Ministry of Housing, Communities and Local Government
PFD Addressee
Reports: 38
Earliest: Oct 2013
Latest: 8 Jul 2025
80% 2-year response rate (below 83% average). 29% of classified responses show concrete action taken.
PFD Reports
38 resultsPaul Hutchinson
Response Pending
2026-0223
West London
Concerns summary (AI summary)
Fire safety regulations may not specifically address individual flats within Extra Care Supported Accommodation (ECSA), potentially leaving vulnerable residents at risk due to a lack of standardised staff training and comprehensive fire risk assessments.
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.
Callum Hargreaves
All Responded
2025-0259
28 May 2025
Cornwall and Isles of Scilly
Alcohol, drug and medication related deaths
Mental Health related deaths
Suicide
Concerns summary (AI summary)
A severe shortage of available housing in Cornwall, with high demand and low supply, contributed to the deceased's homelessness and exacerbated his mental health issues.
Action Planned
(AI summary)
The MHCLG response focuses on the government's broader efforts to increase social housing supply, tackle homelessness, and address rogue practices like cuckooing, including a new offence in the Crime and Policing Bill. They also mention publishing good practice case studies to support landlords dealing with antisocial behaviour and efforts to improve mental health care, but does not describe specific actions directly responsive to the case.
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.
Alexi Susiluoto
All Responded
2025-0185
4 Apr 2025
Inner North London
Alcohol, drug and medication related deaths
Concerns summary (AI summary)
Separate mental health and substance misuse services, compounded by patient homelessness, create significant confusion and gaps in care for individuals with dual diagnoses.
Action Taken
(AI summary)
MHCLG is providing funding to local authorities through the Rough Sleeping Drug and Alcohol Treatment Grant to deliver substance misuse services, including for those with co-occurring mental health needs. The DHSC is providing funding to local authorities through the Rough Sleeping Drug and Alcohol Treatment Grant, directs them to consider NICE guidance, and will soon publish UK clinical guidelines on alcohol treatment including co-occurring conditions.
Paul Williams
All Responded
2025-0036
21 Jan 2025
Manchester South
Suicide
Concerns summary (AI summary)
Homelessness, forced family separation, and prolonged waiting times for public housing severely impacted mental health, contributing to the deceased's deteriorating condition.
Action Planned
(AI summary)
The Ministry is working to deliver the Renters (Reform) Bill which will abolish section 21 evictions, is increasing funding for homelessness services and is chairing an Inter-Ministerial Group focused on developing a long-term strategy to get back on track to ending homelessness. It is also delivering 1.5 million new homes and administering the Local Authority Housing Fund.
Barrie Forster
All Responded
2024-0603
5 Nov 2024
Cornwall and the Isles of Scilly
Other related deaths
Concerns summary (AI summary)
A severe shortage of suitable accommodation for released prisoners, including Approved Premises and local authority housing, leads to homelessness or unsuitable placements, increasing supervision difficulties.
Action Planned
(AI summary)
MoJ and MHCLG are working on a long-term strategy to end homelessness, including for prison leavers, with publication expected next year. Funding for homelessness services is increasing, and MHCLG will promote a partnership approach to statutory referrals and information sharing.
Joanita Nalubowa
All Responded
2024-0453
13 Aug 2024
Inner North London
Suicide
Concerns summary (AI summary)
Rigid Mental Health Act aftercare criteria lack flexibility, preventing suitable accommodation for patients whose historical residences are inappropriate, risking future harm by limiting discretion in placement decisions.
Action Planned
(AI summary)
The MHCLG will write to the local authorities concerned to remind them of their statutory duties, and the government will bring forward changes to social housing allocations regulations to apply exemptions to victims of domestic abuse from local authority residency and local connection tests.
Malika Hibu
All Responded
2024-0432
7 Aug 2024
Inner North London
Child Death
Concerns summary (AI summary)
Peabody Housing Association failed to address an unsafe canal barrier, demonstrating a lack of boundary knowledge, neglected risk assessments, ignored resident complaints, and inaction on known safety hazards.
Action Planned
(AI summary)
Peabody has implemented emergency temporary fencing and developed proposals for permanent safety railings at the canal edge, while working with the London Borough of Islington and CRT/CIC for required approvals. They have also strengthened internal policies and procedures relating to resident safety and reporting concerns. Islington Council is working with Peabody on a planning application for safety fencing around the canal side area of the Crest Buildings development. Urban design lessons from this incident have been shared with Development Management Officers, and a planning application for another canal side residential development includes fencing. The Mayor of London will consider the concerns raised in the PFD report through his review of the London Plan, with public consultation planned for the second half of 2025 and adoption of the revised Plan in 2027. Any changes made to the NPPF by the government will also be considered. The government published an updated NPPF on 12 December 2024 that includes additional policy to consider the safety of children and other vulnerable users in proximity to open water, railways and other potential hazards.
Lee McHale
All Responded
2024-0356
3 Jul 2024
Manchester South
Alcohol, drug and medication related deaths
Suicide
Concerns summary (AI summary)
The 'bedroom tax' caused significant housing benefit shortfalls, leading to rent arrears and fear of eviction for a former foster parent, contributing to their fatal overdose.
Noted
(AI summary)
DWP expresses condolences and explains the policy regarding spare room subsidy, but states they cannot comment on the specifics of the case. They state that the policy is clear and additional support is available through the DHP scheme.
Emily Collishaw
Partially Responded CC
2024-0431
27 Jun 2024
Outer South London
Alcohol, drug and medication related deaths
Concerns summary (AI summary)
Insufficient, uncoordinated support and excessively long waiting times (up to seven months) for residential rehabilitation placements put vulnerable patients at significant risk, including sudden death.
Noted
(AI summary)
NHS England acknowledges the concerns raised in the report and refers to the SEL ICB's review of the case and the local authority's commissioning of drug and alcohol rehabilitation services. It also mentions the Regulation 28 Working Group which shares learnings from PFD reports across the NHS. DHSC acknowledges the concerns, outlines commissioning responsibilities for drug and alcohol services, and notes the existence of relevant NICE guidance and quality standards. They mention a Pan-London Inpatient Detoxification Programme and ongoing work to develop sustainable inpatient detoxification provision in London. The Ministry of Housing, Communities & Local Government states that they will not be responding to the report as officials do not consider that there is a specific policy angle here for them to respond to, and that the Department for Health and Social Care will be the lead Department responding to this report.
Colin Waterhouse
All Responded
2024-0248
7 May 2024
Manchester South
Suicide
Concerns summary (AI summary)
Inadequate support services and an inaccessible digital bidding system for social housing left a palliative care patient in unsuitable accommodation, negatively impacting his wellbeing.
Action Planned
(AI summary)
The Ministry acknowledges concerns about the social housing bidding process and availability of social housing. They state they have increased flexibilities on how councils can use their Right to Buy receipts. They confirmed £450 million investment in councils across England under the third round of the Local Authority Housing Fund. They are committed to introducing Awaab’s Law to the social rented sector.
William Erskine
All Responded
2024-0204
17 Apr 2024
Manchester South
Alcohol, drug and medication related deaths
Concerns summary (AI summary)
Current building regulations do not mandate fixed window restrictors in high-rise residential buildings, including existing ones, allowing windows to open fully and posing a significant fall risk.
Noted
(AI summary)
The Ministry of Housing acknowledges the concerns regarding window restrictors but argues that current legislative arrangements are proportionate and appropriate. They state that the Building Safety Regulator will consider how Building Regulations and Approved Documents ensure protection from falling.
Bernadette Faulkner
All Responded
2024-0008
4 Jan 2024
Inner North London
Other related deaths
Concerns summary (AI summary)
The electricity meter's excessive height and placement behind an inwardly opening door created a significant safety risk for access, compounded by the lack of industry standards for meter accessibility.
Noted
(AI summary)
Energy UK expresses condolences and notes that it does not represent all energy network companies. It outlines existing industry practices regarding meter placement, safety checks, and support for vulnerable customers, referencing Ofgem guidance. Ofgem introduced new rules in November 2023 restricting suppliers from involuntarily installing prepayment meters for specific vulnerable customers, and suppliers are now required to assess the safety of prepayment meters annually.
Jill Brice
All Responded
2023-0401
20 Oct 2023
West Sussex, Brighton and Hove
Other related deaths
Concerns summary (AI summary)
Care residents are not consistently reminded to keep their emergency pendants close, posing a safety risk during emergencies like fires.
Noted
(AI summary)
The CQC states that the location where the death occurred was not registered with them and appears to fall outside the scope of registration and regulation by them. They have requested interested person status and an extension to gather further information. The CQC states that the sheltered accommodation where the deceased resided is not registered with them and therefore not regulated by them, so they cannot comment on the specific concern raised.
Luke Brooks
All Responded
2024-0326
17 Aug 2023
Manchester North
Other related deaths
Noted
(AI summary)
North West Ambulance Service has revised its 111 policy to remove exclusions for self-conveyance to hospital, save for Category 1 incidents, and to directly confirm patient refusal of an ambulance where possible. The updated SOP went live on 5th September 2023 and staff were informed. The Department for Levelling Up, Housing and Communities will pilot measures to improve enforcement of damp and mould with £10m funding and intends to introduce the Decent Homes Standard to the private rented sector. They will also introduce new regulations following a review of the Housing Health and Safety Rating System (HHSRS). The Department of Health and Social Care states that NHS England has confirmed with ambulance trusts that no blanket policies are in place advising patients with chest pain not to travel to A&E. NHS111 calls are dealt with on a case-by-case basis, and patients are provided with interim advice.
Brian Harfield
All Responded
2023-0092Deceased
16 Mar 2023
West Sussex
Other related deaths
Concerns summary (AI summary)
There's a critical lack of compulsory fire safety provisions, such as sprinklers, in extra care facilities for vulnerable, immobile residents, leaving them at significant risk of death from fires.
Noted
(AI summary)
The Department for Levelling Up, Housing and Communities acknowledges the concerns regarding fire safety measures in extra care facilities and outlines existing regulations, guidance, and the role of the Building Safety Regulator. They have forwarded the letter to the Director of Building Safety at the Building Safety Regulator.
Awaab Ishak
All Responded
2022-0365
16 Nov 2022
Manchester North
Child Death
Other related deaths
Concerns summary (AI summary)
The provided text refers to a Housing Ombudsman report but does not detail specific coroner's concerns.
Noted
(AI summary)
The Secretary of State calls on social housing providers to treat damp and mould seriously, meet the Decent Homes Standard, and self-refer to the Regulator of Social Housing if in breach of standards. They also highlight the upcoming Social Housing Regulation Bill to hold landlords accountable. The Secretary of State requests local authorities prioritize improving housing conditions for private and social tenants, focusing on damp and mould. They request information on the number of properties with damp and mould and how enforcement of housing standards is being prioritized. The Secretary of State asks legal representatives to direct social housing tenants with concerns about housing to the Social Housing Ombudsman, highlighting recent changes making it easier to access the Ombudsman. The government outlines actions taken to address damp and mould in social housing, including issuing guidance to landlords, suspending funding to Rochdale Boroughwide Housing, and awarding funding to areas with poor privately rented homes. They also highlight the Social Housing Regulation Bill to hold landlords accountable.
David Honnor
Partially Responded
2022-0267
30 Aug 2022
Dorset
Suicide
Concerns summary (AI summary)
Public access to gas canisters used for self-harm is unrestricted, lacking licensing or clear colour coding for emergency identification, and safety information on labels is insufficient.
Noted
(AI summary)
The Health and Safety Executive explains the existing regulations around the purchase, licensing, and safety information for oxygen-free nitrogen products, stating that sector-specific legislation places obligations on actors within a supply chain to provide instructions and safety information that are clear, legible and in easily understandable English.
Daphne Holloway and Ivy Spriggs
Historic (No Identified Response)
2022-0043
10 Feb 2022
Hertfordshire
Care Home Health related deaths
Concerns summary (AI summary)
Sprinkler systems are not mandatory for care homes with residents of limited mobility, and these buildings aren't classified as 'Higher Risk Buildings' based on occupant vulnerability, leaving them at elevated fire risk.
James Golds
All Responded
2021-0284
26 Aug 2021
Greater Manchester South
Care Home Health related deaths
Other related deaths
Concerns summary (AI summary)
Inadequate guidance exists for managing fire risk in supported accommodation for vulnerable residents, exacerbated by no statutory sprinkler requirement and ineffective smoke detector placement.
Noted
(AI summary)
The Department for Levelling Up, Housing & Communities references existing building regulations, guidance, and the role of fire and rescue authorities, but does not commit to further action.
Philip Sheridan
All Responded
2021-0016
20 Jan 2021
West Yorkshire (East)
Community health care and emergency services related deaths
Other related deaths
Concerns summary (AI summary)
The landlord rented out a non-compliant cellar flat, raising concerns about similar hazards, including inadequate smoke detection and escape routes, in other properties. There is no ongoing duty for landlords to check smoke alarm effectiveness.
Action Planned
(AI summary)
The Ministry highlights existing powers for local authorities regarding planning enforcement and building regulations. They plan to introduce stronger enforcement powers as part of planning system reforms and are consulting on proposals to mandate and improve smoke alarms in rented homes.
Ruben Bousquet
All Responded
2020-0298
18 Dec 2020
London Inner South
Other related deaths
Product related deaths
Concerns summary (AI summary)
Weak reporting and information sharing processes for food allergy fatalities hinder timely investigations and learning. The feasibility of food businesses carrying adrenaline auto-injectors also needs official investigation.
Action Planned
(AI summary)
The MHRA sought advice from the UK Commission on Human Medicines (CHM) on a range of areas to support the effective and safe use of AAIs. The AAI EWG recommended a number of other measures including reinforcement of the need for all patients at risk of anaphylaxis to carry two AAIs at all times. The FSA is undertaking consumer research to gather information and insights from people with food allergies and is considering the benefits of developing a food allergy safety scheme for allergen management within food businesses. They are supporting businesses to prepare for new allergen labelling rules coming into effect on 1st October 2021. The FSA is establishing a way for people to directly report information regarding anaphylactic reactions caused by food allergies that do not result in death. The MHRA is considering making AAI devices more widely available for use in exceptional, emergency situations.
John Jennings
All Responded
2020-0257
26 Nov 2020
North London
Emergency services related deaths
Other related deaths
Concerns summary (AI summary)
Critical fire safety standards (Code of Practice and British Standard 5839 LD1 Maximum Protection) are not statutory requirements, which may compromise safety.
Action Planned
(AI summary)
The department will raise the concern that the statutory minimum provision of smoke alarms is less than the maximum offered in British Standard 5839 with the relevant committee at the British Standards Institute for consideration, as part of a full technical review of the standards that support building regulations.
Joey Walker
All Responded
2020-0226
9 Nov 2020
Manchester South
Child Death
Concerns summary (AI summary)
Residential landlords are not required to inspect window coverings in private rental properties to ensure only safety cords are used, posing a risk of entanglement.
Action Planned
(AI summary)
The BBSA, working with Trading Standards and RoSPA, has produced specific guidance for Landlords on window blind safety and updated its child safety website to include landlords and signpost the guidance; the National Residential Landlords Association is supporting the dissemination of this guidance. The Secretary of State acknowledges the risks of looped blind cords, reiterates the legal obligations for safe products, and will ask officials to further publicise RoSPA's safety campaign through newsletters to landlords and local authorities and guides for the private rented sector.