Unpaid carer support
Excessive pressures and lack of support for unpaid carers, including young carers, impacting their health and wellbeing.
Source spread
Where this theme appears
This theme appears across 10 independent accountability sources, so the source mix matters as much as the headline total.
1 inquiry rec
9 PFD reports
55 committee recs
2 ICIBI recs
226 DHR recs
1 PHSO decision
31 LGO/SPSO decisions
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Prevention of Future Deaths reports(9)
Wendy Brown
Concerns: The coroner noted concerns about the adequacy of public service signposting and funding routes for adult care, leading to a carer lacking respite support. There were also concerns about delays in processing applications for care packages, creating gaps in essential support for carers.
Response (Swindon Borough Council): • The Council confirmed that robust contractual arrangements and management, alongside internal audits, were in place for the separation of Adult Social Care functions. • An immediate action was taken … (AI summary)
Responded
Barbara Mayer
Concerns: The coroner noted a lack of continuity in crisis team care, where the patient repeatedly recounted personal history. Concerns also related to insufficient discussion of treatment options and efficacy, and a delay in providing urgent help.
Response (Norfolk Suffolk NHS Trust): • The Trust is implementing the 'Triangle of Care' model, with the first stage of self-assessment and action plan creation nearing completion. • The Trust plans to review the functions … (AI summary)
Responded
Daphne McCorkle
Concerns: The coroner identified a gap in night-time care provision for patients requiring frequent turning to prevent pressure sores, as neither Lewisham District Nurses nor commissioned agency carers provide visits at night.
Response (D McCorkle): • The CCG stated it would take steps to improve the risk assessment of patients discharged from hospital with pressure ulcers into community care. • The CCG confirmed it had … (AI summary)
Overdue
David Jackson
Concerns: The coroner noted insufficient face-to-face reviews and inadequate documentation for long-term prescriptions of strong and unlicensed medications. Doctors prescribed without sufficient knowledge of the patient's health, contrary to GMC guidance.
Response (NHS England): • NHS England commissioned an independent clinical adviser to review the case and referred the matter to its local Performance Advisory Group. • The medical practice implemented a plan to … (AI summary)
Overdue
Peter Garvin
Concerns: The coroner identified a lack of direct doctor-to-doctor communication for prescribing and insufficient local mental health beds. Concerns also covered absent NHS/private psychiatric care collaboration and delayed carer's assessments.
Response (CNWL NHS Trust): • The Trust has developed a protocol for staff on how to work with colleagues in private sector organisations. • The protocol also outlines how staff should explain processes to … (AI summary)
Overdue
Brenda Gowan
Concerns: Concerns included insufficient care provision, unaddressed falls risks and lack of equipment in the discharge plan for a stroke patient, alongside a failure to involve family or review the plan when care needs changed.
Response (Barts Health NHS Trust): • The Trust reviewed communication and documentation for Family Care Planning Meetings, implementing reformatted documentation for signed understanding and accountability. • New Care Planning documentation will address risks, equipment, training, … (AI summary)
Responded
Netlyn Robinson
Concerns: The coroner noted a lack of processes to ensure vulnerable individuals have working alarms, telephones, and heating upon returning home. Concerns were also raised about the sufficiency of social worker training and clear guidance for assessing premises suitability for discharge.
Response (Leeds City Council): • Leeds City Council stated it would provide 'Lessons Learned' training sessions to the Mental Health Unit, focusing on telecare, discharge planning, and risk assessment. • The Council indicated it … (AI summary)
Responded
Max Turbutt
Concerns: The coroner noted inadequate contact arrangements for a vulnerable person, as their personal advisor's phone was consistently off without a redirect, and the provided crisis number led only to an answerphone.
Response (Kent County Council): • Young adults will be immediately advised if their allocated Personal Advisor is off longer-term sick, receiving the Team Manager's name and the Duty contact number. • Team Managers will … (AI summary)
Responded
Sylvia Price
Concerns: The coroner noted that the lack of enforceable requirements for clear signage for accessible toilet facilities, which was a directly contributory factor in a death, could lead to similar incidents in other public buildings.
Response (Department for Levelling Up Housing Communities): • The Department for Levelling Up, Housing and Communities is preparing a technical consultation document on formal changes to Building Regulations and Approved Documents concerning toilet provision and signage. • … (AI summary)
Responded
Select committee recommendations(55)— showing 50 strongest matches
#17 —
Recommendation: We welcome the Kinship Allowance Pilot, and we welcome the initiative by some local authorities to provide financial support to kinship carers prior to, and outside of, the Pilot. But efforts must not end there. The majority of children in …
Response status not verified
#16 —
Recommendation: Kinship carers and the children they care for in England are often in need of financial support, and inconsistent provision of that support can place them in significant difficulties. This is especially the case when informal arrangements are in place. …
Response status not verified
#25 —
Recommendation: Health visitors should include supporting reading for pleasure in their work with parents and young children as a critical tool for bonding and good social and emotional development; the Department for Education should work with the Department of Health to …
Response status not verified
#24 —
Recommendation: There are many examples of effective programmes having a positive impact in supporting parents and carers to read with their children. These programmes should be scaled up to ensure they reach families right across the country. As a first step …
Response status not verified
#23 —
Recommendation: Best Start Family Hubs should work hard to develop inclusive activities specifically designed to be welcoming to parents and carers who may not have had a positive experience of reading aloud at school or who may struggle to read themselves. …
Response status not verified
#22 —
Recommendation: The Department should ensure that Best Start Family Hubs provide support for parents and carers on appropriate screen time use for children of different ages, as well as explaining their own role as an adult in modelling appropriate screen time …
Response status not verified
#20 —
Recommendation: Best Start Family Hubs represent a crucial opportunity to support parents, carers and practitioners to develop good practice on reading for pleasure. Support for parents and carers must focus on the joy of reading and make it easy and attractive …
Response status not verified
#19 —
Recommendation: Alongside its recently published guidance on screen use for the under-5s, the Department must update its guidance for parents of primary-aged children on supporting children to read and expand this to parents of children of all age groups. The guidance …
Response status not verified
#18 —
Recommendation: Parents and carers know the benefits of reading with their children and want to do more but face multiple barriers in doing so. Pressures and stresses exist for families across the income distribution; however, these are particularly acute for parents …
Response status not verified
#15 —
Recommendation: Unpaid carers are partners in care and it is deeply concerning that the White Paper does not mention unpaid family carers at all. We welcome the commitment by the Secretary of State to consider what support and representation can be …
Response status not verified
#9 —
Recommendation: Unpaid carers play a vital role in supporting people with dementia. We would like to acknowledge their tremendous contribution, especially over the pandemic period and we welcome the eventual inclusion of provisions in the Health and Care Bill relating to …
Response status not verified
#30 —
Recommendation: The Government claims “the money is there” to support carers’ breaks, but the evidence we received is that not enough carers are getting a break. There are many carers who have not had a break since the start of the …
Response attribution not verified
#29 —
Recommendation: Our broken care system is held up by unpaid carers doing vital work out of love and pride. The cost to them can be financial, physical, and emotional. The cost to our economy of carers leaving the workforce is over …
Response attribution not verified
#55 — Disabled children are overlooked in social care, lacking access to essential short breaks.
Recommendation: Too often, disabled children are overlooked in the social care system. Parents struggle to understand and access the support available and face a confusing “postcode lottery” of support between local authorities. There is an urgent need to improve access to …
Response attribution not verified
#35 — Legislate for statutory kinship leave, ensuring equal entitlements to adoptive parents.
Recommendation: It was a missed opportunity not to include statutory kinship leave in the recent Employment Rights Bill. The Government should ensure that entitlements to kinship leave are included in its forthcoming review of the parental leave system and legislate for …
Response attribution not verified
#34 — Ensure kinship allowance pilot provides financial support equivalent to foster carers.
Recommendation: In its upcoming pilot of a kinship allowance, the Department for Education should ensure that the financial support is on a par with that given to foster carers. It must evaluate the pilot at the earliest opportunity and roll it …
Response attribution not verified
#33 — Kinship care is essential, but carers require adequate financial and employment support.
Recommendation: Kinship care is an essential part of the care system and the evidence is clear that children in kinship care have an overall better experience than children in other types of care. We welcome the Department for Education’s focus on …
Response attribution not verified
#30 — Fund Mockingbird constellations and align housing policy to boost foster carer recruitment.
Recommendation: The Department for Education should fund the planned recruitment hubs to set up Mockingbird constellations in every local authority. The Department should work with the Ministry of Housing, Communities and Local Government to ensure that housing policy is designed to …
Response attribution not verified
#29 — Establish a national fostering strategy, consult on national register, and review financial support.
Recommendation: The Department for Education must put in place a national fostering strategy to complement the existing strategies for adoption and kinship care. As part of this, it should consult on introducing a national register of foster carers and review the …
Response attribution not verified
#28 — Positive innovations and good practice, including Mockingbird model, support foster carers.
Recommendation: There are many positive examples of innovation and good practice in local authorities to support foster carers. In particular, we heard clear support for the Mockingbird model and were interested to hear of the Room Makers scheme to enable carers …
Response attribution not verified
#27 — Severe shortage of foster carers exacerbated by inadequate support and undervalued work.
Recommendation: The shortage of foster carers is a key cause in the crisis in the supply of placements for children in care, with an additional 6,500 fostering families needed. Yet too many prospective foster carers do not complete the application and …
Response attribution not verified
#14 — Mandate DWP to involve disabled children, young carers, and care leavers in Timms Review.
Recommendation: Following the changes agreed to the Universal Credit and Personal Independence Payment Bill on 1 July 2025, we recommend that the Department for Work and Pensions ensures the involvement of organisations working with disabled children, young carers and care leavers …
Response attribution not verified
#16 — Review and support modular apprenticeships for candidates with caring responsibilities in transport manufacturing.
Recommendation: Skills England must undertake a review to ensure that it supports a range of modular or part-time apprenticeships, or other training options in the transport manufacturing sector, to help attract candidates with caring responsibilities or those returning to work from …
Response attribution not verified
#7 — Require the Casey Commission to establish a workstream to reduce pressures on unpaid carers.
Recommendation: We recommend that the Casey Commission includes a specific workstream dedicated to reducing the pressures on carers, especially young carers. This workstream should consider how to support unpaid carers better, to ensure they get the respite they need and to …
Response attribution not verified
#6 — Unpaid carers face significant personal and financial costs due to social care reform failures.
Recommendation: Unpaid carers are bearing the highest cost from successive governments’ failures to reform adult social care. They provide care worth £184 billion, “equivalent to a second NHS”, but this is often unrecognised and comes at great personal, emotional and financial …
Response attribution not verified
#5 — Consider measures to address the erosion of the social care upper threshold.
Recommendation: Given how often this was raised as an issue, we recommend that the Casey Commission considers measures to address the erosion of the upper threshold. In the meantime, we recommend the Government does the same. (Recommendation, Paragraph 29) 53 Unpaid …
Response attribution not verified
#10 —
Recommendation: 16 to 18-year-old apprentices should be treated as part of the family unit when assessing benefit eligibility, and the 21-hour limit of weekly study for carers should be removed. DWP should also drop its plans to remove the health element …
Response status not verified
#9 —
Recommendation: The Secretary of State told us that increasing youth employment, education and training is his top priority, yet certain benefit rules disincentivise young people from pursuing opportunities. It is particularly concerning that 16 to 18-year-olds who take on an apprenticeship …
Response status not verified
#14 —
Recommendation: We heard that many older workers struggle to continue in demanding jobs, sometimes to the detriment of their health. The ‘double jeopardy’ of ageism and disablism may mean they hesitate to request support and if they leave one job, may …
Response status not verified
#31 —
Recommendation: We recognise that it is not always easy to engage with people who do not identify as “carers”, but more must be done to ensure that carers receive the support to which they are entitled, and that the support they …
Response attribution not verified
#27 — Commission research to quantify the full costs of inaction on adult social care reform.
Recommendation: We recommend that the Government commissions research with the aim of fully quantifying the cost of doing nothing on adult social care reform. That research should seek to quantify costs to individuals, including unpaid carers and care workers, to local …
Response attribution not verified
#20 —
Recommendation: We acknowledge that this proposal would not go far enough to improve health outcomes for people who have had to leave work due to ill-health or caring responsibilities in their mid-60s. We should not be in this position. If the …
Response status not verified
#27 —
Recommendation: We heard repeatedly that an absolutely critical lever for stabilising the adult social care market was tackling staff shortages and low retention. This would widen access to care and help to give unpaid carers a much-needed break. There is also …
Response attribution not verified
#14 —
Recommendation: We heard some evidence on how the Department for Work and Pensions could improve or alter conditions in the childcare industry. But we recognise that much of the responsibility for childcare policy sits outside DWP, in the Department for Education. …
Response attribution not verified
#13 —
Recommendation: We recommend that the Department for Work and Pensions consult providers on a way that costs can be split evenly for people claiming Universal Credit childcare support.
Response attribution not verified
#12 —
Recommendation: It is evident that the current system for receiving childcare reimbursements is failing those on Universal Credit, and often leads to further debt and/or compromising circumstances. Variable childcare costs are unfortunately unavoidable due to differing costs during term time and …
Response attribution not verified
#11 —
Recommendation: The range of childcare support schemes available to parents is complex, and they need access to good quality, timely information to make the best decisions about 48 Universal Credit and childcare costs their finances. We recommend the Department for Work …
Response attribution not verified
#10 —
Recommendation: Work Coaches already receive training on childcare support for UC claimants, but given the range of schemes available, the way that payments and suitable options can change with a claimants’ circumstances, and the need for timely information, there is a …
Response attribution not verified
#9 —
Recommendation: The Government offers support on childcare options: notably, the Childcare Choices website and via Jobcentre Plus Work Coaches. DWP told us that Work Coaches receive training in advising UC claimants on their childcare options, but our evidence suggests further work …
Response attribution not verified
#8 —
Recommendation: There are a wide range of childcare support schemes available to people claiming Universal Credit, all with different eligibility criteria and application systems. We heard in this inquiry that it continues to be very difficult for parents to understand what …
Response attribution not verified
#7 —
Recommendation: The UC childcare offer is, in some ways, more generous than the system it replaces, as it offers a higher percentage reimbursement. However, support for childcare for some of the poorest families in the country has failed to keep pace …
Response attribution not verified
#6 —
Recommendation: DWP maintains that it does not collect or publish regular statistical updates on uses of the Flexible Support Fund, on the basis that it does not want to detract from its discretionary nature. The FSF is a core element of …
Response attribution not verified
#5 —
Recommendation: We recommend the Government amend the regulations on the use of the Flexible Support Fund so that receipts for payments made from the Fund can be submitted as if the parent had paid the childcare costs themselves. This would have …
Response attribution not verified
#4 —
Recommendation: DWP, entirely reasonably, wants to reduce the amount that it loses to fraud via childcare payments in UC. However, we have heard that in doing so, by making payments in arrears, it has created an insurmountable barrier to work for …
Response attribution not verified
#3 —
Recommendation: Households claiming Universal Credit are, by definition, amongst the poorest households in the country, yet the childcare support to them via that system requires them to find substantial sums to meet up-front costs: both initially and on an ongoing basis. …
Response attribution not verified
#2 —
Recommendation: Good quality childcare can have a transformative impact on the lives of children and their families, and a lack of childcare, or support with paying for it, should never be a barrier to work. Childcare is expensive for all, but …
Response attribution not verified
#1 — Set out clear timeline for concluding review of research on carers' experiences
Recommendation: The Department should set out when it intends to conclude its review of research on the experience of carers.
Gov response: Ministers have confirmed their intention to publish the research into the experiences of claiming Carer’s Allowance. The Department will set out timescales for publication shortly.
Accepted
#59 — Conduct review of disabled children’s short breaks availability and fund local authority provision.
Recommendation: The Department should conduct a review of the availability of short breaks, respite care and holiday provision for disabled children to understand where the shortages are most acute. It should work with the Ministry of Housing, 91 Communities and Local …
Response attribution not verified
#17 — Ensure active parental involvement in all SEND processes with independent advocacy and resources
Recommendation: Parents and carers must be actively and meaningfully involved in all processes that affect their child’s education, support, and overall wellbeing. This includes being fully informed and invited to participate in all relevant meetings where decisions about their child’s needs …
Response attribution not verified
#1 —
Recommendation: We conclude, in line with our report on Social care: funding and workforce, the current social care system is “unfair and confusing”. Those living with dementia remain unprotected from unlimited costs and navigating the system is burdensome for those providing …
Response status not verified
ICIBI immigration recommendations(2)
An inspection of the use of hotels for housing unaccompanied asylum-seeking children …
Work with partners to provide advocacy support for children, to act on their behalf, for example in terms of challenging their length of stay in the hotel, or ensuring the …
An inspection of the use of hotels for housing unaccompanied asylum-seeking children …
Review the role of team leaders and introduce professional supervision and support to ensure they are able to meet the challenges of managing operations to safeguard the safety and welfare …
Health investigations(283)
Independent investigation: Alan ScottStella Scott, Allerton, Liverpool (2008) — Rec 3
Where a long-term service user ceases to have regular contact with his or her Carers, their needs do not simply end. As part of its ongoing commitment to supporting Carers, Mersey Care NHS Trust needs to find a way of ensuring that, if it becomes inappropriate for a care co-ordinator …
north_west
Independent investigation: Pauline Cole (partner), Manor Park, London (2003) — Rec 2
Barnet, Enfield and Haringey, and East London and The City NHS Mental Health Trusts, should review the implementation of CPA policy to ensure compliance with current guidance relating to the needs of carers.
london
Independent investigation: Simon Breed, Wood Green (2004) — Rec R19
CPA audit processes should include an evaluation of the frequency of carers assessments offered and provided in relation to the number of carers entitled.
london
Independent investigation: Richard Marden, Towcester (1999) — Rec 6
That a handbook of all available services should be written and distributed to all families/carers of people in touch with mental health services.(Para 14.20)
midlands
Independent investigation: Richard Marden, Towcester (1999) — Rec 5
That carers should have their own care-plan which includes names of key professionals and how to contact them.(Para 14.20)
midlands
Independent investigation: Richard Marden, Towcester (1999) — Rec 4
That carers should have an appointed care worker who can assess their needs for ongoing support and respite care if and when necessary. (Para 14.20)
midlands
Independent investigation: Richard Marden, Towcester (1999) — Rec 3
That the Trust should ensure that all carers are positively involved in the CPA process and should ensure that there is a full discussion with them of their needs and of how they relate to the task of caring for the patient. (Para 14.20)
midlands
Independent investigation: Richard Loudwell, Broadmoor (2004) — Rec 20.8.a
Audit of carers’ assessments We suggest that the effectiveness of the carers’ assessments be audited. In particular we question whether primary health care practitioners are aware that some of their patients may be entitled to such an assessment, and we suggest therefore that an audit may help to publicise the …
london
Independent investigation: Michael Kahan, Manchester (2008) — Rec 11
The Trust should review performance in assessing carers‟ needs and put forward plans for a more equitable service across the localities served by the Trust.
north_west
Independent investigation: Michael Kahan, Manchester (2008) — Rec 9
The Trust should ensure that carers, when included in the care plan for a service user, are aware of the plan, have a written copy of the plan and have a contingency plan if things go wrong.
north_west
Independent investigation: Michael Kahan, Manchester (2008) — Rec 8
The Trust should complete regular audits of carers‟ assessments to enable managers to monitor compliance with Trust policy.
north_west
Independent investigation: Michael Kahan, Manchester (2008) — Rec 7
The Trust should ensure that carers‟ assessments are offered and completed, particularly when service users rely on carers for daily support.
north_west
Independent investigation: John Stevens, Woking (2001) — Rec 17
We recommend that North West Surrey Mental Health Partnership Trust, ensures that an evaluation is carried out of the role and capacity of carers in CPA reviews and that a separate assessment of carers’ needs is undertaken when necessary.
south_east
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002) — Rec 20.8.a
We suggest that the effectiveness of the carers’ assessments be audited. In particular we question whether primary health care practitioners are aware that some of their patients may be entitled to such an assessment, and we suggest therefore that an audit may help to publicise the benefits of these assessments …
south_east
Independent investigation: Gwen Poole, Llanbradach, Caerphilly (2009) — Rec 3.14
Aneurin Bevan Health Board and Caerphilly County Borough Council must ensure that Carers’ Assessments are used consistently and recognise the impact of patient risk factors on carers’ needs as well as those of the patient.
wales
Independent investigation: Edna Gadsby, Liverpool (2010) — Rec 2
A review of the arrangements in place for carers of service users admitted to the Scott Clinic should be undertaken
north_west
Independent investigation: Boris Reavey, Bedford (2008) — Rec 9
The SEPT should ensure that all carers of patients with mental ill health are offered an assessment of their needs in their own right. Carers should be involved, when appropriate, in order to gain corroborative information and to understand the needs of the service user. The Trust should put in …
east_of_england
Independent investigation: Asiya Khatun, Newham (2000) — Rec 22
East London and The City Mental Health NHS Trust should review CPA policies and procedures with the involvement of Primary Care Trust representatives in order that the role of primary care teams and GPs should be reflected throughout; the revised policies and procedures should be implemented Trust-wide; routine audit of …
london
Independent investigation: Asiya Khatun, Newham (2000) — Rec 8
The London Borough of Newham should ensure that the Carers' Directory contains information and contact details on the Domestic Violence Unit within the police service and on voluntary sector organisations providing advice and support to victims of domestic violence.
london
Independent investigation: Asiya Khatun, Newham (2000) — Rec 7
The London Borough of Newham should publish, in the principal community languages, a directory of local carers' services and other sources of support for carers, which should be provided to all identified carers of people with severe and enduring mental illness, and available readily at all mental health service sites.
london
Independent investigation: Asiya Khatun, Newham (2000) — Rec 6
East London and The City Mental Health NHS Trust and the London Borough of Newham should ensure their compliance at the earliest date with the involvement of carers in CPA assessment, care and treatment plans, in accordance with Standard 6 of the National Service Framework for Mental Health.
london
Independent investigation: Asiya Khatun, Newham (2000) — Rec 5
East London and The City Mental Health NHS Trust, the London Borough of Newham and Newham Primary Care Trust should institute a rolling programme of training to ensure that all staff delivering mental health services and all primary care teams are fully conversant with the operation of The Carers and …
london
Independent investigation: Vincent Francis, Wells (2009) — Rec 3
The Trust should seek evidence and reassurance that GP and carer groups are consulted when policies are developed which are aimed at improving service delivery to young people with alcohol misuse problems.
south_west
Independent investigation: Tracey Baker, Chard (2015) — Rec 4
The revised Integrated Care Planning Approach Policy should identify that it is the responsibility of either the care coordinators, lead professional, named nurse or key worker to assess carers and to signpost them to the appropriate support. The revised policy should provide details of what support is available together with …
south_west
Independent investigation: Tom Easton, Old St, London (2006) — Rec 5
The carers of patients must be offered an assessment of their own needs and any help that they may require in order to fulfil their caring role. The East London Foundation Trust should undertake an audit of case records to determine whether Carers’ Assessments are being offered and whether their …
london
Independent investigation: Tina Stevenson&2 babies, Hull (2005) — Rec 19.5
The assessment of carers and the progress the MH Trust makes in this area should form an annual report to the Board on the impact future engagement and assessment of need has. The progress should be measured against the existing action plan already developed by the MH Trust with the …
north_east_yorkshire
Independent investigation: Richard Baker (Mr G), Hastings (2003) — Rec Four
It is recommended that all staff receive guidance to encourage and facilitate the gathering of information from carers and significant others, (recognising the confidentiality issues), which should be incorporated into the assessment and care planning process.
south_east
Independent investigation: Remy Surage (Mr S), Orpington, Kent (1998) — Rec 7.6.1
In making plans for rehabilitation the availability of members of the patient’s extended family (and of friends), as potential carers should always be carefully evaluated and discussed with the patient and recorded, particularly when they have offered support in the past.
south_east
Independent investigation: Phyllis Deane, Shaldon/Torquay Devon (2007) — Rec 10
The carers of service users must be offered an assessment of their own needs and any help that they may require in order to fulfil their caring role. The Devon Partnership NHS Trust and Devon County Council should undertake an audit of case records to determine whether Carers’ Assessments are …
south_west
Independent investigation: Ms B, Cheltenham (2008) — Rec 2
The Trust should ensure that all eligible carers receive a carer’s assessment.
south_west
Independent investigation: Michael Martin, Almondsbury, (1999) — Rec 1
Our recommendations advise that the Trust and social services work with local advocacy and carer support services to produce a Trust leaflet for users and families. Every effort should be made to reduce the stigma often associated with seeking help for mental illness.
south_west
Independent investigation: Maxine Penfold, Cullompton, Devon (2004) — Rec 5
The Mental Health Trust must ensure that wherever carers are actively involved, their statutory rights to a separate assessment of needs should be respected and met.
south_west
Independent investigation: Matthew Carter, Tooting (2006) — Rec R8
The EIS should ensure that all carers are offered dedicated time for education and training about the mental health issues faced by the patient they care for and also dedicated time to consider their own needs and any support they may require in acting as a link between the service …
london
Independent investigation: Mark Murphy, Streatham (2006) — Rec Two
It is recommended that a Carers Assessment should be offered to all informal carers such as Ms PG’s mother and recorded in the individual notes whether this has been undertaken or refused.
london
Independent investigation: Margaret McIntyre, Corby, Northants (2007) — Rec 7.5
Safeguarding children should be at the forefront of staff working in service users homes where there are children. The Trust should ensure that all service users families are offered a carers assessment and where children are involved this should be mandatory factoring in any of the safeguarding concerns or needs …
midlands
Independent investigation: Lorna Thomas, Milton Keynes (1995) — Rec 14
The Milton Keynes Community NHS Trust, Milton Keynes Council and Buckinghamshire County Council Social Services Departments should ensure that there is an express recognition of the need to engage service users and carers as far as possible in the planning and delivery of care and after care. Service users and …
south_east
Independent investigation: Lisa Sullivan, Walton on the Naze (2005) — Rec 3
In situations where a service user is usually seen alone without any family or friends and there is no corroborative information to support the ‘history’ or symptoms described by the service user, any opportunity to speak to another person who knows them should be used. The person may be a …
east_of_england
Independent investigation: Lesley Wright, Tooting (2006) — Rec R17
The trust should ensure that clinicians are aware of the range of social interventions available for patients referred to the service, including carer’s assessments.
london
Independent investigation: Lesley Wright, Tooting (2006) — Rec R15
The trust should ensure that all staff have training in assessing the needs of carers and are aware of their duties under the Carers (Recognition and Services) Act 1995.
london
Independent investigation: Keziah Flux Edmonds, East Cowes, IoW (2016) — Rec 9
Isle of Wight NHS Trust should develop a Carer’s Support Policy.
south_east
Independent investigation: Kenneth Auger, Merthyr Tydfil (2008) — Rec 3.1d
Encourage carers, especially young carers, to engage and make contact with services including in transition planning when young people themselves become adults and move out of contact with children’s services. This process needs to be audited and reviewed to ensure its efficiency.
wales
Independent investigation: Kenneth Auger, Merthyr Tydfil (2008) — Rec 3.1b
Audit the use of carer’s assessments, in conjunction with Merthyr Tydfil Social Services, to ensure that a full picture of the client’s family arrangements are clear at an early stage during the care and treatment of the individual, whether they are subject to standard or enhanced CPA.
wales
Independent investigation: John Williams, Camberley (2011) — Rec Recommendation 10
The Early Intervention Service should ensure that all carers of young people have a carer’s assessment offered to them and a suitable plan developed to support their needs if any are identified.
south_east
Independent investigation: John Speakman, Wigan (2006) — Rec 3
Where it is known to mental health and primary care services that a service user has a substance misuse problem and there are closely involved carers/relatives, primary care and mental health services must provide those individuals with information about where they can source support for themselves. Information should at least …
north_west
Independent investigation: John Redhead, Potters Bar (2007) — Rec 3
The Trust should ensure that all eligible carers receive a carers assessment.
east_of_england
Independent investigation: Janet Hossein, East London (2007) — Rec Recommendation 4
It was clear to the Independent Investigation Team that the care co-ordinator to Mr SU, whose care and treatment was the subject of this investigation, does appreciate the importance of offering carers a Carer‟s Assessment. The commitment to the provision of a Carer‟s Assessment was endorsed by the then, and …
london
Independent investigation: James Fortey, Newport, Gwent (2007) — Rec 4
Aneurin Bevan Health Board should: a) Develop clear written guidance for staff about dealing with patient’s families, including how to draw them into appropriate and helpful collaboration with care and treatment of patients and how family members should be supported when their family member (the patient) may be placing them …
wales
Independent investigation: James Ford, Sunbury (2004) — Rec 92
The Trust should ensure that all staff involved in the care of service users and their carers are aware of the need to undertake a Carers Assessment and that this is completed in a timely manner and reviewed as part of the CPA process.
south_east
Independent investigation: James Ford, Sunbury (2004) — Rec 91
The Trust should ensure that all staff involved in the care of service users and their carers are aware of the need to undertake a Carers Assessment and that this is completed in a timely manner and reviewed as part of the CPA process.
south_east
Independent investigation: James Ford, Sunbury (2004) — Rec 90
The Trust should ensure that all staff involved in the care of service users and their carers are aware of the need to undertake a Carers Assessment and that this is completed in a timely manner and reviewed as part of the CPA process.
south_east
Independent reviews(18)
Narey-Owers Foster Care Review — Rec 10
All Fostering Services should consider introducing structured peer support for carers. Not all will be able to provide something as sophisticated as the Mockingbird model (and the costs are not insignificant, estimated to be more than £30,000 a year) but arrangements of this nature are likely to promote carer retention …
Other
Narey-Owers Foster Care Review — Rec 9
We do not believe that Department for Education guidance on allegations needs to be changed. But local authorities need to be sure that it is followed in all cases. And carers need to be reassured that, however unlikely the prospect of an allegation being made, they can be confident that …
Other
Dilnot Commission — Rec 9
Carers should be supported by improved assessments which take place alongside the assessment of the person being cared for and which aim to ensure that the impact on the carer is manageable and sustainable. We support the proposals set out by the Law Commission to give carers new legal rights …
Health & Social Care
Selous Review — Rec 40
The Armed Forces and Ministry of Defence to: • improve the identification of young carers within Serving military families • ensure that appropriate support is available • provide information directly to children and families about the support available • ensure that the education, accommodation and support needs of families with …
Other
MacAlister Review — Rec 38
All foster carers should be able to access high quality training and peer support. As part of the National Children’s Social Care Framework, all local authorities should develop a model of foster carer support based on the principles of Mockingbird.
Education
MacAlister Review — Rec 28
As part of our recommendation to establish a National Children’s Social Care Framework in Chapter Eight, local authorities should develop peer support and training for all kinship carers.
Education
MacAlister Review — Rec 27
All new special guardians and kinship carers with a Child Arrangement Order (CAO) should be given kinship leave, which matches the entitlement given to adopters.
Education
MacAlister Review — Rec 25
All local authorities should make a financial allowance paid at the same rate as their fostering allowance available for special guardians and kinship carers with a Child Arrangement Order looking after children who would otherwise be in care.
Education
Taylor Review — Rec 40
As part of the statutory evaluation of the Right to Request Flexible Working in 2019, Government should consider how further to promote genuine flexibility in the workplace. For example it should consider whether temporary changes to contracts might be allowed, to accommodate flexibility needed for a particular caring requirement. Government …
Employment & Work
Accepted
Timpson Review — Rec 18
Local authorities should include information about support services for parents and carers of children who have been, or are at risk of, exclusion, or have been placed in AP, in their SEND Local Offer. DfE should also produce more accessible guidance for parents and carers. In the longer term, the …
Education
Accepted
Cass Review — Rec 3
Standard evidence based psychological and psychopharmacological treatment approaches should be used to support the management of the associated distress and co-occurring conditions. This should include support for parents/carers and siblings as appropriate.
Health & Social Care
Accepted
Selous Review — Rec 41
The Ministry of Defence and the Armed Forces, together with the Devolved Governments, to ensure research is undertaken to extend understanding of the additional challenges faced by Service children who have caring responsibilities and the kinds of support they need.
Other
Dearing Higher Education Review — Rec 5
We recommend to the Government that: it considers the possibility of restoring to full-time students some entitlement to social security benefits, as part of its forthcoming review of the social security system. This review should include consideration of two particular groups in current difficulty, those who temporarily withdraw from higher …
Education
Allen Early Intervention Review (Part 1) — Rec 17
I recommend a new National Parenting Campaign as the Crown Jewel of the Big Society project, pursued with enough passion and vitality to make it irresistible even to the most jaundiced. I recommend the creation of a broad-based alliance of interested groups, charities and foundations to ensure that the public, …
Other
Allen Early Intervention Review (Part 1) — Rec 11
I recommend that, building on the anticipated cross-government consultation paper for a system of flexible parental leave which enables parents to take more of their entitlement, the Government should form a broad-based cross-party group to explore over the long term what is the appropriate level of maternity and paternity support …
Other
Field Review on Poverty and Life Chances — Rec 16
The initiatives for the wider society should be taken up by the Behavioural Insight Team based in the Cabinet Office. This Review recommends that it leads, along with key Departments, an examination of how parenting and nurturing skills can be promoted throughout society.
Other
Sewell Commission — Rec 19
Undertake a ‘support for families’ review The Commission recommends that the government undertake a ‘support for families’ review to further investigate issues highlighted by this Commission as follows: • collecting data about ‘family strain’ (the negative impact of economic and social pressure on households) in different ethnic groups • academic …
Other
Wessely Review — Rec 21
NPs should be given improved support, which could include courses provided by recovery colleges, support lines or online materials.
Health & Social Care
Accepted
LGO / SPSO decisions(31)
23-018-142 — Sunderland City Council
Summary: We will not investigate this complaint the Council gave incorrect advice about Carers
LGO (Local Government & …
Adult Care Services
Upheld
Mar 2024
24-000-311 — St Helens Metropolitan Borough Council
Summary: Mrs X complains the Council is not giving her adult son, Mr Y, sufficient support to meet his needs. She says direct payments from the Council do not cover the cost of respite care and the Council will not allow her flexibility in how she spends the payments. She …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2024
201809134 — North Lanarkshire Council
Ms C complained that the Council had unreasonably failed to assess her needs as a carer. She said that she had suffered considerable stress for over a year as a result of her caring role for her son (Mr A) who has a number of disabilities. We took independent advice …
SPSO (Scottish Public Se…
Local Government
Upheld
Aug 2020
25-000-966 — London Borough of Barking & Dagenham
Summary: Mr X complains on behalf of his son, Mr Y, that the Council wrongly reduced his care package and did not include his privately arranged weekend care as a disability-related expense. We found fault in the Council’s decision-making process. The Council also delayed issuing an appeal decision. This is …
LGO (Local Government & …
Adult Care Services
Upheld
Jan 2026
22-006-428 — West Midlands Combined Authority
Summary: We will not investigate Mr X’s complaint that West Midlands Combined Authority has failed to provide concessionary travel passes to his son’s carers to assist disabled people to use public transport. This is because there is no requirement for the Authority to issue passes to carers and the substantive …
LGO (Local Government & …
Transport And Highways
Aug 2022
23-010-999 — Derby City Council
Summary: Mrs B complained about changes in her adult son’s care plan and financial assessment and said the Council failed to provide her with a carer’s assessment. There was fault in the failure to provide a carer’s assessment and the Council did not properly explain, at the time it reviewed …
LGO (Local Government & …
Adult Care Services
Upheld
May 2024
24-004-031 — Shropshire Council
Summary: We will not investigate this complaint about a lack of support for carers in the Council’s area. This is because many of the issues raised happened too long ago and I seen no good reason why they could not have been raised sooner. We could not add to the …
LGO (Local Government & …
Adult Care Services
Aug 2024
25-000-703 — Surrey County Council
Summary: The Council was at fault for failing to update Mr S’s care plan to include provision after his day placement ended in August 2024. This meant he missed out on provision to meet his eligible care needs. This also caused his mother, Ms X, distress, as she became his …
LGO (Local Government & …
Adult Care Services
Upheld
Dec 2025
25-010-310 — Leicester City Council
Summary: We will not investigate Mrs X’s complaint about a carer’s assessment and the support provided by the Council because we could not add to the previous independent investigation, and we could not achieve the outcome Mrs X wants.
LGO (Local Government & …
Children S Care Services
Dec 2025
202407263 — Aberdeenshire Health and Social Care Partnership
C complained that the partnership failed to handle their application for their child (A)'s placement at a residential facility reasonably. A has a genetic condition, mental health issues and significant learning disabilities. A had identified a residential placement for individuals with their condition. C applied for a place supported by …
SPSO (Scottish Public Se…
Health and Social Care
Partly Upheld
Nov 2025
PSOW-202302021 — Flintshire County Council
Mrs A complained about the length of time her mother had been waiting for Flintshire County Council to arrange a care package. She also complained that the Council had rejected her request to escalate the complaint to Stage 2 of the complaints procedure. The Ombudsman found that whilst the Council …
PSOW (Public Services Om…
Local Government
Aug 2023
21-012-121 — Maidstone Borough Council
Summary: Mr X complained the Council have repeatedly failed to return his bins in accordance with its assisted waste collection service. Mr X is disabled and has difficulty moving his bins himself. Mr X says the Council’s failure to return his bins often prevents access to and from his drive. …
LGO (Local Government & …
Environment And Regulation
Upheld
Apr 2022
22-000-697 — Bolton Metropolitan Borough Council
Summary: We will not investigate this complaint about Disability Related Expenditure. This is because there is insufficient evidence of fault by the Council and insufficient evidence of injustice.
LGO (Local Government & …
Adult Care Services
May 2022
21-018-082 — Kingston Upon Hull City Council
Summary: We will not investigate this complaint about the Council charging Mrs B for care neither she nor her husband, Mr B knew would be chargeable. This is because the Council has agreed to waiver the outstanding charges and we are satisfied this and the additional recommendations identified by the …
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
22-002-801 — Cheshire West & Chester Council
Summary: We will not investigate this complaint about how the Council assessed Ms X’s personal expenses allowance. That is because there is insufficient evidence of fault to justify our involvement.
LGO (Local Government & …
Adult Care Services
Jun 2022
22-002-568 — Alina Homecare Services Limited
Summary: We will not investigate Ms B’s complaint about her former Care Provider’s charging policy. This is because the Care Provider has apologised for invoicing Ms B, credited her account, and confirmed it did not take any payments. The Care Provider’s actions have not caused a significant enough injustice to …
LGO (Local Government & …
Adult Care Services
Jun 2022
22-000-320 — Cheshire East Council
Summary: Mrs X complained about the way a care provider, commissioned by the Council, ended its contract to provide care for her son. There was fault in the care providers actions, for which the Council is responsible. This caused Ms X considerable distress. The Council should apologise, make a symbolic …
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2022
22-000-152 — Cambridgeshire County Council
Summary: The Council’s commissioned care provider (Regional Care) failed to contact the late Mrs X’s family or summon medical help in good time. The care worker acted unprofessionally and reacted hysterically to the news of Mrs X’s death which caused additional distress to Mrs X’s family. The Council has taken …
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2022
23-018-611 — Westmorland and Furness Council
Summary: Mr F complains about the homecare provided to his mother and that the Council referred him to the office of the public guardian. We found no fault.
LGO (Local Government & …
Adult Care Services
Not Upheld
Oct 2024
23-006-166 — London Borough of Waltham Forest
Summary: Ms X complains the Council’s care provider, Reline Care, consistently failed to meet her needs, causing her significant distress. Based on the evidence seen so far, the care and support planning was poor and failed to explain how Ms X’s needs would be met by the support put in …
LGO (Local Government & …
Adult Care Services
Upheld
Oct 2024
25-002-897 — London Borough of Harrow
Summary: We will not investigate this complaint about an unsuccessful application for a travel pass for a carer. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Adult Care Services
Jun 2025
25-003-567 — Staffordshire County Council
Summary: We will not investigate Mrs M’s complaint because the Council has agreed to respond and undertake a new carer’s assessment. Mrs M can make a new complaint to us if she remains unhappy once the Council has responded to her concerns.
LGO (Local Government & …
Education
Oct 2025
24-012-823 — Essex County Council
Summary: We will not investigate this complaint about parking provision at assessment centres for Blue Badges. This is because there is insufficient evidence of fault causing injustice.
LGO (Local Government & …
Adult Care Services
Dec 2024
25-004-361 — Durham County Council
on the lessons that can be learnt from our complaints about end of life care given in care homes and in the home.
LGO (Local Government & …
Adult Care Services
Upheld
Feb 2026
PSOW-202106906 — Ceredigion County Council
Miss X complained that the Council failed to respond to her complaint about social services , and further failed to respond to her letters. The Ombudsman decided that the Council should contact Miss X (within 5 days) to establish if she would like her complaint dealt with at stage 1 …
PSOW (Public Services Om…
Health
Feb 2022
PSOW-202207565 — Neath Port Talbot Council
Mr V complained that when the Council’s commissioned care for his father, Mr C, at a residential Care Home between 27 August 2021 and 7 January 2022, in relation to the replacement of Mr C’s broken glasses and Mr C’s access to a COVID-19 booster vaccine. Mr V also complained …
PSOW (Public Services Om…
Local Government
Upheld
Feb 2024
PSOW-202502774 — Wales & West Housing Association
Mrs S complained that Wales & West Housing Association failed to address all the concerns she raised with it. The Ombudsman found that the Association failed to address all the concerns she raised which caused additional frustration and uncertainty for Mrs S. She decided to settle the complaint without an …
PSOW (Public Services Om…
Housing
Oct 2025
PSOW-202504798 — Isle of Anglesey County Council
Mr A complained, on behalf of Miss B, that the Council had not provided an appropriate written response following the resolution of Miss B’s complaint. The Ombudsman found that whilst meetings had taken place with the team manager and social worker to discuss Miss B’s complaint, she was not provided …
PSOW (Public Services Om…
Local Government
Oct 2025
21-007-132 — Kirstens Care Ltd
Summary: Ms X complained about the standard of care provided to her brother, Mr T over forty days in summer 2021 by Kirstens Care Ltd. There was fault in Kirstens Care’s record keeping and complaint handling which caused Ms X uncertainty about the level of care received by Mr T …
LGO (Local Government & …
Adult Care Services
Upheld
Feb 2022
20-005-928 — London Borough of Brent
Summary: Ms X complained about the care provided to her father, Mr Y, and the way the Council dealt with her complaints about that. She said this caused significant distress. We find the Council at fault. It has agreed to reimburse Mr Y 50% of his contribution to his care …
LGO (Local Government & …
Adult Care Services
Upheld
Feb 2022
201706980 — Highland NHS Board
Mrs C has power of attorney for her son (Mr A) who has a learning difficulty and lives independently. Mr A was awarded an Individual Service Fund (ISF) under self-directed support by the board to support him to achieve his personal outcomes. Mrs C complained that the board did not …
SPSO (Scottish Public Se…
Health
Upheld
Sep 2018
Domestic Homicide Reviews(226)— showing 50 strongest matches
Wokingham — recommendation R1
In cases where elderly carers with significant health needs of their own and are responsible for providing support to vulnerable adults who may not have capacity to make their own decisions about care and support, consent to share information should be sought for the purposes of ensuring that the dependent …
Berkshire Healthcare NHS Foundation Trust | …
Berkshire Healthcare NHS Foundation …
Wokingham — recommendation R3
That the learning from this case should inform the development of the RBFT Carers Strategy as part of the Berkshire West Carers Strategy being led by the CCG
Royal Berkshire NHS Foundation Trust | …
Royal Berkshire NHS Foundation …
Wokingham — recommendation R1
In cases where patients with significant health needs of their own are carers the mechanism of interagency assessment at the time of diagnosis should be reviewed to ensure a more holistic process involving health care providers, adult social care, other relevant agencies, the patient and family
Royal Berkshire NHS Foundation Trust
Royal Berkshire NHS Foundation …
Kent — recommendation 4
That a professional working with a carer sees a copy of the POA and communicates the contents to others working with a person/family. It follows that there should be a good understanding of POA and agencies may need to deliver training to ensure that their staff/contractors have a clear understanding …
Kent and Medway ICB | KCC …
NHS Kent and Medway …
Kent — recommendation 2
That provision is made for carers to be spoken to on their own about how they are managing/coping. This should be a structured conversation where a realistic assessment of capability is made according to the pressures that the individual carer is subject to and should be offered a carers assessment. …
KCC Adult Social Care and Health
Coventry — recommendation 7.5.1
To promote the benefit of carers’ assessments amongst housing practitioners
Whitefriars Housing Group
Coventry — recommendation 7.1.3
The CCG will review how the national strategy for supporting carers is being implemented locally by local GP primary care providers. This piece of work will review the activities of the finance, contracting, communications and clinical groups to ensure a joined up approach is being delivered to improve support to …
Coventry and Rugby Clinical Commissioning Group
NHS Coventry and Warwickshire …
Coventry — recommendation 8
Coventry Safeguarding Adult Board seeks assurance from its agencies that they are delivering their responsibilities to carers under the Care Act 2014.
Coventry Safeguarding Adult Board
West Berkshire — recommendation 3
We recommend that the requirement to conduct Carers Assessments be re-emphasised in both health and social care and that the outcomes of such assessments be appropriately shared between professionals and agencies.
Health and social care professionals | …
Herefordshire — recommendation 10
Provide clear guidance on the process for ascertaining that a carers assessment has been requested, and undertaken or refused, should be reviewed, including its documentation and reference to actions in RIO.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 9
Provide clear guidance to ensure that patients and carers are offered and consistently reminded of a clear single point of contact at whatever level they are engaged, and that appropriate supporting information is given regarding planned interventions and indications for contacting services before crisis.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 8
Review the Herefordshire Memory Assessment and Older Person Services sharing of information with clinicians, patients and carers, including the practice of copying or addressing letters to patients. This will also consider the sharing of information regarding medication and care planning.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 6
Development work on better liaison and promotion of careers support services linked with wider Trust work in this area. This will include the development and communication of strategies to be used when reasonable support is being refused.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 4
Conduct an audit of carers assessments completion and review dates will be completed for the Herefordshire Memory Assessment Service and Older Person Services.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation WVT2
Trust to look at developing a carer’s self-assessment tool that could be completed by carers of patients with dementia, in order to identify those carers who are finding it difficult to cope.
Wye Valley NHS Trust
Wye Valley NHS Trust
Herefordshire — recommendation WVT1
Trust to look at ways of ensuring that information leaflets for carers of patients with a diagnosis of dementia is given to all carers, in order that they are aware of how to access help if required.
Wye Valley NHS Trust
Wye Valley NHS Trust
Colchester — recommendation 6
Previous legislation with regard to Carers rights to advice, assessments and services/support is updated by provisions in Care Act 2014. Training/re-training for all practitioners likely to be involved in assessments or reviews of carers will therefore be required and should be mandatory. This should include practitioners at all stages of …
Essex County Council - Adult Operations
Cardiff — recommendation 3
General Practitioner’s to consider signposting carers of a relative with dementia to third sector for support and advice when they are presenting with stress related symptoms associated with a caring role.
Cardiff & Vale University Health Board
Cardiff and Vale University …
Cardiff — recommendation 1
General Practitioners to be encouraged to develop systems to be able to identify when a patient has caring responsibilities associated with a relative who has a diagnosis of dementia.
Cardiff & Vale University Health Board
Cardiff and Vale University …
Cardiff — recommendation 2
As an extension of the recent ‘Better Conversations’ training, all relevant staff undertake additional carer awareness training to further enhance a proactive approach in supporting carers and providing them with information
Adult Social Services
Adult Social Services
Cardiff — recommendation 2
Where a Carer’s Assessment is refused by a husband or wife deemed to be the main care giver, the assessment should be routinely be offered to additional family members who are also undertaking care giving tasks.
Adult Social Services
Adult Social Services
Cardiff — recommendation 1
Where a person with dementia who is being cared for at home displays additional or increased needs that may lead to an increase in the carer’s stress, then Social Services should consider if a review is required
Adult Social Services
Adult Social Services
Harlow — recommendation 11.7.3
There was no carers assessment completed with regard to CP, even though MG reported that she was his main carer and she agreed that she was “looking after him”. NEPFT states that it has a policy with regard to this and it is mandatory for any carer to have an …
NEPFT
Herefordshire — recommendation 20
When Care Notes Electronic records are introduced, separate records should be created for carers who are in receipt if direct interventions from Trust services with links to the patient’s records so that other services within the Trust can have access to carer records. Separate interventions for a carer would be …
Admiral Nursing Service
Herefordshire — recommendation 13
Provide clear guidance on the process for ascertaining that a carers assessment has been requested, and undertaken or refused, should be reviewed, including its documentation and reference to actions in RIO.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 12
Provide clear guidance to ensure that patients and carers are offered and consistently reminded of a clear single point of contact at whatever level they are engaged, and that appropriate supporting information is given regarding planned interventions and indications for contacting services before crisis.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 11
Review the Herefordshire Memory Assessment and Older Person Services sharing of information with clinicians, patients and carers, including the practice of copying or addressing letters to patients. This will also consider the sharing of information regarding medication and care planning.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 9
Development work on better liaison and promotion of careers support services linked with wider Trust work in this area. This will include the development and communication of strategies to be used when reasonable support is being refused.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 7
Conduct an audit of carers assessments completion and review dates will be completed for the Herefordshire Memory Assessment Service and Older Person Services.
2gether NHS Foundation Trust
Gloucestershire Health and Care …
Herefordshire — recommendation 3
Trust to look at developing a carer’s self-assessment tool that could be completed by carers of patients with dementia, in order to identify those carers who are finding it difficult to cope.
Wye Valley NHS Trust
Wye Valley NHS Trust
Herefordshire — recommendation 2
Trust to look at ways of ensuring that information leaflets for carers of patients with a diagnosis of dementia is given to all carers, in order that they are aware of how to access help if required.
Wye Valley NHS Trust
Wye Valley NHS Trust
Harlow — recommendation 15.3.4
Carers and family members should be included in the assessment process, and have their own separate assessment; especially if like the perpetrator's family, they have highlighted that they are living in fear.
North Essex Partnership NHS Foundation Trust
North Essex Partnership University …
Bromley — recommendation Recommendation 4
Oxleas NHS Foundation Trust and other mental health agencies to improve support for families and friends who are assisting or caring for someone with mental ill health, including safety advice for the carers and families. Oxleas and other agencies to have discussions with family and friends about what role they …
Oxleas NHS Foundation Trust | other …
Oxleas NHS Foundation Trust
South Ribble — recommendation None
Robust use of Carer’s Register and “Think Family” approach.
Chorley and South Ribble ICB
Epping Forest — recommendation 12.5 (2)
Essex Safeguarding Adults Board to: seek assurance from its partners that support is available to carers; and ensure that support for carers is integrated into its training, awareness raising and communications relating to safeguarding adults.
Essex Safeguarding Adults Board
Uttlesford — recommendation 7
The Essex Adult Safeguarding Board to review, and amend where necessary, multi-agency policy and training to address the learning from this Review concerning support offered for families with caring responsibilities, specifically: conversations with those who have caring responsibilities should not be limited to offering carer’s assessments, and must be open, …
The Essex Adult Safeguarding Board
Norfolk — recommendation 14
Once published, the learning from this review will be shared with the DWP Retirement Services Directorate and Customer Experiences Directorate, regarding the invisibility of intimate partner carers who are claiming Carer’s Allowance.
Norfolk Community Safety Partnership | Department …
Department for Work and …
Norfolk — recommendation 13
Learning to be shared from this review, via the Domestic Abuse Commissioner’s DHR repository, regarding the invisibility of intimate partner carers who are claiming Carer’s Allowance.
Norfolk Community Safety Partnership
Buckinghamshire — recommendation GP1-3
To develop practice responses so that the value of a carer’s assessment is routinely discussed with individuals caring for others, and referrals to the local authority made where accepted
GP Practice 1
Somerset — recommendation 1
SSP to gain assurance that health agencies have robust systems in place to identify / record known carers, and have pathways in place to ensure timely referral for carers assessment and support with recognition that when circumstances change re-referrals and/or reassessment may be required.
Safer Somerset Partnership
Somerset — recommendation 2
Consideration of carers assessments for carers of relatives with mental ill health Memo to MH team managers and via MH teams’ supervision, to remind them of a carers right to assessment under the Care Act 2014. Plus information to be disseminated via Staff news article for wider Trust information
Somerset NHS Foundation Trust
Taunton and Somerset NHS …
Norfolk — recommendation 17
Whilst work has been done in SCCE about carers, and to remind adult social care staff to be reminded of the importance of identifying carers and providing information and referring to Carers Matters Norfolk for a carers assessment, it is recommended that ASSD has an increased focus on carers and …
Adult Social Care
Norfolk — recommendation 12
Mental Health Service contingency plans should take a ‘Think Family’ approach and be shared with related parties/carers having been written in plain English and avoiding professional jargon to ensure it is accessible to enable families and/or carers to fully understand the steps to take when required. This should include relevant …
Norfolk & Suffolk Foundation NHS Trust
Norfolk and Suffolk NHS …
Norfolk — recommendation 10
To ensure reported improvements in offering carer’s assessments described to the DHR Panel is maintained, an annual audit of carer assessments offered, carer assessments taken up, and outcome of the support provided should be undertaken and reported annually to the director for Adult Social Care and the Adult Safeguarding Board.
Adult Social Care
Norfolk — recommendation 17
Whilst work has been done in SCCE about carers, and to remind adult social care staff to be reminded of the importance of identifying carers and providing information and referring to Carers Matters Norfolk for a carers assessment, it is recommended that ASSD has an increased focus on carers and …
Adult Social Care
Norfolk — recommendation 10
To ensure reported improvements in offering carer’s assessments described to the DHR Panel is maintained, an annual audit of carer assessments offered, carer assessments taken up, and outcome of the support provided should be undertaken and reported annually to the Director of Social Care and the Adult Safeguarding Board.
Adult Social Care
Cornwall — recommendation 11
CFT to consider how carers assessments might be used to consider concerns about domestic abuse.
Cornwall Partnership NHS Foundation Trust
Cornwall Partnership Foundation Trust
Cornwall — recommendation 5
We recommend that a programme of work be undertaken in relation to the provision of carer’s assessments. There is a statutory requirement to offer a carer’s assessment. Work is required to ensure that this duty is being met and it should be regularly audited.
NHS Kernow | Cornwall Partnership NHS …
NHS Kernow
Waverley — recommendation 34.13
Clinicians in Adult based community services should : be up to date with Mental Capacity training and be confident in assessing this. all complete mandatory safeguarding level 2 training receive Domestic Abuse awareness training in addition to that incorporated in mandatory safeguarding level 2 training. will …
Virgin Care
Virgin Care
Rochford — recommendation 9
Essex Adult Social Care should consider the learning from recent Safeguarding Adult Reviews regarding the lack of understanding in considering and undertaking carer assessments and develop processes to ensure that the gap is closed. This should be overseen and monitored by the Safeguarding Adults Board.
Essex Adult Social Care
Essex County Council