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
25 results
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.
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.
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.
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.
Isabella Pritchard
All Responded
2017-0261 16 Aug 2017 Berkshire
Product related deaths
Concerns summary (AI summary) The unregulated fireplace industry lacks safety standards, leading to inherently dangerous designs and vague installation instructions. Absence of building control for installation significantly increases the risk of serious incidents.
Action Planned (AI summary) The department will ask the Building Regulations Advisory Committee to reconsider regulating stone fire surrounds and will alert registered installers to good practice guidance. Officials will also continue working with other agencies to keep guidance up to date.
Emma Waring
All Responded
2015-0383 22 Sep 2015 Manchester (North)
Other related deaths
Concerns summary (AI summary) The absence of compulsory automatic water suppression systems in residential properties, especially for vulnerable individuals, represents a significant fire safety risk.
Action Taken (AI summary) Rochdale Boroughwide Housing has delivered domestic sprinklers in properties occupied by some of their most vulnerable tenants and is working with Rochdale Council’s Strategic Housing Service on a project designed to offer additional support to those identified as hoarders.
Aleysha McLoughlin
All Responded
2015-0136 8 Apr 2015 Manchester (West)
Child Death Other related deaths Suicide
Concerns summary (AI summary) The training system for professionals working with young people regarding self-harm requires a comprehensive review, as self-harm is a growing public health crisis.
Action Planned (AI summary) The Department for Education is developing an assessment and accreditation system for child and family social workers. DCLG is focussed on supporting local services to provide early, integrated support for people who need the most help and supports local authorities on the delivery of the expanded troubled families programme.
Santosh Muthiah
All Responded
2014-0476 5 Nov 2014 London (North)
Product related deaths
Concerns summary (AI summary) The inability to identify appliance details after severe fire damage hinders accurate defect pattern recognition, and inconsistent information sharing among Fire & Rescue Services impedes product safety investigations.
Noted (AI summary) AMDEA's Technical Manager on Refrigeration together with industry safety specialists prepared a basic proposal for change to the international standard IEC 60335-2-24. This proposal was placed before the BSI committee CPL61 and was accepted as a UK proposal for change at international level in 2014; the UK proposal was accepted by the International Electrotechnical Commission (IEC) meeting in Tokyo. BSI Committees CPL/61 and PEL/33 reviewed the points raised and are submitting a proposal to the International Committee to add a warning about supply cords and portable socket-outlets to relevant appliances, and a new test for non-metallic material covering thermal insulation. The Society explains its role as a professional body for forensic science practitioners, noting that their reports are usually delivered directly to those who engaged them and may be sensitive or confidential. They state that forensic scientists are rarely involved in fire investigations unless they are serious, unexplained or suspicious, and that the fire service and/or police usually investigate. CFOA will engage proactively with DCLG to help develop the future IRS and the ease by which this type of information can be gathered, accessed and disseminated. CFOA will provide guidance to FRS by April 2015 to help ensure that the information provided on IRS is as accurate and meaningful as is possible to facilitate the ease by which DCLG could provide it to TS and manufacturers if they decided to do so. BIS will consider consistency of guidance and sharing of best practice as part of the independent review of consumer product recalls. The potential for a Code of Practice will also be considered as part of the independent review. BIS will continue to support AMDEA's Register my Appliance site.
Wade Patel
All Responded
2014-0434 9 Oct 2014 Leicester City & South Leicestershire
Other related deaths
Concerns summary (AI summary) Outdated glass in older rented properties poses a significant safety risk as there is no legal requirement for landlords to proactively check or replace it unless it breaks or during refurbishment.
Noted (AI summary) The Department for Communities and Local Government acknowledges the concerns regarding glazing safety but notes that Building Regulations only apply to new building work and extensions. It outlines the duties of landlords and the powers of local authorities to tackle poor-quality accommodation.