthen its data monitoring processes and quality assurance for the detention gatekeeper and case progression panels. In particular, it should ensure that the outcomes following case progression panels are tracked and reported.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 6
Weekly multi-disciplinary review meetings should be held at all IRCs to review and progress cases and ensure appropriate care for the most vulnerable individuals in each centre. These meetings should include a range of managers and staff, and crucially should involve the dialling in of the relevant caseworker for each …
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 1
I recommend that the Home Office prepare and publish a strategic plan for immigration detention.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 28
contractors be required to establish permanent liaison arrangements with local residents.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 21
for future removal centre projects a local liaison officer be appointed, the major part of whose job will be to identify properly interested stakeholders and consult and inform local people.
Immigration Detention
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R3
Serco should consider with the Home Office the development of suitability criteria for the detention of time-served foreign national offenders at Yarl’s Wood.
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R29
The SMT must ensure that all prison files of time-served foreign national offenders are examined for relevant security information, including risk profiles, in a timely fashion. (To be completed as a matter of urgency)
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R28
G4S should work with the Home Office to ensure that all time-served foreign national offenders arriving at Brook House are accompanied by prison escort records that identify matters affecting their risk profile. (To be completed as a matter of urgency)
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 28
The Home Offce, working with the National Probation Service and Community Rehabilitation Companies, should consider how far vulnerable detainees released from detention can be offered appropriate support and supervision.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 26
All relevant Home Offce staff should be trained in making assessments of vulnerability within the parameters of the Adults at Risk policy.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 13
The Home Offce should no longer detain any adults over the age of 70 except in ‘exceptional circumstances’.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 12
Consideration should be given to AAR Level 2 being sub-divided and, if adopted, the presumption against detention for those in the upper division should be strengthened. The Home Offce should consider the merits of the UNHCR Vulnerability Screening Tool.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 11
The current Adults at Risk policy should be amended. Detention of anyone at AAR Level 3 should be subject to showing ‘exceptional circumstances’.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 2
The Home Offce should develop a strategic plan for the type and scale of immigration estate it thinks necessary, bearing in mind the priority now attached to voluntary returns, so that the number and location of beds is proportionate to carrying out its wider aims.
Immigration Detention
Independent Investigation into Concerns about Yarl's Wood Immigration Removal Centre — Rec R27
Managers should agree with the LSCB on arrangements for reporting concerns and on the pattern and frequency of future contact between the LSCB and Yarl’s Wood.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 44
I recommend the Home Offce establish an Alternative to Detention project for vulnerable persons who would otherwise be at risk of being detained.
Immigration Detention
Independent reviews(50)
Owens Review — Rec 27
Once the Ministry of Justice and HMPPS have agreed a more considered and reliable plan for collecting and using the data on releases in error (as per recommendation 26), the Ministry of Justice should seek to quantify the level of risk that this presents to the public as a result. …
Justice & Legal
Owens Review — Rec 19
Alongside this, the Ministry of Justice and Home Office should develop a plan for the consistent use of biometrics, both in prison and across the whole system. This should allow offenders to be tracked from the point of arrest to release and will be critical to ensuring the correct individual …
Justice & Legal
Owens Review — Rec 13
The Ministry of Justice, HMPPS and Policing (via the NPCC) update their protocol to consider victim notification and broader communication responsibilities.
Justice & Legal
Owens Review — Rec 10
The Ministry of Justice and the Home Office urgently talk with victims, victims' sector and cross-service partners to develop a clear policy and protocol on contact around releases (broadly on releases and, specifically, 'in error'). This should establish: Who is responsible for notifying victims, In what cases victims should be …
Justice & Legal
Owens Review — Rec 8
The Ministry of Justice and the Home Office develop one, shared policy on the Early Removal Scheme. This should consider: Whether there should be exceptions, and if so what; The process, authority levels and required documentation for the revised Early Removal Scheme; Talk with victims and the victim's sector on …
Justice & Legal
Acheson Report — Rec 13
We RECOMMEND the development of policies to reduce the fear of crime and violence, and to create a safe environment for people to live in.
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 31
The Review Committee considers that the following advertising practices are socially irresponsible and should be prohibited by the professional registers' codes of practice: o Time-limited deals o Financial inducements o Package deals, such as 'buy one get one free' or reduced prices for two people such mother and daughter deals, …
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 30
CAP should extend its guidance note on cosmetic surgery advertising to cover non-surgical cosmetic procedures, and the sponsoring of TV and other programmes
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 29
The RCS Interspecialty Committee should develop a code of ethical practice developed for all practitioners of cosmetic interventions, and this should include standards to ensure that any advertising is conducted in a socially responsible manner
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 11
Providers should be required to notify the public on their websites of any CQC inspection concerns or notices.
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 3
The RCS Interspecialty Committee should be responsible for developing clear, credible outcome measures for cosmetic surgery that are published at individual surgeon and provider level on the NHS Choices website.
Health & Social Care
Beecroft Employment Law Review — Rec 29
Abolishing the GLA should be seriously considered. It does not attempt to even measure the extent of the injuries suffered by the workers whose mission it is to safeguard. It devotes less than 1% of its Annual Report to outlining the other problems it has identified that might affect these …
Employment & Work
Flanagan Review of Policing — Rec 25
The Home Office and CLG should consider how best to support improved community safety partnership working in two-tier areas, in particular encouraging greater collaboration between local partnerships to enhance their capacity to deliver key community safety services. As the new Local Area Agreements are rolled out, the Home Office and …
Policing & Security
Laming Review (Baby P) — Rec 3
The Cabinet Sub-Committee on Families, Children and Young People should ensure that all government departments that impact on the safety of children take action to create a comprehensive approach to children through national strategies, the organisation of their central services, and the models they promote for the delivery of local …
Other
Laming Review (Baby P) — Rec 2
A National Safeguarding Delivery Unit be established to report directly to the Cabinet Sub-Committee on Families, Children and Young People. It should have a remit that includes: working with the Cabinet Sub-Committee on Families, Children and Young People to set and publish challenging timescales for the implementation of recommendations in …
Other
Laming Review (Baby P) — Rec 1
The Home Secretary and the Secretaries of State for Children, Schools and Families, Health, and Justice must collaborate in the setting of explicit strategic priorities for the protection of children and young people and reflect these in the priorities of frontline services.
Other
Turner Review — Rec 15
Rating agencies and regulators should ensure that communication to investors about the appropriate use of ratings makes clear that they are designed to carry inference for credit risk, not liquidity or market price.
Other
Turner Review — Rec 12
Clear communication should be put in place to ensure that retail depositors understand the extent of deposit insurance cover.
Other
Turner Review — Rec 11
Retail deposit insurance should be sufficiently generous to ensure that the vast majority of retail depositors are protected against the impact of bank failure (note: already implemented in the UK).
Other
Modern Slavery Act Review — Rec 71
We do not recommend any changes to Schedule 4 [of the Act]. A balance needs to be achieved between preventing the perpetrators of serious criminal acts from evading justice and protecting genuine victims [of modern slavery] from prosecution. An absolute defence for all offences is not appropriate. The current safeguards …
Justice & Legal
Accepted
Gauke Review — Rec 8.4
Improve data-sharing across agencies working with the Probation Service
Justice & Legal
Gauke Review — Rec 4.3
Introduce a new model for recall for those serving standard determinate sentences, with stricter criteria and thresholds
Justice & Legal
Gauke Review — Rec 3.7
Lengthen Serious Crime Prevention Orders to allow them to apply for the duration of an offender’s time in custody as well as for five years after release
Justice & Legal
Gauke Review — Rec 1.1
Amend the statutory purposes of sentencing to emphasise the importance of protecting victims and reducing crime
Justice & Legal
Windrush Review — Rec 25
All policy submissions and advice to ministers should have mandatory sections on: a) risks to vulnerable individuals and groups and b) equalities, requiring officials to consider the effect of their proposals in these terms. The department should review the effectiveness of its current processes and criteria for escalating significant policy …
Immigration
Accepted
Windrush Review — Rec 23
The department should revise and clarify its risk management framework, where officials and ministers consider potential risks to the public, as well as reputational and delivery risks.
Immigration
Accepted
Building Control Independent Panel — Rec 19
Improve dutyholder understanding of the building regulations and building control by updating the Manual to the Building Regulations and supporting that with a communication drive.
Building Safety
Owens Review — Rec 30
The Ministry of Justice and HMPPS to consider, with HMIP, whether RIE and unlawful detention should be part of the inspection regime.
Justice & Legal
Owens Review — Rec 26
As the current statistics do not adequately reflect the totality of releases in error, the Ministry of Justice, HMPPS and the Office for National Statistics should undertake a wider piece of work on the data on releases in error and come forward with a proposal to ensure that statistics provided …
Justice & Legal
Owens Review — Rec 15
The Ministry of Justice with HMPPS & HMCTS develop a shared target operating model for working together, including on communicating sentences and sharing critical information, without which I am almost certain it will be impossible to bring the number of releases in error down. This should consider: Information shared about …
Justice & Legal
Owens Review — Rec 12
These measures are reviewed by the Ministry of Justice and assessed on whether they have addressed the issues outlined in this review regarding victim contact, or whether the scope of the Victim Contact Scheme needs to be updated.
Justice & Legal
Owens Review — Rec 9
The Ministry of Justice and HMPPS to review the policy on Release License. The aim should not be to determine retrospectively which interpretation was 'correct,' but to recognise that frontline staff cannot be expected to interpret contradictory or opaque policies, especially where the stakes are high. Operational staff require clear-cut, …
Justice & Legal
Owens Review — Rec 6
Introduce a clear process at operational level by which staff can escalate conflicting use of 'Not for Release' markers before a discharge or release is authorised.
Justice & Legal
Owens Review — Rec 5
HMPPS should clarify at an operational level when 'Not for Release Markers' should be used and mandate the checking of all 'Not for Release' markers during release and discharge processes.
Justice & Legal
Owens Review — Rec 4
That HMPPS clarify operational guidance on what a high-profile alert means, when it should be used, what should happen as a result during the release process and/or other prisoner movements and use, triggering a clear sequence of events.
Justice & Legal
Pickles Electoral Fraud Review — Rec R3
The taking of pictures and use of cameras (including camera phones) in polling stations should be made illegal in order to prevent voters being intimidated into recording how they voted and to preserve the secrecy of the ballot.
Other
Wood Review of LSCBs — Rec 5
For government to provide guidance on: a. Drawing up a local proposal to provide strategic multi-agency arrangements to protect children. b. The meaning of the terms Child Protection, Safeguarding and Wellbeing, clarifying the part of this spectrum to be covered in multi-agency statutory arrangements.
Other
Wood Review of LSCBs — Rec 4
For new statutory arrangements to require health, local authorities and the police to make clear their leadership responsibility for multi-agency arrangements, to include the identification of a chief officer in each of the agencies to have responsibility and authority for ensuring full collaboration with those statutory arrangements.
Other
Corston Report — Rec 9
The Inter-Ministerial Group for Reducing Re-offending should re-examine its aims and ensure that its approaches properly address specific issues relating to women's criminality.
Justice & Legal
Farmer Review (Men) — Rec 7
Family work should be included in all four standards in the white paper. Standard 1: Public protection — Policy frameworks should require evidence of the involvement of families or other supportive relationships in sentence planning, resettlement planning and decisions regarding the use of ROTL. Standard 2: Safety and order — …
Justice & Legal
Farmer Review (Women) — Rec 1
Local Criminal Justice Boards (or equivalent strategic local groups) to take responsibility for building links and encouraging all services to take a joined-up approach to addressing the needs of female offenders (and women at risk of offending). Police and Crime Commissioners should take a leadership role in facilitating this collaboration …
Justice & Legal
Modern Slavery Act Review — Rec 69
There is a natural tension which exists in any defence, between the potential for misuse and the need to protect victims. We believe a balance needs to be maintained, and the current legislation, case-law and the system of trial by jury achieves the right balance [in respect of the statutory …
Justice & Legal
Accepted
Pickles Electoral Fraud Review — Rec R41
The offence of undue influence should retain a reference to spiritual / religious influence.
Other
Pickles Electoral Fraud Review — Rec R27
The legislation on offences relating to proxy voting should be clarified around compelling/preventing someone applying for a proxy vote and altering someone's completed application.
Other
Pickles Electoral Fraud Review — Rec R2
A lower test of 'intimidation' than the one currently set in the Representation of the People Act 1983 should be introduced.
Other
Pickles Electoral Fraud Review — Rec R1
Greater powers should be given to Returning Officers and the police to take action to address unwanted behaviour in and around polling stations (e.g. to be able to set up Cordons Sanitaire and to ensure that the police have the powers they need to disperse and deal with people who …
Other
Keogh Cosmetic Interventions Review — Rec 26
Patient Decision Aids (PDAs) should be developed for cosmetic procedures and these should be piloted by the RCS Interspecialty Committee on Cosmetic Surgery.
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 25
Evidence-based standardised patient information should be developed by the RCS Interspecialty Committee on Cosmetic Surgery. This should be done with input from patient organisations. This information should be available on NHS Choices and the Parliamentary Health Service Ombudsman (PHSO) website.
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 18
There needs to be unannounced inspections of manufacturers of class III and IIb medical devices to ensure production is compliant with the regulations. Reports of such inspections should be made public where possible.
Health & Social Care
Keogh Cosmetic Interventions Review — Rec 17
All European Notified Bodies should be regularly and rigorously assessed and audited, to ensure they all work to the same high international standards; and reports of these assessments should be made public.
Health & Social Care
LGO / SPSO decisions(83)
24-001-536 — Stratford-on-Avon District Council
Summary: We will not investigate this complaint about the Council’s investigation of anti-social behaviour reported to it. There is insufficient evidence of fault which would warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Jun 2024
25-005-171 — Manchester City Council
Summary: We will not investigate this complaint about Mr X’s complaint about the Council issuing him a Fixed Penalty Notice. This is because we have not seen enough evidence of fault in the Council’s actions.
LGO (Local Government & …
Environment And Regulation
Sep 2025
25-005-478 — Northumberland County Council
Summary: We will not investigate this complaint about the Council’s response to Mr X’s reports concerning anti-social behaviour. This is because an investigation would be unlikely to result in a different outcome.
LGO (Local Government & …
Environment And Regulation
Sep 2025
21-009-843 — Royal Borough of Kensington & Chelsea
Summary: Dr B complains the Council has not taken any action following a dog attack on him and his young child. Dr B says both he and his child were injured and is concerned it may happen again to others. The Ombudsman finds the Council at fault for not considering …
LGO (Local Government & …
Environment And Regulation
Upheld
Apr 2022
24-010-074 — Dudley Metropolitan Borough Council
Summary: We will not investigate Mrs X’s complaint about how the Council dealt with reports of antisocial behaviour by a neighbour. There is insufficient evidence of fault by the Council to justify investigating.
LGO (Local Government & …
Environment And Regulation
Nov 2024
201809670 — Scottish Prison Service
Mr C submitted an application for escorted day absence from prison to allow him to visit his father who was ill and unable to travel. Mr C understood that the application had been refused on the basis of adverse intelligence so he complained. The prison's internal complaints committee (ICC) said …
SPSO (Scottish Public Se…
Prisons
Upheld
Sep 2019
25-013-698 — Cornwall Council
Summary: We will not investigate this complaint about how the Council dealt with a possible breach of license conditions. This is because we are unlikely to find fault and the complainant has not suffered significant injustice.
LGO (Local Government & …
Environment And Regulation
Jan 2026
25-012-460 — Waverley Borough Council
Summary: We will not investigate Mr X’s complaint about the Council granting several annual licences to a business in his area to put tables and chairs on land near the premises. There is not enough significant personal injustice to Mr X caused by the matters complained of to warrant us …
LGO (Local Government & …
Environment And Regulation
Jan 2026
22-004-415 — Royal Borough of Windsor and Maidenhead Council
Summary: We will not investigate this complaint that the Council failed to review contact restrictions placed on the complainant in 2014. This is because the events happened too long ago, and the matter could have been raised sooner.
LGO (Local Government & …
Other Categories
Jul 2022
22-002-836 — Hyndburn Borough Council
Summary: We will not investigate this complaint about the Council’s consideration and subsequent approval of a planning application. There is insufficient evidence of fault to justify an investigation.
LGO (Local Government & …
Environment And Regulation
Jul 2022
21-017-693 — West Sussex County Council
Summary: We will not investigate this complaint about a failure to remove obstructions on the highway. We do not consider an investigation would add to the Council’s investigation. Nor would it lead to a different outcome.
LGO (Local Government & …
Environment And Regulation
Oct 2022
22-009-313 — Kingston Upon Hull City Council
Summary: We will not investigate this complaint about the actions of an officer involved in the Council’s case against Mr X which resulted in the issuing of a Community Protection Notice. This is because Mr X had appeal rights to the Magistrates’ Court against the Notice so placing the complaint …
LGO (Local Government & …
Environment And Regulation
Oct 2022
22-004-069 — Birmingham City Council
Summary: There was no fault in the Council not approving Mr X’s application under the Homes for Ukraine scheme. It had a responsibility to ensure safeguarding and acted in line with guidance. It was at fault in the delays telling Mr X it had not approved his application and allowed …
LGO (Local Government & …
Housing
Upheld
Dec 2022
23-020-000 — Sunderland City Council
Summary: Mr X complained about the Council’s decision to grant planning permission to change the use of a building from residential to supported accommodation. Mr X said this will reduce the value of his home, will impact on his family and the community, and fears anti-social behaviour from the residents. …
LGO (Local Government & …
Planning
Not Upheld
Sep 2024
24-017-093 — Cheshire East Council
Summary: We will not investigate this complaint that the Council has allowed a development which encroaches over and affects the complainants’ property. There is not enough evidence that fault by the Council has affected the planning outcome.
LGO (Local Government & …
Planning
Mar 2025
24-015-105 — Cumberland Council
Summary: We will not investigate this complaint about an alleged breach of an easement/covenant covering the shared driveway between the complainants’ and their neighbour’s properties. There is insufficient evidence of fault in the way the Council considered the complainant’s concerns.
LGO (Local Government & …
Planning
Mar 2025
201200718 — Scottish Prison Service
Mr C, who is a prisoner, complained that the Scottish Prison Service (SPS) failed to make appropriate arrangements for him to attend his brothers funeral. In replying to his complaint, the SPS said that they had been told that the funeral was on a particular day, and that they had …
SPSO (Scottish Public Se…
Prisons
Upheld
Jan 2013
202004623 — North Ayrshire Council
C complained about the advice received and actions taken by trading standards in relation to concerns that they had reported about a builder who had undertaken work for two of their relatives. C said that the council did not provide them with adequate information regarding the steps they could take …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jun 2024
PSOW-202102648 — Ceredigion County Council
Mr X complained that Ceredigion County Council (“the Council”) had failed to undertake a timely assessment of an alleged planning breach and to, if appropriate, take enforcement action. The Ombudsman contacted the Council and secured its agreement to, by no later than 1 November 2021, both respond to the complainant …
PSOW (Public Services Om…
Local Government
Sep 2021
PSOW-202104158 — Ceredigion County Council
Mr X complained that the Council failed to communicate progress about enforcement action in a timely manner. Mr X also complained about a lack of response to his complaint letter sent to the Council in June 2021. The Ombudsman decided that the Council should contact Mr X to discuss his …
PSOW (Public Services Om…
Local Government
Oct 2021
PSOW-202103356 — Vale of Glamorgan Council
Ms B tried to raise concerns about a planning matter via the Council’s planning form but it would not submit. She therefore submitted her concerns through the Council’s complaints process. The Council took nearly three months to respond to her, and the response she received was very short and did …
PSOW (Public Services Om…
Local Government
Oct 2021
PSOW-202104499 — Carmarthenshire County Council
Ms A complained that the Council had not responded or kept her informed about her complaint relating to development by her neighbour without planning permission, which impacted on her privacy. She wanted the Council to consider taking enforcement action for the unauthorised development. Whilst noting that his jurisdiction did not …
PSOW (Public Services Om…
Local Government
Nov 2021
PSOW-202408573 — United Welsh Housing Association
Ms C complained that United Welsh Housing Association had failed to act on reports of Anti-Social Behaviour and had not communicated effectively with her regarding her concerns. The Ombudsman decided that the Housing Association’s decisions about what action to take were properly made but there was a lack of clarity …
PSOW (Public Services Om…
Housing
Apr 2025
PSOW-202410076 — Newport City Homes
Ms B complained about how Newport City Homes (‘the Housing Association’) had dealt with complaints she had made about anti-social behaviour from an upstairs neighbour. The Ombudsman decided that whilst the Housing Association had taken some actions, the issues persisted, and Ms B was unaware of the longer term plan …
PSOW (Public Services Om…
May 2025
21-015-356 — London Borough of Enfield
Summary: We will not investigate Mr X’s complaint the Council’s planning enforcement team is taking action against a raised patio he built as part of an extension. Mr X should take his own advice on how to proceed. If the Council issues an enforcement notice it would be reasonable for …
LGO (Local Government & …
Planning
Feb 2022
21-015-201 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about how the Council has dealt planning enforcement issues on land next to Mr X’s home. This is because parts of the complaint are late and there is no good reason to investigate now. There is also no evidence of fault in how …
LGO (Local Government & …
Planning
Feb 2022
22-002-372 — Northumberland County Council
Summary: We will not investigate this complaint about the Council’s approach to vetting sponsors under the Homes for Ukraine Scheme. This is because there is insufficient evidence of fault by the Council in the way it reached its decision to require sponsors to undergo Standard, rather than Basic Disclosure and …
LGO (Local Government & …
Housing
Jun 2022
21-010-444 — Devon County Council
Summary: Mrs B says the Council wrongly reinstated a company on its Buying with Confidence scheme when it had not completed any remedial works to her property or dealt with her complaint. The Council’s communications with Mrs B were not clear about what it would take into account when carrying …
LGO (Local Government & …
Planning
Upheld
Jun 2022
22-007-435 — Wiltshire Council
Summary: We will not investigate Mrs X’s complaint about the Council’s decision not to enforce against her neighbour’s garden development, and how officers dealt with her complaint. There is not enough evidence of fault in the Council’s decision-making processes to warrant an investigation. We do not investigate councils’ internal complaints …
LGO (Local Government & …
Planning
Sep 2022
22-000-107 — Forest of Dean District Council
Summary: Mr B complained about delay by the Council in dealing with enforcement issues on a site near his home. We found fault with the Council. We have asked it make a decision on the outstanding enforcement issue, pay Mr B £300 and improve its procedures for the future. The …
LGO (Local Government & …
Planning
Upheld
Sep 2022
22-007-459 — South Gloucestershire Council
Summary: We will not investigate this complaint about the Council’s decision not to issue a Breach of Condition Notice. This is because there is no evidence to suggest fault affected the Council’s decision.
LGO (Local Government & …
Planning
Sep 2022
21-016-918 — Stockport Metropolitan Borough Council
Summary: We found no fault in how the Council decided development near Mrs X’s home did not breach planning control.
LGO (Local Government & …
Planning
Not Upheld
Sep 2022
21-015-858 — Sedgemoor District Council
Summary: Mrs F complains the Council failed to take planning enforcement action after she reported breaches of planning conditions on a development site next to her home. We have found no fault in the way the Council decided not to take enforcement action.
LGO (Local Government & …
Planning
Not Upheld
Sep 2022
21-018-335 — North Tyneside Metropolitan Borough Council
Summary: The Council was at fault for the delayed enforcement investigation. This caused Mrs X and Mrs Y an injustice and the Council has agreed to remedy this.
LGO (Local Government & …
Planning
Upheld
Oct 2022
23-017-410 — East Riding of Yorkshire Council
Summary: Mr X, on behalf of his daughter Ms Z, complained the Council refused to refund a planning application fee as required by the planning guarantee. The Council failed to either determine the planning application within 26 weeks or reach a written agreement with the applicant to extend this timescale. …
LGO (Local Government & …
Planning
Upheld
May 2024
24-000-155 — Somerset Council
Summary: We will not investigate this complaint about how the Council dealt with breaches of planning control. This is because the complainant has appealed, or could have appealed, to the Planning Inspector.
LGO (Local Government & …
Planning
May 2024
23-015-317 — Preston City Council
Summary: We will not investigate this complaint the Council decided not to prosecute a dog owner. There is not enough evidence of fault to justify our involvement.
LGO (Local Government & …
Environment And Regulation
May 2024
24-020-783 — Welwyn Hatfield Borough Council
Summary: We will not investigate this complaint about the Council’s handling of a planning enforcement case regarding a ‘house in multiple occupation’ which does not have planning permission. This is because:
LGO (Local Government & …
Planning
Jun 2025
24-022-410 — Bedford Borough Council
Summary: We will not investigate this complaint about how the Council has dealt with a breach of planning control. This is because we are unlikely to find fault.
LGO (Local Government & …
Planning
Sep 2025
24-015-484 — London Borough of Redbridge
Summary: Ms F complained on behalf of her mother that the Council failed to deal with possible breaches of planning control and building regulations by her neighbour. We found the Council failed to keep Ms F updated, causing her frustration. The Council has agreed to apologise for this. There was …
LGO (Local Government & …
Planning
Upheld
Sep 2025
25-008-397 — East Suffolk Council
Summary: We will not investigate Mrs X’s complaint about how the Council handled complaints about her made by her neighbour. This is because any injustice is not significant enough to justify an investigation.
LGO (Local Government & …
Environment And Regulation
Nov 2025
24-009-404 — Epping Forest District Council
Summary: We will not investigate this complaint about the Council’s handling of Mr X’s complaints of noise nuisance. This is because past events fall outside our jurisdiction due to the passage of time and there is insufficient evidence of fault to warrant an investigation in relation to more recent events.
LGO (Local Government & …
Environment And Regulation
Nov 2024
24-009-339 — Thanet District Council
Summary: We will not investigate this complaint about how the Council dealt with a report of dangerous dogs. This is because the complaint is made late, and I see no good reason to exercise discretion and investigate it now.
LGO (Local Government & …
Environment And Regulation
Nov 2024
24-013-639 — Transport for London
Summary: We will not investigate this complaint about Transport for London’s handling of Ms X’s private hire driver licence renewal. There is insufficient evidence of fault to justify investigating.
LGO (Local Government & …
Environment And Regulation
Nov 2024
201102765 — Renfrewshire Council
Mr C had applied to be re-housed. His application was also assessed for priority housing as he said he was being harassed in his current home. Mr C complained that there was a delay in processing his application, and was unhappy with a council visit to his home. He felt …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jan 2013
201600254 — Aberdeenshire Council
Mrs C lived adjacent to a site on which unauthorised development had taken place. Mrs C was unhappy that the development had caused her property to flood and complained to the council that they had failed to take appropriate enforcement action to address the flooding. We found that the council …
SPSO (Scottish Public Se…
Local Government
Upheld
Apr 2017
201508576 — East Dunbartonshire Council
Mr C raised a number of concerns relating to the planning consent for the erection of houses on a site close to his home. In particular, he complained that the council had failed to take action against the developer to ensure improvements to the state of the pathway constructed by …
SPSO (Scottish Public Se…
Local Government
Upheld
Apr 2017
201600629 — The City of Edinburgh Council
Mr C complained that the council failed to appropriately explain the charges relating to two statutory notices served in respect of a property of which he was one of the owners. A tender process occurred and the contract administrator advised the owners of the property of the estimated costs. Subsequently, …
SPSO (Scottish Public Se…
Local Government
Upheld
Jul 2017
201800864 — The City of Edinburgh Council
Mr C complained that the council failed to investigate his complaints about anti- social behaviour properly, resulting in him being put at risk. Mr C said he had been threatened and harassed but the council had failed to act on his complaints, deliberately ignoring him so that a final warning …
SPSO (Scottish Public Se…
Local Government
Partly Upheld
Mar 2019
201706064 — Stirling Council
Mr C complained that the council failed to take appropriate planning enforcement action within a reasonable timescale in relation to work undertaken near his home. We took independent advice from a planning adviser. We found that there were failings in the enforcement process, including unreasonable delays and unexplained inaction at …
SPSO (Scottish Public Se…
Local Government
Upheld
Jun 2020
Domestic Homicide Reviews(536)— showing 50 strongest matches
Lincoln — recommendation Recommendation 4 I)
The Lincolnshire Domestic Abuse Partnership must seek assurance from those agencies, who are working with perpetrators of domestic abuse, that they are able to co-commission with them services that will provide a robust response with perpetrators to try and alter their abusive behaviours and prevent future domestic abuse
Lincolnshire Domestic Abuse Partnership
Norfolk — recommendation 5
That the HM Prison Service and National Probation Service actively monitor the perpetrator whilst he is a serving prisoner. To assess communication and visits to manage potential risks on grooming and developing new relationships. The panel STRONGLY recommends that the perpetrator’s mail be monitored by HM Prisons in order to …
HM Prison Service | National Probation …
HM Prison and Probation …
Norfolk — recommendation I
When high risk individuals are being released into community at sentence end date, good practice would be that there should still be a MAPPA meeting so that all agencies are aware of potential risks in the community even if there are limited mechanisms in place to manage risks.
National Probation Service (NPS)
Gloucester — recommendation 4
Probation services to ensure that all Offender Managers are pro-active in their approach to partnership work, both together and share information, particularly where there are safety concerns.
BGSW CRC
Oxford — recommendation 11
Thames Valley Police to task Local Police Areas with considering local partnership working groups as somewhere to refer offenders who fall below the threshold for MAPPA but whose offending behaviour and level of risk nonetheless are of concern.
Thames Valley Police
Thames Valley Police
Hillingdon — recommendation 4.6.7c
HIDVA to ensure proactive and timely support for victims when known perpetrators are due to be released from prison. This should be overseen in supervision.
Hillingdon IDVA
Hillingdon — recommendation 4.5.9
SHP to review provision for perpetrators of domestic abuse released from prison and develop a plan to include the provision of suitable housing, access to primary health care, access to mental health services and prescribed medication.
Safer Hillingdon Partnership (SHP)
Hackney — recommendation 2a
Any threat to life in a domestic abuse context must be reviewed by an inspector who will be responsible for implementing and directing actions in line with the threat to life policy
Metropolitan Police Service
Metropolitan Police Service
Haringey — recommendation 1
Create clear guidance on the robust management of absences by those on licence so that the opportunity to address offending and reduce risk to others is not missed and so that offenders are held accountable.
London Community Rehabilitation Company
Haringey — recommendation 3
That the IOM Unit work with domestic abuse services to review their processes around prison release to identify opportunities to protect victims of VAWG.
Integrated Offender Management Unit
Haringey — recommendation 1
That the IOM Unit refresh and formalise the procedures and guidance for: (a) Actions to proactively manage non-compliance with IOM requirements and/or licence conditions. This would include clear guidance and standards for investigation, recording and enforcement (b) Standards of non-compliance that should trigger a partnership assessment (c) Appropriate actions where …
Integrated Offender Management Unit
Haringey — recommendation 1
London MAPPA Strategic Management Board should maintain its focus on the assessment and effective management of the risks posed by domestic abuse offenders. Key areas include the following: (a) Training for MAPPA chairs to include domestic abuse awareness, particularly an understanding of coercive control (b) Use of the MAPPA Category …
London MAPPA Strategic Management Board
Haringey — recommendation 1
That Hertfordshire IDVA service liaise with the local NPS Victim Contact Scheme to provide support and safety planning for victims and their families when perpetrators are released.
Refuge – Hertfordshire IDVA Service
Haringey — recommendation 3
It is recommended that upon receipt of a court order and/or restraining order that ‘specified’ crime report be opened, the victim contacted and the following actions completed: (a) Contact the victim to gather and share information. (b) DASH (c) RARA (d) IDVA – referral to and working with to engage …
Hertfordshire Constabulary
Hertfordshire Constabulary
Haringey — recommendation 9
It is recommended that upon receipt of a court order and/or restraining order that ‘specified’ crime report be opened, the victim contacted and the following actions completed: (g) Contact the victim to gather and share information. (h) DASH (i) RARA (j) IDVA – referral to and working with to engage …
Metropolitan Police Service
Metropolitan Police Service
Haringey — recommendation 2
That the Ministry of Justice work with the HO to create a system enabling the police to be alerted when civil orders are granted that provide protection in domestic abuse cases (This ties into MPS Recommendation 9 and Hertfordshire Constabulary Recommendation 3.
Ministry of Justice | Home Office
Ministry of Justice
Haringey — recommendation 1
That the HO conduct an audit of criminal justice processes to ensure that the system and its various agencies work together to create a coordinated response for the safety of victims of domestic abuse and to hold perpetrators accountable.
Home Office
Home Office
Haringey — recommendation 1
HMPS develop a national policy and practice for working with perpetrators of domestic abuse when they are in custody and for addressing its role in keeping victims and their children safe. This policy would: (c) Ensure that perpetrators of domestic abuse are identified when in custody (even when offence leading …
HM Prison Service
HM Prison and Probation …
Leeds — recommendation 2
Safer Leeds will put in place a strategy for a co-ordinated approach to perpetrator and offender management.
Safer Leeds
Leeds — recommendation 1b
The Safeguarding Children Board, Safeguarding Adults Boards and Safer Leeds Partnership will undertake a review of the use of anger management with perpetrators of domestic abuse.
Safeguarding Children Board | Safeguarding Adults …
Kent — recommendation 4
Kent Police must be open and transparent about the minimum level of service that domestic abuse victims will receive from each of the three DASH risk classifications.
Kent Police
Kent Police
Kent — recommendation 17.
Kent and Medway Domestic Abuse Strategy Group (KMDASG) should consider publishing the Kent and Medway MARAC Operating Protocol and Guidelines online.
KMDASG
Swindon — recommendation 7.2.3
That Swindon Community Safety Partnership leads partnership agencies in raising public awareness of domestic abuse and the availability and scope of specialist support services in Swindon and adjoining areas. This will be fully implemented by March 2016.
Swindon Community Safety Partnership
Swindon — recommendation 7.2.2
That Swindon Community Safety Partnership uses good practice material from other areas to update current literature informing the public and general organisations about domestic abuse and what action to take if they become aware of abuse taking place. This will be fully implemented by March 2016.
Swindon Community Safety Partnership
Swindon — recommendation 7.2.1
That Swindon Community Safety Partnership links with religious leaders to engage with them in raising awareness of domestic abuse and the availability of specialist domestic abuse support services in Swindon. This will be fully implemented by March 2016.
Swindon Community Safety Partnership
Harlow — recommendation 15.7.2
When an offender (who has been convicted of domestic abuse or violence) is released from the sentence early and on license, there must be appropriate conditions placed on the terms of the release. These should be related to the original offence and must include the requirement to stay away from …
Essex Probation
Harlow — recommendation 15.7.1
Internal processes with Essex Probation should be able to flag an alert when an offender with a history of violence and domestic abuse discloses that they have started or are in a new relationship.
Essex Probation
Harlow — recommendation 15.5.1
All investigations should include a check with the MAPPA Coordinator as routine.
Essex County Council-Children’s Social Care
Harlow — recommendation 15.3.5
Where there is proven evidence or research regarding the likely outcome of an abusive relationship, the trust should develop a clear escalation policy which alerts other statutory services or providers using an information sharing protocol
North Essex Partnership NHS Foundation Trust
North Essex Partnership University …
Harlow — recommendation 15.3.2
NEPFT must refer to any information pertinent to MARAC or to a MAPPA co-ordinator involvement, when undertaking patient assessments.
North Essex Partnership NHS Foundation Trust
North Essex Partnership University …
Bromley — recommendation 4
Using the findings from this DHR as a case study, conduct a review of the Information Sharing Agreement between the NPS and MPS and implement revisions necessary to prevent future shortcomings in the system for information sharing.
NPS London | Metropolitan Police Service
Probation Service
Cheltenham — recommendation 6
It is a responsibility of the police to identify vulnerable and intimidated witnesses and respond accordingly.
Gloucestershire Constabulary
Gloucestershire Constabulary
Stafford — recommendation 20.7
For partners to work together to more quickly identify the continual presence and patterns of coercive control and to avoid seeing incidents as isolated.
Staffordshire Women’s Aid | Partners
Haringey — recommendation R26
Home Office to work with the Ministry of Justice to develop guidance for local agencies on the management of domestic abuse perpetrators who are released into the community subsequent to a detention under the Mental Health Act.
Home Office | Ministry of Justice
Home Office
Haringey — recommendation R24
Ministry of Justice to implement a requirement for evidence to be provided additional to self-reporting that persons subject to a condition not to be in a relationship are compliant with said condition. Evidence must include regular unannounced visits.
Ministry of Justice
Ministry of Justice
Wiltshire — recommendation R72
Appropriate enforcement action to be undertaken and use of behaviour contracts to be considered by all Offender Manager’s within BGSW CRC.
BGSW CRC
Wiltshire — recommendation R68
Meeting with probation Service to review treatment options and policy of faltering engagement with a view of managing non-compliant clients and revoking court orders.
Wiltshire Substance Misuse Service
Wiltshire — recommendation R66
Support for MARAC to be placed on a statutory footing
MARAC
Liverpool — recommendation 26
That the Home Office establish nationally whether the use of DVDS and DVPN/DVPO are being used effectively to support victims of domestic abuse.
Home Office
Home Office
Liverpool — recommendation 25
That Citysafe determine whether the DVDS and DVPNs and DVPOs are being used effectively in its area to support safety planning for victims of domestic abuse, including safety planning in advance of offenders being released from prison for breaching DVPO.
Citysafe
Liverpool — recommendation 10
In the event of a relationship with a new partner or known perpetrator of domestic abuse, consideration should be made, in consultation with the police, of a disclosure under the domestic violence disclosure scheme (Clare’s Law).
National Probation Service (Merseyside)
Probation Service
Uttlesford — recommendation 11
Hertfordshire MAPPA Strategic Management Board to work with the Local Authorities to ensure that housing departments and housing associations are adequately represented at and engaged with MAPPA and that a position of flexibility in relation to housing options for offenders is taken to support the management of risk.
Hertfordshire MAPPA Strategic Management Board
Uttlesford — recommendation 5
Home Office to utilise DHR findings to develop and share nationally an in-depth understanding of the risk factors relating to familial abuse.
Home Office
Home Office
Uttlesford — recommendation 3
Her Majesty’s Prison and Probation Service to take action to ensure all prisons have adequate structures in place to communicate with the NPS prior to an offender being released to ensure that licence conditions reflect sentence plans.
Her Majesty’s Prison and Probation Service
Tewkesbury — recommendation 15.9
The Community Safety Partnershipand County to endorse and support the Concordat and take steps to highlight the role of HR in supporting employees who may be experiencing any element of domestic abuse. This should include seeking assurance that HR leads are aware of national guidance and also encourage the use …
Community Safety Partnership | County
Tewkesbury — recommendation 15.5
The Community Safety Partnership should use this review to highlight to multi-agency employers/employees multi-agency that there is national guidance in place and that HR can support around concerns of an employee experiencing domestic abuse.
Community Safety Partnership
Tewkesbury — recommendation 15.3
The Community Safety Partnership should write to the Law Society and Association of Family Lawyers bringing their attention to this DHR and ask them to consider issuing appropriate guidance.
Community Safety Partnership
Sheffield — recommendation 4.2.10
The Domestic Abuse Strategic Board to task an audit of voluntary, community and faith groups to assess awareness of, and compliance with, the domestic abuse pathway, and develop an action plan to address any gaps, by October 2015.
Domestic Abuse Strategic Board
Sheffield — recommendation 4.2.2
The Domestic Abuse Strategic Board to monitor the impact of the FCAF on the assessment of domestic abuse in families, by receiving a monitoring report from the CYPF member of the Board, in September 2015 and March 2016.
Domestic Abuse Strategic Board
Sheffield — recommendation 4.1.7.1
It is recommended that Atlas Court (police call centre) reviews its procedures for 999 and 101 calls involving non-English speakers, and: a. Where a call is made by a child, an adult should be spoken to in all cases to confirm that police attendance is not required b. Where appropriate …
South Yorkshire Police
South Yorkshire Police
CJINI inspection reports(58)showing 50 strongest matches
A Review of the Multi-Agency Review Arrangements in Northern Ireland
Risk Management and public protection arrangements, Probati…
Jun 2026
The Management of Sex Offenders in Northern Ireland – March 2005
Risk Management and public protection arrangements, Probati…
Mar 2005
An inspection of Community Safety Partnerships
Policing and Community Safety Partnerships (PCSPs), Other A…
Nov 2006
The Management of Sex Offenders
Risk Management and public protection arrangements, Probati…
Dec 2006
Report on the Inspection of the Northern Ireland Prisoner Resettlement Strategy
Prisons, Prisoner Rehabilitation and Release
Jun 2007
Follow-up Inspection on the Management of Sex Offenders
Risk Management and public protection arrangements, Probati…
Nov 2007
Transition to Community Arrangements for Life Sentence Prisoners
Risk Management and public protection arrangements, Prisons…
Apr 2009
An inspection of the Probation Board for Northern Ireland Community Service Scheme
Probation Board for Northern Ireland (PBNI), Probation and …
Mar 2010
An inspection of the handling of sexual offence cases by the justice system in Northern Ireland: Donagh sexual abuse cases inspection
Risk Management and public protection arrangements, Domesti…
Nov 2010
Northern Ireland Prison Service Mistaken Prisoner Releases
Prisons, Prisoner Rehabilitation and Release
Nov 2010
An Inspection Of Public Protection Arrangements Northern Ireland
Risk Management and public protection arrangements, Probati…
Jun 2011
An inspection of Public Protection Arrangements Northern Ireland
Risk Management and public protection arrangements, Probati…
Jun 2011
Probation Board for Northern Ireland Pre-Sentence Reports
Probation Board for Northern Ireland (PBNI), Probation and …
Jun 2011
Governance inspection of the Parole Commissioners for Northern Ireland
Parole Commissioners for Northern Ireland (PCNI), Probation…
Sep 2011
An inspection of prisoner resettlement by the Northern Ireland Prison Service
Prisons, Prisoner Rehabilitation and Release
Oct 2011
A Follow-Up inspection of Northern Ireland Prison Service mistaken prisoner releases
Prisons, Prison Operations and Management, Prisoner Rehabil…
Apr 2012
An inspection on the Management of life and indeterminate sentence prisoners in Northern Ireland
Risk Management and public protection arrangements, Prisons…
Jul 2012
An inspection of Community supervision by the Probation Board for Northern Ireland
Probation Board for Northern Ireland (PBNI), Probation and …
May 2013
An inspection on how the Criminal Justice System deals with Serious and Organised Crime in Northern Ireland
Crime, Other Crimes
Nov 2014
Police and Community Safety Partnerships: A review of governance, delivery and outcomes
Policing and Community Safety Partnerships (PCSPs), Other A…
Dec 2014
The management of Life and Indeterminate sentence prisoners in Northern Ireland
Risk Management and public protection arrangements, Prisons…
Feb 2016
An Inspection of Resettlement in the Northern Ireland Prison Service
Prisons, Prisoner Rehabilitation and Release
May 2018
Policing and Community Safety Partnerships
Policing and Community Safety Partnerships (PCSPs), Other A…
Aug 2019
An inspection of pre-release testing arrangements within the Northern Ireland Prison Service
Prisons, Prisoner Rehabilitation and Release
Oct 2019
Public Protection Inspection III: A thematic inspection of the public protection arrangements Northern Ireland
Risk Management and public protection arrangements, Probati…
Oct 2019
BASE 2: Working to support individuals under threat – An Inspection of the role Base 2 in threat verification
Other Inspections and Reviews, Other Agencies and Organisat…
Mar 2020
An Inspection of Probation Practice in Northern Ireland
Probation Board for Northern Ireland (PBNI), Probation and …
Dec 2020
A Review of Probation Approved Premises in Northern Ireland
Probation and Public Safety, Approved Premises (Offender Ho…
Mar 2023
A review of Community Restorative Justice Ireland and its accredited schemes
Restorative Justice, Other Agencies and Organisations
May 2023
An Inspection of the Criminal Justice System’s Approach to Vulnerable Older People in Northern Ireland
Equality, Probation and Public Safety, Safeguarding
Sep 2023
The care and treatment of victims and witnesses by the criminal justice system in Northern Ireland. A Follow-Up Review of recommendation implementation
Victims and Witnesses
Oct 2023
Community Safety and Local Policing Arrangements in Northern Ireland
Policing, Policing and the Community, Policing and Communit…
Mar 2024
Probation Practice in Northern Ireland- A Follow-Up Review of the Inspection Recommendations
Probation Board for Northern Ireland (PBNI), Probation and …
Aug 2024
The Governance and Operation of the Parole Commissioners for Northern Ireland
Parole Commissioners for Northern Ireland (PCNI)
Oct 2024
Special Measures in Northern Ireland’s Criminal Courts
Prosecution and the Courts, Court Operations, Victims and W…
Mar 2026
A Review of Probation Approved Premises A Follow-Up Review
Probation and Public Safety, Approved Premises (Offender Ho…
Jun 2026
RQIA and CJI Publishes Review of Protocol for the Joint Investigation of Alleged or Suspected Cases
Probation and Public Safety, Safeguarding
Feb 2012
Protocol for the Joint Investigation of Alleged or Suspected Cases of Abuse of Vulnerable Adults
Probation and Public Safety, Safeguarding
Feb 2012
A Follow-Up Review of the Probation Board for Northern Ireland’s Community Service Scheme
Probation Board for Northern Ireland (PBNI), Probation and …
May 2013
Sexual Violence and Abuse – A follow-up review of inspection recommendations
Domestic and Sexual Abuse, Crime
Oct 2013
Domestic Violence and Abuse – A follow up review
Domestic and Sexual Abuse, Crime
Oct 2013
An Inspection of Approved Premises in Northern Ireland
Probation and Public Safety, Approved Premises (Offender Ho…
Nov 2013
Northern Ireland Alternatives
Restorative Justice, Other Agencies and Organisations
Feb 2010
Community Restorative Justice Ireland
Restorative Justice, Other Agencies and Organisations
Aug 2011
Policing with the Community: A Follow-Up review of Inspection recommendations
Policing, Policing and the Community
Sep 2012
Anti-Social Behaviour an inspection of the criminal justice system’s approach to addressing anti-social behaviour in Northern Ireland
Policing, Policing and the Community, Crime
Oct 2012
An inspection of the criminal justice system’s approach to addressing anti-social behaviour in Northern Ireland
Crime, Other Crimes
Oct 2012
A Follow-Up Review of the care and treatment of victims and witnesses
Victims and Witnesses
Mar 2015
Northern Ireland Environment Agency
Inspections and prosecutions by Departments and other bodie…
May 2015
The approach of the criminal justice system to investigating and prosecuting crimes against vulnerable adults
Probation and Public Safety, Safeguarding
Sep 2015