Home Office

PFD Addressee
Reports: 113 Earliest: Nov 2013 Latest: 24 Mar 2026

83% 2-year response rate (matches average). 36% of classified responses show concrete action taken.

PFD Reports
113 results
Robert Day
No Identified Response
2026-0169 24 Mar 2026 Kent and Medway
Suicide
Concerns summary (AI summary) Frontline emergency services lack national guidance for managing complex, time-critical mental health crises where existing legal powers may be insufficient or unclear, risking patient lives.
Samuel Dickinson
All Responded
2026-0082 10 Feb 2026 Manchester West
Other related deaths
Concerns summary (AI summary) Gaps in firearms legislation mean licence holders are not required to self-report medical conditions, and GPs are not obligated to record licences or report relevant issues to police.
Noted (AI summary) • A new Statutory Instrument will add a new condition to firearms and shotgun licences to require the holder to inform the police if they begin to suffer from a new relevant medical condition, or if an existing condition significantly worsens, during the lifetime of the licence. • A new licensing condition will require the licence holder to inform the police if they consult a third-party medical practitioner who is not their GP.
Alexander Lewis
All Responded
2025-0539 24 Oct 2025 Swansea Neath & Port Talbot
Road (Highways Safety) related deaths Wales prevention of future deaths reports
Concerns summary (AI summary) Pursuing drivers lacked the ability to communicate dynamic risk assessments, were overburdened with tasks leading to missed critical information, and police training suggested a two-officer crew for safety.
Noted (AI summary) The Department of Transport notes that there are no specific statutory guidance or mandatory distance regulations for yellow lines near junctions. The decision rests with the local authority, and traffic signing is devolved to the Welsh Government. The Minister explains police driver training standards, noting that decisions on crewing are operational matters for Chief Constables. Pursuits resulting in a fatality are referred to the Independent Office for Police Conduct. South Wales Police acknowledges the concerns about crewing of Road Policing Unit officers during pursuits, but states its training and operational model are designed to ensure public safety and officer competence. They highlight national standards, training, and post-pursuit review processes, while also emphasizing the need to balance operational effectiveness and resource availability, deeming single crewing the most practical option.
Stella LeClaire
All Responded
2025-0619 9 Oct 2025 Northamptonshire
Suicide
Concerns summary (AI summary) The rising number of deaths from a substance sold for suicide raises concerns, emphasizing the need for routine toxicological analysis to improve evidence for potential prosecutions against suppliers.
1 response from Department of Health and Social Care
Georgia Barter
All Responded
2025-0491 2 Oct 2025 East London
Community health care and emergency services related deaths
Concerns summary (AI summary) Frontline police officers face difficulty accessing the Police National Database for domestic abuse history across different force areas, hindering proactive identification and intervention for victims.
Noted (AI summary) The Home Office describes the Police National Database and its use, noting it is a top priority to tackle violence against women and girls and highlighting the new National Policing Centre for VAWG and Public Protection.
Leonardo Machado
All Responded
2025-0476 18 Sep 2025 Dorset
Road (Highways Safety) related deaths
Concerns summary (AI summary) A lack of oversight regarding the 'rental' of food delivery licenses to children under 18 places them in vulnerable lone-working situations, increasing their risk of road traffic collisions and harm.
Noted (AI summary) Uber Eats uses industry-leading account-sharing detection technology, including real-time identity verification software requiring couriers to take selfies that are compared with their profile photo and monitors for suspicious behaviors that may indicate attempts to circumvent their security controls. Deliveroo has strengthened checks and processes to ensure rider accounts are only used by authorized individuals, including biometric checks and identity verification, and has a dedicated team investigating potential account sharing with minors; they also terminate agreements with riders who allow unregistered substitutes to use their accounts. Just Eat has introduced enhanced checks to ensure substitutes meet requirements set for all couriers, requiring pre-registration, biometric checks, and document submission to prove age and right to work; random biometric screening checks are also performed. HSE acknowledges concerns about rental of permits, employment of minors and lone working, but notes that road traffic accidents are generally a police matter. They highlight existing guidance and legislation, and ongoing work between government and the food delivery industry to improve security checks.
Gemma Weeks
All Responded
2025-0428 19 Aug 2025 Dorset
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Public and young people lack understanding of ketamine's severe dangers, exacerbated by its Class B classification suggesting lower risk, leading to increased usage, addiction, and devastating health complications.
Action Planned (AI summary) The Department of Health and Social Care is increasing the number of drug treatment places and providing targeted grants to improve drug and alcohol services. They are also launching a national media campaign focusing on the harms caused by ketamine. The Department for Education is piloting a teacher training grant, starting early 2026 and the Oak National Academy is developing new RSHE resources to support schools with the delivery of the updated RSHE curriculum, available from autumn 2025. The Home Office has requested an updated harms assessment of ketamine from the ACMD, including advice on whether it should be moved to Class A, and expects to receive the report by the end of 2025.
Jairus Earl
All Responded
2025-0349 10 Jul 2025 Dorset
Child Death Suicide
Concerns summary (AI summary) Significant gaps in shotgun licence regulation, including no requirement to declare multiple properties or movement, and less stringent application criteria compared to firearms, create a risk of future deaths.
Action Planned (AI summary) The NPCC highlights the importance of personal responsibility on license holders for the security of firearms. The NPCC commenced delivery of an additional two-day course for Firearms Licensing Enquiry Officers focusing on domestic abuse, family turmoil, mental health and wellbeing in June 2025. The Home Office alerted all police forces to the issue of information sharing regarding shotgun license holders, and it is possible for police to check if an individual is a firearm or shotgun certificate holder. They will also engage with the DHSC directly regarding police access to health information. The Department will explore broadening access to relevant medical information of others residing at licence-holders' addresses and engage with GP representatives. They will work with them to ensure that operational guidance relating to the existing Digital Firearms Marker policy remains fit for purpose and considers ongoing learnings.
Andrew Kenward
All Responded
2025-0346 9 Jul 2025 Surrey
Alcohol, drug and medication related deaths Suicide
Concerns summary (AI summary) There is no central monitoring for sodium nitrite poisoning, and high-purity sodium nitrite can be easily imported and purchased in lethal quantities without regulation or consideration for dilution, posing significant risk.
Noted (AI summary) The Home Office is researching the availability of the substance in question and supports the DHSC in delivering the Suicide Prevention Strategy for England. Border Force has issued guidance to officers about control actions regarding goods at the border that may assist with suicide. The Department of Health and Social Care acknowledges the concerns regarding the purchase of sodium nitrite but states that the responsibility for these concerns sits within another organization.
Peter Ramsden
All Responded
2025-0467 8 Jul 2025 City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Other related deaths
Concerns summary (AI summary) A legal lacuna prevents police, paramedics, or fire services from forcing entry for welfare checks if a medical problem is suspected, hindering prompt, potentially life-saving treatment for incapacitated individuals.
Action Planned (AI summary) The NFCC is working with Humberside Fire and Rescue Service to share learning from the incident via the NFCC Organisational Learning platform. The letter also states that the Secretary of State at the Department of Health and Social Care (DHSC) will be made aware of comments concerning rights of access for ambulance personnel. The National Police Chiefs Council has established a group to review and track coroner’s reports relating to the application of Right Care, Right Person, and any learning will be disseminated and policy amended as needed.
Andrew Brown
All Responded
2025-0258 23 May 2025 Manchester West
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office is working with other departments to address concerns around the sale of harmful substances and online suicide content, including supporting the Online Safety Act and Ofcom's enforcement efforts.
William Armstrong
No Identified Response CC
2025-0257 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Emergency services related deaths Mental Health related deaths
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Kelly Walsh
No Identified Response CC
2025-0256 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Mental Health related deaths Suicide
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Chantelle Williams
All Responded
2025-0255 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Mental Health related deaths
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office supports the DHSC's cross-Government Suicide Prevention Strategy (2023-2028) and the DHSC's Concerning Methods Working Group; DSIT has amended the Online Safety Act to make encouraging self-harm a priority offence.
Mathew Price
All Responded
2025-0254 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Suicide
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office supports the DHSC's cross-Government Suicide Prevention Strategy (2023-2028) and the DHSC's Concerning Methods Working Group; DSIT has amended the Online Safety Act to make encouraging self-harm a priority offence.
Shaun Bass
All Responded
2025-0253 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Mental Health related deaths Suicide
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office supports the DHSC's cross-Government Suicide Prevention Strategy (2023-2028) and the DHSC's Concerning Methods Working Group; DSIT has amended the Online Safety Act to make encouraging self-harm a priority offence.
Samuel Dickenson
All Responded
2025-0252 23 May 2025 Manchester West
Alcohol, drug and medication related deaths Suicide
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office supports the DHSC's Suicide Prevention Strategy and is working with DSIT and Ofcom to address online suicide forums, with the Online Safety Act amended to make encouraging self-harm a priority offence.
Matthew O’Reilly
All Responded
2025-0251 23 May 2025 Manchester West
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Home Office guidance for selling reportable poisons fails to adequately advise online sellers on identifying purchases for self-harm, leading vendors to unknowingly facilitate suicides. Additionally, dangerous websites promoting suicide methods and poison sourcing are readily accessible.
Action Taken (AI summary) The Home Office supports the DHSC's cross-Government Suicide Prevention Strategy (2023-2028) and the DHSC's Concerning Methods Working Group; DSIT has amended the Online Safety Act to make encouraging self-harm a priority offence.
Abdulrahman Alajmi
Partially Responded
2025-0192 16 Apr 2025 Inner West London
Hospital Death (Clinical Procedures and medical management) related deaths Other related deaths
Concerns summary (AI summary) UK hospitals lack a set procedure for accepting international patients, often receiving individuals sicker than anticipated due to inaccurate information and insufficient systems for safe transfer and treatment.
Noted (AI summary) The Department of Health and Social Care acknowledges the concerns about systems for safely receiving overseas patients seeking medical treatment in the UK. The response outlines existing regulatory oversight by the CQC and notes the importance of accurate medical information, but does not commit to specific action. NHS England states that the concerns raised in the report do not fall within their remit, as the receiving hospital was private, but they have made North West London Integrated Care Board aware of the concerns. They also highlight existing national guidance on the repatriation of ill patients from overseas. The FCDO believes a response sits outside of their remit, and is more appropriate for the Department of Health and Social Care.
Ruth Pingree
Partially Responded
2025-0177 8 Apr 2025 Suffolk
Accident at Work and Health and Safety related deaths Other related deaths Product related deaths
Concerns summary (AI summary) Fire safety regulations for paid accommodation lack clear standards, mandatory records, and specific risk assessment guidance, leading to potential shortcuts and misunderstandings by proprietors.
Action Taken (AI summary) The Ministry of Housing, Communities & Local Government has enhanced guidance to Responsible Persons through Section 156 of the Building Safety Act, ensuring courts consider it in breach of FSO proceedings. They have issued new fire safety guidance for small paying guest accommodation, including caravans, which requires that all findings from fire risk assessments be recorded.
Joshua Leatham-Prosser
All Responded
2025-0110 27 Feb 2025 Dorset
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Ketamine is easily accessible, perceived as less harmful by teenagers, and its highly addictive nature causes severe, irreversible bladder damage (ketamine cystitis), trapping users in a cycle of dependence.
Noted (AI summary) The Home Office acknowledges the concerns about ketamine's classification and potential harm, notes that it will continue to work with partners to discourage misuse and alert people about the dangers of ketamine, and has commissioned the ACMD to provide an updated harms assessment of ketamine.
Champagauri and Dipak Bhatt
All Responded
2024-0677 6 Dec 2024 North London
Product related deaths
Concerns summary (AI summary) Fires are caused by moisture ingress into condensate pumps. There's inadequate data sharing and analysis for white goods fires, poor manufacturing standards for components, and inconsistent risk assessment methodology.
Noted (AI summary) Hotpoint states it will support the LFB/AMDEA initiative of digital identification and comply with any future industry-wide regulatory requirements. It will also work with government policy makers, regulators, fire services, manufacturers and other stakeholders to continue to raise the bar for appliance product safety in the UK. AMDEA acknowledges the coroner's concerns and states its commitment to collaborating with stakeholders to enhance product safety. They also note that fire incident data for key appliances is collated annually to identify trends and inform safety improvements. BSI acknowledges the coroner's concerns and explains its role in standardization. The CPL/61 committee considered the request to improve standards for condensate pumps and filters but needs more information regarding the fire investigation before a decision can be made. North Yorkshire Council, as primary authority for Hotpoint, states that testing was conducted on the part in question and that it passed all tests. They have arranged for further testing and state Hotpoint will comply with any changes in the law. The National Fire Chiefs Council states that receiving information from manufacturers on replaced or recalled parts is not within their remit. They support the single recall register and advocate for manufacturers to share risk assessments when patterns of faults are found. OPSS is seeking an update from BSI on the progress of a pilot project trialing a fire-resistant marking approach to enable identification of fire-damaged appliances and supporting their traceability. The Home Office acknowledges the report but states it cannot provide a specific response due to a lack of detail regarding which aspects of information management need to change. CTSI acknowledges the coroner's concerns and describes its role in consumer protection and its support for OPSS. It highlights the need for a national approach to product safety and consumer reporting mechanisms.
Hannah Aitken
All Responded
2024-0622 14 Nov 2024 Surrey
Alcohol, drug and medication related deaths Suicide
Concerns summary (AI summary) The increasing use of for self-harm is not centrally monitored, and current legislation fails to control the import and availability of substances used for poisoning, despite known risks.
Action Planned (AI summary) DHSC is working with the Home Office and other stakeholders to consider potential regulation of a concerning substance. They are also working with the National Police Chiefs’ Council to bring together local intelligence to obtain near to real-time data from across the country on deaths by suspected suicide by method. The Home Office is working with the Department for Health and Social Care to consider the potential benefits and proportionality of further regulation regarding the substance in question. Border Force will continue to monitor its policies and explore opportunities to improve its ability to take action in line with existing legal provisions.
James Boland
All Responded
2024-0599 5 Nov 2024 Manchester South
Alcohol, drug and medication related deaths
Concerns summary (AI summary) Ketamine's Class B classification falsely portrays it as safer than Class A drugs, encouraging illicit use despite causing severe, life-changing health problems like urological and liver damage.
Action Planned (AI summary) The Home Office acknowledges concerns about ketamine's classification and will commission the Advisory Council on the Misuse of Drugs (ACMD) to conduct an updated harms assessment of ketamine.
Frank Ospina
All Responded
2025-0338 25 Oct 2024 West London
State Custody related deaths
Concerns summary (AI summary) Mismatched healthcare and Home Office interpretations of Rule 35 led to a failure in reporting suicidal intentions, and an inappropriate "closed" visit denied a detainee physical contact and private conversation with family.
Action Planned (AI summary) NHS England plans to revise Detention Services Order 09/2016, Rule 35 assessments towards a multidisciplinary approach to safeguarding and vulnerability management in Immigration Removal Centres, and will jointly develop a stakeholder engagement session with the Home Office to share the revised requirements with IRC providers and operators. The Home Office is developing an interim update to its Rule 35 guidance, strengthening monitoring in detention, and implementing a 'Prevention of future deaths in immigration detention strategy'. Progress will be reported through the MBDC governance structures. Mitie Care and Custody has implemented a revised Standard Operating Procedure to prevent "closed visits" and has introduced a website translation and accessibility service called 'Recite' across its immigration removal centres.