Child to adult safeguarding transition
Wide variation and inadequacy in transition pathways from child to adult safeguarding services for victims turning eighteen.
96 items
8 sources
1 inquiry
Source spread
Where this theme appears
Child to adult safeguarding transition has been flagged across 8 independent accountability sources:
2 inquiry recs
13 PFD reports
22 committee recs
1 CQC action
1 PPO rec
3 IMB recs
1 PHSO decision
53 LGO/SPSO decisions
When the same issue appears across inquiries, coroner reports, and regulators independently, it indicates a recurring issue across the public record.
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.
Inquiry Recommendations (2)
SP29 — Risks posed by children and young people
Recommendation: Lancashire Constabulary should ensure its procedures and training sufficiently addresses the risks children and young people may pose to others and the options for addressing that risk. The College of Policing, with national partners, should review legislation and guidance on …
Response Pending
SP39 — Working Together guidance on risks to others
Recommendation: The Department for Education should update Working Together to Safeguard Children and the Children’s Social Care National Framework. These documents should highlight that safeguarding and child protection assessments, when considering what support to put in place and planned multi-agency working, …
Response Pending
PFD Reports (13)
Kesia Leatherbarrow
Concerns: Critical communication failures and incomplete information sharing between Children's Services and CAMHS across different regions, along with a failure to transfer the Youth Offending Team case, led to a lack of support for a high-risk young person.
Response (Department of Health): The Department of Health has shared the report with NHS England, who are working to develop Liaison and Diversion services in Greater Manchester. NHS England is also reshaping mental health …
Response (Home Office): The government has already made a partial change to PACE via the Criminal Justice and Courts Act to require 17 year olds to be treated as 10-16 year olds for …
Response (Pennine Care NHS Trust): Pennine Care NHS Foundation Trust has completed an investigation, requesting written clinical summaries and risk assessments when young people transfer from other mental health services. The health diversion pathway has …
Response (Crown Prosecution Service): The CPS has modified CPS training so advocates conducting youth court cases are reminded that a youth can always be remanded for their "own welfare". The Chief Crown Prosecutor for …
Overdue
Anielka Jennings
Concerns: No lead professional was identified for a child transitioning to adult services with multiple agency involvement, leading to a breakdown in communication and continuity of care.
Overdue
Daisy French
Concerns: The report identifies concerns regarding communication and information sharing between CAMHS and Adult Services, the transition of care, and out-of-hours provision for 16 to 18 year olds, and the appropriateness of placing under 18s in adult crisis houses or supported living without staff.
Response (Sheffield Health and Social Care): Sheffield Health and Social Care NHS Foundation Trust and Sheffield Children's NHS Foundation Trust are working jointly, updating team protocols to ensure young people returning home to independent or supported …
Response (Department of Health): The Department of Health acknowledges the concerns and explains the national position on transitioning between children's and adult mental health services, referencing NICE guidelines and NHS England's financial incentives. They …
Responded
Karanbir Cheema
Concerns: The report details issues at the deceased's school, including a patchy understanding of allergies, unchecked care plans and medical boxes, out-of-date medication, non-standardised allergy action plans, and a failure to send allergy action plans to the school.
Response (Response Ambulance Service NHS Trust): The London Ambulance Service raised the PFD regarding EpiPen usage with the UK Clinical Focus Group for IAED-MPDS and with the Executive Director of MPDS and awaits their conclusion. The …
Response (London North West University Healthcare NHS Trust): The Trust will review allergy action plans and injection techniques with children and carers in the clinic. They have added the additional process of posting or emailing each allergy plan …
Responded
Oliver Sharp
Concerns: Inconsistent post-16 mental health services, long autism diagnosis waiting lists, and schools' lack of understanding for accelerated autistic adolescents create high-risk situations for mental health and self-harm.
Overdue
Charlotte Duffield
Concerns: Adult Social Care failed to take appropriate safeguarding action despite significant police concerns, only attempting telephone contact and sending a letter, without making any physical visit to a vulnerable individual.
Response (Cumbria County Council): The Council has reviewed self-neglect policies, revised operational practice guidance, implemented a countywide operational Safeguarding Adults service, and is delivering training sessions; a practice learning session will be undertaken with …
Responded
Lucy Walles
Concerns: Systemic issues in safeguarding, mental health provision, and inter-agency communication led to inadequate support for a vulnerable person. Concerns include slow safeguarding referrals, insufficient staff training, and resource adequacy across council and health services.
Response (Berkshire Healthcare NHS Foundation Trust): Berkshire Healthcare NHS Foundation Trust describes the 'One Team' program to improve mental health services, including clear care plans, named workers, and connections to meaningful activities. They have implemented measures …
Response (Reading Borough Council): Reading Borough Council has made improvements to the management of safeguarding referrals, including a dedicated safeguarding worker and adherence to Berkshire Safeguarding Policy. They have implemented a Quality Assurance Framework …
Responded
Craig Burfield
Concerns: There is currently no established adult care pathway, transition protocol from childhood to adulthood, or effective review process for patients with hydrocephalus shunts, risking fatal outcomes.
Response (Sheffield Teaching Hospitals NHS Foundation Trust): Sheffield Teaching Hospitals NHS Foundation Trust and Sheffield Children’s Foundation Trust have agreed a Cross Trust Transition pathway, detailing the process followed by both organisations, including the sharing of local …
Responded
Michaela Hall
Concerns: Children and Adult Services failed to consider the family as a whole, lacked written rationale for care needs and safeguarding decisions, and neglected health-related enquiries despite signs of mental impairment.
Response (Devon and Cornwall Police): Devon & Cornwall Police are delivering further communications to all response officers confirming that the responsibility for actively reviewing logs resides with the CIM and response Sergeants. They have also …
Response (HM Prison and Probation Service): The HM Prison and Probation Service is consulting on new guidance clarifying when Probation Officers (POs) or Probation Services Officers (PSOs) should prepare pre-sentence reports, and is giving careful consideration …
Response (Cornwall Council): Cornwall Council is working with colleagues through the Domestic Homicide Review process to identify actions stemming from the Senior Coroner’s proposed recommendations. Safer Futures is reviewing practices around family involvement …
Responded
Axel Price
Concerns: A national lack of clear guidance and multi-agency understanding for vulnerable young people transitioning from child to adult mental health services leads to inadequate support and patients falling through service gaps.
Response (Department of Health and Social Care): The DHSC acknowledges concerns about transitions from children's to adult mental health services and highlights the NHS Long Term Plan's aim for a comprehensive offer for 0-25 year olds. They …
Responded
Erik Marshall
Concerns: A significant commissioning gap leaves high-risk 17-year-olds without essential sensory occupational therapy, as child services end at 16 and adult services only accept from 18.
Response (Cheshire and Merseyside Integrated Care Board): The Cheshire and Merseyside ICB intends to commission Occupational Therapy services for children and young people up to the age of 18 years and 364 days, which will be in …
Responded
Chloe Barber
Concerns: Critical gaps exist in transitional care pathways from CAMHS to adult services, along with unclear guidelines for administering antipsychotic depots and a poor understanding of Mental Health Act aftercare provisions.
Response (NHS England): NHS England highlights several initiatives addressing the identified concerns, including the development of a national framework for transition between CAMHS and adult services, and the implementation of the Connect website …
Response (Department for Health and Social Care): The Department of Health and Social Care highlights NHS England funding to improve the young adult mental health pathway, new statutory guidance on discharges from mental health inpatient settings and …
Overdue
Lucy-Anne Dyson
Concerns: A lack of national interface for safeguarding system communication between schools and agencies, coupled with inconsistent referral guidance, risks missed or inadequate child protection actions.
Response (Department for Education): The Department for Education highlights the work being done across government to protect women and girls from violence, including the Tackling Domestic Abuse Plan, the Domestic Abuse Act 2021, and …
Overdue
Committee Recommendations (22)
#75 — Develop a National Care Offer ensuring minimum, harmonised support for care leavers nationwide.
Recommendation: As a priority, the Department for Education must develop a National Care Offer to harmonise the postcode lottery in entitlements and ensure that care leavers receive a minimum level of support, wherever they live. (Recommendation, Paragraph 194)
Gov response: We understand that care leavers often experience inconsistent support depending on their local authority and may not always be aware of what they are entitled to. However, all young people eligible for leaving care support …
Accepted
#95 — Inconsistent safeguarding transition pathways for child victims turning eighteen with complex needs.
Recommendation: There is wide variation among local authorities in the transition pathways from child to adult safeguarding services. Guidance exists for child victims and for adult 82 Human trafficking victims, but it does not adequately take account of child victims who …
Gov response: 88. Children referred into the National Referral Mechanism (NRM) are supported by children’s services within local authorities. Local authorities are the primary service provider for safeguarding and responding to the needs of a child victim …
Accepted
#17 — Create clear, actionable plan to deliver comprehensive mental health offer for 0-25 year olds.
Recommendation: Despite nearly a decade of commitments, the transition from Children and Young People’s Mental Health Services (CYPMHS) to Adult Mental Health Services (AMHS)—including Community Mental Health Services (CMHS)— remains a cliff edge and continues to fall short of what young …
No Published Response
#11 — Publish a unified national framework for ordinarily available provision and SEN support
Recommendation: The Department for Education should publish a unified national framework for ordinarily available provision and SEN support. This should offer clear, evidence-led guidance and include practical, real-world examples tailored to educators and educational settings, ensuring that all practitioners have access …
Gov response: We are committed to improving inclusivity and expertise in mainstream schools to ensure they have the tools to better identify and support children before issues escalate. Our new team of expert Regional Improvement for Standards …
Partially Accepted
#52 — Develop a National Care Offer and transition strategy for care leavers entering further education.
Recommendation: As set out in our Children’s Social Care report, the Department for Education must develop a National Care Offer to harmonise the postcode lottery in entitlements and ensure that care leavers receive a minimum level of support, wherever they live. …
Gov response: PLANS ALREADY IN PLACE The Get Britain Working White Paper announced the Youth Guarantee for 18–21-year-olds in England to ensure young people are either learning and earning. This includes access to high-quality training, apprenticeships, and …
Accepted
#96 — Amend Modern Slavery guidance to include 'turning 18' support for transitioning child victims.
Recommendation: The Home Office should amend its Modern Slavery statutory guidance to include guidance on ‘turning 18’ to ensure that ageing out of the care system does not reduce holistic support for recovery and prevention of re-trafficking.
Gov response: 88. Children referred into the National Referral Mechanism (NRM) are supported by children’s services within local authorities. Local authorities are the primary service provider for safeguarding and responding to the needs of a child victim …
Not Addressed
#88 — Commission independent review of Recovery Needs Assessment process for children and young adults.
Recommendation: We recommend that the Home Office immediately commissions an independent review of the Recovery Needs Assessment process to determine whether it works effectively for children and young adults transitioning into adult support services. (Paragraph 251) Trafficking of children
Gov response: 88. Children referred into the National Referral Mechanism (NRM) are supported by children’s services within local authorities. Local authorities are the primary service provider for safeguarding and responding to the needs of a child victim …
Under Consideration
#80 — Develop strategy for transitioning child victims to adult services with continuity of support.
Recommendation: Local authorities and safeguarding partners should develop a defined strategy for child victims to be transitioned to appropriate adult services with continuity of support to ensure that there is no gap in services such as mental health care.
Gov response: 81. The Home Office regularly publishes a summary and breakdown of the number of potential victims of modern slavery referred into the National Referral Mechanism (NRM) or via the Duty to Notify (DtN) process, including …
Under Consideration
#20 —
Recommendation: While some transition planning may take place before a young person leaves the youth estate, we are not convinced that the adult estate is sufficiently equipped to support all those who make that move. We recommend that the Ministry of …
Gov response: The YCS are producing a ‘Transitions of young people from youth to adult custody’ Policy Framework’. The framework will set out the key principles for safe and successful early pre-transitions planning, transitions preparation and engagement …
Under Consideration
#19 —
Recommendation: We welcome the work being done to improve transition planning, and we note that work is under way in the Ministry of Justice on how best to manage transition into adult custodial settings for those who turn 18. While cut-off …
Gov response: 60. The YCS are producing a ‘Transitions of young people from youth to adult custody’ Policy Framework’. The framework will set out the key principles for safe and successful early pre-transitions planning, transitions preparation and …
Under Consideration
#12 —
Recommendation: NHS England & Improvement must accelerate the implementation of the 0–25 offer in every local area as a national priority so that young people do not continue to face a cliff edge in accessing the care they require as they …
Gov response: 89. We accept this recommendation in part. 90. Implementation of this recommendation will depend upon the outcome of annual business planning, and the Department for Education will later this spring confirm its position on issuing …
Partially Accepted
#11 —
Recommendation: It is clear that young adults between the ages of 18 and 25 face some of the widest gaps between the support that they need and the support that is available to them. 56 Children and young people’s mental health …
Gov response: 84. The government is considering this recommendation. 85. MHSTs are specifically designed to provide a tailored offer of direct interventions to individuals and groups of children and young people with mild or moderate mental health …
Under Consideration
#38 — Review educational support for adopted and previously looked-after children, including statutory framework.
Recommendation: The Department for Education should review the educational support available to adopted children, assessing the impact of the extension of policies to previously looked-after children and whether any further extensions are needed. This review should include: the introduction of a …
Gov response: We welcome the Committee’s recommendation and are committed to strengthening support for previously looked-after children. To this end, we will issue updated statutory guidance for Virtual School Heads (VSHs) and designated teachers. This will provide …
Accepted
#89 — National Referral Mechanism deemed inappropriate for children due to inconsistent support and fragmented approach.
Recommendation: The National Referral Mechanism is not appropriate for children. The support is not defined as it is for adults, universally available or applied consistently. There is an overall lack of a joined-up approach across the National Referral Mechanism, child welfare …
Gov response: Children referred into the National Referral Mechanism (NRM) are supported by children’s services within local authorities. Local authorities are the primary service provider for safeguarding and responding to the needs of a child victim of …
Accepted
#84 — Long-term support for human trafficking survivors post-NRM exit remains absent and inadequate.
Recommendation: Survivors of human trafficking should continue to receive long-term support once they leave the National Referral Mechanism (NRM); however, there is clearly an absence of support for victims of human trafficking once they exit the statutory support provided under the …
Gov response: 84. The Government remains committed to ensuring all potential and confirmed victims of modern slavery have secure and appropriate accommodation when they enter National Referral Mechanism (NRM) support. The Modern Slavery Victim Care Contract (MSVCC) …
Under Consideration
#7 — Inconsistent delivery of prison resettlement services undermines effective support for prison leavers.
Recommendation: HMPPS told us one of its biggest concerns is whether it can consistently deliver its vision for probation services across all corners of England and Wales.13 In 2022–23, an HMPPS review found 14 out of 27 key events in the …
Gov response: The government agrees with the Committee’s recommendation. Target implementation date: May 2024 HMPPS is committed to ensuring that resettlement services provide consistent and adequate support to prison leavers, to reduce reoffending and protect the public. …
Accepted
#23 —
Recommendation: We heard that PIP assessments can be particularly challenging for young people. We recommend that young people in receipt of Disability Living Allowance should not be required to claim PIP until they are 18, as is the case in Scotland. …
Gov response: Health assessments for benefits 17 term. We have suggested some areas for change in this Report to start that process— recording of assessments and sharing reports to increase transparency are key, and these should be …
Under Consideration
#5 —
Recommendation: We are concerned that the Minister was unable to commit to providing clear and specific standards and guidance for babies, children and young people’s palliative and end of life care in the Modern Service Framework (MSF). We strongly recommend that …
Response Pending
#36 — Incorporate full domestic abuse victim definition and define CHIDVAs and CHISVAs within the Bill
Recommendation: We recommend that the Bill includes the entire definition of a domestic abuse victim as it appears in the Domestic Abuse Act 2021. We further recommend that the Bill also defines Independent Sexual Violence Advisors and Independent Domestic Violence Advisors …
Gov response: 59. As set out in paragraph 44, the Government agrees with the Committee that the Bill should align with the full Part 1 definition of domestic abuse as it appears in the Domestic Abuse Act …
Not Accepted
#28 — Include reference to child domestic abuse victims and mandate needs assessments in guidance.
Recommendation: We recommend that clause 8(3) also includes reference to section 3 of the Domestic Abuse Act 2021, namely that children can be victims of domestic abuse in their own right. Doing so will provide assurance that commissioners of support services …
Gov response: 44. It has always been the Government’s intention to capture children as victims of domestic abuse in their own right as part of this duty. Therefore, we agree with the Committee that the Bill should …
Accepted
#27 — Expand duty to collaborate to include children's services and victims outside the CJS.
Recommendation: We welcome the duty to collaborate. This duty, however, should also include providers of children’s services to ensure the needs of child victims are met and to help facilitate the flow of necessary information between agencies. It is unclear whether …
Gov response: 41. To improve strategic commissioning, the Bill rightly requires collaboration between groups responsible for that commissioning. The Government recognises the important role that providers, including providers of children’s services, play in the commissioning process, and …
Accepted
#86 — Formalise and clarify local authority duties to support slavery and trafficking victims post-NRM exit.
Recommendation: We support Recommendation 24 of the Independent Review of the Modern Slavery Act 2015 and urge the Government to formalise and clarify the duties of local authority agencies to support victims of slavery and trafficking once they have left the …
Gov response: A confirmed adult victim will exit the NRM through the Recovery Needs Assessment (RNA) process once their ongoing recovery needs are being met by alternative support services. For example, where suitable local authority housing is …
Accepted
IMB Recommendations (3)
Werrington (2024)
As an increasing proportion of young people in custody are over 18 years. If there is a safeguarding concern, how does the local authority continue to address their needs?
Other
Cookham Wood (2022)
Transition of 18+ boys: Is there end-to-end sentence planning and support for these boys? Do they carry their sentence plan with them when they transition to a young adult institution? Or do they have to start afresh? What steps will be taken to arrange transfers to the adult estate for young adults who are aged 18+ and have long sentences …
HMPPS
Werrington (2025)
What assurance can the Minister give the Board that young people serving long sentences will be transferred without delay to the adult estate on turning 18, and what systems are in place to guarantee compliance with this requirement?
Ministry of Justice
LGO / SPSO Decisions (53)
23-014-163 — London Borough of Merton
Summary: Mrs Q complains the Council delayed referring her daughter for an Adult Social Care assessment, in the time before her 18th birthday. And when it did make the referral it did not tell them and delayed responding to her contacts. We uphold the complaint. The Council has agreed to …
LGO (Local Government & …
Adult Care Services
Upheld
Jul 2024
23-017-457 — Hertfordshire County Council
Summary: Mrs X complains about how the Council planned care for her son, Mr K. The Council took too long to start planning Mr K’s transition from children’s services to adult social care. Despite its best efforts, the Council failed to provide overnight respite care and has not fully supported …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2024
21-003-856 — Manchester City Council
Summary: Mr B complained that the Council stopped his education incentive payment without notice or explanation on two occasions and refused to backdate the money to cover the gaps. The Council has now offered to pay him £500, support him until the end of his course and review its policies. …
LGO (Local Government & …
Adult Care Services
Upheld
Jan 2022
21-017-188 — City of York Council
Summary: The Council is at fault for delaying consideration of this complaint at stage two of the children’s statutory complaints procedure. The Council will issue its stage two response in the coming days. It has also agreed to offer to make a payment to the complainant to remedy the time …
LGO (Local Government & …
Adult Care Services
Upheld
Mar 2022
21-012-774 — Buckinghamshire Council
Summary: Miss X complained the Council failed to appropriately plan for her transition from children to adult care services, and to support her to stay with her foster family until she was 25 on a staying put arrangement it had previously agreed. There was fault in the way the Council …
LGO (Local Government & …
Adult Care Services
Upheld
Jul 2022
22-001-593 — Suffolk County Council
Summary: Mrs X complained the Council refused to carry out social care assessments and did not provide advice on her son’s social care needs for the review of his Education, Health and Care plan. She also complained about poor communication and complaints handling, which caused frustration and delays, and put …
LGO (Local Government & …
Adult Care Services
Upheld
Oct 2022
21-017-132 — Cambridgeshire County Council
Summary: Mr B complains on behalf of his adult son, Mr F, about the way the Council managed his transition to adult social care and that it failed to provide him with care and support from July to September 2021. We have found fault which has caused injustice to Mr …
LGO (Local Government & …
Adult Care Services
Upheld
Dec 2022
22-005-749 — Nottinghamshire County Council
Summary: There is no fault by the Council in relation to its planning for the complainant’s son’s transition from children’s to adult social care. Whilst only limited services have been provided since the complainant’s son became 18, there is no fault by the Council as it offered suitable provision that …
LGO (Local Government & …
Adult Care Services
Not Upheld
Dec 2022
23-008-097 — London Borough of Croydon
Summary: Mrs Y complained about the way the Council dealt with Mr X’s social care support and its response to her complaint. We have found fault by the Council in failing to review Mr X’s need for support managing his finances, and failing to consider part of Mrs Y’s complaint, …
LGO (Local Government & …
Adult Care Services
Upheld
Mar 2024
23-015-297 — Torbay Council
Summary: We will not investigate this complaint about transition planning into Adult Services. The Council has investigated the complaint under the Children’s Statutory Complaint Procedure and upheld most of the complaint. Further investigation would not lead to a different outcome.
LGO (Local Government & …
Children S Care Services
Upheld
Apr 2024
24-003-509 — Bournemouth, Christchurch and Poole Council
Summary: We will not investigate Mr X’s complaint about the Council’s handling of several matters in relation to his daughter’s care and support. This is because there is insufficient evidence of fault. In addition, the faults accepted have not caused any significant injustice and an investigation would not lead to …
LGO (Local Government & …
Adult Care Services
Aug 2024
24-010-194 — Southampton City Council
Summary: Mrs X complained about the Council’s handling of her child’s care and support when he turned 18. We find no fault in the Council’s overall decision making but do find fault for it failing to consider Mrs X’s request for an additional day at Placement A. This caused Mrs …
LGO (Local Government & …
Adult Care Services
Upheld
Apr 2025
24-009-874 — Shropshire Council
Summary: The Council delayed making a decision about Mr Y’s social care provision and issuing the decision to cease to maintain his Education, Health and Care Plan. This caused avoidable uncertainty, distress and a delay in appeal rights which have not been used. The Council has already apologised and this …
LGO (Local Government & …
Adult Care Services
Upheld
Jun 2025
25-000-139 — Norfolk County Council
Summary: We will not investigate Mr X’s complaint about the Council’s care planning and decision-making related to his accommodation and support after he turns 18. The Council is considering his complaint under the children’s statutory complaints procedure and in the process of arranging a stage three panel. It is reasonable …
LGO (Local Government & …
Adult Care Services
Jul 2025
24-017-448 — Sandwell Metropolitan Borough Council
Summary: Mrs X complained about the Council’s handling of her son, Y’s, annual review. Mrs X also complained the Education, Health and Care (EHC) Plan did not focus on preparation for adulthood. Mrs X said this impacted school consultations, transition, Y’s mental health, and her mental and physical health. There …
LGO (Local Government & …
Education
Upheld
Sep 2025
23-020-425 — Milton Keynes Council
Summary: Mrs X complained about the Council’s failure to provide respite care for her disabled child. We found the Council to be at fault because it failed to properly consider the issue. There was also fault with the Council’s complaint handling. To remedy the distress and uncertainty caused by its …
LGO (Local Government & …
Adult Care Services
Upheld
Oct 2025
24-020-730 — London Borough of Croydon
Summary: Mr X complained the Council delayed providing his son with respite care when he transitioned from children to adult services. We find the Council was at fault for the delay in securing suitable respite care for Mr X’s son. This caused distress and upset, and Mr X’s son lost …
LGO (Local Government & …
Adult Care Services
Upheld
Oct 2025
23-018-546 — London Borough of Haringey
Mr and Mrs X complain about delay by the Council in carrying out an assessment for the transition of Mr Y from children to adult care services.
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2024
24-003-915 — Hertfordshire County Council
Summary: Mr Z, on behalf of his grandson Mr X, complained the Council failed to provide appropriate support when he turned 18. The matters Mr Z raised were known to him in 2021 and he raised them with the Council at that time. This is a late complaint and falls …
LGO (Local Government & …
Adult Care Services
Nov 2024
25-009-655 — East Sussex County Council
Summary: We will not investigate this complaint about the way the Council has handled Mr X’s care. This is because the complaint is late and there is no good reason to investigate this now.
LGO (Local Government & …
Adult Care Services
Dec 2025
24-016-538 — Birmingham City Council
LGO (Local Government & …
Adult Care Services
25-011-263 — Derbyshire County Council
LGO (Local Government & …
Adult Care Services
24-008-108 — London Borough of Haringey
LGO (Local Government & …
Adult Care Services
Upheld
25-008-644 — Surrey County Council
LGO (Local Government & …
Adult Care Services
21-007-240 — Cornwall Council
Summary: Mr D complained the Council failed to properly support his grandson when he transitioned from children’s services to adult care services. He also says the Council failed to give him information about his grandson’s wellbeing. We find the Council delayed assessing Mr D’s grandson. It also should have done …
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
21-011-122 — Manchester City Council
Summary: Miss F complains the Council delayed planning her son’s transition to adult services. There was fault as the Council should have sought alternative respite providers sooner. The Council has agreed to make a payment to Miss F to acknowledge the impact the loss of respite for three months has …
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
21-015-390 — Gloucestershire County Council
Summary: Mr and Mrs X complained the Council failed to carry out the recommendations made at Stage 2 and 3 of the statutory complaints process. The Council has provided information about the action it has taken as well as now arranging a meeting as agreed. These actions, along with a …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2022
24-015-863 — London Borough of Croydon
Summary: We will not investigate this complaint about how the Council dealt with Ms Y’s transition from children’s to adult services. This is because the complaint is late and there is no good reason for us to investigate now.
LGO (Local Government & …
Adult Care Services
Apr 2025
24-015-301 — Essex County Council
Summary: Ms X complains the Council failed to recognise that a malicious safeguarding concern had been raised about her, resulting in it investigating the concern and subjecting her to supervised contact with her son. The Council accepts it should have started making safeguarding enquiries when it first received the concern …
LGO (Local Government & …
Adult Care Services
Upheld
May 2025
24-016-539 — Norfolk County Council
Summary: Ms D complains the Council failed to provide suitable support to her and safeguard her. The Council is at fault for failing to make proper transition arrangements for Ms D, to consider safeguarding alerts and for failing to complete carers’ assessments. This has caused uncertainty about whether Ms D …
LGO (Local Government & …
Adult Care Services
Upheld
Sep 2025
25-007-024 — West Sussex County Council
Summary: We will not investigate Mr X’s complaints about the Council’s decision to cease his daughter’s college placement and Education, Health and Care Plan and its communications and complaints handling. The substantive matters are appealable, or could have been appealed, to the SEND Tribunal. The other complaints do not warrant …
LGO (Local Government & …
Adult Care Services
Nov 2025
24-007-419 — London Borough of Wandsworth
Summary: We will not investigate this complaint about how to meet adult social care needs when the current provision ends. The court of protection is better placed to settle a dispute about how best to meet a person’s needs when they do not have capacity to decide. The claimed injustice …
LGO (Local Government & …
Adult Care Services
Oct 2024
24-008-866 — London Borough of Croydon
Summary: We will not investigate this complaint the Council failed to complete an adult care needs review. That is because it is late.
LGO (Local Government & …
Adult Care Services
Nov 2024
24-009-869 — Suffolk County Council
Summary: We will not investigate this complaint about the children’s statutory complaints procedure. The Council has upheld the complaint and offered a suitable remedy. Further investigation would not lead to a different outcome.
LGO (Local Government & …
Adult Care Services
Upheld
Nov 2024
PSOW-202400197 — Pembrokeshire County Council
Ms A complained about inadequacies in the support that Social Services had provided to her children. She was also dissatisfied with the initial complaint response she had received from the Council. The Ombudsman considered that the Council’s response was not sufficiently robust. The Council agreed to appoint an external independent …
PSOW (Public Services Om…
Local Government
Jul 2024
22-002-791 — Lancashire County Council
Summary: We cannot investigate Miss X’s complaint that the Council has failed to provide court ordered therapy for her daughter because it lies outside our jurisdiction. The law prevents us from investigating matters that are being, or have been, considered in court proceedings. We have no discretion to do so.
LGO (Local Government & …
Children S Care Services
Jun 2022
22-002-767 — North Yorkshire County Council
Summary: We cannot investigate this complaint about what the Council disclosed and evidence it withheld negatively affecting a court case. The matters complained of are not separable from the court process and either were or could have been raised in court.
LGO (Local Government & …
Children S Care Services
Jun 2022
21-011-789 — City of York Council
Summary: Mr and Mrs X complained the Council poorly managed their child, Y’s, transition from children’s services to adult services as a care leaver. They say this caused them and Y distress and affected Y’s health. They also say the Council handled their complaint poorly. The Council is at fault. …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2022
21-014-948 — London Borough of Newham
Summary: There was fault by the Council because it did not properly plan Miss K’s transition from Children to Adult Services and how it would arrange and fund her care. There was also fault in its complaint handling as it failed to refer Miss K’s complaint to a stage three …
LGO (Local Government & …
Adult Care Services
Upheld
Sep 2022
22-005-582 — Walsall Metropolitan Borough Council
Summary: We have discontinued our investigation into Mrs C’s complaint about the Council’s adult safeguarding enquiry. Mrs C can approach the Information Commissioner’s Office about her data protection complaints, and there is not enough evidence of fault in the remainder of her complaint to justify further investigation.
LGO (Local Government & …
Adult Care Services
Not Upheld
Oct 2022
22-008-982 — West Sussex County Council
Summary: We will not investigate Ms B’s complaint about the way the Council considered safeguarding matters about her. This is because the Council’s actions have not caused Ms B a significant enough injustice to warrant an ombudsman investigation. Further investigation by us could not add to the Council’s response of …
LGO (Local Government & …
Adult Care Services
Oct 2022
24-004-827 — London Borough of Hammersmith & Fulham
Ms D complained the Council failed to carry out an occupational therapy assessment when her son, Mr J, transferred from children’s to adult’s social care services. We have found the Council significantly delayed completing an occupational therapy assessment. This delay caused Ms D avoidable frustration, uncertainty and distress. It affected …
LGO (Local Government & …
Adult Care Services
Upheld
May 2025
25-004-813 — Cambridgeshire County Council
Summary: We will not investigate Mrs X’s complaint the Council delayed moving her daughter, Miss Y, from her children’s residential placement to an adult one. Any outstanding injustice is not significant enough to warrant an investigation and our involvement would be unlikely to achieve anything meaningful.
LGO (Local Government & …
Adult Care Services
Oct 2025
PSOW-202206153 — Vale of Glamorgan Council
Mrs L complained that Vale of Glamorgan Council had failed to carry out a wellbeing assessment to allow her to apply to the courts for contact . The Ombudsman found that a formal complaint had been raised with the Council in November 2022 which had not yet concluded. This had …
PSOW (Public Services Om…
Local Government
Mar 2023
PSOW-202307520 — Flintshire County Council
Mr X complained about the actions taken by Flintshire County Council from November 2021 when his daughter, Y, went to live with her grandmother and then to a regulated care home. Mr X was unhappy with the independent Stage 2 investigation of his complaint. Mr X was also unhappy as …
PSOW (Public Services Om…
Local Government
Mar 2024
PSOW-202407666 — Caerphilly County Borough Council
Miss A complained that the records held by the Council’s Social Services Department’s relating to her daughter were inaccurate, incomplete and that false information was recorded. She also complained that the Council did not appropriately declare potential conflicts of interest with persons involved in her daughter’s case. The Ombudsman decided …
PSOW (Public Services Om…
Local Government
Apr 2025
PSOW-202505155 — Cardiff Council
Mr A complained that Cardiff Council “The Council” had taken an unreasonable amount of time to issue him a Stage 2 report to a complaint he had escalated. The Ombudsman found that the Stage 2 report was completed 8 months before it was issued to Mr A and that no …
PSOW (Public Services Om…
Local Government
Jan 2026
22-003-647 — Kent County Council
Summary: We will not investigate Mr X’s complaint about a safeguarding concern raised in relation to his friend, Mr Y. This is because an investigation by this office would not be able to add to the explanation and response already provided by the Council on this matter.
LGO (Local Government & …
Adult Care Services
Jul 2022
21-005-229 — East Riding of Yorkshire Council
Summary: We will not investigate Ms B’s complaint about the care her late mother received or the Council’s safeguarding investigation into her concerns. This is because further investigation by the Ombudsman could not add to the Council’s investigation or make a finding of the kind Ms B wants.
LGO (Local Government & …
Adult Care Services
Jul 2022
PSOW-202405925 — Carmarthenshire County Council
Miss A complained about how Carmarthenshire County Council (“the Council”) dealt with safeguarding concerns she reported regarding her daughter. Miss A said that the Council failed to share a report with her from May 2024. The Independent Investigation taken into her concerns upheld this aspect of her complaint. The Ombudsman …
PSOW (Public Services Om…
Local Government
Mar 2025