Themes | Government Accountability | The Accountability Index

Weak Government Accountability & Scrutiny

Lack of clear departmental responsibility for budgeting tax reliefs and insufficient parliamentary scrutiny of government non-executives.

8,331 items 27 sources 40 inquiries
Source spread

Where this theme appears

This theme appears across 27 independent accountability sources, so the source mix matters as much as the headline total.

340 inquiry recs 29 PFD reports 5330 committee recs 11 HSSIB recs 22 CQC actions 7 HMICFRS recs 18 ICIBI recs 5 PPO recs 209 NAO recs 7 PHSO recs 2 VC recs 57 IMB recs 2 Scottish FAIs 1 Article 2 learning point 10 detention investigation recs 126 DHR recs 39 PHSO decisions 996 LGO/SPSO decisions 33 CJINI reports 43 ISC reports 2 Law Commission projects 7 local audit findings 5 EHRC compliance actions

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.

27 sources
Inquiry recommendations(340)— showing 50 strongest matches
84 — Passenger representation at inquiries
Southall Inquiry
Recommendation: Passenger representation at such inquiries should not be limited to those involved in the immediate accident. Consideration should be given to enlarging the role of CRUCC and the provision of appropriate funding for their full participation in Inquiries (para 15.27).
Unknown
83 — Later inquiries under the Health and Safety at Work Act
Southall Inquiry
Recommendation: Any subsequent Inquiry directed under the Health and Safety at Work Act, 1974 should involve all parties in the rail industry who may have an interest in Recommendations to be made, through the involvement of representative groups including ATOC (para …
Unknown
81 — An additional independent accident investigation body
Southall Inquiry
Recommendation: Consideration should be given to whether an additional independent accident investigation body should be created, to take over the accident investigation functions of HMRI under Recommendation 73 (para 15.23).
Unknown
80 — No delay to opening or reporting of an inquiry
Southall Inquiry
Recommendation: Nothing should be permitted to delay the opening of a RII nor the completion of their Report and Recommendations (para 15.28).
Unknown
79 — Make Rail Industry Inquiries accessible to the public
Southall Inquiry
Recommendation: Consideration should be given to whether procedures can be adapted to make any RII accessible to the public, save where the needs of confidentiality otherwise require (para 15.28).
Unknown
78 — Review procedure for Rail Industry Inquiries
Southall Inquiry
Recommendation: Procedure for conducting a RII should be reviewed. This should include ensuring that the RII panel is independent of all parties having an interest in the accident (paras 9.33, 15.25, 16.26).
Unknown
77 — Rail Industry Inquiry as the forum for recommendations
Southall Inquiry
Recommendation: The primary forum for deciding upon appropriate recommendations following an accident should be the Rail Industry Inquiry (RII). Procedures for holding such an inquiry at the earliest possible date should be strengthened, and should include the presentation by HMRI of …
Unknown
62 — Review progress on the DTp Review Committee Report
Southall Inquiry
Recommendation: There should be a review of progress on implementing the Recommendations of the DTp Review Committee Report (chaired by Sir David Davies) published in September 1996 (para 14.31).
Unknown
58 — Rights and obligations in equipment added to vehicles
Southall Inquiry
Recommendation: Rights (including ownership) and obligations in all equipment added to vehicles, together with lineside equipment upon which its operation depends, must be defined in legally enforceable terms (paras 15.7, 15.13, 16.21).
Unknown
4 — Audit inspection procedures
Whittingham Inquiry
Recommendation: Since audit inspections at Whittingham before 1969 apparently failed either to detect the collapse in the system of ward records of patients’ money or to investigate the decline in volume of shop takings compared with the amount of patients’ allowances, …
Unknown
65 — Consider financial remedy
Alder Hey Inquiry
Recommendation: The Human Rights Act 1998 makes provision for an effective remedy other than in criminal proceedings. If breaches of the Human Tissue Act 1961 amount to breaches of the Human Rights Act 1998 consideration shall be given to incorporating a …
Unknown
63 — Criminal penalty for breach
Alder Hey Inquiry
Recommendation: The Human Tissue Act 1961 shall be amended to impose a criminal penalty by way of fine for breach of its provisions in order to encourage future compliance.
Unknown
160 — Reporter as protagonist before Sheriff
Orkney Inquiry
Recommendation: In proceedings before the Sheriff the protagonist should be the Reporter and not the agency which removed the child in the first place (18.47).
Unknown
158 — No amendment on notice to Reporter
Orkney Inquiry
Recommendation: No amendment of the 1968 Act is required to clarify the stage at which agencies should make known their anxieties to the Reporter or of the nature and scope of the material to be passed to him (18.44).
Unknown
157 — Reporters not to investigate
Orkney Inquiry
Recommendation: It is not recommended that Reporters should undertake an investigative function before matters are brought formally to their attention (18.43).
Unknown
156 — Reporter's independence in discussions
Orkney Inquiry
Recommendation: In any informal discussion between the Social Work Department and the Reporter his independence of action must be recognised and respected (18.39-41).
Unknown
154 — Clarify application of section 58
Orkney Inquiry
Recommendation: Consideration should also be given to clarifying the application of Section 58 of the 1968 Act (18.37).
Unknown
147 — Sheriff discretion to release documents
Orkney Inquiry
Recommendation: Consideration should be given to empowering a Sheriff at his discretion to release documents to which access is statutorily restricted (18.28).
Unknown
8 — Re-examine Radioactive Substances Act inquiry powers
Windscale Inquiry
Recommendation: The provisions of the Radioactive Substances Act 1960 relating to the powers to hold inquiries into proposed authorisations to discharge should be re-examined (para 10.122).
Unknown
24 — New statutory framework for public inquiries
Clarke Inquiry
Recommendation: A new statutory framework for public inquiries (of an inquisitorial and not adversarial nature) should be introduced as suggested in paragraphs 11.59 and 11.60 of the final TSI report.
Unknown
23 — Machinery for deciding prosecution or public inquiry
Clarke Inquiry
Recommendation: Appropriate machinery should be established (as recommended in paragraph 11.58 of the final TSI report) for arriving at a decision in serious cases whether to prosecute or to hold a public inquiry (or as the case may be) and that …
Unknown
15 — Assessment of the performance of CQC
Thirlwall Inquiry
Recommendation: There must be a rigorous and consistent review and assessment of the performance of CQC by the Health and Social Care Committee, initially once a year and, once the committee is satisfied, once every three years, or such other frequency …
Gov response: No formal government response published. The Secretary of State for Health and Social Care's oral statement of 15 September 2026, made on the day the Inquiry's report was published, does not name this recommendation, which …
Unknown
COVID-M5.10 — Transparency, Governance and Accountability in Emergencies
COVID-19 Inquiry
Recommendation: The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should improve transparency, governance and accountability for procurement in an emergency. As a minimum, these improvements should include the following: Enhancing transparency Any central digital platform used for procurement …
Gov response: No formal government response published. The Northern Ireland Executive had not published a response to the Module 5 report of 14 July 2026 when the Executive Office's publications list was checked on 25 September 2026.
No response yet
FR-3 — Cabinet-Level Minister for Children
IICSA
Recommendation: The Inquiry recommends that the UK government creates a cabinet-level ministerial position for children. The Inquiry recommends that the Welsh Government ensures that there is cabinet-level ministerial responsibility for children.

Words of: HM Government, Government response to the final report of the Independent Inquiry into Child Sexual Abuse (CP 844), presented to Parliament by the Home Secretary, May 2023

Gov response: We accept the importance of placing the best interests of the child front and centre in policy and decision making at the highest level of Government. This role is already fulfilled through the work of …
Accepted
FENN-130 — Railway Inspectorate to vigorously discharge duties concerning London Underground safety.
Fennell Inquiry
Recommendation: The Railway Inspectorate must be more vigorous in the discharge of its duties on London Underground.
Unknown
P2-25 — Maintain public record of inquiry recommendations
Grenfell Tower Inquiry
Recommendation: That it be made a legal requirement for the government to maintain a publicly accessible record of recommendations made by select committees, coroners and public inquiries together with a description of the steps taken in response. If the government decides …

Words of: HM Government, Grenfell Tower Inquiry Phase 2 Report: Government response (CP 1248), presented to Parliament by the Deputy Prime Minister and Secretary of State for Housing, Communities and Local Government, 26 February 2025

Gov response: The government accepts this recommendation in principle. We will establish a record on GOV.UK of all recommendations made by public inquiries since 2024, and will consider making this an enduring legal requirement. The government agrees …
Accepted in part
RHI-42 — Ministerial Code Revision
RHI Inquiry
Recommendation: The Code of Conduct issued to Northern Ireland Ministers in 2007 (contained within the Northern Ireland Ministerial Code 2006) should be revised and brought up to date reflecting the findings of the RHI Inquiry and drawing on relevant best practice …

Words of: Northern Ireland Executive, Executive Response to the RHI Inquiry Report Recommendations and Action Plan, Annex A, 7 October 2021

Gov response: These recommendations can be accepted in full, with the exception of the consideration of an independent mechanism to assess special advisers’ compliance with the Code of Conduct. They have been addressed through work to date, …
Accepted
RHI-21 — Sceptical Business Case Scrutiny
RHI Inquiry
Recommendation: The Department of Finance's distinctive role in scrutinising business cases should be searching and sceptical, guarding against over-reliance on the assurances offered by the applicant Department.

Words of: Northern Ireland Executive, Executive Response to the RHI Inquiry Report Recommendations and Action Plan, Annex A, 7 October 2021

Gov response: These recommendations can be accepted in full. It is important to note that public expenditure in NI is governed by the UK Budgeting rules set by HM Treasury. These rules mean that there is limited …
Accepted
COVID-M2.6 — Enact Socio-economic Duty
COVID-19 Inquiry
Recommendation: The UK government should bring into force in England section 1 of the Equality Act 2010, implementing the socio-economic duty. The Northern Ireland Assembly and Northern Ireland Executive should consider an equivalent provision within section 75 of the Northern Ireland …

Words of: Northern Ireland Executive, Executive Response to the Covid-19 Module 2 Report March 2026, 18 March 2026

Gov response: Remains under consideration The Executive fully recognises the importance of exploring the introduction of an equivalent socioeconomic provision here, noting that Section 28E of the Northern Ireland Act 1998 places a statutory duty on the …
Accepted
COVID-M2.5 — Advisory Group Terms of Appointment
COVID-19 Inquiry
Recommendation: The Government Office for Science (GO-Science), the Scottish Government, the Welsh Government and the Department of Health (Northern Ireland) should each develop standard terms of appointment for all participants in scientific advisory groups. These terms should include: clarity around the …

Words of: Welsh Government, UK Covid-19 Inquiry Modules 2, 2A, 2B, 2C Report (Core decision-making and political governance): Welsh Government response, 16 March 2026

Gov response: 1.12. The Welsh Government accepts the Inquiry’s recommendation 5, that it and the other governments should develop standard terms of appointment for all participants in scientific advisory groups. We recognise the huge contribution made by …
Accepted
COVID-M2.4 — Publish Technical Advice During Emergencies
COVID-19 Inquiry
Recommendation: During a whole-system civil emergency, the UK government and devolved administrations should each routinely publish technical advice on scientific, economic and social matters at the earliest opportunity, as well as the minutes of expert advisory groups – except where there …

Words of: Welsh Government, UK Covid-19 Inquiry Modules 2, 2A, 2B, 2C Report (Core decision-making and political governance): Welsh Government response, 16 March 2026

Gov response: 1.8. The Welsh Government is committed to ensuring transparency continues to be at the heart of its approach to future emergencies, as it was during the Covid-19 pandemic. As the Inquiry notes, during the pandemic …
Accepted
COVID-M2.2 — Devolved Nations SAGE Attendance
COVID-19 Inquiry
Recommendation: The Government Office for Science (GO-Science) should invite the governments of Scotland, Wales and Northern Ireland to nominate a small number of representatives to attend meetings of the Scientific Advisory Group for Emergencies (SAGE) from the outset of any future …

Words of: Welsh Government, UK Covid-19 Inquiry Modules 2, 2A, 2B, 2C Report (Core decision-making and political governance): Welsh Government response, 16 March 2026

Gov response: 1.3. The Welsh Government agrees with this assessment and welcomes the inquiry's recommendation 2, that the UK Government Office for Science should invite the governments of Scotland, Wales and Northern Ireland to nominate a small …
Accepted
COVID-M2.1 — NI CMO Independence
COVID-19 Inquiry
Recommendation: The Department of Health (Northern Ireland) should reconstitute the role of the Chief Medical Officer for Northern Ireland as an independent advisory role. The Chief Medical Officer for Northern Ireland should not have managerial responsibilities within the Department of Health …

Words of: Northern Ireland Executive, Executive Response to the Covid-19 Module 2 Report March 2026, 18 March 2026

Gov response: Accepted Following restructuring of the Department of Health in November 2023, the Population Health Directorate, the Health Protection Directorate, the Emergency Planning Resilience and Response Directorate and the Quality, Safety and Improvement Directorate were moved …
Unknown
POH-17 — Establish standing public body to administer future redress schemes
Post Office Horizon Inquiry
Recommendation: As soon as is reasonably practicable, HM Government shall establish a standing public body which shall, when called upon to do so, devise, administer and deliver schemes for providing financial redress to persons who have been wronged by public bodies.

Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025

Gov response: DBT sees clear advantages of the recommendation but recognises that options to improve future delivery of redress will need to be carefully considered and the feasibility of an independent body will need to be properly …
Noted
MAI-142 — Compel LRF attendance from Category 1 and 2 responders
Manchester Arena Inquiry
Recommendation: The Home Office should consider empowering the leadership of local resilience forums to compel the attendance of a senior representative of its Category 1 and Category 2 responders at all local resilience forum meetings. Inspections by His Majesty's Inspectorate of …

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Accepted in full
Accepted
MAI-63 — Monitor LRF attendance and flag concerns
Manchester Arena Inquiry
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 …

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Accepted in full
Accepted
MAI-61 — Independent inspection regime for LRFs
Manchester Arena Inquiry
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.

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Accepted in full
Accepted
MAI-58 — Amend section 36 for pre-emptive witness enforcement
Manchester Arena Inquiry
Recommendation: I recommend that the Ministry of Justice, possibly in conjunction with the Law Commission, give consideration to amending section 36 of the 2005 Act to make provision for issuing pre-emptive enforcement proceedings for witnesses in relation to whom there are …

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Partially accepted
Accepted in part
MAI-57 — Amend section 21 for witness interview requirements
Manchester Arena Inquiry
Recommendation: I recommend that the Ministry of Justice give consideration to amending section 21 of the 2005 Act to include the express provision for requiring a potential witness to participate in an interview.

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Partially accepted
Accepted in part
MAI-56 — Address extradition difficulties for section 35 offences
Manchester Arena Inquiry
Recommendation: I recommend that the Home Office give consideration to addressing the difficulties in extradition in relation to an offence under section 35, given that the maximum sentence for such an offence is below the minimum qualifying threshold for extradition.

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Partially accepted
Accepted in part
MAI-52 — Consider Commission for Countering Extremism report
Manchester Arena Inquiry
Recommendation: In 2021, the Commission for Countering Extremism published a report entitled Operating with Impunity. Hateful Extremism: The Need for a Legal Framework. I recommend that the Home Office consider and respond to this document as a matter of urgency.

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Accepted in full
Accepted
MAI-48 — Statutory powers for witness attendance at inquiries
Manchester Arena Inquiry
Recommendation: I also recommend that consideration be given to the creation of statutory powers under section 36 that can be used to prevent a material witness to an inquiry putting themselves beyond the reach of the existing powers to compel a …

Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025

Gov response: Partially accepted
Accepted in part
162 — Consult before abandoning a case
Orkney Inquiry
Recommendation: Where a Reporter requires to consider the abandonment of a case which has been passed to the Sheriff for proof he should consult the Social Work Department before finally deciding to do so (18.50).
Unknown
159 — Reporter to check continued detention
Orkney Inquiry
Recommendation: The Reporter on being informed of the execution of a Child Protection Order should check the propriety of the continued detention of a child (18.45) but should also proceed with his statutory functions under Sections 38 and 39 in light …
Unknown
152 — Procedure and evidence in children's cases
Orkney Inquiry
Recommendation: Consideration should be given to certain matters of procedure and evidence in relation to cases involving children (18.34).
Unknown
144 — Order falls if grounds not served
Orkney Inquiry
Recommendation: If grounds for referral have not been served within seven days of the removal of a child under a Child Protection Order, the Order should fall (18.23).
Unknown
142 — Transfer processing of Orders to Sheriff
Orkney Inquiry
Recommendation: The processing of Child Protection Orders should be transferred from the Children’s Hearing to the Sheriff with certain consequential changes in the procedure of referral (18.21).
Unknown
139 — Clarify first lawful day hearing
Orkney Inquiry
Recommendation: Clarification of the statutory provisions relating to the first lawful day hearing under Section 37(4) of the 1968 Act is required (18.8-18).
Unknown
138 — Review Children's Hearings in child protection
Orkney Inquiry
Recommendation: Consideration should be given to the review and revisal of the work of the Children’s Hearings in the area of child protection (18.1-6), including as is suggested later the transference to the Sheriff of all matters relating to a child …
Unknown
6 — Single Inspectorate for radioactive discharges
Windscale Inquiry
Recommendation: A single Inspectorate, as recommended by the Royal Commission, should be responsible for determining and controlling all radioactive discharges (para 10.113).
Unknown
Prevention of Future Deaths reports(29)
Kuldip Singh Dhillon
08 Oct 2013 · London (East)
Concerns: The coroner notes that unrestrained palletised loads are common practice nationwide, posing a risk to drivers. There are insufficient enforcement and auditing of road transport loading guidance by the Department of Transport.
Overdue
Michael Joseph Hirrell
01 Oct 2013 · Leicester City and South Leicestershire
Concerns: The coroner noted concerns regarding the failure to identify an individual as a vulnerable person, despite clear indicators, leading to power disconnection without adequate customer protection. Additionally, staff felt disempowered to intervene, and current protective measures are not industry-wide or permanent.
Response (OFGEM): • Ofgem issued a formal request to non-domestic suppliers for monthly data on disconnections at shared sites involving vulnerable domestic customers. • Ofgem met with Energy UK and wrote to … (AI summary)
Response: • Final amendments to the Safety Net were agreed upon and an updated version was published. • Suppliers committed to implementing new protections for vulnerable consumers by the end of … (AI summary)
Response (NPOWER): • Npower implemented a policy granting warrant officers on site the ultimate authority to halt a supply disconnection if they had concerns about a consumer's welfare. • New procedures and … (AI summary)
Responded
Dean Elie
06 Jan 2015 · London (North)
Concerns: The coroner noted the need for consideration of further legislation regarding a specific point identified during the inquest.
Response (Department of Health): • The Department of Health stated there were no plans to extend current mental health legislation to compel individuals with capacity to accept treatment for physical illnesses. (AI summary)
Responded
Michael Hoolickin
29 Aug 2019 · Manchester (North)
Concerns: The coroner identified the absence of a multi-agency review for a high-risk offender after a serious incident. Concerns also include the impact of the Transforming Rehabilitation Programme on probation staffing and procedures, and difficulties with the N-Delius case management system.
Response (the National Police Chiefs Council): • The National Police Chiefs Council provided two "IOM Key Principles" guidance documents. • The National Police Chiefs Council stated its intention to share the coroner's report, its response, and … (AI summary)
Response (HM Prison and Probation Service): • The MAPPA guidance on mandatory Serious Case Reviews will be reviewed, with consultation with partners, to strengthen guidance for high-risk MAPPA offenders convicted of murder. • A new National … (AI summary)
Responded
Thelma Joyce
20 Aug 2019 · Oxfordshire
Concerns: The report provided no specific details regarding the matters of concern, indicating a boilerplate introduction without further content.
Response (NHS England): • NHS England and NHS Improvement are reviewing evidence for DPD testing, with a decision on routine commissioning and inclusion in the National Genomic Test Directory expected by April 2020. … (AI summary)
Responded
Oliver Weston
20 Dec 2021 · Lancashire & Blackburn with Darwen
Concerns: OFSTED's inspection following a child's death lacked documented requirements, pre-planning, consideration of relevant safeguarding evidence, and critical appraisal. There was also no guidance on "exceptional circumstances" for report publication.
Overdue
Oli Hoque
13 Oct 2022 · East London
Concerns: The coroner raised concerns that the MHRA lacks the power to compel timely production of relevant clinical data, which affects its ability to conduct robust safety investigations.
Response (Department of Health and Social Care): • The Medicines and Healthcare products Regulatory Agency (MHRA) is working with the NHS to enable interoperability and connectivity of reporting systems, including the new Learning from Patient Safety Events … (AI summary)
Responded
Charles Stringer
10 Oct 2022 · Surrey
Concerns: The coroner noted Surrey County Council’s lack of reflection and documented changes to pothole management following Mr Stringer’s death. Concerns include insufficient action on informing inspectors of complaints, robust risk assessments, timely communication between departments, and prompt repairs.
Response (Surrey County Council): • Surrey County Council reprocured its Highways Term Maintenance contract, which included increasing the potential for larger scale pothole repairs and bringing the highways-inspector role in-house. • The council reviewed … (AI summary)
Responded
Robert Day
24 Mar 2026 · Kent and Medway
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 (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 (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
Alex Ganski
15 Jun 2026 · West Sussex, Brighton and HoveThis report is being sent to: NHS England | Department of Helath and Social Care
Concerns: The coroner identified a lack of a designated lead or single point of contact for young people with complex health and drug issues, leading to fragmented information sharing among agencies. There is also an absence of a national mechanism to highlight significant historical health and drug misuse risks across patient record systems.
Response (NHS England): • NHS England is developing and rolling out neighbourhood mental health hubs to provide integrated care and improve information sharing for complex patients. • It operates national services, including the … (AI summary)
Overdue
Keith Gandy
05 Jun 2026 · North LondonThis report is being sent to: NHS England
Concerns: The coroner noted a lack of guidance for GPs on prior cancer as a red flag for specialist referral without further tests. Waiting times for specialist evaluation in these circumstances are between six to twelve months.
Response (NHS England): • The practice reviewed Mr Gandy’s care through a formal Significant Event learning meeting, identifying and disseminating learning points to its clinical team. • NHS England's Regulation 28 Working Group … (AI summary)
Responded
Jake Read
17 Jun 2026 · SuffolkThis report is being sent to: Department of Health and Social Care
Concerns: The coroner noted a lack of national guidance and timelines for administering medication in mental health crises, which contributed to a significant delay in Jake receiving Diazepam. Additionally, Mental Health Liaison Team prescribers at the hospital lacked direct access to medication, causing further delays.
Response (Department of Health and Social Care): • The Department of Health and Social Care stated that responsibility for the matters raised sits with NHS England. • Officials within the Department of Health and Social Care made … (AI summary)
Response (NHS England): NHS England states there is no national guidance or timelines specifically for administering medication in mental health crises, pointing to existing broader guidance on assessment and care plan timelines. They … (AI summary)
Responded
Scott Taylor
06 Jul 2026 · Gateshead & South Tyneside
Concerns: There are a limited number of tertiary centres for treatment-resistant OCD in the UK, predominantly in London and the South East, which limits access for complex cases due to capacity, criteria, and geographical distribution.
Response (NHS England): NHS England explains the existing national highly specialised service for severe OCD/BDD, which operates across five integrated centres, and outlines current NHS arrangements for patient travel costs. They also mention … (AI summary)
Response (Department of Health and Social Care): The Department of Health and Social Care states that responsibility for commissioning specialist OCD care sits with NHS England, to whom they have deferred a detailed response. They also outline … (AI summary)
Responded
Natasha Hill
01 May 2026 · Inner South LondonThis report is being sent to: Home Office | National Police Chief’s Council | Department for Education
Concerns: The coroner identified gaps in formal adult safeguarding reviews and dedicated transition teams for young people approaching adulthood. Concerns also highlight the need for national standardisation in policing child sexual exploitation and guidance for missing persons.
Response (Home Office): • The Home Office is working to create a consistent, victim-centred response to child sexual exploitation, including establishing Operation Beaconport and providing funding to the CSE Taskforce and TOEX Programme. … (AI summary)
Response (Department for Education): • The Department for Health and Social Care published a briefing in 2021 on transitional safeguarding within adult social work. • An 11-month project was launched in March 2026 to … (AI summary)
Response (National Police Chiefs Council): • The National Police Chiefs Council (NPCC) stated that national partners continue to advance policy and practice in transitional safeguarding to support greater continuity of protection and risk management through … (AI summary)
Response (National Police Chiefs' Council): • The National Police Chiefs' Council (NPCC) undertook an urgent review of the Child Abuse Authorised Professional Practice (APP) currently out for consultation. • The NPCC identified a gap in … (AI summary)
Responded
George Haldenby
21 May 2026 · Dorset
Concerns: The coroner notes a lack of mandatory refresher first aid and CPR training for prison staff. Additionally, there are issues with delays in prisoners receiving essential medications prescribed on FP10 forms outside of hours, and an absence of a clear policy for managing such prescriptions.
Response (Department of Health and Social Care): • The Department of Health and Social Care made enquiries with NHS England regarding the concerns raised. • The Department of Health and Social Care concluded that the concerns are … (AI summary)
Response (NHS England): • NHS England stated it was unable to address the concern regarding prison staff training, noting it is the responsibility of HM Prison and Probation Service. • NHS England noted … (AI summary)
Response (HM Prison and Probation Service): • HMP The Verne is undertaking a Training Needs Analysis and intends to deliver monthly First Aid at Work training programmes from July 2026, incorporating refresher courses. • Oxleas NHS … (AI summary)
Response (Oxleas NHS Foundation Trust): • The Trust confirmed that a formal process, the Southwest Out of Hours Standard Operating Procedure (SOP), has been in place since September 2024 to manage medicines required outside normal … (AI summary)
Responded
Garry Mills
10 Apr 2026
Concerns: The standard £250 per week allowance for living expenses under Proceeds of Crime Act restraint orders has not been reviewed since 2009. The process to vary this figure is challenging and rarely qualifies for legal aid.
Overdue
Glyn Pressley
17 Jul 2026 · Gwent
Response (Medical Officer for Welsh Government): The Welsh Government has published the All Wales Clinical Interface Standards (WHC 2026/015) to reinforce clear communication and explicit responsibility for onward action between primary and secondary care. They will … (AI summary)
Responded
Bethany Hewitt
02 Jul 2026 · Cheshire
Response (Department of Health and Social Care): The Department of Health and Social Care is awaiting recommendations from an Independent Review into ADHD/Autism support and developing a new mental health strategy. NHS England has published a medium-term … (AI summary)
Response (National Institute Health and Care Excellence): NICE explains that it is not responsible for managing NHS services or monitoring waiting times, directing these concerns to NHS England. It clarifies its existing guidelines on ADHD diagnosis and … (AI summary)
Response (Grove House Practice): The practice has amended its correspondence management policy to ensure referral outcomes are reviewed by GPs and provided education to clinicians on ADHD referral pathways, including 'Right to Choose'. They … (AI summary)
Response (NHS England): NHS England reports that the Cheshire and Merseyside ICB commissioned an Adult ADHD Local Enhanced Service in April 2026 to increase capacity for assessment and treatment, with full mobilisation expected … (AI summary)
Responded
Suseel Rana
04 May 2026 · Bedfordshire and LutonThis report is being sent to: Bedfordshire Police | Home Office
Concerns: The report identifies that a Clare's Law application was not progressed due to an officer's misunderstanding, preventing multi-agency safety planning. It also notes a lack of clarity in DVDS guidance on when applications must proceed to decision-making.
Response (Home Office): • The Home Office is working to create a clearer, more consistent framework for police and other agencies to improve the implementation of the Domestic Violence Disclosure Scheme (DVDS). • … (AI summary)
Response (Bedfordshire Police): • Bedfordshire Police stated it had taken steps to ensure clarity in the understanding and articulation of the Domestic Violence Disclosure Scheme process. (AI summary)
Responded
Gareth Willington
10 Nov 2016 · Carmarthenshire  and Pembrokeshire
Concerns: The coroner noted that wearing personal flotation devices on deck is not mandatory on fishing vessels, and that legislation requiring their compulsory use could reduce deaths at sea.
Response (Maritime and Coastguard Agency): • The Maritime and Coastguard Agency (MCA) stated it is reviewing current policies regarding the wearing of personal flotation devices as a high priority. • The MCA indicated it is … (AI summary)
Responded
Daniel Willington
10 Nov 2016 · Carmarthenshire  and Pembrokeshire
Concerns: The coroner noted that wearing personal flotation devices on the working decks of fishing vessels is not mandatory, and legislation to make this compulsory would reduce deaths at sea.
Response (Maritime and Coastguard Agency): • The Maritime and Coastguard Agency (MCA) is reviewing current policies regarding the wearing of personal flotation devices. • The MCA is considering additional steps, including the development of legislation, … (AI summary)
Responded
Kathleen Holme
18 Sep 2017 · Cumbria
Concerns: The coroner raised concerns regarding the manufacturer's understanding of flame extension risks associated with Glade Automatic Air Freshener Spray. Warnings on the packaging and aerosol were deemed insufficiently prominent, with no warnings on the device itself after the box is discarded.
Response (SC Johnson): • SC Johnson stated that the product's warnings and labelling comply with applicable regulatory requirements and that hazard pictograms are larger than legislative requirements. • It explained that the device … (AI summary)
Responded
Tahnie Martin
10 Oct 2017 · Black Country
Concerns: The coroner noted severe deterioration of a wooden panel and metal fixings on a building's roof, which contributed to a fatal incident. This was attributed to a lack of maintenance over at least 19 years.
Response (Tahnie martin): • The organisation is reviewing its Guidance Note on Building Surveys and Technical Due Diligence of Commercial Property. • The organisation will consider the coroner's recommendation during this review. • … (AI summary)
Overdue
Stephen Buck
31 Oct 2018 · Oxfordshire
Concerns: Concerns relate to the common practice of operatives issuing tickets close to reversing trucks during spoil removal, which increases risk. The coroner suggests exploring technological solutions to avoid this proximity.
Response (Stephen Buck): • WISH will provide a copy of its response to the Construction Industry Advisory Committee (CONIAC) for their consideration regarding guidance on waste consignment notes. • WISH will review its … (AI summary)
Responded
Garry Mills
10 Apr 2026 · Surrey
Concerns: The coroner noted concerns regarding the £250 per week allowance for living expenses in Proceeds of Crime Act Restraint Orders, a figure unchanged since 2009, which makes it difficult for individuals and their dependents to meet reasonable costs. There are also concerns about the challenging process to vary this amount due to limited access to legal aid.
Overdue
Susan Toft
14 Apr 2026 · Manchester South
Concerns: The wheelchair seat cushion's velcro attachment failed, potentially due to repeated removal, and there was no assessment of the vehicle restraint system's fit to the individual wheelchair user and her chair.
Response (BHTA): • The BHTA published an article in its May 2026 THIIS online magazine addressing elements related to the incident. • The BHTA will report on the incident and the coroner's … (AI summary)
Response (Wheelchair Alliance CIC): • The Wheelchair Alliance CIC clarified that its remit focuses on representing wheelchair users and promoting improvements in services, not providing clinical advice, technical certification, or product approval. • The … (AI summary)
Response (WAVCA): • WAVCA wrote to Motability Operations in April 2026, recommending that adherence to PAS 2012 Part 2 be made mandatory for all suppliers providing wheelchair accessible vehicles through the Motability … (AI summary)
Responded
Catherine Oliver
14 Apr 2026 · Oxfordshire
Concerns: The coroner noted concerns regarding hazards created by the prolonged storage of household items in living areas, especially for vulnerable tenants. There was a lack of clear policies governing storage duration during necessary works and mitigating steps for extended storage.
Overdue
Susan Whittles
01 Apr 2026 · East Riding and Hull
Concerns: The coroner raised concerns that nationals from non-designated countries can continue to drive on foreign licences for 12 months, even after failing a GB driving test, without supervision or 'L' plates. This differs from the rules for GB residents and poses a potential risk to other road users.
Response (Department for Transport Driver and Vehicle Standards Agency): • The department stated it is committed to examining the domestic and international legal framework concerning foreign licence holders who fail a GB driving test but remain within their 12-month … (AI summary)
Responded
Laura Newlands
· North Wales (East and Central)
Concerns: Insufficient DSS input into CAMHS safety plans led to incomplete information for carers. A delayed multi-agency meeting missed support opportunities, and a DSS decision to close the case without senior review limited further assessments.
Pending
Select committee recommendations(5330)— showing 50 strongest matches
#61 —
Business, Innovation, Science and Trade Committee
Recommendation: The Government should establish a specific Anti-Coercion Instrument, and urgently launch a consultation on its design. Measures proposed should include a formal framework for responding to economic coercion and widening the available countermeasures to include restrictions on services trade, limitations …
#60 —
Business, Innovation, Science and Trade Committee
Recommendation: In today’s volatile geopolitical climate, the UK must be able to defend itself against economic coercion from hostile actors. The Trade Strategy correctly recognises that today’s trade remedies system does not adequately protect us against emerging economic threats. As economic …
#57 —
Business, Innovation, Science and Trade Committee
Recommendation: We recommend that Companies House steps up its disclosure of successful enforcement activity. The names of individuals who have been successfully prosecuted should be disclosed immediately following conviction, to both name and shame those involved in wrongdoing, and to highlight …
#56 —
Business, Innovation, Science and Trade Committee
Recommendation: Abuse of company registration has the potential to undermine the UK’s deterrence regime. Companies House’s new powers have the potential to make a significant difference in the fight against economic crime. In order to be effective, its implementation of these …
#55 —
Business, Innovation, Science and Trade Committee
Recommendation: Building on the 2022 recommendation of the Committees on Arms Export Controls, we ask the Government to clarify if there are any situations whatsoever in which it believes disclosure of the names of companies or individuals that enter into compound …
#54 —
Business, Innovation, Science and Trade Committee
Recommendation: Economy security requires not just resilience at home, but also effective deterrence of future threats. Improving the deterrent effect of trade sanctions and export controls requires greater transparency in enforcement outcomes. Breaches of either sanctions or export controls, even when …
#28 —
Business, Innovation, Science and Trade Committee
Recommendation: We reiterate the recommendation of our predecessor Committee, and recommend the Government explore ways of amending section 54 of the National Security and Investment Act 2021 to enable information relating to investment screening decisions to be shared with Parliament. (Recommendation, …
#26 —
Business, Innovation, Science and Trade Committee
Recommendation: The Government should commit to supporting select committee scrutiny of its approach to economic security. This should include a commitment to at least biannual public evidence sessions with senior Ministers and officials, and to complying with all reasonable requests for …
#25 —
Business, Innovation, Science and Trade Committee
Recommendation: Parliament and its committees must play a leading part in the national discussion around economic security, convening stakeholders from across sectors and advising Government on the strategic and cross- cutting steps needed to confront its challenges. Parliament, however, cannot hold …
#24 —
Business, Innovation, Science and Trade Committee
Recommendation: The Government must urgently reform Whitehall structures to improve cross-government co-ordination of economic security policy. We recommend that the Government learn from its own history, and following from the example of the 1920s it should: • Appoint a cross-Government Minister …
#23 —
Business, Innovation, Science and Trade Committee
Recommendation: The UK’s approach to economic security shows less cross-government co-ordination than our most important international partners. The Government’s approach is characterised by siloed thinking, a lack of adequate institutional support, and a reliance on strategies that are vulnerable to churn …
#6 —
Business, Innovation, Science and Trade Committee
Recommendation: The Government has published a multitude of security reviews and sectoral evaluations, but not a single consolidated assessment of the threats to UK economic security. Given the lack of a “single source of truth”, we have decided to summarise our …
#6 —
Scottish Affairs Committee
Recommendation: It is not yet clear whether the Scottish Parliament will opt to confer on the Secretary of State the power to make regulations, or to instead give that power to the Scottish Ministers but with a veto for the Secretary …
Response attribution not verified
#4 —
Scottish Affairs Committee
Recommendation: The manner in which the draft Order confers powers is, in effect, circular: powers are nominally transferred to the Scottish Parliament, only for the Secretary of State to retain the ultimate say over how those powers are used. (Conclusion, Paragraph …
Response attribution not verified
#22 —
Constitution Committee
Recommendation: To enable effective scrutiny of the Bill we invite the Government to provide further information on how it intends to strengthen the residency requirements for political donations. 1 HC Deb, 2 September 2026, col 415 (Rt Hon Angela Rayner MP, …
#17 —
Constitution Committee
Recommendation: In this statement, the then Secretary of State said: “We will introduce an amendment to the Representation of the People Bill to place an annual cap on the total political donations that an overseas elector can make. The cap will …
#13 —
Constitution Committee
Recommendation: Furthermore, regulations under clause 20 (and presumably any criminal offences or financial penalties created, disapplied or altered by them) may apply only to “individuals of a specified description”. As the regulation- making power appears to allow for divergence from the …
#12 —
Constitution Committee
Recommendation: We reiterate this committee’s longstanding view that the creation of criminal offences by way of secondary legislation is constitutionally unacceptable. 16 The Government has not provided any justification for the ability to create criminal law in the regulation-making powers in …
#97 —
Built Environment Committee
Recommendation: A key message emerging from this module of our inquiry also featured in the previous two modules: that central Government must take overall control of this programme and should treat it as a major national project. It should do this …
#73 —
Built Environment Committee
Recommendation: While we were grateful for the oral evidence from of Skills England, the Committee are concerned that they lack the necessary oversight to tackle the construction skills crisis. Skills England were indeed able to provide much of the necessary data …
#42 —
Built Environment Committee
Recommendation: For decades, successive governments, water companies and regulators have failed to work together to anticipate effectively future demand for water. 65 Meanwhile, the water industry has not factored major future demands (such as new towns or data centres) into its …
#25 —
Digital, Culture, Media and Sport Committee
Recommendation: The fact that the BBC’s existence is called into question every 10 years creates an avoidable opportunity for political interference which has damaged the perception of the BBC’s independence. It also creates a disproportionate distraction for the BBC when it …
#24 —
Digital, Culture, Media and Sport Committee
Recommendation: We recommend that the Charter remove both political and geographical appointments to the BBC Board. The government should also consider whether the appointment of the Chair of the BBC could be made by an independent body, provided it was subject …
#21 —
Digital, Culture, Media and Sport Committee
Recommendation: The BBC’s independence, supported by effective checks and balances to ensure it is accountable, is fundamental to its existence and operation. It is also crucial to maintain the public’s perception of the BBC as separate from the government of the …
#7 —
Digital, Culture, Media and Sport Committee
Recommendation: All of the other funding options have drawbacks. General taxation would risk the BBC’s independence. A levy on streaming services would be unlikely to raise sufficient revenue and could be counterproductive. Advertising would incentivise the BBC to focus more on …
#45 —
Treasury Committee
Recommendation: conclusion Bearing in mind the current economic context, we reject the siren calls for immediate, fundamental reform to the position and independence of the OBR. The potential reform of the OBR must be subject to a high bar, given the …
#44 —
Treasury Committee
Recommendation: conclusion The OBR should continually seek to improve its forecasts and economic modelling, especially by incorporating a new, additional medium-term 10-year forecast. To encourage greater consideration of the overall fiscal position, the Government should provide parliamentary time to debate the …
#43 —
Treasury Committee
Recommendation: conclusion The Office for Budget Responsibility has attracted criticism and calls for reform when fiscal space is limited. However, economically strained circumstances are the very time when an independent voice within the fiscal framework requires protection rather than castigation. Such …
#32 —
Science and Technology Committee
Recommendation: It is unclear how, and how consistently, national policies are implemented at local authority level. The Committee remains unconvinced that co-ordination on these issues is sufficiently effective. DEFRA does not appear to be receiving the information it needs to conclude …
Response attribution not verified
#31 —
Science and Technology Committee
Recommendation: The status of light and noise pollution as policy areas under the aegis of DEFRA should be reviewed and interdepartmental co-ordination on these issues strengthened. The Government should make clear where in each affected department responsibility for noise and light …
Response attribution not verified
#6 —
Science and Technology Committee
Recommendation: An interdisciplinary, independent advisory panel should be established to provide independent advice to the Government and a forum for new evidence, particularly on emerging health effects and technologies, to be assessed.
Response attribution not verified
#53 —
Environment and Climate Change Committee
Recommendation: We welcome the adoption of three Highly Protected Marine Areas (HPMAs) in English waters, but more progress is needed. The 2022 Benyon Review into HPMAs called for five pilot sites to be established as a minimum and for these sites …
Response attribution not verified
#33 —
Environment and Climate Change Committee
Recommendation: We accept that other effective area-based conservation measures (OECMs) could have an important role to play in meeting 30 by 30 and make a positive contribution to the current set of designations. This is particularly important given the current considerable …
Response attribution not verified
#30 —
Environment and Climate Change Committee
Recommendation: The Government should publish the findings and its response to the consultation on implementing the Landscapes Review as a priority and in advance of the publication of the map that details what will count towards 30 by
Response attribution not verified
#29 —
Environment and Climate Change Committee
Recommendation: The Landscapes Review was published in May 2018, and the Government responded to it in January 2022. The implementation of some aspects of the Government’s response would require changes to legislation, so the Government launched a consultation. The Landscapes Review …
Response attribution not verified
#6 —
Environment and Climate Change Committee
Recommendation: We are pleased the Habitats Regulations were not included in the list of retained EU law which will be revoked by 31 December 2023 under the Retained EU Law (Revocation and Reform) Act 2023, but there is still a possibility …
Response attribution not verified
#3 —
Environment and Climate Change Committee
Recommendation: At present it is not clear which sites are intended to count towards 30 by 30, or how the Government plans to achieve the target. We welcome Defra’s plan to publish a map of what will count towards 30 by …
Response attribution not verified
#78 —
Industry and Regulators Committee
Recommendation: As a matter of principle, serving politicians should resign any party political whip they hold before becoming Chairs of independent regulators. The Government should consider making this a requirement.
Response attribution not verified
#77 —
Industry and Regulators Committee
Recommendation: The perception that the OfS lacks independence from the Government has not been aided by its Chair continuing to take the whip of the governing party in the House of Lords, whilst simultaneously claiming the organisation, as a regulator, is …
Response attribution not verified
#76 —
Industry and Regulators Committee
Recommendation: In their responses to this report, the Government and the OfS should set out the steps they each intend to take to support the OfS’ ability to operate independently from the Government.
Response attribution not verified
#75 —
Industry and Regulators Committee
Recommendation: It is vital that regulators not only act with an appropriate degree of independence from the Government, but that they are perceived as doing so. This is evidently not the case for the OfS, where there is a widespread perception …
Response attribution not verified
#74 —
Industry and Regulators Committee
Recommendation: The actions of the OfS and the prioritisation of its duties appear to be reactive and driven by political pressures and input. While there are a small number of cases where the OfS has pushed back against the Government’s view, …
Response attribution not verified
#73 —
Industry and Regulators Committee
Recommendation: Government guidance on OfS regulation should be less prescriptive, and should be limited to higher level, strategic input.
Response attribution not verified
#72 —
Industry and Regulators Committee
Recommendation: There is a perception in the sector that the Government’s guidance to the OfS in relation to its regulatory activity is overly prescriptive, and that the guidance letters it sends are unusually frequent.
Response attribution not verified
#71 —
Industry and Regulators Committee
Recommendation: The Government should examine how the OfS targets and uses its resources and how it is held to account for this. (Paragraph 385) Political independence and the role of the Government
Response attribution not verified
#60 —
Industry and Regulators Committee
Recommendation: The OfS should publish its approach to investigations. When the OfS investigates a provider it should indicate the basis for its concerns, and provide what detail it can on the expected timescales and outcomes.
Response attribution not verified
#59 —
Industry and Regulators Committee
Recommendation: When seeking data from institutions, the OfS should clearly state what use it intends to make of it. When requiring actions, the OfS should give a clear idea of what objectives are being served. A clearer statement of the goals …
Response attribution not verified
#57 —
Industry and Regulators Committee
Recommendation: In many areas, it appears unclear to institutions what compliance with the regulatory framework looks like or why the OfS requests data from them. This lack of clarity for providers extends to the OfS’ approach to investigations, where it is …
Response attribution not verified
#52 —
Industry and Regulators Committee
Recommendation: The Student Panel must remain free to raise issues that are of importance to students, including where the views of students diverge from those of the Government.
Response attribution not verified
#48 —
Industry and Regulators Committee
Recommendation: It was deeply concerning to hear allegations that the OfS issued veiled threats regarding the future of the Student Panel because members raised issues deemed to be of importance to students. This is precisely the sort of activity that the …
Response attribution not verified
HSSIB safety recommendations(11)
Mental health inpatient settings: Creating conditions for learning from deaths in mental health inpatient services …
HSSIB recommends that the Department of Health and Social Care creates a national oversight mechanism that supports co-ordination, prioritisation and oversight of safety recommendations to implementation across the system. This is to ensure that recommendations from public inquiries, independent patient …
Safety Recommendation
Investigation report: Mental health inpatient settings - out of area placements
HSSIB recommends that the Department of Health and Social Care works across government to review the statutory instruments, business processes and regulations that govern mental health services, social care and housing services impacting on mental health out of area placements …
Safety Recommendation
Workforce and patient safety: electronic communications on patient discharge from acute hospitals
When exploring safety accountability, views varied as to whether individual providers or people were accountable, or the integrated care board (ICB). Stakeholders described that accountabilities needed to be clearly defined, with collaboration between providers to ensure processes – such as …
Learning Prompt
Clinical investigation booking systems failures: written communications in community languages
It may be beneficial to clarify the roles and functions of national organisations in supporting the health inequalities landscape.
Safety Observation
Clinical investigation booking systems failures: written communications in community languages
It may be beneficial to clarify the roles and functions of national organisations in supporting the health inequalities landscape.
Safety Action
Mental health inpatient settings: overarching report of investigations directed by the Secretary of State for …
HSSIB recommends that the Secretary of State for Health and Social Care directs and oversees the identification and development of a patient safety responsibilities and accountabilities strategy related to health and social care integration. This is to support the management …
Safety Recommendation
Mental health inpatient settings: Supporting safe care during transition from inpatient children and young people’s …
HSSIB recommends that the Care Quality Commission work with the Department of Health and Social Care to understand prioritisation for assessing transitions in mental health care within Integrated Care System assessments. Any subsequent work should include the development of a …
Safety Recommendation
Mental health inpatient settings: Supporting safe care during transition from inpatient children and young people’s …
HSSIB recommends that NHS England reviews and updates its inpatient children and young people’s mental health services specifications and commissioning guidance to ensure they support developmentally appropriate, needs-based transitions. Any changes to service delivery will require a review of funding …
Safety Recommendation
Safety management
Health and care organisations can improve patient safety by having clear lines of safety accountability and assurance of risk management processes. Currently patient safety risks are not managed in line with established UK government risk management principles.
Safety Observation
Safety management
HSSIB recommends that the Department of Health and Social Care, working with NHS England, uses the findings of this report to inform the development of the 10 Year Health Plan and NHS Quality Strategy. The intent of this recommendation is …
Safety Recommendation
Mental health inpatient settings: overarching report of investigations directed by the Secretary of State for …
HSSIB recommends that the Department of Health and Social Care continues to work with the ‘recommendations but no action working group’ and other relevant organisations, to ensure that recommendations made by national organisations specific to mental health inpatient settings are …
Safety Recommendation
CQC inspection actions(22)
Royal Shrewsbury Hospital
The trust should ensure compliance for declarations of interest by decision making staff is in line with the NHS Counter Fraud Authority recommended compliance standard of 80%.
Should Do
Cumberland Infirmary
The trust must ensure that leaders are visible within the organisation and relevant information is presented openly and transparently regarding strategic decisionmaking and challenge at senior level. This includes but is not limited, to recording of executive meetings and agendas …
Must Do
Poole Hospital
Review how the trust governors are given the opportunities to fulfil their role in providing feedback from members of the public and their constituencies, and how they hold the non-executive directors to account.
Should Do
Poole Hospital
Have improved evidence to show how effective challenge is given to the trust board by the non-executive directors.
Should Do
The Princess Royal Hospital
The trust should ensure compliance for declarations of interest by decision making staff is in line with the NHS Counter Fraud Authority recommended compliance standard of 80%.
Should Do
Royal Shrewsbury Hospital
The trust should consider reviewing the governance structure throughout the organisation in order to ensure that only relevant information is presented to trust board.
Should Do
Royal Shrewsbury Hospital
The trust should consider strengthening the Board by the appointment of additional specialists in financial management.
Should Do
Alnwick Infirmary
The trust should review its mechanisms of assurance to ensure that programmes of work being delivered at business unit level have oversight at board level.
Should Do
University Hospital of Hartlepool
The trust should ensure that its board papers are up to date and publicly available on its website at all times.
Should Do
The York Hospital
The trust must ensure there is an accountability framework for care groups to monitor performance on action plans or mitigating risk.
Must Do
Poole Hospital
Bring the EDS2 report to more prominence in the work around equality, diversity and inclusion to include actions on those areas assessed as developing. Determine if the reporting on WRES standards is reflective of the areas where there has been …
Should Do
Winterton House
There must be displayed at each premises from which the service provider provides a regulated activities at least one sign showing the most recent rating by the Commission that relates to the service providers performance at those premises.
Must Do
PHOENIX HEALTH KARE
The provider refers to current CQC guidance about meeting their reporting responsibilities.
Should Do
New Dawn Healthcare - Unit 18 Blackheath Business Centre
The provider failed did not inform the CQC that they had moved offices and were operating from an unregistered location.
Must Do
St Clare's Hospice
The provider should clearly identify timely actions and clear lines of accountability, following clinical governance meetings.
Should Do
St Clare's Hospice
The provider should discuss all clinical risks with trustees to demonstrate sufficient scrutiny is applied to all concerns.
Should Do
Southwinds
The provider must display their rating on their web site.
Must Do
Chiltern View
The provider failed to comply with imposed conditions to seek written approval before admitting people to the service
Must Do
Auckland House
The failure to notify the Care Quality Commission of significant events was a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.
Must Do
Auckland House
The failure to notify the Care Quality Commission of significant events was a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.
Must Do
Shining Star Home Care Limited
There is a requirement on provider's to complete the Provider Information Return (PIR) when requested to do so. The PIR request was sent to the provider on 20 April 2022. No completed PIR was returned to the Care Quality Commission.
Should Do
Nurses Friend
The provider was not always clear on regulatory requirements. They had not always ensured records relating to the legal entity of the provider were clear, or that they understood the appropriate use of a satellite office. [A satellite office is …
Should Do
HMICFRS recommendations(7)
FRS 2023-25 CoC Recommendations: Shropshire Fire and Rescue Service
Cause of concern: The service doesn’t have adequate processes, controls or internal governance arrangements in place to manage strategic risks, performance and improvement plans. Recommendation: The service should develop an action plan to make sure all processes in place to …
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
State of Fire and Rescue: National Recommendations
By 1 March 2025, the Home Secretary should introduce amendments to Parliament concerning the inspectors of fire and rescue that: (a) place a requirement on fire and rescue authorities to publish comments, within 56 days, in response to HMICFRS inspection …
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 27 June 2025 (nine months from publication), the NPCC should share a report summarising the progress forces have made against their action plans.
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 30 March 2025 (six months from publication), chief constables and police and crime commissioners should publish an action plan on their force website setting out the steps they are taking in response to the recommendations.
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 22 November 2024 (56 days from publication), chief constables and police and crime commissioners should write to HMICFRS, the IOPC and the College of Policing setting out their response to the recommendations.
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Advise the College of Policing, IOPC and HMICFRS within 56 days of the date of publication of this report whether they accept the recommendations made to them. Chief constables should direct their responses to the NPCC and PCCs should direct …
Recommendation
ICIBI immigration recommendations(18)
An inspection of Border Force operations at south coast seaports
Set specific deadlines for the implementation of recommendations made by the Inspectorate (and by the Border Force Operational Assurance Directorate) and put appropriate measures in place to ensure that these …
An inspection of the Home Office’s Afghan resettlement schemes (October 2022 – …
The Home Office should establish a consistent assurance regime with a focus on decision quality.
An inspection of Border Force practice and procedures in relation to firearms …
Review existing risk management practice to ensure a consistent national standard is maintained for the production, review, oversight and audit of risk assessments, risk registers and safe systems of work.
An inspection of Border Force practice and procedures in relation to firearms …
Appoint a Border Force Senior Responsible Owner to provide clear strategic direction and ownership of firearms related activity.
An inspection of contingency asylum accommodation (November 2023 – June 2024)
Overhaul contract compliance and assurance checks by revisiting the relevant recommendations from ICIBI’s 2018 and 2021 inspections of asylum accommodation and, in light of these: a) review the department’s approach …
An inspection of contingency asylum accommodation (November 2023 – June 2024)
Strengthen governance arrangements for the management of asylum accommodation, including proposed and existing large and medium contingency accommodation sites, by ensuring that: a) lines of reporting and accountability are clearly …
An inspection of the Border Force operation to deter and detect clandestine …
Designate a Home Office-wide ‘owner’ for clandestine entry, with overall responsibility for the efficiency and effectiveness of the Migration and Border System’s efforts to deter, detect, and manage clandestine entry …
Inspection report on country of origin information, July 2016
3. Ensure that full account is taken of the review by UNHCR of US State Department (USSD) reports issued under the current administration when deciding what reliance to place on …
Inspection report on country of origin information, July 2016
2. Indicate within future COI products where CPIT is aware of and has considered non-English language sources, but has decided that it is unnecessary to have them translated, giving the …
Inspection report on country of origin information, July 2016
Reconsider its response to the May 2016 recommendation from ICIBI that it “should ensure that the Country Policy and Information Team (CPIT) is resourced to fund the translation into English …
Inspection report on country of origin information, July 2017
3. Ensure that full account is taken of the review by UNHCR of US State Department (USSD) reports issued under the current administration when deciding what reliance to place on …
Inspection report on country of origin information, July 2017
2. Indicate within future COI products where CPIT is aware of and has considered non-English language sources, but has decided that it is unnecessary to have them translated, giving the …
Inspection report on country of origin information, July 2017
Reconsider its response to the May 2016 recommendation from ICIBI that it “should ensure that the Country Policy and Information Team (CPIT) is resourced to fund the translation into English …
An inspection of Border Force insider threat (January – March 2023)
Conduct a review of the effectiveness of the Joint Anti-Corruption Intelligence Team and map its outcomes, using data to support decisions and recommendations, to ensure the team is adding value …
A re-inspection of Border Force’s management of Project KRAKEN at small seaports …
The Home Office should develop and finance its own social media campaign to continually raise awareness of Project Kraken.
A re-inspection of Border Force’s management of Project KRAKEN at small seaports …
The Home Office should develop a mechanism to track the outcomes of intelligence generated through Project Kraken and use the information to assess the effectiveness of the project and promote …
Inspection report of family reunion applications, September 2016
Home Office response to the recommendations The Home Office accepts or partially accepts all recommendations.
Inspection report on an interim re-inspection of family reunion, July 2017
Review progress on recommendations two to four from ICIBI’s 2019 inspection of family reunion applications (in the context of the new Croydon team), with a view to implementing them as …
PPO death in custody recommendations(5)
NAO audit recommendations(209)— showing 50 strongest matches
A planning and spending framework that enables long-term value for money
Parliament expects to be able to hold the government to account for its delivery of value for taxpayers? money. To do so, Parliament needs timely, complete and transparent information on the government?s objectives, business planning, funding allocations, performance against objectives, …
Accepted
A planning and spending framework that enables long-term value for money
Parliament expects to be able to hold the government to account for its delivery of value for taxpayers? money. To do so, Parliament needs timely, complete and transparent information on the government?s objectives, business planning, funding allocations, performance against objectives, …
Accepted
A planning and spending framework that enables long-term value for money
Parliament expects to be able to hold the government to account for its delivery of value for taxpayers? money. To do so, Parliament needs timely, complete and transparent information on the government?s objectives, business planning, funding allocations, performance against objectives, …
Accepted
The UK border: Implementing an effective trade border
Following the next spending review, the Cabinet Office should re-evaluate the metrics it intends to use to measure the efficiency and effectiveness of the border for users and the government, and commit to public annual reporting against these. This should …
Partially accepted
Cabinet Office functional savings
b) include in its report an explanation of: ? the challenges and limitations of calculating and reporting efficiencies, ? how it intends to use the figures produced by functions, ? why the different methodological approaches used are robust enough to …
Accepted
Local authority investment in commercial property
The Department, working with CIPFA as appropriate, should review the prudential framework, its oversight and intervention arrangements, and underpinning data to ensure they remain fit for purpose in the context of an increase in local authority commercial activity. In doing …
Accepted
Local authority investment in commercial property
The Department needs to articulate clearly both the nature and scale of behaviour causing it concern in relation to both borrowing in advance of need and disproportionate borrowing. It should: • monitor trends more actively at sector level to understand …
Accepted
Dangerous cladding: the government’s remediation portfolio
MHCLG should consider whether there is additional information and data that it could publish about the portfolio that would: enhance the level of transparency for Parliament and the public over portfolio performance ? and therefore whether it is achieving value …
Accepted
The UK border: Implementing an effective trade border
Following the next spending review, the Cabinet Office, working with other departments, should confirm the government?s plans for taking forward the different elements of its 2025 UK Border Strategy. It should also clarify the arrangements to be put in place …
Partially accepted
Implementing statutory biodiversity net gain
On determining impact, Defra, working with Natural England, should: publish information annually ? for example, within Defra?s annual progress reports on the Environmental Improvement Plan ? on what statutory BNG has delivered so far towards the stated policy objectives, outcomes …
Accepted
Civil service leadership capability
g. Cabinet Office should develop a plan for external recruitment as part of its work on the new SCS strategy, reflecting assessments of priority areas (for example for particular skills or organisations) and whether the current system is working. It …
Accepted
Civil service leadership capability
f. The Cabinet Office should assess where a system-level view of capabilities and needs would be most valuable. It should develop mechanisms for producing this assessment.
Accepted
Civil service leadership capability
e. The Cabinet Office should develop and communicate a coherent view of expectations. It should explore ways to test whether leaders are clear on what is expected of them.
Accepted
Civil service leadership capability
d. The Cabinet Office should map for all its leadership capability activities the evaluation that it has already undertaken. It should prepare a strategy and plan for evaluation of activities and outcomes where it identifies gaps in coverage.
Accepted
Civil service leadership capability
c. The Cabinet Office should formally analyse the enablers of and barriers to achieving its objectives for leadership capability, to assess the extent of its influence over those factors. It should build from this analysis plans for action to address …
Accepted
Civil service leadership capability
b. The Cabinet Office should work with departments, professions and functions to set out more clearly the specific outcomes that it wants to achieve from leadership capability as a whole system, and criteria for judging success. The Cabinet Office should …
Accepted
Civil service leadership capability
a. The Cabinet Office, working with departments, professions and functions, should set out more clearly who is accountable for different activities that contribute to improved leadership capability.
Accepted
Rail reform: the rail transformation programme
After the current interim work, and when DfT comes to fully resetting rail reform in the future, it should ensure it: ? has secured full commitment across government for its ambitions for rail reform; ? has agreed its scope and …
Accepted
Supporting mobile connectivity
As it develops the wireless infrastructure strategy, DSIT should...learn lessons from its experience on previous digital infrastructure programmes, including the risk that advances in technology coupled with the practical and commercial barriers to deploying infrastructure in remote areas could perpetuate …
Accepted
Supporting mobile connectivity
As it develops the wireless infrastructure strategy, DSIT should...collect the data needed to assess to what extent the market will meet the UK?s future connectivity needs, and the government funding that may be required
Partially accepted
Supporting mobile connectivity
As it develops the wireless infrastructure strategy, DSIT should...determine the combination of enablers that will be required to deliver this connectivity (for example, 4G, wired connectivity, standalone 5G, other new technologies) and where they will need to be deployed to …
Partially accepted
Supporting mobile connectivity
As it develops the wireless infrastructure strategy, DSIT should...set out target dates for taking key decisions about the outcomes it is seeking, the connectivity that will be needed to realise them, and the input DSIT will need from other government …
Partially accepted
Supporting mobile connectivity
DSIT and BDUK should ensure that there is sufficient focus on delivering the 4G performance that consumers and businesses need. They should...assess how any actions they take to address the affordability of the SRN programme affect outcomes for consumers.
Accepted
Supporting mobile connectivity
DSIT and BDUK should ensure that there is sufficient focus on delivering the 4G performance that consumers and businesses need. They should...monitor how consumers and businesses are using 4G in SRN areas to ensure that intended benefits are being realised, …
Accepted
Supporting mobile connectivity
DSIT and BDUK should ensure that there is sufficient focus on delivering the 4G performance that consumers and businesses need. They should...continue to work with Ofcom to improve processes for measuring coverage to ensure that 4G coverage data reliably reflect …
Accepted
Supporting mobile connectivity
DSIT and BDUK should ensure that there is sufficient focus on delivering the 4G performance that consumers and businesses need. They should: carry out a detailed analysis of the outcomes they are seeking to achieve from improving connectivity in remote …
Accepted
Supporting mobile connectivity
DSIT and BDUK should ensure that their arrangements for oversight of MNOs on the SRN programme enable effective decision-making. BDUK should ensure that it receives timely and detailed financial and performance data across the programme to allow it to monitor …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
g) We recommend that HM Treasury should strengthen existing guidance to: encourage, where AOs believe it is appropriate to take risks with propriety or proceed with incomplete information or process, but have not sought a ministerial direction, to publish a …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
i) Where the initial fraud impact assessment indicates a risk of fraud, we recommend that HM Treasury: require that business cases include a budget and high-level milestones for implementing the fraud risk management cycle. High-level milestones might include, for example, …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
f) We recommend that HM Treasury should strengthen existing guidance to: clarify that, where a ministerial direction is used, AOs should still use the AO assessment process to set out how propriety will be managed. Where an AO cannot fully …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
s) We recommend that the Cabinet Office and HM Treasury: adopt a presumption of transparency around the recipients of emergency payments to act as a deterrent to their improper use and to aid in reporting of fraud ? this should …
Rejected
Lessons learned: tackling fraud and protecting propriety in government spending during an …
r) We recommend that the Cabinet Office and HM Treasury: seek to automate transparency over spending so publication requires little or no human involvement, building on current plans on contract awards following the Procurement Act 2023.
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
q) We recommend that the Cabinet Office and HM Treasury: embed into their guidance and training the expectations of how decisions on public spending are to be recorded during an emergency to uphold accountability. Use this to emphasise to staff …
Accepted
Lessons learned: tackling fraud and protecting propriety in government spending during an …
e) We recommend that HM Treasury should strengthen existing guidance to: support AOs to use AO assessments to structure their thinking and record judgements about the balance of priorities with respect to propriety. This should include consideration of the limitations …
Accepted
Non-executive appointments
h.) Publish data on when decisions are made to provide transparency on appointments.
Accepted
Non-executive appointments
g.) Consider how it could develop a risk-based system for appointments and where appropriate, for example, in the case of lower-risk appointments, see if there are new approaches, such as delegated sign-off, it could introduce to reduce the time the …
Accepted
Non-executive appointments
f.) Consider the opportunities afforded by the new system in matching candidates to potential positions. This could include: ? fast-tracking appointable candidates for other roles; ? how it makes the process easier when a re-appointment is the best course of …
Accepted
Non-executive appointments
e Establish new targets for measuring success regarding the diversity of non-executive directors and use the new data system to track and publish progress against these targets.
Accepted
Non-executive appointments
d.) Work with departments and their arm?s-length bodies to improve consistency of approach to appointments across government, through support, guidance and sharing of good practice.
Accepted
Non-executive appointments
c.) Work with departmental appointments teams to: ? understand where there are delays in the system and use this data to streamline the process where possible; and ? improve how organisations identify the skills and diversity they need for a …
Accepted
Non-executive appointments
b.) Use the data from its new tracking system to provide departmental Permanent Secretaries with regular information on: ? how appointments are being logged and maintained in the new data system; ? the progress of appointments within their departments; and …
Accepted
Non-executive appointments
Cabinet Office should: a.) Set out what good looks like for the appointments process, which should include who needs to be involved at each stage, the length of time the process should take and how candidates will be kept informed. …
Accepted
Tax measures to encourage economic growth
HMRC should publicise the areas where it would welcome academic research on tax reliefs.
Accepted
Tax measures to encourage economic growth
HMRC should monitor agent activity to assess the risks for tax reliefs and intervene early where it sees that expected standards of behaviour are not being met
Accepted
Tax measures to encourage economic growth
Where the costs of tax reliefs rise rapidly, and beyond an economically credible scenario, HMRC should, where proportionate, investigate a sample of claims to check whether there is widespread non-compliance. It should put in place a rapid response capability where …
Accepted
Tax measures to encourage economic growth
HMRC should demonstrate that it has applied lessons learned from the problems with the R&D SME relief to other reliefs that could be vulnerable to similar control failures
Accepted
Tax measures to encourage economic growth
HMRC should improve the transparency of relief costs by committing to provide comparisons of forecast and outturn costs compiled on the same basis. This should also inform internal reporting and analysis: ? HMRC should report where tax reliefs greatly exceed …
Accepted
Tax measures to encourage economic growth
HMRC should design proportionate controls and plan interventions at the beginning of a relief?s lifecycle based on risk assessment and learnings from other reliefs to: ? establish appropriate up-front checks on generous reliefs; ? set out plans for evaluations to …
Accepted
Tax measures to encourage economic growth
HM Treasury and HMRC should ensure the annual budget for evaluating tax reliefs is commensurate with the number and complexity of reliefs that need evaluating each year. The departments should ensure evaluations are completed in a timely way and commit …
Partially accepted
Tax measures to encourage economic growth
HM Treasury and HMRC should make a clear articulation of resources required to effectively administer and evaluate tax reliefs in tax information and impact notes. HMRC needs to ensure that teams can access the subject matter expertise needed for complex …
Accepted
PHSO ombudsman recommendations(7)
Discharge from mental health care: making it safe and patient-centred
The Government must show its commitment to transforming and improving mental health care by introducing the Mental Health Bill to Parliament as a priority.
Broken trust: making patient safety more than just a promise
The Government should seek cross-party support for embedding patient safety and the culture and leadership needed to support it as a long-term priority.
Women's State Pension age: our findings on injustice and associated issues
Given what our Principles, DWP's own guidance and HM Treasury's guidance say, Parliament may want to take steps to make sure DWP is held to account to demonstrate continuous improvement in the service it provides.
Women's State Pension age: our findings on injustice and associated issues
We did not find that the sample complainants suffered an unremedied injustice because of maladministration in DWP's communication about the number of National Insurance qualifying years needed for a full State Pension. But it is possible others have lost opportunities …
Women's State Pension age: our findings on injustice and associated issues
Our Principles for Remedy say public bodies should offer remedies, where appropriate, to others who have suffered injustice as a result of the same maladministration. We would have recommended DWP provides a remedy for others who have suffered injustice because …
Women's State Pension age: our findings on injustice and associated issues
We would have recommended DWP acknowledges the maladministration we have found and apologises for the impact it has had on complainants and others similarly affected.
Broken trust: making patient safety more than just a promise
The Department of Health and Social Care should commission an independent review of what an effective set of patient safety oversight bodies would look like. The review must include meaningful engagement with NHS leaders, staff, patients and families.
Victims' Commissioner recommendations(2)
IMB individual recommendations(57)— showing 50 strongest matches
Chelmsford (2024)
In previous years, the Board has highlighted many issues concerning life in HMP Chelmsford and the wider prison system. To our dismay, this has mostly led to the various Ministry of Justice Minsters doing little or nothing to address those concerns. Our voices need not only to be heard but actively listened to.
Ministry of Justice In Progress
Scotland and Northern Ireland Short-Term Holding Facilities (STHF) (2024)
To ensure transparency and drive improvement, require routine proactive publication of performance metrics such as those provided to HM Inspectorate of Prisons in its January 2024 inspection and the results of internal assurance and contract monitoring activities undertaken by the Home Office.
Other
Wandsworth (2025)
Following the UN, you advised that the Government was redirecting £100m from across the Prison Service, which will be spent over five years to deliver urgent improvements. How much has actually been spent and on what?
Ministry of Justice In Progress
Swaleside (2021)
The Board has major concerns that it may not be able to carry out its monitoring function satisfactorily with the imposed reduction in rota visits. (see section 8)
HMPPS Noted
North West and Midlands STHF (2024)
The Board remains very disappointed that our Annual Report of 2022 was never even acknowledged or responded to by the minister. The Board continues to be assured that its work is valuable and appreciated, but this is questionable if our detailed reports are ignored. It is therefore our recommendation that all reports are responded to in good time.
Other
North West and Midlands STHF (2024)
The Home Secretary visited the Liverpool Reporting Centre 8th June 2023 and very disappointedly did not visit the holding room. When this omission was questioned the Board was advised the Home Secretary was ‘very busy’. The Board, whilst appreciating how busy Ministers are, would recommend that whenever Ministerial visits are arranged to any facility in the IDE, a period is …
Other
Low Newton (2024)
For some time now the IMB have not had the opportunity to attend adjudications; how can we work to improve this situation over the next year?
Governor / Director
London STHF (2024)
We have experienced long delays in receiving responses for some rota reports. We would like timely responses so that we can be assured that our concerns are being addressed. At the time of writing, we are waiting for responses on eight reports for the reporting year.
Home Office
Five Wells (2024)
Are there plans to address the Board’s concerns that progress towards making the IMB Secretariat a separate entity to the MoJ has not been given Parliamentary time, and that the current public appointment system does not serve the best interests of recruiting new members?
Other Partially Accepted
Dartmoor (2024)
When will the IPP Annual Report, due in March 2024, be published?
HMPPS Implemented
Wandsworth (2025)
There has been no satisfactory answer to any of the questions asked of the Prison Service in our previous annual report. Please could you answer the questions?
HMPPS
Scotland and Northern Ireland short-term holding facilities (STHF) (2025)
How did you investigate the apparent serious governance failures that led Mitie Care and Custody, in May 2024, to issue an instruction mandating the blanket use of handcuffs – a directive it later rescinded?
Home Office
North East Midlands, Yorkshire & Humber STHF (2025)
We call upon the Home Office and the IMB staff team to cooperate in obtaining an independent legal opinion on the records and data that the IMB needs to have unfettered access to in order to fulfil its statutory duties.
Home Office
North East Midlands, Yorkshire & Humber STHF (2025)
We recommend that the matter is investigated urgently by the Home Office. We also request that the IMB be given reasons as to why our concerns have not been responded to.
Home Office
North East Midlands, Yorkshire & Humber STHF (2025)
We have yet to hear of any progress or outcome from the review and recommend that the Home Office provides the IMB with a clear timeline and process for consulting with the IMB on the content and outcome of the review.
Home Office
North East Midlands, Yorkshire & Humber STHF (2025)
In the light of the problems getting responses from the Home Office identified earlier in this report (see above section), we recommend that the protocol between the IMB and the Home Office is revised to incorporate a fixed procedure and timescale for responses to concerns the IMB escalates to the Home Office.
Ministry of Justice
Norwich (2020)
What is the minister's vision for the future of the IMB?
Ministry of Justice In Progress
Maidstone (2021)
Support the restoration of local governor control of establishments.
Other
Werrington (2022)
How can you guarantee that the IMB, which provides external scrutiny, is able to monitor such crucial processes as rule 49 reviews?
Governor / Director
Ranby (2022)
Could the minister assure the Board that this situation is receiving their urgent attention and that something is being done about it?
Other In Progress
Kent Coast Short Term Holding Facilities (STHF) (2022)
Request that their constructive engagement with the Board continues and that senior personnel continue to attend the monthly Board meetings. Ensure that the cleaning contract for KIU & Manston marquees have consistent high levels of service.
Other
Kent Coast Short Term Holding Facilities (STHF) (2022)
Request that their constructive engagement with the Board continues and that senior personnel continue to attend the monthly Board meetings. The Board should receive weekly figures from Manston, with length of stay included from all contractors on the site.
Home Office
Portland (2024)
Will the Minister address the serious shortcomings in the management processes in HMPPS, particularly with reference to the poorly planned early release scheme introduced to the service?
Ministry of Justice Implemented
London STHF (2024)
The Board would like a small group, accompanied by a higher officer, to visit the CWAs, as agreed in writing by BF last year, and now request that this is an unannounced visit rather than one scheduled in advance.
Home Office
Guys Marsh (2024)
HMPPS’s stated priority is ‘to deliver the Government’s vision and investment’3. What is the vision that HMPPS is to deliver?
Ministry of Justice Noted
Downview (2024)
What additional external checks are carried out by HMPPS to ensure the accuracy of data reported by the prison?
HMPPS
North East Midlands, Yorkshire & Humber STHF (2025)
The IMB should be given its own direct, independent access to electronic records. It is not adequate for IMB access to records to be dependent on Border Force or other facility staff gathering and curating print-outs of records. Such a system is inefficient, it hinders the IMB’s ability to get a full picture of cases and, in a worst case …
Ministry of Justice
Littlehey (2025)
The Minister will wish to note the Board’s dismay at the refusal to extend a member’s tenure, condemning the Board to two members in 2026, against a complement of 16 in a prison with some 1,240 prisoners. This will make it impossible to deliver all our statutory requirements; by necessity, there will be periods when we are unable to provide …
Ministry of Justice In Progress
Birmingham (2025)
How will the Governor increase accountability at all levels within the prison?
Governor / Director Noted
Winchester (2020)
Will the Governor provide the Board with clerking support that meets, more closely, the tasks agreed in the memorandum of understanding between the IMB and the Ministry of Justice (see section 8)?
Governor / Director
Isle of Wight (2020)
The HMIP inspection identified four areas that required external support from HMPPS; the subsequent Independent Review of Progress (IRP) report noted that: ‘these were rejected and so no progress had been made’. The IRP visit in January 2020 noted improvement by local management but there was a lack of support from the Prison Service nationally – including in ensuring basic …
HMPPS In Progress
Gartree (2020)
Will the minister share the decision-making process not to include prison officers as key workers who could access the vaccine for COVID-19 as a priority group?
Ministry of Justice
Haverigg (2021)
Is HMPPS able to reassure the Board that priority will be given to resolving this long-standing issue?
HMPPS In Progress
Deerbolt (2021)
Can we have a more suitable venue for rule 49 and rule 47.
Governor / Director
Coldingley (2021)
Would the Minister please advise the Board what the current plans are for addressing this issue?
Ministry of Justice In Progress
Manchester (2022)
Does the Governor have plans to address this?
Governor / Director In Progress
Manchester (2022)
How does the Governor plan to address this?
Governor / Director In Progress
Manchester (2022)
Does HMPPS plan any review of this process to identify how it could be improved?
HMPPS Implemented
Manchester (2022)
Does HMPPS plan to take any action to address these issues at national level?
HMPPS Implemented
Maidstone (2022)
Support the restoration of local Governor control of establishments.
Ministry of Justice Implemented
Leicester (2022)
Can the minister reassure the Board that this will be addressed soon?
Ministry of Justice
Guys Marsh (2022)
The Prison White Paper published in December 2021 contains a blueprint for prison reform over the next ten years. It contains many welcome commitments to safety, education and resettlement. Can the Minister give any assurances that these commitments will be translated into action as opposed to aspirational theory?
Ministry of Justice
Bure (2022)
Will the Minister act swiftly on this report?
Ministry of Justice
Hollesley Bay (2023)
The Board expresses profound disappointment at this decision and urges that it is revisited as soon as possible.
Ministry of Justice Rejected
Haverigg (2023)
The Board urges the Prison Service to review and, where necessary, revise the framework, ensuring the necessary safeguards and sanctions are in place to improve performance.
HMPPS
Ford (2023)
There is, we understand, a Memorandum of Understanding between the Management Board of the Independent Monitoring Boards and HMPPS regarding the proper provision of a clerk to support the efficient and effective function of the Board. For some years, HMP Ford has not been allocated the hours to provide this support, which is an exception around the prison estate. Whilst …
HMPPS
Wakefield (2025)
The Board asks that responses from the Governing Governor are included in the Ministerial reply to this annual report. Whilst we appreciate that this is matter is not unique to Wakefield, it is nevertheless important that the Governing Governor’s reply is made a matter of the public record.
Ministry of Justice Rejected
Low Newton (2020)
How does the Governor see the establishment progressing in the next three to five years?
Governor / Director
Isle of Wight (2020)
The IMB would significantly benefit from a telephone system in their office in Albany to enable them to contact prisoners in their cells; this would ensure efficient and effective use of IMB members’ time. While accepting that finance is always an issue, the IMB makes limited demands on prison resources.
Governor / Director Noted
Humber (2020)
The national leadership of the Prison Service has, in the opinion of the Board, hindered the ability of the prison to progress with the recovery process. They have been frustrated at the slow pace of recovery set out by national guidance from HMPPS, which has allowed little, if any room, for autonomy. The Board is of the opinion, in relation …
HMPPS
Health investigations(74)
Independent investigation: Katie Kazmi, Reading (1999) — Rec 8
The Home Office response to supervisors’ reports should reflect the reports’ contents rather than merely acknowledging their receipt.
south_east
Independent investigation: Katie Kazmi, Reading (1999) — Rec 7
In emphasising the Mental Health Unit’s supervisory role with restricted patients the Home Office should underline the requirement that information it is sent is comprehensive and objective, and, by implication, sometimes , unfavourable.
south_east
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec B
The Rules of the Supreme Court - Order 38, rule 19(1) - which authorise the Crown Office to issue a subpoena 'in aid of an inferior court or tribunal' should be reviewed by the Rules Committee to make it clear that non-statutory public inquiries, set up by central or local …
east_of_england
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec B
There should be greater clarity and explicitness in the guidance concerning the disclosure of documents to public inquiries.
east_of_england
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec B
The Secretary of State for Health should set in train a review of the Mental Health Review Tribunal system in the context of a review of the Mental Health Act 1983.
east_of_england
Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004) — Rec R31
We recommend to the HC that it reviews the issue of whether it is appropriate for establishments in the independent sector to be given advance notice of impending inspections by the HC, and that it should aim to minimise the number of occasions upon which such notice is in fact …
south_east
Independent investigation: Kasey Gordon, Tottenham (2011) — Rec 11
The Trust should ensure that it does not use Panel members who have had other involvement with the issue being investigated, or where this is not possible it is declared within the report.
london
Independent investigation: Brian Dodd, Prestatyn (2003) — Rec a)
That Medical Supervisors have a statutory responsibility (Mental Health Act, Section 41 (6)) to comply with Home Office Mental Health Unit reporting requirements. Reports submitted should be comprehensive, timely and identify any issues of concern.
wales
Independent investigation: Brian Dodd, Prestatyn (2003) — Rec a)
That MHRTs (prior to any Legislative amendment) exercise their powers to ensure that problems are addressed at an early date when they are made aware that they exist, or may occur.
wales
The Christie NHS Foundation Trust Rapid Review: Published November 2021 — Rec 2.5.6.1
To review all acting up payments in the R&I Division to ensure that they have the necessary approvals.
Christie NHS Foundation Trust north_west
The Christie NHS Foundation Trust Rapid Review: Published November 2021 — Rec 2.4.6.6
The Audit Committee should review the Trust’s Hospitality Policy to assure itself that it is appropriate for protecting the Trust and individual colleagues when there are active discussions with a potential commercial partner of the scale envisaged with Roche.
Christie NHS Foundation Trust north_west
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust: … — Rec 20
In the case of an enquiry into a Serious Incident that requires an external independent investigation, there should be a fully independent and experienced Chair, the background and qualities of whom should be specific to the facts of the case subject to investigation.
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust south_east
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust: … — Rec 19
SHFT should provide a clear and transparent definition of ‘independence’ and an open and accessible explanation about its processes for ensuring its investigations are ‘independent’. The definition and explanation should be available to service users, carers and family members and staff. SHFT should also set out criteria which indicate when …
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust south_east
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 22
The Trust should work with the Leeds Teaching Hospitals Charitable Trust to develop and implement a policy for the management of large financial donors, specifically setting out how to deal with requests for favours from them (source: chapter five).
Leeds Teaching Hospitals NHS Trust north_east_yorkshire
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (8)
Public officials, including senior civil servants, who are responsible for recommending the appointment of someone with whom they have a close personal relationship should generally withdraw from the appointment process. At the very least, they must ensure that their judgement is subject to independent verification. We recommend that the Department …
West London Mental Health NHS Trust london
Investigation into matters relating to Jimmy Savile at Broadmoor Hospital — Rec (7)
Department of Health procedures proved inadequate in ensuring that the decision to give Savile a managerial role in 1988 was thoroughly evaluated and subject to proper scrutiny. In part, this was due to a combination of circumstances at the time that is unlikely to be repeated. We recommend that any …
West London Mental Health NHS Trust london
This Independent Investigation into concerns and issues raised relating to … — Rec 37
NHS England and NHS Improvement should consider establishing a fully independent national body or process for investigating significant and material whistleblowing concerns from the outset, to ensure impartiality, thoroughness, and timely resolution for all parties involved.
University Hospitals of Morecambe Bay NHS Foundation Trust north_west
Independent investigation into the care and treatment of Mrs A … — Rec 17
Where a major service re-design in mental health services is being proposed and implemented the Trust must ensure that it complies with the Regulations when considering a substantial development of the health service, and consults the Local Authority. This should be subject to regular scrutiny by relevant Local Authority council …
Mrs A and Miss B, published on 03 July 2019. Mrs A and Miss B was in receipt of services from Oxleas NHS Foundation Trust london
Independent investigation: Liaquat Ali, Bury (1999) — Rec 1.iii
This process should be transparent to prevent a repeat of the lack of progress we noted following the internal inquiry and the Internal Inquiry report. However, it is important that this report should be widely shared in its entirety.
north_west
Independent investigation: Anthony Rigby, Blackburn (2002) — Rec 29
Disciplinary action should be considered in appropriate cases.
north_west
Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004) — Rec R29
We recommend to the HC that it reconsiders the extent to which reliance upon “self-assessment” declarations by establishments in the independent sector is of any significant value in determining how best to allocate the HC’s resources, and in deciding the frequency with which such establishments are visited by the HC’s …
south_east
Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004) — Rec R24
We recommend that the HC give urgent consideration to the ways in which it might better publicise its role, with a view to ensuring that members of the public who may have concerns about an independent hospital are aware that the HC exists; that it has a regulatory role; that …
south_east
Independent investigation: Shamim Akhtar, Birmingham (2000) — Rec 60
The Northern Birmingham Mental Health NHS Trust (or its successor) should ensure that mental health services are given sufficient priority within its management arrangements.
midlands
Independent investigation: Shamim Akhtar, Birmingham (2000) — Rec 59
The Birmingham Primary Care Trusts should ensure that mental health services are given sufficient priority within their management and commissioning arrangements.
midlands
Independent investigation: Shamim Akhtar, Birmingham (2000) — Rec 58
The Birmingham and The Black Country Health Authority should ensure that mental health commissioning is given sufficient priority within its management and commissioning arrangements.
midlands
Independent investigation: Rae Torbet(Ms E), Hastings, Sussex (2003) — Rec 9.10.1
the Strategic Health Authority, County Council and other relevant health bodies satisfy themselves that arrangements for performance management now in place meet the requirements of statute and best practice
south_east
Independent investigation: Ms B, Cheltenham (2008) — Rec 4
Commissioners of Trust services should ensure that clear standards are set and quality measures are agreed and that service outcomes are routinely appraised and monitored.
south_west
Independent investigation: Ms B, Cheltenham (2008) — Rec 2
The Trust Board should confirm and challenge the outputs from the reports and the actions arising.
south_west
Independent investigation: Dorothy Shepherd, Winchcombe (2010) — Rec 1
The Trust Board should confirm and challenge the outputs from the reports and the actions arising.
south_west
Independent investigation: Dorothy Shepherd, Winchcombe (2010) — Rec 3
The Trust Board should ensure that they have processes in place to assure themselves that evidence of action plan implementation is in place before action plans are signed off as complete.
south_west
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust: … — Rec 34
The CCG should monitor its contract with SHFT with demonstrable rigour and perceived independence.
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust south_east
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust: … — Rec 29
SHFT should produce a quarterly and annual Serious Incidents Report, which should provide a mechanism for quality assurance. It should be presented to the Board and available to the general public, in compliance with data protection and confidentiality laws.
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust south_east
Investigation into matters relating to Jimmy Savile at Leeds General … — Rec 31
Assurance that charitable funds are channelled appropriately should be gathered on a systematic and ongoing basis and reported to both the Charitable Trustees and the Trust Board Audit Committee to ensure that the mechanisms in place to do this continue to be effective (source: chapter five).
Leeds Teaching Hospitals NHS Trust north_east_yorkshire
This Independent Investigation into concerns and issues raised relating to … — Rec 36
NHS England and NHS Improvement should review the current national guidance and support mechanisms for independent investigations, particularly in relation to ensuring the accuracy and reliability of information in the public domain, and the process for managing whistleblowing concerns to prevent their weaponisation.
University Hospitals of Morecambe Bay NHS Foundation Trust north_west
An independent review into the independent sector provider One to … — Rec 4
The Care Quality Commission should consider how they publicly share information about actions taken to address any issues from previous regulation activity, ensuring this is easy to understand, accessible and provides evidence of how they have held organisations to account for people’s care.
north_west
A system-wide independent investigation into concerns and issues raised relating … — Rec 11
There were gaps in relation to both the commissioning of effective services and in relation to the regulatory oversight in relation to West Lane Hospital. Assurance seeking activity was weak with a lack of sufficient scrutiny of both hard and soft intelligence. A compound recommendation is required to address this …
CAMHS provision at West Lane Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust north_east_yorkshire
Independent investigation into the care and treatment of Mr S — Rec R8
The Trust medical director should seek advice from the GMC on whether a private psychiatrist should cooperate as fully as possible with a trust investigation.
Mr S, published on 16th December 2020. Mr S was in receipt of services from Central North West London NHS Trust london Accepted
Independent investigation: Katie Kazmi, Reading (1999) — Rec 9
The Home Office should require that supervisors’ reports contain information on: the frequency and venue of meetings; home and work circumstances; the views of the care team other than the supervisors.
south_east
Independent investigation: Katie Kazmi, Reading (1999) — Rec 5
The Health Authorities or their successors should indicate to the relevant bodies their intention to review the progress of this report’s recommendations, initially at 6-months. The inquiry panel members should be included in this review.
south_east
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec B
The Government should consider establishing an independent committee to review the subject of the supply and dissemination of information within the services dealing with people in need of treatment, care and control.
east_of_england
Independent investigation: Philip Hendy, Bristol (2007) — Rec 11.18.7
The response of a Trust or other agencies to the findings and recommendations of an independent investigation should be monitored, and if recommendations are not implemented within a reasonable time the agencies concerned should be required to account for this failure to an external, independent body.
south_west
Independent investigation: Anthony Rigby, Blackburn (2002) — Rec 26
The Trust and the local authority should agree a single line management structure that reflects the needs of the care groups for whom they are responsible, and provides clear lines of managerial responsibility and accountability.
north_west
Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004) — Rec R7
We recommend to PCTs, Trusts and Social Services that those responsible for placing patients in the independent sector should consider adopting significantly more detailed contracts with the hospitals with which they contract, with a view to imposing specific and detailed contractual obligations with regard to level of service to be …
south_east
Independent investigation: Jane WheatleyGary Gardiner, Sheffield (2007) — Rec 6
When new relevant policy initiatives are announced they should be discussed at the next Trust Board meeting and a process should be put in place to ensure that the Board is kept informed of developments through to implementation including ensuring a review of the internal policy. The Board should consider …
north_east_yorkshire
Independent investigation: Freya Emson(3 mnths), NE London (2000) — Rec 3
The Chief Medical Officer should lead a group involving the General Medical Council (GMC), British Medical Association (BMA), Academy of Royal Colleges, the Institute of Health Service Management and the NHS Confederation to address this issue.
london
Independent investigation: Jason Dean, Eston, Middlesbrough (2018) — Rec 2
The Trust should ensure that: • the quality assurance process for signing off serious incidents/homicides is strengthened and the reasons why this was not adequate in this case are understood • independence from services in investigations is given priority • the Integrated Care Board (ICB) is given sufficient opportunity to …
north_east_yorkshire
Independent investigation: Brian Marsh, Swindon (2007) — Rec 20
That the issue of staff accountability be a reporting criterion clearly acknowledged within subsequent serious untoward incident investigations.
south_west
Independent investigation: Brian Dodd, Prestatyn (2003) — Rec h)
That Local Health Boards and Health Commission Wales be made responsible to monitor compliance with the conditions specified for discharge.
wales
Independent investigation: Brian Dodd, Prestatyn (2003) — Rec f)
That where 24 hour supervised care is specified in the conditions of discharge and cannot be met, the matter should be brought to the attention of Local Health Boards/Health Commission Wales to ensure this requirement is properly applied.
wales
Independent investigation: Brian Dodd, Prestatyn (2003) — Rec e)
That NHS Trusts always formally bring difficulties in obtaining appropriate aftercare facilities to the attention of their commissioning authorities.
wales
Scottish Fatal Accident Inquiries(2)
Article 2 learning points(1)
Detention investigations(10)
Investigation into the Failing of Medomsley Detention Centre — Rec 3
The third is that despite criminal convictions, civil cases and compensation paid to the victims of Medomsley, none of them have ever received a public apology. If I were to recommend that any party should do so, then victims would, justifiably, view any subsequent public statements as forced and therefore …
Prisons
Assessment of government progress in implementing the report on the … — Rec 27
I recommend that a copy of this report be shared with HM Chief Inspector of Probation for her consideration.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 51
Finally, an independent element should be introduced at the apex of the system. HM Chief Inspector of Prisons has called for the appointment of an independent Ombudsman for the immigration detention estate. The Refugee Council quite independently recommended the same. Given our existing responsibility for death in custody investigations in …
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 32
The Home Offce should review the case for an independent element in case progression panels considering those detained for more than six months.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 15
I recommend new arrangements for the consideration of Rule 35 reports. This should include referrals to a new body – which could be within the Home Offce but separate from the caseworker responsible for detention decisions.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 14
The Independent Chief Inspector of Borders and Immigration should be invited to report annually to the Home Secretary on the working of the Adults at Risk process.
Immigration Detention
Review into the Welfare in Detention of Vulnerable Persons — Rec 61
As part of the examination of its own processes that I have proposed, I recommend that the Home Office consider if and what ways an independent element can be introduced into detention decision making.
Immigration Detention
Investigation into Allegations of Racism and Mistreatment of Detainees at … — Rec 54
I recommend that IND establishes the office of Prisons and Probation Ombudsman on an administrative basis as the independent tier of its detainee complaints system as a matter of priority. The Ombudsman should be required expressly to act as guardian of the whole complaints system and funded accordingly.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 34
The Home Offce should review whether fgures relating to deaths in and after detention should be issued on a regular basis.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 17
IND reviews its systems for assessing contract bids in the light of the Yarl’s Wood experience. In particular, consideration should be given to bringing in independent expertise to help with the assessment.
Immigration Detention
Independent reviews(50)
Youth Justice Board Review — Rec 3
YJPU, in consultation with the YJB, should seek secondary legislation to amend the YJB’s current function relating to grants to youth justice services to include a section on ‘advising relevant ministers across departments of the fulfilment of partner agencies’ statutory duties and financial commitment to the youth justice system’.
Justice & Legal
Building Control Independent Panel — Rec 21
Bring together Departmental interests to issue a statement on the future of the CPS scheme. As part of that prioritise and support the BSR's plans to review 'conditions of authorisation'.
Building Safety
Building Control Independent Panel — Rec 20
Progress planned work to improve and regulate the warranty market. As part of that consider the issues raised with the panel about the approach to inspections and the impact on BC fees.
Building Safety
Building Control Independent Panel — Rec 18
Establish a single professional code of conduct for all BCAs, setting expectations for independence, behaviour and public interest standards across the sector.
Building Safety
Building Control Independent Panel — Rec 16
Reform the approach to measuring performance. Replace the current burdensome framework with a streamlined, outcome focused approach aligned to statutory purpose.
Building Safety
Building Control Independent Panel — Rec 14
Improve transparency and secure information sharing. Enable structured sharing of regulatory data between providers, the SCR, Government and the public to support accountability and risk based oversight.
Building Safety
Building Control Independent Panel — Rec 11
Extend compliance and stop notice powers to private sector RBCAs. Give all providers equivalent duties to act in the public interest, while retaining prosecution powers with new BCBs and the SCR.
Building Safety
Building Control Independent Panel — Rec 7
Consolidate and modernise statutory instruments. Remove contradictions, update outdated provisions and consolidate building regulations to create a coherent framework for all providers.
Building Safety
Building Control Independent Panel — Rec 6
Create one statutory process for applications, notices and approvals. Align requirements across all providers so the statutory function operates to the same clear and modernised rules.
Building Safety
Building Control Independent Panel — Rec 5
Strengthen national enforcement capability. Provide the SCR with specialist legal, investigatory and technical capacity to support robust and consistent enforcement across England.
Building Safety
Building Control Independent Panel — Rec 4
Define the role and powers of the Single Construction Regulator (SCR). Set out the SCR's remit across oversight, registration, performance monitoring, HRB decisions and enforcement.
Building Safety
Building Control Independent Panel — Rec 3
Create consolidated Building Control Bodies (BCBs). Establish fewer, larger building control bodies to take on statutory functions from LA BCAs, to deliver consistent decisions, risk-based inspections and enforcement.
Building Safety
Building Control Independent Panel — Rec 2
Remove dutyholder choice from statutory building control. End client selection of regulator and move to independent allocation model based on risk, competence and capacity. In transition to this, enable preference of BCB to be established.
Building Safety
Building Control Independent Panel — Rec 1
Establish a single, independent statutory building control system. Legislate for a unified statutory system for all non HRB work, built on independence, national consistency, clear duties and transparent public accountability.
Building Safety
Murphy Windsor Framework Review — Rec 7
The UK Government should look to broaden its inclusion of stakeholders into the meetings of the various UK-EU fora.
Institutional Accepted
Murphy Windsor Framework Review — Rec 5
The UK Government should continue to work transparently with all Northern Ireland parties regarding the functioning of the Stormont Brake and related mechanisms, acknowledging and addressing the impacts of EU legislation on Northern Ireland.
Institutional Accepted
Murphy Windsor Framework Review — Rec 4
There should be additional capacity and support from the UK Government for the Northern Ireland Civil Service and the Democratic Scrutiny Committee itself to facilitate access to timely and relevant information, better use of the Executive's office in Brussels, and expanded engagement with Northern Ireland stakeholders.
Institutional Accepted
Murphy Windsor Framework Review — Rec 3
There should be more coordination between Whitehall and Belfast in advising the Democratic Scrutiny Committee, and Northern Ireland Civil Servants should be empowered to provide good and appropriate advice.
Institutional Accepted
Prison Capacity Review — Rec 3
I recommend that the HMPPS Board should be mandated to carry out an evaluation of the prison service, in consultation with the Chief Inspector of Prisons. It should also monitor and report on progress against the 10-year prison capacity strategy and the proposed strategy for probation and community capacity.
Justice & Legal
Prison Capacity Review — Rec 2
I recommend that there should be an independent advisory body to provide advice and external validation of the capacity strategies and challenges in both prisons and probation, and in particular the impact of any proposed changes in the criminal justice system.
Justice & Legal
Cunliffe Water Commission — Rec 88
Recommendation 88: An independent review of the follow up to the Commission's report should be carried out in 2 years' time.
Other
Cunliffe Water Commission — Rec 58
Recommendation 58: A formal turnaround regime should be established for the regulator in England and Wales to support turnaround of poorly performing companies. This should enable both an enhanced power of direction as well as regulatory forbearance.
Other
Cunliffe Water Commission — Rec 57
Recommendation 57: The regulator in England and Wales should have the power to set minimum capital levels for water companies.
Other
Cunliffe Water Commission — Rec 56
Recommendation 56: A financial supervision framework should be embedded as part of a broader supervisory model. Within this framework, the regulator in England and Wales should publish a range of risk factors that inform their judgement of a company's financial risk profile.
Other
Cunliffe Water Commission — Rec 54
Recommendation 54: The regulators in England and Wales should conclude long-running investigations and enforcement cases as soon as possible as part of a reset of the sector.
Other
Cunliffe Water Commission — Rec 53
Recommendation 53: The UK Government should use the opportunity of this review and its decisions on the implementation of the Commission's recommendations to reset its approach to strategic communications regarding the water industry.
Other
Cunliffe Water Commission — Rec 52
Recommendation 52: The UK and Welsh Government should include a target relating to the stability of the regulatory model as an objective in its strategic guidance.
Other
Cunliffe Water Commission — Rec 51
Recommendation 51: A new regime for senior accountability should be established by the UK and Welsh Government. The proposed regime should be subject to public consultation before implementation.
Other
Cunliffe Water Commission — Rec 50
Recommendation 50: The regulator in England and Wales should continue current plans to strengthen governance standards and bring its principles in line with the UK Corporate Governance Code. Rules should apply to all water companies, listed and unlisted, and create a level playing field in governance and transparency across all …
Other
Cunliffe Water Commission — Rec 49
Recommendation 49: The regulator in England and Wales should mirror elements of the Articles of Association in licence conditions to strengthen accountability.
Other
Cunliffe Water Commission — Rec 48
Recommendation 48: The regulator in England and Wales should be provided with powers to direct parent companies and ultimate controllers.
Other
Cunliffe Water Commission — Rec 47
Recommendation 47: The regulator in England and Wales should have the power to block material changes in control of water companies.
Other
Cunliffe Water Commission — Rec 46
Recommendation 46: The water regulator in England and Wales should continue to adopt an evidence-based process to consider, on a case-by-case basis, whether it would be appropriate for a water company to transition to an alternative ownership model where they request to do so or following a SAR.
Other
Cunliffe Water Commission — Rec 45
Recommendation 45: The government should consider transferring the advocacy functions of CCW to Citizens Advice, providing a stronger voice for customers, that the water regulator is required to respond to.
Other
Cunliffe Water Commission — Rec 44
Recommendation 44 (England and Wales): The UK and Welsh Government should consider whether to convert the Consumer Council for Water into a new mandatory Water Ombudsman.
Other
Cunliffe Water Commission — Rec 40
Recommendation 40: The UK and Welsh Government should work with their regulators to develop a new policy and regulatory framework to drive the adoption of water re-use infrastructure in household and non-household markets.
Other
Cunliffe Water Commission — Rec 38
Recommendation 38: Tariff structures should be changed to incentivise water efficiency. This could involve removing falling block tariffs for non-household consumption.
Other
Cunliffe Water Commission — Rec 32
Recommendation 32: The UK and Welsh governments should ensure that their regulators are equipped with sufficient powers, operational flexibility, and the ability to recruit and retain high-quality technical staff. This should include establishing the new regulator outside of public sector pay controls.
Other
Cunliffe Water Commission — Rec 31
Recommendation 31: The UK and Welsh governments should take steps to ensure full cost recovery from the industry to ensure that the regulatory service is self-sufficient and in line with the polluter pays principle.
Other
Cunliffe Water Commission — Rec 29
Recommendation 29: The EA should accelerate their efforts to bring resolutions to long-running enforcement cases in consideration of the public interest of delivering justice for any historic offences.
Other
Cunliffe Water Commission — Rec 28
Recommendation 28: The UK and Welsh governments should implement the civil sanctions provisions in the Water (Special Measures) Act 2025 that will expand the regulator's toolkit to enable swifter enforcement.
Other
Cunliffe Water Commission — Rec 24
Recommendation 24: Defra should change the nature of the CMA dispute process for water companies from redeterminations to a standard appeal procedure, in line with other sectors. This applies to England and Wales.
Other
Cunliffe Water Commission — Rec 23
Recommendation 23: UK Government should consider providing the CMA with responsibility to set a common WACC methodology for all UK regulated sectors. This applies to England and Wales.
Other
Cunliffe Water Commission — Rec 5
Recommendation 5: Water industry planning should be rationalised down from 9 plans into 2 core planning frameworks – 'Water Environment' and 'Water Supply.' This applies to England and Wales.
Other
Cunliffe Water Commission — Rec 4
Recommendation 4: The 5-year Price Review cycle should be retained for setting water bills and company revenues over a 5-year period but water industry investment planning should be conducted on a 5/10/25 year basis with the greater certainty and granularity for the first 5 years, more indicative plans for the …
Other
Cunliffe Water Commission — Rec 3
Recommendation 3: A comprehensive systems planning framework should be introduced for England and Wales, with responsibility for integrated and holistic water system planning. In England, the systems planners should be regional – or 'regional water authorities'. In Wales, the systems planner should be a national authority.
Other
Corry Defra Regulation Review — Rec 19
The Office for Environmental Protection (OEP) plays an important role in providing independent scrutiny to Government action on the environment. However, as with our general approach, the OEP must ensure its focus is on outcomes not just process. Their recent report on the previous Government's progress towards delivering the Environment …
Other
Corry Defra Regulation Review — Rec 1
Introduce and publish a refreshed set of outcomes for regulators, linked to the Environmental Improvement Plan, with a clear accountability framework involving measurable outcomes that are monitored regularly by the department and reported on to Ministers and the public.
Other
Graham Pre-pack Review — Rec 6
The Insolvency Service withdraws from monitoring SIP16 statements and that monitoring be picked up by the Recognised Professional Bodies.
Other
Graham Pre-pack Review — Rec 3
The Joint Insolvency Committee considers, at the earliest opportunity, the redrafted SIP16 in Annex A.
Other
PHSO casework decisions(39)
P-002731 — HM Treasury
Mr and Mrs C complained HM Treasury failed to act on 2017 concerns about Safe Hands Funeral Plans and delayed legislation, resulting in their loss of approximately £7,000.
UK Government Jun 2024
P-002675 — HM Treasury
Mr and Mrs D complained HM Treasury failed to act on 2017 concerns about a funeral plan provider breaching regulations, causing them financial loss.
UK Government Jun 2024
P-002676 — HM Treasury
Mrs P complained HM Treasury failed to act on 2017 concerns about a funeral plan provider and delayed new legislation, causing her to lose £7,190 and suffer stress.
UK Government Jun 2024
P-002681 — HM Treasury
Mr K complained HM Treasury failed to act on 2017 concerns about a funeral plan provider, leading to him losing £3,700 when the provider entered administration.
UK Government Jun 2024
P-002659 — HM Treasury
Mr and Mrs W complained HM Treasury failed to act on 2017 concerns about a funeral plan provider breaching regulations, leading to the loss of their funeral plan money.
UK Government Jun 2024
P-002680 — HM Treasury
Mr O complained HM Treasury failed to act on 2017 concerns about Safe Hands Funeral Plans breaching regulations and delayed new legislation, causing him financial loss.
UK Government Jun 2024
P-002706 — HM Treasury
Mr and Mrs B complained HM Treasury failed to act on concerns about a funeral plan provider in 2017, leading to them and 46,000 customers losing their funeral plans and money.
UK Government Jun 2024
P-002660 — HM Treasury
Miss R complained HM Treasury failed to act on concerns about a funeral plan provider in 2017, leading to her losing money when the provider entered administration.
UK Government Jun 2024
P-002714 — HM Treasury
Mr and Mrs R complained HM Treasury failed to act on concerns about a funeral plan provider in 2017, leading to their financial loss and stress when the company entered administration.
UK Government Jun 2024
P-002717 — HM Treasury
Ms A complained HM Treasury failed to act on reported breaches by a funeral plan provider in 2017, resulting in her losing most of the money paid into her plan.
UK Government Jun 2024
P-001529 — Driver and Vehicle Licensing Agency
Mr B complained the DVLA's age-related registration policy was unclear, they delayed communication, and did not follow their own processes or ICA recommendations, causing him stress and frustration.
UK Government Upheld Sep 2022
P-001786 — Medicines and Healthcare products Regulatory Agency
Mrs H complained the MHRA inadequately investigated her knee replacement failure, relying on the manufacturer's findings, which led to increased zirconium in her blood and complications.
UK Government Feb 2023
P-002715 — HM Treasury
HM Treasury failed to act on concerns about a funeral plan provider in 2017 and delayed new legislation, causing Mr K and other customers to lose significant money when the provider went into administration.
UK Government Jun 2024
P-002724 — HM Treasury
Mrs A complained HM Treasury failed to act on concerns about a funeral plan provider in 2017, leading to customers losing money when the provider went into administration.
UK Government Jun 2024
P-002723 — HM Treasury
Ms E complained HM Treasury failed to act on reported breaches by a funeral plan provider and delayed legislation, resulting in the loss of her funeral plan and significant distress.
UK Government Jun 2024
P-002826 — HM Treasury
Ms M complained HM Treasury failed to act on concerns about Safe Hands Funeral Plans in 2017 and delayed legislation, leading to loss of her funeral plan and money.
UK Government Jul 2024
P-003983 — Charity Commission
Mr I complained the Charity Commission refused to investigate alleged maladministration, fraud, and improper fund use at an almshouse charity, causing him significant health issues.
UK Government Sep 2025
P-001802 — NHS England
Mr I complained NHS England held an Independent Review Panel (IRP) without him despite his illness, and did not record it. He believes this led to an incorrect CHC eligibility decision.
NHS in England Feb 2023
P-001979 — Department for Business, Energy and Industrial Strategy
Mr O complained the BEIS consultation on units of measurement was misleading and biased, preventing respondents from clearly expressing a preference for no change to existing metric use.
UK Government May 2023
P-002021 — Office for Standards in Education, Children's Services and …
Mr O complained Ofsted wrongly initially rejected his accreditation application, causing a five-month delay, inconvenience, and lost income before it was approved.
UK Government Jun 2023
P-002429 — Office of Gas and Electricity Markets (OFGEM)
Mr P complained Ofgem withdrew his eligibility from a renewable heat scheme. He alleged Ofgem did not consider his issues or allow him to explain events after system parts were decommissioned, resulting in lost funding.
UK Government Jan 2024
P-002823 — HM Treasury
HM Treasury allegedly failed to act on concerns about a funeral plan provider in 2017 and delayed legislation, causing significant financial losses for customers.
UK Government Jul 2024
P-002893 — Health and Safety Executive
Mr L complained the HSE inadequately investigated his son's workplace accident, failing to conduct a site visit and providing delayed, unempathetic responses, hindering compensation claims.
UK Government Jul 2024
P-001555 — Charity Commission
Mr T complained the Charity Commission mishandled his concerns about a charity and poorly oversaw its operations, leading to its closure and his disappointment.
UK Government Sep 2022
P-001682 — Department for Culture, Media and Sport
DCMS released guidance restricting singing late after 'Step 3' began, failed to justify the delay, and did not answer queries during the complaint process, causing distress and disruption.
UK Government Not Upheld Nov 2022
P-002006 — The Pensions Regulator
HMRC and TPR suppressed a determination notice, allowed a pension scheme to retain its PSTR number, and TPR failed to appoint an independent trustee, leading to pension fraud and a tax charge.
UK Government Not Upheld Nov 2022
P-001836 — Information Commissioner's Office
The Information Commissioner's Office (ICO) allegedly applied the wrong burden of proof ('beyond reasonable doubt') when considering his complaint, rendering its decision flawed.
UK Government Dec 2022
P-002258 — HM Courts and Tribunals Service
Mr R complained about a delayed speeding fine and HMCTS's failure to allow call recording as a reasonable adjustment, causing financial and mental distress.
UK Government Oct 2023
P-002261 — Rural Payments Agency
Mr S complained the RPA website's poor user experience and lack of submission confirmation led to his Countryside Stewardship claim failing, costing him significant revenue.
UK Government Oct 2023
P-002271 — HM Revenue and Customs
Mrs A complained HMRC pursued a tax credit debt through DWP despite her direct debit being cancelled and her belief the debt was cleared by her sister.
UK Government Oct 2023
P-002315 — Independent Case Examiner
Ms A complained the DWP unfairly pursued an old benefit overpayment and the Independent Case Examiner (ICE) failed to conduct a fair investigation, missing crucial evidence.
UK Government Nov 2023
P-002308 — Advisory, Conciliation and Arbitration Service (Acas)
Mrs X alleged ACAS provided incorrect advice about a 'TUPE transfer' and the impact of signing a conciliation agreement, causing her employment tribunal claim to fail.
UK Government Nov 2023
P-002623 — Veterans UK
Mr E complained Veterans UK wrongly categorised his injuries and delayed his Armed Forces Compensation Scheme application, causing significant financial hardship and mental health impact.
UK Government May 2024
P-002592 — Insolvency Service
Mr N complained the Insolvency Service unfairly started disqualification proceedings against him in 2015, resulting in business closure, lost income, and legal fees.
UK Government May 2024
P-003212 — Office of the Immigration Services Commissioner
Ms A complained OISC failed to investigate her husband's judicial review application and didn't specify financial compensation for identified failings by IAS, causing distress and financial disadvantage.
UK Government Dec 2024
P-004522 — Charity Commission
Mr O complained the Charity Commission failed to properly understand and investigate his serious concerns about a charity, denying him closure.
UK Government Dec 2025
P-003826 — Ministry of Justice
Mr J complained the Ministry of Justice wrongly approved flawed Independent Monitoring Board documents concerning legal powers, contract signing, and disciplinary procedures, and mishandled his complaint.
UK Government Jul 2023
P-003396 — Home Office
Ms L alleged the Windrush Compensation Scheme gave her incorrect compensation, ignored evidence, and provided misleading information, causing distress due to delays and lack of transparency.
UK Government Mar 2025
P-004360 — Charity Commission
The Charity Commission ignored evidence regarding a Charity's accounts and his complaint about being wrongly removed as a trustee.
UK Government Nov 2025
LGO / SPSO decisions(996)
23-010-781 — Torridge District Council
Summary: Miss X complained the Council’s land assets list does not meet the requirements of the Local Government Transparency Code 2015. We find the Council at fault which caused Miss X uncertainty and frustration. The Council has confirmed it will update its land assets list in the coming year to …
LGO (Local Government & … Other Categories Upheld Jul 2024
PSOW-202100842 — Llanigon Community Council
The Ombudsman received a complaint that a member (“the Member”) of Llanigon Community Council (“the Council”) had breached the Code of Conduct. It was alleged that the Member had: Behaved in a disrespectful, aggressive, and very intimidating manner towards the complainant in a Council meeting on 9 December 2020. Bullied …
PSOW (Public Services Om… Local Government Not Upheld Jul 2022
PSOW-202404346 — Ogmore Valley Community Council
The Ombudsman received a complaint that a Member (“the Member”) of Ogmore Vale Community Council (“the Council”) had breached the Code of Conduct (“the Code”). It was alleged that the Member had acted on behalf of the Council without its approval or consent, when advancing an application for grant funding. …
PSOW (Public Services Om… Local Government Not Upheld Sep 2025
PSOW-202403971 — St Nicholas & Bonvilston Community Council
The Ombudsman received a complaint that a Member (“the Member”) of the Council had breached the Code of Conduct. At the time of the events complained about, the Complainant was also a Member of the Council. She alleged that, prior to a Council meeting, the Member had shared a copy …
PSOW (Public Services Om… Local Government Nov 2025
22-001-307 — Birmingham City Council
Summary: We will not pursue Mr X’s complaint about the Council’s failure to collect household waste. This is because the Council has agreed to our recommendations to monitor collections and pay Mr X £200 to recognise the injustice he has been caused.
LGO (Local Government & … Environment And Regulation Upheld Jun 2022
22-001-177 — Birmingham City Council
Summary: The Council is at fault for delaying consideration of this complaint under the children’s statutory complaints procedure. The Council has agreed to make a payment to the complainant for the time and trouble its delay has caused.
LGO (Local Government & … Children S Care Services Upheld Jun 2022
21-013-125 — Birmingham City Council
Summary: Mr X complained the Council failed to respond to his representations against four Penalty Charge Notices (PCNs) for entering a Clean Air Zone. The Council failed to both consider and respond to Mr X’s representations which was not in line with relevant regulations. To remedy the frustration and uncertainty …
LGO (Local Government & … Transport And Highways Upheld Jun 2022
20-012-914 — Shropshire Council
Summary: Mr and Mrs X complained about the Council’s handling and decision on their complaints about breaches of planning control, resulting in their loss of amenity, loss of property value and distress. We find no fault in the Council’s decision making but we find fault in its communications. We recommend …
LGO (Local Government & … Planning Upheld Jun 2022
201003119 — Clackmannanshire Council
In 2002 the council promoted the Stirling-Alloa-Kincardine Railway and Linked Improvement Bill as an item of private legislation to the Scottish Parliament. Mr C attended public meetings and objected to the bill. He complained that during the consultation period the council failed to include full relevant information about the times …
SPSO (Scottish Public Se… Local Government Not Upheld May 2012
201807779 — Dumfries and Galloway Council
C, an advice worker, complained about the council on behalf of their client (A). A's relative (B) was placed with them after difficulties in their parents' circumstances. It was initially agreed that a parenting assessment be carried out, which led to a joint care arrangement being agreed. However, an incident …
SPSO (Scottish Public Se… Local Government Upheld Jun 2020
201807257 — Aberdeen City Council
Mrs C complained that the council had failed to take reasonable enforcement action over breaches of planning control by the operator of a café. Mrs C said that the council had been aware of these breaches for an extended period of time and that the breaches included a failure to …
SPSO (Scottish Public Se… Local Government Upheld Jun 2020
25-010-976 — London Borough of Islington
Summary: We will not investigate this complaint about how the Council considered a councillor conduct matter. There is not enough evidence of fault in how the Council made its decision to justify our involvement.
LGO (Local Government & … Other Categories Feb 2026
24-009-742 — Worcestershire County Council
Summary: Mrs X complained about the Council’s failure to deal with her complaint about a councillor’s breach of its code of conduct. We found the Council had avoidably delayed dealing with the complaint and put Mrs X to avoidable time and trouble seeking a response which had caused her distress. …
LGO (Local Government & … Other Categories Upheld Jan 2026
25-017-383 — Wiltshire Council
Summary: We will not investigate this complaint about how the Council dealt with a complaint about the conduct of a councillor. This is because we are unlikely to find fault.
LGO (Local Government & … Other Categories Jan 2026
PSOW-202005972 — Tiers Cross Community Council
The Ombudsman received a complaint from a member of the public (“the complainant”) that a member (“the Member”) of Tiers Cross Community Council (“the Council”) had failed to declare an interest in an environmental/planning matter, had disclosed confidential information, and had emailed the complainant’s employer in an attempt to discredit …
PSOW (Public Services Om… Local Government Not Upheld Jun 2022
PSOW-202107167 — Abergele Town Council
The Ombudsman received a complaint that a Former Member (“the Member”) of Abergele Town Council (“the Council”) had breached the Code of Conduct because of failings when acting in their capacity as Clerk to a Board under the control of this and a neighbouring council (“the Board”). The Member was …
PSOW (Public Services Om… Local Government Not Upheld May 2023
PSOW-202105443 — Abertillery & Llanhilleth Community Council
The Ombudsman’s office received a complaint that a Member (“the Member”) of Abertillery & Llanhilleth Community Council (“the Council”) had breached the Code of Conduct. It was alleged that the Member had signed documents which resulted in excessive gratuity payments being made to the Council’s Former Clerk and Former Secretary, …
PSOW (Public Services Om… Local Government May 2023
PSOW-202106161 — St Harmon Community Council
The Ombudsman’s office received a complaint that a former member (“the Former Member”) of St Harmon Community Council (“the Council”) had breached the Code of Conduct. It was alleged that the Former Member had provided false information to Audit Wales. The investigation considered whether the Former Member failed to comply …
PSOW (Public Services Om… Local Government Mar 2023
PSOW-201805958 — Barry Town Council
In December 2018, the Ombudsman’s office received a complaint from the Monitoring Officer of the Vale of Glamorgan Council that the Former Member (who was still a member of both town and county Councils at the time) had been charged with historic sexual offences and, as such, may have brought …
PSOW (Public Services Om… Local Government Mar 2023
PSOW-201806120 — Barry Town Council
In December 2018, the Ombudsman’s office received a complaint from the Monitoring Officer of the Vale of Glamorgan Council that the Former Member (who was still a member of both town and county Councils at the time) had been charged with historic sexual offences and, as such, may have brought …
PSOW (Public Services Om… Local Government Mar 2023
PSOW-202205954 — Conwy County Borough Council
The Ombudsman received a complaint that a Member (“the Member”) of Conwy County Borough Council (“the Council”) had breached the Code of Conduct (“the Code”) by participating and voting in a Council meeting, which he attended virtually, while appearing to be driving. The Ombudsman’s investigation considered whether the Member had …
PSOW (Public Services Om… Local Government Not Upheld Sep 2023
PSOW-202102478 — Abertillery & Llanhilleth Community Council
The Ombudsman received a complaint that a Former Member of Abertillery & Llanhilleth Community Council (“the Council”) had failed to appropriately declare an interest in Human Resources (“HR”) matters relating to the Former Clerk to the Council and had improperly gained an advantage for himself. During the course of that …
PSOW (Public Services Om… Local Government Not Upheld Aug 2023
PSOW-202005463 — Abertillery & Llanhilleth Community Council
The Ombudsman received a complaint from a Member of Abertillery & Llanhilleth Community Council (“the Council”) against a fellow Member (at that time) (“the Former Member”). It was alleged that the Former Member had failed to appropriately declare an interest in Human Resources (“HR”) matters relating to the Former Clerk …
PSOW (Public Services Om… Local Government Not Upheld Aug 2023
PSOW-202201793 — Ffestiniog Town Council
The Ombudsman received a complaint that a Member (“the Member”) of Ffestiniog Town Council (“the Council”) had breached the Code of Conduct (“the Code”) by failing to declare a personal and prejudicial interest when the Council took the decisions relating to a Land Registry application which had been made by …
PSOW (Public Services Om… Local Government Not Upheld Sep 2023
PSOW-202207282 — Neath Port Talbot Council
The Ombudsman received a complaint that a member (“the Member”) of Neath Port Talbot Council (“the Council”) had breached the Code of Conduct. It was alleged that the Member was arrested by the Police on suspicion of driving his car whilst being under the influence of alcohol. Our finding, under …
PSOW (Public Services Om… Local Government Jan 2024
PSOW-202200739 — Vale of Glamorgan Council
The Ombudsman received a referral that a member (“the Member”) of Vale of Glamorgan Council (“the Council”) had breached the Code of Conduct (“the Code”) when he applied for a number of business grants. The investigation considered whether the Member failed to comply with paragraphs 4(b), 4(d), 6(1)(a), 7(a), 7(b), …
PSOW (Public Services Om… Local Government Jan 2024
PSOW-202108695 — Chirk Town Council
The Ombudsman’s office received a complaint that a former member (“the Former Member”) of Chirk Town Council (“the Council”) had breached the Code of Conduct. The investigation found that the Former Member’s conduct was suggestive of a breach of paragraph 6(1)(a). The report on the investigation was referred to the …
PSOW (Public Services Om… Local Government Feb 2025
21-000-529 — London Borough of Sutton
Summary: Mr X complains that the Council has failed to investigate properly his complaint about member conduct. The Ombudsman has found fault in the way the Council considered his complaint in that an incorrect assumption was made when deciding not to pursue a formal investigation. However, the Ombudsman does not …
LGO (Local Government & … Other Categories Upheld Jan 2022
21-000-484 — West Sussex County Council
Summary: The Council failed to explain the reasons for its decision on Mr B’s Community Initiative Fund application. The Council should be open and transparent on decisions it makes. The Ombudsman found no evidence to question the decision itself, even though Mr B disagrees with it. So regardless of the …
LGO (Local Government & … Other Categories Upheld Jan 2022
21-015-239 — Bromsgrove District Council
Summary: We will not investigate Mr X’s complaint about the Council’s response to a code of conduct complaint he made against a councillor. This is because there is not enough evidence of fault to warrant an investigation.
LGO (Local Government & … Other Categories Feb 2022
22-000-969 — Wirral Metropolitan Borough Council
Summary: We will not investigate this complaint about how the Council’s Monitoring Officer dealt with a complaint about the conduct of a councillor. This is because we are unlikely to find fault.
LGO (Local Government & … Other Categories May 2022
21-011-162 — London Borough of Barnet
Summary: We will not investigate this complaint about how the Council’s Monitoring Officer dealt with a complaint about the conduct of two local councillors. This is because we are unlikely to find fault.
LGO (Local Government & … Other Categories May 2022
21-017-440 — Stockport Metropolitan Borough Council
Summary: Ms C complained the Council issued a wrong invoice, which it has later failed to correct. We found there was fault, for which the Council has already apologised. It has also identified suitable actions to try and ensure this will not happen again.
LGO (Local Government & … Adult Care Services Upheld Jun 2022
21-016-931 — London Borough of Hackney
Summary: We will not investigate this complaint about the Council’s failure to confirm a telephone conversation in writing. This is because the Council has already apologised for the distress caused.
LGO (Local Government & … Housing Jun 2022
22-003-709 — South Oxfordshire District Council
Mr X says the Council has failed to answer his Freedom of Information request properly. We will not investigate this complaint. This is because it is reasonable for Mr X to complain to the Information Commissioner’s Office as the specialist information rights agency.
LGO (Local Government & … Other Categories Jun 2022
22-003-154 — West Northamptonshire Council
Summary: We will not investigate this complaint about how the Council’s Police, Fire and Crime Panel considered a complaint about the Police, Fire and Crime Commissioner. This is because it is unlikely an investigation would find fault in how the Panel considered the complaint.
LGO (Local Government & … Other Categories Jul 2022
23-015-569 — Plymouth City Council
Summary: We will not investigate this complaint about how the Council dealt with a complaint about the conduct of a councillor. This is because we are unlikely to find fault and the complainant has not suffered significant injustice.
LGO (Local Government & … Other Categories Apr 2024
23-020-237 — South Tyneside Metropolitan Borough Council
Summary: We will not investigate this complaint that the Council did not follow its own planning rules. This is because the complaint is a late complaint due to the passage of time and so falls outside our jurisdiction.
LGO (Local Government & … Planning Apr 2024
23-020-150 — London Borough of Merton
Summary: We will not investigate this complaint about the Council’s decision not to prosecute a local trader. This is because the Council’s actions did not cause the complainant significant injustice. Also, we cannot achieve the outcome the complainant wants, which is to force the Council to prosecute the trader and …
LGO (Local Government & … Environment And Regulation Apr 2024
23-015-191 — Newcastle-under-Lyme Borough Council
Summary: We will not investigate this complaint about comments about a planning application published on the Council’s website. This is because it is unlikely an investigation would add to the Council’s response or achieve anything more for the complainants. The complainants have also not suffered any significant injustice.
LGO (Local Government & … Planning May 2024
23-021-320 — Brighton & Hove City Council
Summary: We will not investigate Miss X’s complaint the Council censored her views at a public meeting. Any injustice is not significant enough to justify our involvement and the concerns raised would be better addressed to her local councillor or MP.
LGO (Local Government & … Other Categories May 2024
23-020-817 — Royal Borough of Kensington & Chelsea
Summary: We will not investigate this complaint about the Council’s decision to refuse the complainant a parking permit. This is because the complaint dates back to 2016 and is late. There is also insufficient evidence of fault by the Council to warrant our involvement.
LGO (Local Government & … Transport And Highways May 2024
23-020-531 — Malvern Hills District Council
Summary: We will not investigate this complaint about the Council’s handling of a reported breach of planning control. This is because there is not enough evidence of fault.
LGO (Local Government & … Planning May 2024
23-020-224 — North Somerset Council
Summary: We will not investigate Mr X’s complaint about the approval of a neighbour’s planning application and how the Council dealt with a possible breach of planning control. This is because there is not enough evidence of fault and Mr X has not suffered significant injustice.
LGO (Local Government & … Planning May 2024
24-000-993 — Rochdale Metropolitan Borough Council
Summary: We will not investigate this complaint about a listed building enforcement notice. The notice was served 13 years ago, and it was reasonable for Ms X to use her right of appeal to the Planning Inspectorate if she wished to challenge the notice at the time. There is insufficient …
LGO (Local Government & … Planning May 2024
24-000-846 — Chorley Borough Council
Summary: We will not investigate this complaint about how the Council dealt with a planning application. This is because we are unlikely to find fault.
LGO (Local Government & … Planning May 2024
24-000-157 — London Borough of Hillingdon
Summary: We will not investigate this complaint about the Council’s decision not to take enforcement action against an outbuilding. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. The complaint is late and there are no good …
LGO (Local Government & … Planning May 2024
24-000-156 — Castle Point Borough Council
Summary: We will not investigate this complaint about the Council’s handling of a complaint about councillor conduct as the complainant is not impacted by this personally to a degree that would warrant our involvement.
LGO (Local Government & … Other Categories May 2024
24-001-175 — Buckinghamshire Council
Summary: We will not investigate this complaint about how the Council dealt with the complainant’s application for a lawful development certificate and its decision to refuse the complainant’s request for a refund of the application fee he paid. This is because the complaint does not meet the tests in our …
LGO (Local Government & … Planning May 2024
24-000-200 — Norfolk County Council
Summary: We will not investigate this complaint about the Council’s decision not to consult with a particular school as part of the Education Health and Care Plan process. This is because there is not enough evidence of fault.
LGO (Local Government & … Education May 2024
Domestic Homicide Reviews(126)— showing 50 strongest matches
Elmbridge — recommendation 13
HM Government to develop the statutory guidance for DHRs to specifically include private medical care and oblige such organisations to participate in the DHR process.
HM Government UK Government
Rochdale — recommendation i
Rochdale Safer Communities Partnership request Greater Manchester Police provide reports to them on progress with the implementation of the single agency recommendations within this review;
Rochdale Safer Communities Partnership
Wiltshire — recommendation R69
Recommendation for an independent review to be undertaken for the DACC.
DACC
Lambeth — recommendation 2
The Home Office to amend the multi-agency statutory guidance for the conduct of DHRs by extending the duty ‘to have regard’ to government departments and the agencies and public bodies associated with them.
Home Office Home Office
Norfolk — recommendation 3
For the Home Office to consider whether the methodology and guidance for a DHR could be modified for a more proportionate review, where the perpetrator is diagnosed as not of sound mind due to dementia and there is no evidence to suggest any historic domestic abuse.
Home Office Home Office
Lambeth — recommendation 5.1
A copy of this report to be sent to the Chief Constable of Essex and Her Majesty’s Inspectorate of Constabulary drawing attention to the shortcomings identified in the Essex Police responses contained in it, to ensure they are covered by the improvements already made or planned in Essex.
Essex Police Service | Her Majesty’s … Essex Police
Bracknell Forest — recommendation 7
The Crown Prosecution Service (Essex) did not supply an IMR for this DHR. A one page letter was received subsequently. The Attorney General’s Office should be contacted, this may well be best through the Home Office, initially. This is also linked to Recommendation 2.
Attorney General’s Office | Home Office Attorney General's Office
Bracknell Forest — recommendation 6
The Home Office will be asked to note that the UKBA did not supply an IMR for this DHR. However a witness statement was produced. This is also referred to in Recommendation 2.
Home Office Home Office
Bracknell Forest — recommendation 3
The key organisations that represent the statutory organisations on the DHR Panel should ensure that the officers they delegate for attendance have sufficient authority to enable the DHR Panel to administer its statutory responsibilities appropriately.
Key organisations on the DHR Panel
Bracknell Forest — recommendation 2
The Home Office is also asked through this report to review how it might best remind key statutory agencies of their responsibilities in engaging with DHRs. Please see recommendation 6 & 7.
Home Office Home Office
Wolverhampton — recommendation 24
Safer Wolverhampton Partnership should ensure that systems are in place to evidence the progress in relation to the recommendations made in this report.
Safer Wolverhampton Partnership
Wolverhampton — recommendation 23
Safer Wolverhampton Partnership to seek assurance that recommendations contained in individual agency IMRs have been implemented within 6 months from the publication of this Overview Report.
Safer Wolverhampton Partnership
Northampton — recommendation 6
The Northampton Community Safety Partnership Board ensures that agency recommendations contained within this review are implemented by the dates indicated and that each agency confirm with the Partnership that actions have been completed.
Northampton Community Safety Partnership Board
Newham — recommendation 1
All agencies report progress on their internal action plans generated by this Review to the CSP
All agencies
Bristol — recommendation 9
It is requested that the Home Office review both the title of such reviews and the content of its Guidance document
Home Office Home Office
Gwynedd — recommendation 11
The Panel recommend that the Home Office give consideration to extending the scope of DHR’s to include a statutory obligation on major UK employers to engage with the DHR process.
Home Office Home Office
Manchester — recommendation 9.2 e
The Home Office are requested to consider the issue that the Borders Act 2009 only allows automatic consideration of deportation of a foreign national when they have been sentenced to a term of imprisonment of 12 months or more. The panel believe that some weight should be attached to cases …
Home Office Home Office
Milton Keynes — recommendation 6
The Government Domestic Abuse Bill (currently out for consultation, March 2018) should ensure that when a perpetrator uses financial/economic abuse, they cannot then benefit financially from killing the victim
Government UK Government
Hammersmith and Fulham — recommendation 2
The Home Office to amend the statutory guidance in order to improve the transparency of the DHR process by requiring CSPs to routinely report on key milestones (e.g. notification received, commissioned, commenced, submitted to the Home Office for quality assurance, approved for publication).
Home Office Home Office
Norfolk — recommendation 2
It is recommended that a clause is added to the NHS GP contract to mandate their active participation in Domestic Homicide Reviews (DHRs) and Safeguarding Adult Reviews (SARs).
NHS England NHS England
Norfolk — recommendation 1
That Home Office Multi-agency Statutory Guidance for the Conduct of Domestic Homicide Reviews S2(4) be amended to specifically include GP practices as having a duty to actively participate in DHRs including attendance at panel meetings, and have regard to any guidance issued by the Secretary of State.
Home Office Home Office
Sandwell — recommendation 7
Safer Sandwell Partnership formally write to the UK Government requesting a review of the criteria and threshold for allowing foreign nationals permission to enter the UK without consideration of a risk assessment of the applicant and sponsors, especially with regard to domestic violence and sexual abuse.
Safer Sandwell Partnership
Sheffield — recommendation 6.2.4
Raising family concerns about treatment of older adults in the judicial system: the Panel feel that it is important to acknowledge the family’s concerns and will write to the agencies concerned (CPS and Prison Service) to pass on the family’s concerns about how their mother was treated in the judicial …
CPS | Prison Service Crown Prosecution Service
Rotherham — recommendation 2
The Safer Rotherham Partnership should include a written response to the report with an action plan that includes the issues highlighted at the webinar.
Safer Rotherham Partnership
Rotherham — recommendation 1
The chair of the Safer Rotherham Partnership should provide a copy of this report together with a briefing to the Rotherham Health and Well-being Board.
Safer Rotherham Partnership
Wycombe — recommendation 4
Her Majesty’s Government (Home Office) review the legislation and guidance for Domestic Homicide Reviews (Section 9(3) of the Domestic Violence, Crime and Victims Act 2004) and add Borders Immigration and Citizenship to the list of statutory agencies required to participate in a domestic homicide review when relevant
Her Majesty’s Government (Home Office)
Hackney — recommendation 5
Consider legal underpinning and accountability for MARAC that is parallel to the MAPPA
Home Office Home Office
Oldham — recommendation 3
The Home Office should take the necessary steps to:- (i) seek an amendment to Section 9(4)(a) of the Domestic Violence, Crime and Victims Act 2004 to extend the list of organisations required to contribute to DHRs to include all those organisations who are involved, whether directly or indirectly, in matters …
Home Office Home Office
Harlow — recommendation 7
MARAC to be given a statutory framework and requirement for agencies to attend and be proactive members of the discussions and action plans.
Domestic Abuse Commissioner
Rochdale — recommendation 2
Non-compliance and non-attendance at MRM and MARAC meetings by key partners should be challenged and if unresolved escalated. The multi-agency escalation policy to be reviewed.
Rochdale Safer Communities Partnership
Northumberland — recommendation 7
That the Home Secretary and Justice Minister duly consider the public’s concerns in relation to serious crimes committed by prisoners unlawfully at large and maximise opportunities to prevent this before a finite period has elapsed. This is particularly important where previous convictions relate to either violence, domestic violence, or coercive …
Home Secretary | Justice Minister Home Office
Dudley — recommendation 11
Dudley Safe and Sound to consider making recommendations to government to extend the persons and bodies responsible for engagement with domestic homicide reviews, under section 9(4) of the Domestic Violence Crime and Victims Act 2004, to include private sector companies engaged in the provision of health and social care services.
Dudley Safe and Sound
Central Bedfordshire — recommendation 12
MARAC within Bedfordshire to identify a local interim process for the escalation of non-completed actions whilst awaiting the outcome of the National recommendation at 2. Actions are tasked for a reason and this will ensure a review that they are completed and provide an escalation process for non-compliance whilst MARAC …
MARAC
Central Bedfordshire — recommendation 2
As a safeguarding function, it is strongly recommended that the MARAC should be placed on a statutory footing. This would enable robust management, reporting, action ownership and accountability at the outset.
government_dept
Central Bedfordshire — recommendation 1
A review of legislation to reflect all domestic abuse victims are informed of a perpetrators’ impending release from Prison following any length of custodial sentence. This must include a stated process and organisational responsibility. A change in legislation of this kind will provide the opportunity for further safety planning and …
government_dept
Peterborough — recommendation 1
Home Office to provide a framework for CSP’s to transparently demonstrate the timely delivery of recommendations and findings emerging from DHRs.
Home Office Home Office
Liverpool — recommendation 9.4
The Partnership write to local courts liaison groups and the Chief Constable to seek assurance that recommendations from the joint Courts and Home Office review have been implemented. Particular regard should be had to the requirement that ‘forces consult with the victim or a stalking advocate when drafting conditions to …
Citysafe Partnership | Merseyside Police Merseyside Police
Lambeth — recommendation 4.1
The Home Office to develop national policy and guidance to assist agencies in working with victims of domestic abuse who are in the country illegally and are not covered by existing guidance.
Home Office Home Office
Tower Hamlets — recommendation 3
The Home Office to engage with the Corporate Alliance Against Domestic Violence and the Employers’ Initiative on Domestic Abuse to review the effectiveness of existing guidance and support for employers in order to promote involvement in DHRs.
Home Office Home Office
Tower Hamlets — recommendation 2
The Tower Hamlets CSP to write to the professional services company to share the findings of the DHR. In writing this letter, the Tower Hamlets CSP should express their disappointment at the professional services company’s failure to participate in the DHR and request they review their procedures to ensure they …
Tower Hamlets Community Safety Partnership
Swindon — recommendation 26
A review should take place on whether the law / GMC guidance should be changed enabling a GP to contact the police if they believe that a patient is at high risk of serious harm or death if they go home to a domestic abuse situation even if no one …
Home Office | Swindon ICB | … Home Office
Oxford — recommendation 7
That South and Vale Community Safety Partnership and the OSCB recommend to the Home Office and the Department for Education that a Memorandum of Understanding is agreed with the IPCC regarding the production of DHRs, SCRs and IPCC investigations.
South and Vale Community Safety Partnership …
Hillingdon — recommendation 4.5.1
Safer Hillingdon Partnership (SHP) to conduct a rigorous borough wide review of Hillingdon’s strategic overview and operational response to domestic violence. This review must address: a) the effectiveness of the SHP, specifically the effectiveness of the governance and strategic leadership that the partnership provides for domestic abuse; b) the effectiveness …
Safer Hillingdon Partnership (SHP)
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 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
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
Barnsley — recommendation A9
Audit adherence to the above.
South West Yorkshire Partnership (NHS) Foundation …
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
Leicester — recommendation 5
The Home Office to engage with the Corporate Alliance Against Domestic Violence and the Employers’ Initiative on Domestic Abuse to review existing guidance and support for employers in order to promote involvement in DHRs.
Home Office Home Office
Croydon — recommendation 7.2.2
That the Home Office ensures the UK Border Force and National Crime agencies are included as a statutory agency on all appropriate Domestic Homicide Reviews.
Home Office Home Office
CJINI inspection reports(33)
Inspection of the Office of the Police Ombudsman for Northern Ireland
Policing, Police Ombudsman for Northern Ireland Dec 2005
Inspection of the Compensation Agency (Northern Ireland)
Compensation Agency, Other Agencies and Organisations Jan 2006
A review of Regulatory Agencies
Inspections and prosecutions by Departments and other bodie… Jan 2006
Target setting and performance management in the Criminal Justice System
Governance, The Criminal Justice System Jan 2006
Probation Board for Northern Ireland Corporate Governance
Probation Board for Northern Ireland (PBNI), Probation and … Oct 2006
The independence of the Office of the Police Ombudsman for Northern Ireland – A follow-up review of inspection recommendations
Policing, Police Ombudsman for Northern Ireland Jan 2013
The handling of Complaints – A follow-up review of inspections recommendations
Governance, The Criminal Justice System Apr 2014
Telling Them Why – A Follow-Up Review of the inspection of the PPS giving of reasons for its decisions
Public Prosecution Service for Northern Ireland (PPS), Pros… Oct 2015
The Governance and Operation of the Parole Commissioners for Northern Ireland
Parole Commissioners for Northern Ireland (PCNI) Oct 2024
Transforming the Criminal Justice System in Northern Ireland
Transforming Justice, The Criminal Justice System Nov 2024
Investigation of abuse of position concerns and complaints by the Office of the Police Ombudsman
Policing, Police Ombudsman for Northern Ireland Mar 2025
Investigation of offences and criminal case prosecution by Departments and other bodies
Inspections and prosecutions by Departments and other bodie… Jun 2025
The Management of Organisational Performance in the Public Prosecution Service for Northern Ireland
Public Prosecution Service for Northern Ireland (PPS), Pros… Nov 2025
Corporate Governance in the Youth Justice Agency of Northern Ireland
Youth Justice and Intervention, Children and Young People Jun 2008
Summary of Criminal Justice Inspection Report Findings
Policing, Prisons Feb 2010
A report on the Use of Consultants by the Criminal Justice System
Governance, The Criminal Justice System Mar 2010
An inspection of corporate governance arrangements within the Northern Ireland Prison Service
Prisons, Prison Operations and Management Dec 2010
Telling Them Why – an inspection of the Public Prosecution Service for Northern Ireland giving of reasons for its decisions
Public Prosecution Service for Northern Ireland (PPS), Pros… May 2012
A report on the corporate governance of the Public Prosecution Service
Public Prosecution Service for Northern Ireland (PPS), Pros… Apr 2013
A Corporate Governance Inspection of the Northern Ireland Legal Services Commission
Prosecution and the Courts, Legal Aid and Services Nov 2013
Corporate governance of the Parole Commissioners – A follow-up review
Parole Commissioners for Northern Ireland (PCNI), Probation… Mar 2014
Report on Improving Procurement in the Criminal Justice System
Governance, The Criminal Justice System Jan 2007
Governance inspection of the Parole Commissioners for Northern Ireland
Parole Commissioners for Northern Ireland (PCNI), Probation… Sep 2011
An inspection into the independence of the Office of the Police Ombudsman for Northern Ireland
Policing, Police Ombudsman for Northern Ireland Sep 2011
The relationship between PSNI and the Office of the Police Ombudsman for Northern Ireland
Policing, Police Ombudsman for Northern Ireland Dec 2013
Securing Attendance at Court: A Follow-Up Review of inspection recommendations
Prosecution and the Courts, Court Operations Mar 2014
The Office of the Police Ombudsman for Northern Ireland – A process verification assessment
Policing, Police Ombudsman for Northern Ireland Sep 2014
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
A review of Community Restorative Justice Ireland and its accredited schemes
Restorative Justice, Other Agencies and Organisations May 2023
Inspection of Forensic Services in Northern Ireland
Forensic Science Northern Ireland, Forensic Services Feb 2024
Northern Ireland Environment Agency
Inspections and prosecutions by Departments and other bodie… May 2015
DARD fraud investigations & enforcement activities
Inspections and prosecutions by Departments and other bodie… Aug 2017
ISC reports(43)
ISC Annual Report 1995
Annual Report Mar 1996
ISC Annual Report 1996
Annual Report Feb 1997
ISC Annual Report 1997-1998
Annual Report Oct 1998
ISC Annual Report 1998-1999
Annual Report Nov 1999
ISC Annual Report 1999-2000
Annual Report Nov 2000
ISC Annual Report 2000-2001
Annual Report Mar 2001
ISC Annual Report 2001-2002
Annual Report Jun 2002
ISC Annual Report 2002-2003
Annual Report Jun 2003
ISC Annual Report 2003-2004
Annual Report Jun 2004
The Handling of detainees by UK Intelligence Personnel in Afghanistan, Guantanamo Bay and Iraq
Special Report Mar 2005
ISC Annual Report 2004-2005
Annual Report Apr 2005
ISC Annual Report 2005-2006
Annual Report Jun 2006
ISC Annual Report 2006-2007
Annual Report Jan 2008
'Alleged complicity of the UK security and intelligence Agencies in torture or cruel, inhuman or degrading treatment' Press release
Statement or press release Mar 2009
ISC Annual Report 2007-2008
Annual Report Mar 2009
ISC Annual Report 2008-2009
Annual Report Mar 2010
ISC Annual Report 2009-2010
Annual Report Mar 2010
ISC Annual Report 2010-2011
Annual Report Jul 2011
ISC Annual Report 2011-2012
Annual Report Jul 2012
ISC Annual Report 2012-2013
Annual report on the administration, expenditure and work of the UK intelligence community for 2012-2013.
Annual Report Jul 2013
ISC Annual Report 2013-2014
Annual report on the administration, expenditure and work of the UK intelligence community for 2013-2014.
Annual Report Nov 2014
ISC Annual Report 2015-2016
Annual report on the administration, expenditure and work of the UK intelligence community for 2015-2016.
Annual Report Jul 2016
ISC Annual Report 2016-2017
Annual report on the administration, expenditure and work of the UK intelligence community for 2016-2017.
Annual Report Dec 2017
ISC Annual Report 2017-2018
Annual report on the administration, expenditure and work of the UK intelligence community for 2017-2018.
Annual Report Nov 2018
ISC Annual Report 2018-2019
Annual report on the administration, expenditure and work of the UK intelligence community for 2018-2019.
Annual Report Jul 2020
ISC Annual Report 2019–2021
Annual report covering 2019 to 2021, spanning a longer period due to the timing of the Committee's reconstitution.
Annual Report Dec 2021
ISC Annual Report 2021–2022
Annual report on the administration, expenditure and work of the UK intelligence community for 2021-2022.
Annual Report Dec 2022
ISC Annual Report 2022-2023
Annual report on the administration, expenditure and work of the UK intelligence community for 2022-2023.
Annual Report Dec 2023
ISC Annual Report 2023–2025
Annual report covering April 2023 to March 2025, spanning two Committees because no report was issued in 2024 due to the dissolution ahead of the general election.
Annual Report Dec 2025
Report on the intelligence relating to the murder of Fusilier Lee Rigby
Inquiry into the intelligence agencies' handling of the two individuals responsible for the murder of Fusilier Lee Rigby in 2013.
Special Report Nov 2014
Report on the draft Investigatory Powers Bill
Scrutiny of the draft Investigatory Powers Bill from the perspective of the intelligence agencies' powers and oversight.
Special Report Feb 2016
UK Lethal Drone Strikes in Syria
Inquiry into the intelligence basis for the August 2015 lethal drone strike in Syria.
Special Report Apr 2017
Detainee Mistreatment and Rendition: Current Issues
Companion report examining current policy and guidance on detainee mistreatment and rendition.
Special Report Jun 2018
Detainee Mistreatment and Rendition: 2001-2010
Inquiry into the involvement of, and knowledge held by, the UK intelligence agencies in the mistreatment and rendition of detainees between 2001 and 2010.
Special Report Jun 2018
The 2017 Attacks: what needs to change?
Inquiry into the five terrorist attacks in the UK in 2017 and the lessons for the intelligence agencies and police.
Special Report Nov 2018
Russia
Inquiry into the Russian threat to the UK, including interference in democratic processes, cyber activity and the response of the intelligence community.
Special Report Jul 2020
Northern Ireland-related terrorism
Inquiry into the threat from Northern Ireland related terrorism and the work of the intelligence agencies in addressing it.
Special Report Oct 2020
Extreme Right-Wing Terrorism
Inquiry into the threat from extreme right-wing terrorism in the UK and the response of the intelligence community.
Special Report Jul 2022
China
Inquiry into the security threat posed by China across government, industry, academia and critical sectors, and the intelligence response.
Special Report Jul 2023
International Partnerships
Inquiry into the UK intelligence community's international intelligence sharing partnerships and the safeguards governing them.
Special Report Dec 2023
Iran
Inquiry into the threat to the UK from Iran, including state threats, hostage taking and the response of the intelligence agencies.
Special Report Jul 2025
The Mitrokhin Inquiry Report
Special Report Jun 2000
Privacy and Security: a modern and transparent legal framework
Inquiry into the intelligence agencies' intrusive capabilities and the legal framework governing privacy and surveillance.
Special Report Mar 2015
Law Commission projects(2)
Local audit findings(7)
Statutory Recommendation: Woking Borough Council
Five statutory recommendations under section 24 and Schedule 7, made within the auditor's Report in the Public Interest, covering past governance arrangements, investment decisions and financial strategy.
Grant Thornton UK LLP Nov 2024
Statutory Recommendation: Slough Borough Council
Four statutory recommendations under section 24 and Schedule 7 concerning financial reporting and the management of reserves, with two further statutory recommendations in July 2021 on financial management capacity.
Grant Thornton UK LLP May 2021
Public Interest Report: Woking Borough Council
Report in the Public Interest on past decisions that contributed to the council's financial position, finding historic shortcomings in financial, governance and legal arrangements and making five statutory recommendations.
Grant Thornton UK LLP Nov 2024
Public Interest Report: London Borough of Croydon
Second Croydon Report in the Public Interest, on the Fairfield Halls refurbishment delivered through the council's company Brick by Brick. The auditor concluded the council failed to ensure proper financial control and effective governance; the project was delivered late and …
Grant Thornton UK LLP Jan 2022
Public Interest Report: London Borough of Croydon
Report in the Public Interest on the council's financial position, financial decision-making and governance, making 20 recommendations of which 8 were high priority.
Grant Thornton UK LLP Oct 2020
Public Interest Report: Nottingham City Council
Report in the Public Interest on Robin Hood Energy, the council-owned energy company, finding inadequate governance and a failure to understand the risks of entering the energy market, with cumulative company losses of about £34.4m. Published in the week to …
Grant Thornton UK LLP Aug 2020 £34m
Section 114 Notice: Nottingham City Council
Notice issued with a parallel section 5 report after a CIPFA review found about £15.86m of ring-fenced Housing Revenue Account funds had been wrongly credited to the General Fund over six years.
Dec 2021 £16m
EHRC compliance actions(5)
Legal Action / Intervention: Home Office
Section 30 intervention in R (FB and Medical Justice) v Secretary of State for the Home Department, challenging the Removal Notice Window policy which gave people as little as 72 hours notice of removal. The policy was ruled unlawful. Concluded.
Home Office
Legal Action / Intervention: Home Office
Intervention in BF v Secretary of State for the Home Department concerning visual age assessment of young asylum seekers, where the Court of Appeal ruled the guidance unlawful for failing to make officials aware of the margin of error. The …
Home Office
Section 31 Assessment: HM Treasury
Section 31 assessment of the extent to which HM Treasury met its obligations to consider the impact of the 2010 Spending Review on protected groups. Concluded there was a serious effort to meet obligations but could not establish full compliance …
May 2012 HM Treasury
Section 31 Assessment: Home Office
Section 31 assessment of whether the Home Office complied with the Public Sector Equality Duty when developing the hostile environment immigration measures that affected the Windrush generation. Found the department did not comply with section 149 of the Equality Act …
Nov 2020 Home Office
Section 23 Agreement: Department for Work and Pensions
Section 23 agreement on equality and diversity training entered after a former employee won an employment tribunal claim of direct age and race discrimination, racial harassment and victimisation, with an award of over £386,000.
Department for Work and Pensions
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