Poor prevention and early intervention
Over-reliance on hospital discharge solutions rather than prioritising prevention and early intervention strategies in health and social care.
492 items
11 sources
3 inquiries
Source spread
Where this theme appears
Poor prevention and early intervention has been flagged across 11 independent accountability sources:
5 inquiry recs
92 PFD reports
202 committee recs
13 CQC actions
20 HMICFRS recs
4 NAO recs
1 PHSO rec
94 IMB recs
12 PHSO decisions
48 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 (5)
6 — Review and reduce cell lock-in periods
Recommendation: The Home Office, in consultation with the contractor responsible for operating each immigration removal centre, must review the current lock-in regime and determine whether the period of time during which detained people are locked in their cells could be reduced. …
Gov response: A maximum 9-hour overnight lock-in period has been implemented. The government has also noted a drive to improve the range of activities available to detainees.
Accepted in Part
1 — Monitor Brook House contract performance robustly
Recommendation: The Home Office must actively and robustly monitor the performance of the Brook House contract, including satisfying itself that any self-reported information is accurate. This may include engagement with monitoring bodies and appropriate stakeholders. Penalties must be attached to inadequate …
Gov response: The Home Office has introduced new contracts requiring internal audit programmes and self-reporting by service providers. Two Home Office teams operate in each IRC: detention services compliance teams for on-site contract monitoring, and Detention Engagement …
Accepted in Part
COVID-M4.3 — Improve Vaccine Uptake Monitoring and Evaluation
Recommendation: Each of the four UK public health or health security agencies should work together to: maintain accurate, UK-wide insight into the state of vaccine uptake and hesitancy; and understand the measures proven to be effective in increasing uptake across the …
Gov response: No formal response published by this government.
Unknown
COVID-M4.2 — Formalise Community Vaccine Equity Networks
Recommendation: The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should maintain networks with local communities to produce targeted vaccination strategies and communications. To achieve this: The Scottish Government, Welsh Government and Northern Ireland Executive should establish local community …
Gov response: No formal response published by this government.
Unknown
AC-1a — Open Registration
Recommendation: The scheme be opened to registration to everyone who may be eligible.
Gov response: The remaining 11 recommendations focus on IBCA delivery. Further detail on these will be set out by IBCA in due course.
Accepted
In progress
PFD Reports (92) — showing 50 strongest matches
Ann Margaret Spearing
Concerns: Despite clear malnutrition and learning difficulties, the deceased was repeatedly assessed by mental health, hospital, and eating disorder services, yet consistently misdiagnosed or found not to have a treatable condition.
Response (Bristol Clinical Commissioning Group): Bristol has recently reviewed, redesigned and is currently re-procuring its specialist mental health and learning disability services and has piloted an enhanced advice and guidance support scheme to GPs.
Responded
Amna Umer Ahmed
Concerns: Low awareness of Sudden Arrhythmic Death (SAD) among GPs and a lack of clear guidelines for urgent referral of at-risk patients contribute to missed diagnoses.
Response (Royal College of General Practitioners): The Royal College of General Practitioners acknowledges the concerns, describes its role in GP training and standards, and references existing curriculum and resources related to cardiovascular disease and sudden adult …
Overdue
Amanda Vickers
Concerns: A severe shortage of specialist crisis home beds, with no clear availability, contributed to a patient's death while awaiting admission, highlighting inadequate commissioning by the CCG.
Response (Cumbria Clinical Commissioning Group): Cumbria Clinical Commissioning Group is reviewing the existing framework for wellbeing and mental health and developing a new mental health strategy in partnership with stakeholders. A review of mental health …
Responded
Oliver Hiscutt
Concerns: Lack of mandatory formal paediatric child health training for GPs results in inadequate skills to assess and manage sick children effectively.
Overdue
Samarjit Singh
Concerns: The lack of a Specialist Community Perinatal Mental Health Service and a Mother and Baby in-patient unit in the region resulted in sub-optimal treatment and declined referrals for mothers with severe postnatal depression.
Response (Wirral Clinical Commissioning Group): NHS Wirral CCG established a working group to review the perinatal mental health pathway. They are revising the Liaison Psychiatry service specification to include dedicated consultant psychiatrist time and requiring …
Response (Department of Health): The Department of Health acknowledges the coroner's concerns regarding perinatal mental health services in the Wirral and Liverpool. They state that commissioning of local services is the responsibility of Clinical …
Overdue
Helena Farrell
Concerns: The report identifies an inadequate referral system and staffing levels at CAMHS, a failure to recognise the escalation of incidents, unrealistic expectations of the school nurse, and a lack of verification of the school counsellor's qualifications.
Response (Cumbria NHS Foundation Trust): Cumbria Partnership NHS Foundation Trust has significantly redesigned the CAMHS referral system, with a 48-hour response target for urgent referrals. The recommendations from the Serious Untoward Incident report have been …
Response (Cumbria County Council): Cumbria County Council will remind schools of their duty to ensure counselors are appropriately qualified by the end of September and will undertake a sample audit later in the school …
Responded
Emmanuel Akinmuyiwa
Concerns: The absence of a clear regional protocol for sickle cell disease management led to staff lacking knowledge of crisis symptoms and necessary treatment, compounded by funding issues.
Overdue
Sian Armstrong
Concerns: A significant delay occurred in providing Cognitive Behavioural Therapy (CBT) for a child, Sian Armstrong, who was assessed as needing it, highlighting a lack of timely access to critical mental health support.
Overdue
Aleysha McLoughlin
Concerns: 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.
Response (Department of Health): 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 …
Responded
Baby Olsberg
Concerns: Antenatal screening for Group B Streptococcus (GBS) and prophylactic intrapartum antibiotics for positive cases are not routinely offered by the NHS, potentially putting babies at risk.
Response (Royal College of Obstetricians and Gynaecologists): The RCOG acknowledges the concerns but refers to their guideline which aligns with the National Screening Committee's recommendation against routine screening for GBS.
Response (N.I.C.E): NICE acknowledges the concerns but refers to the UK National Screening Committee's current position that screening for GBS is not supported by the evidence, and that NICE's guideline does not …
Response (Department of Health): The Department of Health acknowledges concerns about GBS screening but states that the UK National Screening Committee does not currently support universal screening due to insufficient evidence. They note that …
Responded
Emma Carpenter
Concerns: Critical specialist eating disorder services for children lacked long-term funding and inpatient bed provision. Insufficient funding for school nurses caused poor communication between mental health and education systems.
Response (Department of Health): The Department of Health provided NHS England with £7 million in 2014/15 to increase CAMHS Tier 4 bed provision and improve access. Health Education England plans to commission 340 training …
Response (NHS England): NHS England has invested in inpatient CAMHS beds, developed national service specifications for acute inpatient mental health units, and is planning to commission inpatient beds based on need. They highlight …
Response (Doncaster and Bassettlaw Hospitals NHS Trust): The Trust has communicated with Nottinghamshire Health Care Foundation Trust, offering a formal service level agreement and a named consultant to support patients from the Bassetlaw area receiving treatment at …
Responded
Isabella Drew
Concerns: Inadequate national guidance and audit procedures prevent healthcare providers from consistently advising pregnant women about whooping cough vaccination. Poor communication links between antenatal healthcare providers also pose risks.
Response (Department of Health): The Department of Health acknowledges the coroner's concerns regarding advice and support for pregnant women about whooping cough vaccination. They note that NHS England is responding on behalf of the …
Response (NHS England): NHS England will consider the coroner's concerns about integrating pertussis and immunisation services into routine maternity care as part of an independent review of maternity services in England. Public Health …
Responded
Curt Falk
Concerns: A patient died from a viral infection (SCC) preventable by vaccination, but current policy excludes males from this vaccination, indicating a risk of future deaths in men from this infection.
Response (JCVI): Public Health England will submit work on the cost-effectiveness of extending the HPV vaccination programme to adolescent boys to JCVI by early 2017. In November 2015 JCVI advised that a …
Overdue
William Higgleton
Concerns: A critical lack of psychotherapy services for patients with anti-social personality disorder means their primary treatment is unavailable, creating a risk of future deaths.
Response (William Higgleton): NELFT and CCGs will review care pathways for patients with anti-social personality disorder, ensuring support to access existing services per NICE guidelines and develop a communication plan. The review, commencing …
Overdue
Simon Klineberg
Concerns: Concerns include insufficient psychiatric bed availability, inadequate resourcing for home treatment teams, and significant waiting lists for psychological therapy, especially for high-risk patients.
Overdue
Christina O’Brien
Concerns: Limited community respite care options for mentally ill individuals, with the withdrawal of beneficial facilities like "Dove House" without alternative provision, preventing comprehensive support for their distress.
Overdue
Oliver Ford
Concerns: The telephone triage process lacked a robust risk assessment, and any assessments were often undocumented. Insufficient PCLS weekend cover led to crucial follow-up delays for patients triaged on Fridays.
Response (Avon and Wiltshire NHS Trust): The telephone triage process now includes the access trigger tool, which assesses risk. There are now two clinicians on duty at PCLS until 8pm Monday to Friday, and the clinicians …
Responded
Thomas Green
Concerns: A referral to Adult General Psychiatry for an inpatient was not considered or actioned, resulting in no psychiatric follow-up or treatment plan for complex PTSD upon discharge; a commissioning gap exists for complex PTSD services.
Response (Tameside and Glossop CCG NHS Trust): Tameside and Glossop CCG will clarify the Individual Funding Request process by 1/6/17, review and establish clear pathways into MH support for people with complex needs within four months, and …
Overdue
Vadims Aleksejevs
Concerns: There is a lack of clarity on whether adult social care or addiction services provide outreach to vulnerable homeless individuals on campsites, and an unclear statutory duty to house them.
Response (Vadims ALEKSEJEVS): Northampton Borough Council outlines its existing strategy to tackle homelessness, including borough-wide rough sleeper counts, street outreach workers, a 3-year strategy, and the opening of an all-year-round Nightshelter.
Overdue
Annabel Lewis
Concerns: Mental health services failed to adequately assess risk, record crucial details, or proactively engage with a vulnerable young person and her parents after an initial declined appointment.
Overdue
Isabel Gentry
Concerns: The deceased's death from meningitis B could have been prevented by vaccination, highlighting an ongoing risk if the teenage group, which is at increased risk, is not included in the vaccination program.
Overdue
John Haughey
Concerns: The widespread availability of alcohol-based hand washing gels poses a risk of consumption by confused patients, and there's inadequate dissemination of this hazard and the need for formal risk assessments across sectors.
Overdue
Jamie Pashley
Concerns: The system over-relied on individuals proactively managing their rehabilitation post-detoxification. Concerns included a lack of fixed appointments, follow-up calls, and limited availability of an alcohol liaison nurse post-discharge.
Response (Kings College Hospital NHS Trust): The Trust acknowledges concerns about alcohol dependency patient follow-up. They are considering a business case to expand the Alcohol Liaison team to reduce ED attendances and admissions.
Overdue
Tomas Kelly
Concerns: Parents of a child with Down Syndrome were not adequately informed of their child's increased infection risks, and routine chickenpox vaccination for this vulnerable group should be considered.
Response (Joint Committee on Vacccination and Immunisation): The JCVI is currently reviewing its advice on varicella vaccination and will consider including children with Down’s syndrome in the list of high-risk groups during meetings in 2018.
Responded
Evelyn Fisher
Concerns: The over-70 driving license renewal system relies on self-reporting and lacks mandatory objective testing, failing to prevent individuals with unrecognised cognitive impairment from driving.
Overdue
Charlie Craig
Concerns: British Cycling does not conduct health assessments or medical screening for young riders on its World Class Programme, missing opportunities to identify potential cardiac abnormalities.
Response (British Cycling): British Cycling will implement new cardiac screening guidelines developed with Liverpool John Moores University for all athletes on the World Class Programme and apprentice level. Apprentice riders will not be …
Responded
Raymond Davidson
Concerns: Persistent operational staff shortages and overwhelming demand are causing severe and unacceptable ambulance response delays. Additionally, telephone contact not directly with the patient compromised the initial clinical review.
Overdue
Bernard Gerrard
Concerns: Emergency ambulance services are experiencing unacceptable delays in vehicle response times, even for urgent calls, due to insufficient funding and overwhelming demand.
Response (East Midlands Ambulance Service NHS Trust): EMAS is negotiating with its Coordinating Commissioner regarding the contract settlement for 2018/19 and 2019/20, and anticipates recruiting and training additional frontline operational staff and staff within the Emergency Operations …
Overdue
William Abrahams
Concerns: The current AAA screening program excludes individuals over 65 at its introduction, and the "opt-in" nature for asymptomatic conditions may hinder participation, risking undetected aneurysms.
Response (NHS England): NHS England London Region Public Health Commissioners will continue to support London AAA screening programmes to improve men's awareness of their options to attend screening. Targeted work with GPs in …
Responded
Karen Edgar
Concerns: Critically underfunded child and adolescent mental health services in Cumbria result in long treatment delays, risking lives and causing lasting harm.
Response (Department of Health Social Care): The Department of Health acknowledges concerns and states that commissioning of mental health services is a matter for the local NHS. They note that local commissioners have made considerable investment …
Overdue
Alfie Scambler-Holt
Concerns: The absence of a national PEWS scoring system creates inconsistency across trusts, leading to varied escalation processes and potential risks for children transferred between hospitals.
Overdue
Enric Elliott
Concerns: Vulnerable young mothers who book late for maternity care are often excluded from the Family Nurse Partnership due to rigid gestation limits, despite late booking indicating increased risk.
Response (Whittington Health NHS Trust): The Trust acknowledges concerns about referral criteria for the Family Nurse Partnership (FNP) programme and is working with the national FNP team to test the impact on programme outcomes for …
Responded
David Sargeant
Concerns: The patient could not receive an ADHD diagnosis or treatment due to commissioning gaps, lack of specialist psychiatrists, and impracticalities of out-of-county referrals for ongoing care.
Response (Kernow Clinical Commissioning Group): The CCG acknowledges the concerns about ADHD diagnosis and treatment and states that it has committed to developing a new adult ADHD pathway for Cornwall, due to be established in …
Responded
Neil Swaisland
Concerns: The withdrawal of funding for MIND's counselling services by the Council and CCG risks future deaths from self-harm and suicide among vulnerable individuals.
Response (Milton Keynes Council): Milton Keynes Council has a contract for counselling services in place with MIND, which will be maintained until April 2019 whilst MIND develop additional funding opportunities for their services.
Response (Milton Keynes Clinical Commissioning Group): Milton Keynes CCG has invested year on year into Improving Access to Psychological Therapies (IAPT) service provision and invested in a Primary Care Plus (PCP) service working with general practice …
Responded
Edward Farmer
Concerns: A national campaign is needed to highlight the inherent risks of rapid alcohol consumption and initiation events, focusing on identifying at-risk individuals and the importance of timely medical intervention.
Response (Department for Education): The Department for Education highlights the publication of comprehensive guidance by Universities UK and Newcastle University, "Initiations at UK Universities", which addresses the risks of initiations and excessive alcohol consumption …
Response (Newcastle University): Newcastle University and the Students' Union have undertaken several actions, including enhanced training for student leaders, revised guidance, increased communications and awareness campaigns, and closer collaboration between university departments and …
Response (Department of Health and Social Care2): Following a roundtable event, Universities UK and Newcastle University published guidance to raise awareness of the dangers of initiations and excessive alcohol consumption among students. Public Health England is engaged …
Response (Department of Health and Social Care): The Department of Health and Social Care will work with government colleagues and other health sector bodies to determine the best course of action regarding the risks of alcohol consumption.
Response (Secretary of State): The Secretary of State for Education has deferred a response until the department has worked with colleagues in the health and education sectors on designing measures to raise awareness of …
Response (NUS): NUS plans to convene a meeting with the Home Office, Department for Education, Public Health England, Universities UK, and the Office for Students before the end of March 2019 to …
Responded
Douglas Minns
Concerns: The coroner raises concerns about the withdrawal of a falls service, which provided home visits to assist those who had fallen, assessing that this puts patients' lives at risk and suggests re-introducing the service due to strains on the ambulance service.
Response (Milton Keynes Clinical Commissioning Group): Milton Keynes CCG describes community-based services that superseded a previous falls service, including a Home 1st Rapids service and the Staying Steady service, and asserts that these meet the original …
Responded
Jack May
Concerns: Inadequate university mental health services, characterized by long waits and limited appointments, combined with patchy, poorly trained pastoral support from personal tutors, allowed students to "slip through the net."
Response (Cardiff University): Cardiff University acknowledges the coroner's concerns and provides a detailed explanation of its student support services, personal tutoring policies, and local pastoral care. They state they are not complacent and …
Responded
Noah Lomax
Concerns: The CAMHS/GP referral form is inadequate, resulting in insufficient information for risk assessment and delayed care; the Trust should reconsider redesigning the form.
Response (Sheffields Childrens NHS Trust): The CAMHS team has commenced a review of the referral form, and a draft form was sent to the Clinical Director for Mental Health commissioning at Sheffield Clinical Commissioning Group …
Responded
Reece Lapina-Amarelle
Concerns: The report identifies a lack of resources and treatment for individuals with serious mental illness and substance misuse issues, as well as insufficient information sharing between mental health services and substance misuse services.
Response (Department of Health and Social Care): The Department of Health and Social Care acknowledges the concerns and notes the NHS England and Improvement response. They commissioned a review of the Mental Health Act and will publish …
Response (NHS England): NHS England expresses condolences and acknowledges the concerns raised, referencing existing initiatives to improve mental health services and digital tools. It notes that the Department of Health and Social Care …
Responded
Mohan Acharya
Concerns: Emergency department crowding is a significant risk factor associated with increased mortality among admitted patients, contributing to approximately 500 deaths annually.
Response (the Department of Health and Social Care): The Department of Health and Social Care highlights NHS plans to improve urgent and emergency care, including implementation of the NHS Long Term Plan, expansion of NHS 111, and embedding …
Responded
Rifky Grossberger
Concerns: Insufficient communication of blind cord dangers to new parents, absence of a national safety leaflet, and missed opportunities for healthcare professionals to provide warnings contributed to the risk.
Response (NHS England): NHS England highlights the existing advice available on the NHS Choices website and the role of Health Visitors in delivering the Healthy Child Programme. PHE aims to reduce preventable accidents …
Response (Royal College of Nursing): The RCN has reviewed and strengthened its guidance about the potential risks of strangulation and suffocation on its clinical webpages for Health Visitors, Midwives, School Nurses, Children’s Nurses, Neonatal Nurses …
Responded
Isaac Newton
Concerns: Despite guidance, young parents are continuing unsafe co-sleeping practices, often involving alcohol or drugs, and are not appreciating or following advice on safe sleeping environments, risking infant deaths.
Response (Dept of Health and Social Care): The Department of Health and Social Care detailed actions taken to raise awareness of co-sleeping risks, including releasing two short films with advice and incorporating safe sleeping advice into the …
Responded
Reggie-Jay Payne
Concerns: Group B Strep infection risks were not discussed during pregnancy, screening was not offered, and antibiotics were not administered, potentially contributing to the baby's death.
Overdue
Carolyne Senior
Concerns: Hospital staff lacked sufficient specialist mental health advice to properly assess and mitigate falls risks for patients with mental health needs, leading to inadequate care plans.
Response (Barnsley Hospital NHS Foundation Trust): The Trust updated falls risk assessments to consider mental health, including a direct reference to contacting Mental Health Liaison. They have also informed nursing staff of these changes and shared …
Responded
Michelle Turner
Concerns: Critical funding for peer support workers, who offer invaluable 'lived experience' and essential support for mental health and substance misuse, may be lost, jeopardizing vital services.
Response (Blackpool CCG): The CCG has agreed to extend the current peer support worker provision until March 2022 and is transforming community mental health services as part of the Long-Term Plan, which includes …
Responded
Violet Jackman
Concerns: Safe sleeping advice was inadequately communicated to both parents, and reduced health visitor services during the pandemic further compromised support for new parents.
Response (Department of Health and Social Care): The DHSC outlines existing guidance, training and resources related to safe sleeping for infants, including collaboration with Public Health England and the Lullaby Trust. It also notes advice given to …
Responded
Cyril Cheetham
Concerns: The "Alternative to Transfer" service for care homes, designed to reduce ambulance calls, introduces an additional triage layer that may delay admissions, yet lacks proper audit for adverse outcomes or deaths.
Response (Dept of Health and Social Care): The Department of Health and Social Care acknowledges the concerns and states that the planning and commissioning of local health services is the responsibility of CCGs. They note that Stockport …
Response (Stockport Clinical Commissioning Group): Stockport CCG has addressed concerns about the ATT service by agreeing that any visit required following initial telephone assessment will be performed by Mastercall, with exceptions only when a GP …
Responded
Averil Hart
Concerns: Widespread and continuing lack of training, knowledge, and experience among medical professionals regarding eating disorders, coupled with a severe shortage of specialists, risks future deaths.
Response (NHS England): NHS England and NHS Improvement are improving adult eating disorder services with a national programme backed by investment. They are also improving data on the prevalence of eating disorders in …
Response (GMC): The GMC has used its regulatory powers to address inconsistency in training to address patient safety concerns, and is working with medical schools to ensure ED training is delivered more …
Response (Department of Health Social Care): The Department of Health and Social Care acknowledges concerns about eating disorder treatment and highlights the Mental Health Recovery Action Plan, which includes significant funding to expand children's and adult …
Response (NHS England): HEE has a range of high quality training available via its e-Learning arm, e-Learning for Healthcare, around eating disorders, particularly on its MindEd programme, which is targeted at professionals and …
Responded
Anastasia Uglow
Concerns: There is a critical need to raise sepsis awareness across all schools, as healthy teenagers can rapidly deteriorate, leading to tragic consequences if the condition is left untreated.
Response (Department for Education): The Department for Education noted the recommendations and is making progress by working with the Outdoor Education Advisers' Panel (OEAP) and the UK Sepsis Trust to update national guidance in …
Responded
Steven Regoli
Concerns: Inadequate systems existed for providing in-depth mental health support to patients with anxiety and non-engagement issues, leaving families as the sole caregivers and preventing necessary intervention.
Overdue
Committee Recommendations (202) — showing 50 strongest matches
#9 — MHCLG exploring incentives and best practice sharing for homelessness prevention funding.
Recommendation: MHCLG told us that it was actively looking at ways to incentivise and support local government to move more funding into preventive rather than reactive activity.13 We pressed MHCLG on how it might achieve this. It explained that local authorities …
Gov response: The government agrees with the Committee’s recommendation. Target implementation date: April 2025 The Ministry for Housing, Communities and Local Government (MHCLG) wrote to the Committee alongside this Treasury Minute with its plans for incentivising local …
Accepted
#8 — National homelessness prevention strategies remain limited, delaying support for vulnerable families.
Recommendation: In its written submission, the Shared Health Foundation emphasised that, aside from plans to build more houses, national prevention strategies for all forms of homelessness remain limited. It claimed that many families facing homelessness are told by local authorities to …
Gov response: The government agrees with the Committee’s recommendation. Target implementation date: April 2025 The Ministry for Housing, Communities and Local Government (MHCLG) wrote to the Committee alongside this Treasury Minute with its plans for incentivising local …
Accepted
#27 — Departmental annual report shows significant omissions on preventative and end-of-life care.
Recommendation: The NHS Long Term Plan states that ill health prevention helps the public to stay healthy, as well as moderating demands on the NHS. The Department recognised in its 2023–24 Annual Report that there “is still much work to do …
Gov response: 2.1 The government agrees with the Committee’s recommendations. Target implementation date: September 2025 2.2 The department is committed to the continuous improvement of its Annual Report and Accounts (ARA) to ensure the content is as …
Accepted
#30 — VAWG Strategy lacks specific provisions to address harmful attitudes among boys beyond RSE.
Recommendation: We asked DfE specifically what role boys are playing in the prevention work it was delivering through the VAWG Strategy. DfE told us that there is not a part of the new VAWG Strategy specifically designed to address harmful attitudes …
Gov response: 6.1 The government agrees with the Committee’s recommendation. Target implementation date: September 2025 6.2 The new VAWG Strategy will place prevention at the very heart of the government’s approach to halving VAWG in a decade. …
Not Addressed
#25 — Home Office makes little progress on VAWG prevention, straining criminal justice system capacity.
Recommendation: The NAO found that, to date, the Home Office has made little progress developing measures to prevent violence against women and girls (VAWG).58 The Home Office told us that it expects that reported rates of VAWG will increase initially due …
Gov response: 6.1 The government agrees with the Committee’s recommendation. Target implementation date: September 2025 6.2 The new VAWG Strategy will place prevention at the very heart of the government’s approach to halving VAWG in a decade. …
Not Addressed
#7 — Require DSIT to outline Online Safety Act's impact on children's safety and VAWG prevention.
Recommendation: We are concerned that government departments’ approach to tech–enabled violence against women and girls is not sufficiently agile to address the threats posed by online harm. Tech–enabled VAWG is a rapidly evolving threat. For example, in 2024 the revenge porn …
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented The Department for Education supports online safety in schools through its statutory safeguarding guidance, Keeping children safe in education. The department regularly consult on the guidance …
Accepted
#6 — Mandate Home Office to outline greater emphasis on preventative VAWG measures and inter-departmental collaboration.
Recommendation: We are concerned that, to date, the approach to tackling violence against women and girls has not put enough emphasis on preventative measures that are necessary to achieve long–term change. Although it is imperative that all survivors receive effective support, …
Gov response: The government agrees with the Committee’s recommendation. approach to halving VAWG in a decade. A key part of the Home Office’s approach will be improving the policing, criminal and family justice response. However, enforcement alone …
Accepted
#14 — Spending shifts from preventative to late intervention services, increasing later costs and worsening outcomes.
Recommendation: MHCLG recognises the importance of investing in prevention but also the challenge of funding it when finances are constrained.34 Preventative services help stop, delay or reduce the need for statutory services and can help to deliver better outcomes.35 Over the …
Gov response: 3.1 The government agrees with the Committee’s recommendation. Recommendation implemented 3.2 As outlined in HM Treasury’s Permanent Secretary’s letter to the Committee on 7 August 2025, the government’s approach to public sector reform is informed …
Accepted
#3 — Provide details on how local government finance settlement will support greater investment in prevention.
Recommendation: Significant financial pressures are constraining local authorities’ ability to invest in prevention, leading to less early intervention services which could help manage demand. Preventative services can be used to manage demand by helping to stop, delay or reduce the extent …
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented As outlined in HM Treasury’s Permanent Secretary’s letter to the Committee on 7 August 2025, the government’s approach to public sector reform is informed by a …
Accepted
#12 — Develop comprehensive strategy for children at risk of extra-familial harm, including professional training.
Recommendation: The Department for Education must put in place a strategy for supporting children and young people at risk of extra-familial harm. This should include: better training for professionals to spot and respond to extra- familial risks; ensuring that young people …
Gov response: We have strengthened the multi-agency response to extra-familial harm through updated statutory guidance (Working Together to Safeguard Children, 20238), which now explicitly recognises harm outside the home and mandates coordinated safeguarding responses. This is supported …
Accepted
#27 — Accelerate adult social care commission timescale and fully fund sector by Parliament's end
Recommendation: The timescale for the commission into adult social care should be brought forward, and it must present actionable reforms to the sector as part of its interim findings in 2026. The Government must not wait for the commission to publish …
Gov response: 78. Local authorities are independent employers responsible for the management of their own workforces and their own improvement – the government expects this will include ensuring their councillors and statutory officers have the right level …
Under Consideration
#26 — Proposed timescale for adult social care commission risks insufficient and delayed reform
Recommendation: While we support the new independent commission into adult social care led by Baroness Casey, we are concerned that the proposed timescale means that urgent reforms to social care services will not be implemented soon enough to overcome the severity …
Gov response: 77. The Government has always maintained transparency regarding which councils have been in receipt of EFS and the amount of support provided. As part of the EFS framework, councils are required to undergo an external …
Under Consideration
#25 — Inaction on adult social care reform creates unsustainable human and financial costs
Recommendation: We support and echo the conclusions of the recent report Adult Social Care Reform by the Health and Social Care committee. As they have said in the summary of their report, successive Governments have not fully considered the human and …
Gov response: 76. The Government is committed to improving how we assess the need to ensure central government funding is distributed fairly to the places who need it most. The Government recognises the importance of transitional arrangements …
Under Consideration
#9 — Bolstering preventative services must not underfund essential acute services like temporary accommodation.
Recommendation: We support the Government’s current stated intention to focus more on prevention to reduce the demand for more expensive acute services in the long term. These preventative services have been weakened by a decade of underfunding in local government. However, …
Gov response: 37. As set out in the FFR 2.0, the government intends to radically simplify the grant landscape to give local authorities more certainty and flexibility around a greater portion of their income. We consolidated 11 …
Accepted
#8 — Provide further clarity on service reforms' implementation and success measurement for prevention initiatives.
Recommendation: The Government has committed over £1.5 billion from the Transformation Fund to reform adult social care, children’s social care, SEND, and homelessness services so that they are focused on prevention. Reforms to these services are urgently needed, but the Government …
Gov response: 34. The Government has consolidated MHCLG’s Levelling Up Fund, Town Deals and Simplification Pathfinders Pilot Funds. The new Local Regeneration Fund isa significant capital commitment of more than £1 billion over the next two years …
Under Consideration
#23 — Fund tailored community-led education programmes to challenge cultural beliefs driving FGM.
Recommendation: The Government and local authorities should fund community-led education programmes to challenge the cultural and social beliefs that drive FGM. These programmes must be tailored to reflect the specific drivers of FGM within different communities. Education must include the health …
Gov response: ICBs Integrated care boards (ICBs) are responsible for commissioning services that meet the healthcare needs of their local population and have the freedom to do so - this includes services tailored to the needs of …
Accepted
#22 — Community education, involving influential leaders, effectively challenges FGM beliefs and raises awareness.
Recommendation: Education among communities can be an effective tool in challenging the beliefs that fuel FGM and in raising awareness of the serious health impacts of FGM. The effectiveness of these campaigns is likely to be increased when influential people within …
Gov response: ICBs Integrated care boards (ICBs) are responsible for commissioning services that meet the healthcare needs of their local population and have the freedom to do so - this includes services tailored to the needs of …
Accepted
#21 — School education on FGM is an essential and welcomed prevention method.
Recommendation: Education on FGM in schools is an essential means of preventing FGM. It can equip girls to advocate on behalf of themselves and to challenge prevailing orthodoxies on behalf of others. We welcome the current and future guidance on RHSE …
Gov response: ICBs Integrated care boards (ICBs) are responsible for commissioning services that meet the healthcare needs of their local population and have the freedom to do so - this includes services tailored to the needs of …
Not Addressed
#1 — FGM survivors often lack awareness of long-term health complications and care needs
Recommendation: Survivors of female genital mutilation (FGM) experience profound physical, emotional and psychosexual consequences and require specialised care and support to manage these impacts. Despite this, survivors may not be aware that the health complications they experience are a consequence of …
Gov response: . Response: We agree this is an important area of research and are in the process of taking the recommendation forward. The National Institute for Health and Care Research (NIHR) is developing a call in …
Accepted
#73 — Refocus High Needs Block funding towards early intervention and identification in mainstream settings.
Recommendation: The High Needs Block should be refocused to enable and incentivise earlier intervention. Currently, a significant proportion of this funding is directed towards supporting high-cost, specialist provision once needs have escalated. While such provision is vital for some, a more …
Gov response: Supporting children with SEND is central to the early years agenda. The government recognises the important role the early years sector plays in early intervention to ensure the right support is put in place for …
Partially Accepted
#72 — Prioritise strategic funding deployment for early intervention in SEND to improve outcomes.
Recommendation: Funding must be strategically deployed to deliver the best outcomes for children and young people with SEND. This should include prioritised investment in early intervention. Timely and targeted support is essential 170 and can prevent some needs such as speech …
Gov response: Supporting children with SEND is central to the early years agenda. The government recognises the important role the early years sector plays in early intervention to ensure the right support is put in place for …
Accepted
#39 — Ensure Best Start Family Hubs incorporate routine SEND screening and allocate dedicated funding for staff training.
Recommendation: The Department for Education must ensure that Best Start Family Hubs incorporate routine SEND screening and awareness as a core part of their early years services, supported by targeted training for staff and childcare providers to enhance early identification and …
Gov response: We are making changes to improve the system for children with SEND already. The Best Start in Life strategy means a stronger focus on early identification, inclusive access to early years education, and tailored family …
Accepted
#38 — Family Hubs offer SEND identification opportunities but lack sufficient awareness and early screening.
Recommendation: Best Start Family Hubs and the expansion of childcare provision present a valuable opportunity to engage with families earlier and identify SEND needs at the earliest possible stage. We welcome the announcement that every Best Start Family Hub will have …
Gov response: We are making changes to improve the system for children with SEND already. The Best Start in Life strategy means a stronger focus on early identification, inclusive access to early years education, and tailored family …
Not Addressed
#14 — Provide SEND support as soon as need is identified, not reliant on EHC plans
Recommendation: Support should be provided as soon as a need is identified, rather than only once an EHC plan is in place. This would bring England in line with good practice found internationally, for example in in Ontario, Canada, where entitlement …
Gov response: Early. Children should receive the support they need as soon as possible. This will start to break the cycle of needs going unmet and getting worse, instead intervening upstream, earlier in children’s lives when this …
Accepted
#13 — Unsustainable EHC plan levels highlight insufficient early support and parental distrust
Recommendation: Current levels of EHC plans are unsustainable; however, the solution to this cannot be to remove the statutory entitlements from a system which lacks accountability in many other areas and in which parents already have so little trust and confidence. …
Gov response: Early. Children should receive the support they need as soon as possible. This will start to break the cycle of needs going unmet and getting worse, instead intervening upstream, earlier in children’s lives when this …
Accepted
#24 — Reduced probation supervision for lower-risk offenders risks increasing reoffending without enhanced third-sector support.
Recommendation: HMPPS’s planned changes to the scope of the Probation Service are likely to reduce probation supervision for many offenders assessed as at a lower risk of harm and reoffending.55 Written evidence from the Prison Reform Trust highlighted that low risk …
Response Pending
#18 — Ringfence government money for primary prevention in future Spending Reviews
Recommendation: We recommend that the Government ringfences money to invest in primary prevention in future Spending Reviews, based on the evidence produced by commissioned research. (Recommendation, Paragraph 47) 25
Gov response: Spending Reviews are led and designed by HMT. As set out earlier, ringfences are an important tool in supporting specific policy priorities. However, the use of ringfences must be balanced against the need for departments …
Not Addressed
#17 — Insufficient additional funding for primary prevention will prevent meeting VAWG halving target
Recommendation: If there is not additional funding to invest in primary prevention the Government will not meet its target to halve VAWG in a decade. If the Government is to have a chance of meeting its target, it needs to be …
Gov response: Spending Reviews are led and designed by HMT. As set out earlier, ringfences are an important tool in supporting specific policy priorities. However, the use of ringfences must be balanced against the need for departments …
Not Addressed
#16 — Partner with universities and third sector to fund research into VAWG prevention effectiveness
Recommendation: We recommend that the Government partners with universities and the third sector to fund and promote research into the effectiveness of different prevention measures, including research into primary prevention. The Government should inform the Committee of its proposals for acting …
Gov response: Prevention and an understanding of what works to support victims are fundamental to our approach to halve VAWG in a decade. The VAWG strategy and the accompanying Theory of Change are being developed using the …
Partially Accepted
#15 — Increase funding for VAWG prevention programmes to meet the halving target
Recommendation: In the long term, funding for prevention is vital if the Government’s target of halving VAWG in a decade has a chance of being met. Currently there is insufficient funding of prevention programmes, in part because of the difficulties in …
Gov response: Prevention and an understanding of what works to support victims are fundamental to our approach to halve VAWG in a decade. The VAWG strategy and the accompanying Theory of Change are being developed using the …
Not Addressed
#22 — Review NHS investment in the Better Care Fund to meet its preventative service focus
Recommendation: We recommend that the Government and the NHS review the structure and level of NHS investment in the Better Care Fund to ensure it is fully capable of meeting its renewed focused on upstream and preventative work. (Recommendation, Paragraph 112) …
Gov response: We agree with this recommendation. We have committed around £9 billion of funding to the BCF for 2025 to 2026, including increasing the NHS minimum contribution to adult social care and the Disabled Facilities Grant. …
Accepted
#21 — Welcome new Better Care Fund objectives supporting preventative services over hospital discharge focus
Recommendation: We welcome the new objectives for the Better Care Fund to support preventative services, rather than simply focusing on solving challenges with hospital discharge. (Conclusion, Paragraph 111)
Gov response: We agree with this recommendation. We have committed around £9 billion of funding to the BCF for 2025 to 2026, including increasing the NHS minimum contribution to adult social care and the Disabled Facilities Grant. …
Accepted
#9 — Prioritise agreement on adult social care funding structure, including a ring-fence for prevention.
Recommendation: We recommend that securing agreement on the funding structure must be the top priority for the Casey Commission and for any future Government reforms. Without this agreement, reform can only ever be piecemeal and short-term in outlook and, ultimately, will …
Gov response: As set out above, the government recognises the significant challenges facing the adult social care system and agrees that reform is essential. We agree with the committee that ‘doing nothing’ is not an option - …
Accepted
#2 — Publish annual assessment of unmet care needs for adults, including methodology and supporting data.
Recommendation: The Government should publish an annual assessment of the level of unmet care needs for both older adults and working age disabled adults, publishing its methodology and supporting data to ensure transparency and allow for scrutiny. (Recommendation, Paragraph 21)
Gov response: Adult social care outcomes are measured at a national level through the Adult Social Care Outcomes Framework (ASCOF). ASCOF measures how well care and support services achieve the outcomes that have been shown by researchers …
Under Consideration
#1 — Adult social care system fails to meet needs and lacks robust data for effective reform.
Recommendation: The current adult social care system does not sufficiently meet the needs of the population despite the efforts of millions of paid and unpaid carers. Financial pressures mean that those needing care sometimes only receive basic support, far from enough …
Gov response: We recognise that people face challenges in accessing adult social care, with many going without the care they need or grappling with a complicated system. Lord Darzi’s report highlighted a growing gap between requests for …
Accepted
#27 —
Recommendation: While we welcome the government’s recent increase to the public health grant, we remain concerned that public health teams have been left with inadequate funds to carry out preventive interventions vital to healthy ageing. The shift to prevention will require …
Response Pending
#26 —
Recommendation: The government should restore the health mission and develop a cross- government 10-year plan to embed prevention and reduce inequalities in healthy life expectancy, that prioritises physical activity. This should include creating pooled budgets that require multi-department bids to access, …
Response Pending
#25 —
Recommendation: Physical activity remains insufficiently prioritised across government despite extensive evidence of its central role in prevention and healthy ageing. Tackling physical inactivity requires political leadership and cross-departmental collaboration—recognising that supporting people to age well will not be achieved by health …
Response Pending
#5 —
Recommendation: The Department of Health and Social Care—in partnership with the Department for Education and all other relevant Government departments—must take radical steps to shift the focus in mental health provision towards early intervention and prevention. This must ensure that all …
Gov response: 47. We accept this recommendation in part. 48. Although record numbers of children and young people are accessing support and the NHS exceeded the ambitions of the 5 Year Forward View for Mental Health nationally, …
Partially Accepted
#4 —
Recommendation: During the pandemic, children and young people’s mental health has significantly worsened and the scale of the backlog mean that the NHS will not be able to treat its way out of this crisis. The need for early intervention and …
Gov response: 41. The government is considering this recommendation. 42. We welcome the committee’s finding that commitments in the 2017 green paper and the NHS LTP have been taken seriously. 43. There has been good progress: the …
Under Consideration
#13 —
Recommendation: The average number of children in custody has fallen by 73% in the last decade, from 2,040 in 2010–11, to 560 in 2020–21, reflecting a long-term decline in the number of recorded youth offences.38 The Ministry told us that the …
Gov response: 3.2 The youth custody population (including 18-year-olds in the youth estate) fell substantially from 3,208 in 2007-08 to 855 in 2019-20, driven by changes in police targets and a movement away from imposing custodial sentences …
Not Addressed
#8 —
Recommendation: We are also concerned about the lack of progress on preventing ill-health rather than simply treating it.17 There also do not appear to be effective joint working arrangements between different government departments to tackle the causes of ill-health.18 The Department …
Not Addressed
#13 — Prevention and early intervention offer better value than solely hospital discharge focus.
Recommendation: Other evidence we received put forward alternative ways of taking pressure off the NHS and other parts of the public sector, that might offer better value for money. For example, the National Care Forum suggested that measures to enable a …
Not Addressed
#9 — Integrated Care Boards lack mandated public health representation, hindering population health outcomes.
Recommendation: Improving outcomes in population health and healthcare is one of the four core purposes of ICSs. Despite this, there is no mandated representation for public health professionals on Integrated Care Boards. Without that voice of expertise driving the public health …
Gov response: The principle of this recommendation closely aligns with the approach taken by NHS England in the existing NHS oversight framework . NHS England has statutory accountability for oversight of both ICBs and NHS providers. In …
Accepted
#9 —
Recommendation: We welcome the publication of the model ICB blueprint and the intention that ICBs will move towards population health delivery models, which should support more targeted intervention to address health inequalities in 42 ageing. In its response to this report, …
Response Pending
#8 —
Recommendation: Addressing inequalities in healthy life expectancy will require integrated care boards (ICBs) to take a targeted approach with specific interventions targeting communities where inactivity and poor health outcomes are most concentrated. Successful development of population health delivery methods, using hyper-local …
Response Pending
#7 —
Recommendation: We recommend that as part of the Modern Service Framework (MSF) for frailty and dementia, the government identifies and sets clear standards for delivering exercise programmes to prevent and reverse frailty. This should include a requirement for integrated care boards …
Response Pending
#6 —
Recommendation: Frailty is not an inevitable or irreversible aspect of ageing, and early intervention offers significant opportunities to prevent or slow its progression. Exercise programmes can reverse frailty, reduce the risk of developing dementia and improve outcomes for people living with …
Response Pending
#5 —
Recommendation: In addition, we recommend that ICBs explore methods for increasing investment in the prescription of physical activity as part of a broader shift towards prevention. This should be pursued alongside appropriate clinical treatments, ensuring patients benefit from the full range …
Response Pending
#4 —
Recommendation: We recommend that the Department work with integrated care boards (ICBs) to develop a national roll-out of existing best-practice models to support clinicians to have conversations about physical activity with patients, particularly older patients. This should include a communication strategy …
Response Pending
CQC Inspection Actions (13)
Charlton House Medical Centre
Arrangements for monitoring and review of patients with long-term conditions continued to place patients at risk of harm.
Must Do
Waterbeach Surgery
Continuetomonitorandimproveuptakeforcervicalscreeningprogramme.
Should Do
Linden Road Surgery
Continue to monitor, and take actions to improve, attendance for cervical screening.
Should Do
Crown Street Surgery
Improve the uptake of cervical cancer screening.
Should Do
Camphill Health Centre
Continuetotakemeasurestoimprovetheuptakeofchildhoodimmunisationsandcervicalscreening.
Should Do
Bousfield Surgery
Take action to improve cervical screening and childhood immunisation uptake.
Should Do
Melville House
The provider must ensure people are supported to live healthy lives and access healthcare support promptly.
Must Do
B&H Care Ltd
The provider must ensure effective systems are in place to support people to maintain their health and wellbeing, including effectively identifying, monitoring, and managing people's health needs, and seeking and acting upon advice from health professionals.
Must Do
Crown Street Surgery
Improve the uptake of cervical cancer screening.
Should Do
Bousfield Surgery
Continuetoworktoimprovetheuptakeofcancerscreening.
Should Do
Gillmoss Medical Centre
Continuetoworktoimprovetheuptakeofcervicalcancerscreeningandimmunisation.
Should Do
The Highwood Surgery
Continueto improve the uptake of cervical screening.
Should Do
Dr Jude's Practice - Riverside & Picton
Continue to take steps to improve the childhood immunisations and cervical screening rates for the practice.
Should Do
HMICFRS Recommendations (20)
PEEL 2021-22 CoC Recommendations: Cleveland Police
Cause of concern: The force hasn’t fully addressed the cause of concern about preventing crime and antisocial behaviour identified in the 2019 PEEL inspection.#10265 "The force doesn’t appropriately prioritise crime prevention. There is a lack of strategic direction, and the …
Recommendation
FRS 2018-19 CoC Recommendations: West Sussex Fire and Rescue Service
Cause of concern: Prevention activity doesn't always align with risks identified in the IRMP. Home fire safety checks aren't being done in a timely manner and there is a large backlog of high-risk cases. Recommendation: The service should ensure it …
Recommendation
FRS 2021-22 CoC Recommendations: Norfolk Fire and Rescue Service
Cause of concern: The service hasn’t made prevention activity a high enough priority and it isn’t adequately identifying those most at risk from fire. Recommendation: By 28 February 2022, the service should put in place plans that are designed to …
Recommendation
FRS unknown CoC Recommendations: Hertfordshire Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service. The service should implement a robust and consistent method of identifying risk and vulnerability. It should detail how it will prioritise home fire safety checks to those …
Recommendation
FRS 2021-22 CoC Recommendations: Hereford and Worcester Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service and it is not adequately identifying those most at risk from fire. Recommendation: By 31 August 2021, the service should have plans in place for the …
Recommendation
FRS 2023-25 CoC Recommendations: Devon and Somerset Fire and Rescue Service
Cause of concern: The executive board recognises it needs to do more in prevention. But not enough progress has been made since our last inspection to make prevention a sufficiently high priority for the service. The service should implement a …
Recommendation
FRS 2021-22 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service, and it is not adequately identifying those most at risk from fire. Recommendation: By 30 September 2021, the service should have plans in place for:- the …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
PEEL 2021-22 CoC Recommendations: Cleveland Police
Cause of concern: The force hasn’t fully addressed the cause of concern about preventing crime and antisocial behaviour identified in the 2019 PEEL inspection.#10265 "The force doesn’t appropriately prioritise crime prevention. There is a lack of strategic direction, and the …
Recommendation
FRS 2023-25 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to determine its highest-risk premises to inform its risk-based inspection programme. Recommendation: Within 28 days, the service should review its action plan, detailing how it will develop a …
Recommendation
FRS 2021-22 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to determine its highest risk premises to inform its risk-based inspection programme. Recommendation: By 31 August 2021, the service should review its systems and processes for dealing with …
Recommendation
FRS 2021-22 CoC Recommendations: Warwickshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since the last inspection to develop prevention activity that prioritises those most at risk of fire. Recommendation: By 31 August 2021, the service should develop a clear prevention strategy that prioritises the …
Recommendation
FRS 2023-25 CoC Recommendations: Devon and Somerset Fire and Rescue Service
Cause of concern: The executive board recognises it needs to do more in prevention. But not enough progress has been made since our last inspection to make prevention a sufficiently high priority for the service. The service should implement a …
Recommendation
FRS 2023-25 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: The service hasn’t done enough since our last inspection to address its areas for improvement and provide clear direction to make sure that its teams can prioritise work according to risk. Recommendation: Within 28 days, the service …
Recommendation
FRS 2021-22 CoC Recommendations: Buckinghamshire Fire and Rescue Service
Cause of concern: Prevention activity is not a sufficiently high priority for the service, and it is not adequately identifying those most at risk from fire. Recommendation: By 30 September 2021, the service should have plans in place for:- the …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
FRS 2023-25 CoC Recommendations: Avon Fire and Rescue Service
Cause of concern: Prevention activity isn’t a sufficiently high priority for the service, and there is no prevention strategy, which should drive its day-to-day activities. The service doesn’t adequately prioritise home fire safety visits (HFSVs) on the basis of risk. …
Recommendation
NAO Audit Recommendations (4)
NHS Financial Management and Sustainability
DHSC, NHSE and ICSs need to intensify their efforts to manage current and future demand for healthcare by preventing more serious ill health. This should include: ? work to improve understanding of what ICBs and providers have had success doing …
Partially accepted
Support for children and young people with special educational needs
DfE should: i) improve the data, incentives and processes to ensure children's needs are identified and supported as early as possible, particularly within early years
Accepted
The effectiveness of government in tackling homelessness
We recommend that DLUHC should consider how it can support local authorities to focus more on homelessness prevention.
Accepted
Tackling serious and organised crime
The Department should continue to support organisations to tackle the underlying causes of serious and organised crime. In 2015-16, 4% of the front-line spending on tackling serious and organised crime was estimated to have been spent on Prevent activities, compared …
Accepted
IMB Recommendations (94) — showing 50 strongest matches
Wandsworth (2020)
The poor quality of the resettlement provision continued to be of serious concern. What is being done to improve this?
HMPPS
Swaleside (2020)
In our report last year, we mentioned that it is essential that residents are provided with resettlement services, preferably in a prison nearer to their home as they reach the end of their sentences. This service has not been provided from Swaleside. Though there were only 17 residents released from the prison in the last year, none of them were …
HMPPS
Bristol (2020)
The Ministry of Justice should review the cases of certain prisoners coming into prison for minor offences because there is nowhere else in the community for them to go, and where their outcomes may be better if they are supported in the community or through more specialist placements.
Ministry of Justice
The Mount (2023)
Education programmes have not improved during the reporting period, due to the lack of investment. Too few prisoners are enabled to access programmes to help them on release. During the year 50% of workshops stood empty due to the lack of instructors or any meaningful activities leading to qualifications to improve employment opportunities on release.
HMPPS
The Mount (2023)
The Board is concerned that, as a training and resettlement prison, the prison is failing to provide meaningful education, employment and training. This is made worse by the prison having a number of short-term prisoners arriving. Too many prisoners are released before completing their offending behaviour programmes and with no accommodation on release.
Ministry of Justice
Ford (2025)
The cuts to the education budget have had a significant impact on Ford’s ability to provide purposeful activity in support of the core reducing reoffending objective for Ford. Will HMPPS commit to restoring the education budget at HMP Ford to a level that enables the prison to deliver both meaningful education and skills provision?
HMPPS
Hewell (2022)
The Prison Service, working with the Probation Service, should place more emphasis on therapeutic interventions to address longstanding trauma, neurodiversity and social/psychological problems of prisoners. Too many come into the prison and leave without any intervention; this mitigates against successful resettlement and reduction in reoffending. It is not enough to pin change on the introduction of key work delivered by …
HMPPS
Warren Hill (2023)
The prison has prioritised the need to ensure support for prisoners on release in order to reduce the recall rate. The IMB would like to see further development in this area, including the use of digital technologies which are so critical to successful functioning in the modern world.
Governor / Director
The Mount (2023)
There needs to be a complete overhaul of the use of the workshops and how they can better serve the needs of prisoners in terms of training and future employment.
HMPPS
Swansea (2023)
Post-release accommodation remains a significant problem. We understand this is not an issue that can be easily resolved but would like to see the targeting of funding towards the resolution of this particular problem. The Board is very clear in its view that lacking a ‘roof over your head’ is a major contribution to reoffending.
Other
Lowdham Grange (2023)
To ensure that high-quality and innovative programmes of rehabilitation, mental health provision, education, skills development and self-improvement are available for all prisoners. This must include defined standards and the minimum number of programmes to be delivered.
HMPPS
Lowdham Grange (2023)
To give priority in the matter of resourcing the probation services with regard to pre-release management and to support for prisoners after their release back into the community.
HMPPS
Doncaster (2024)
The lack of adequate probation and community support for prisoners being released into the community is negatively impacting on prisoners who, without the necessary accommodation and support, are at a greatly increased chance of them returning to prison. The Board requests that resources, necessary within the community to ensure that those released have the opportunity to rehabilitate into society and …
HMPPS
Brixton (2024)
HMP Brixton is the final stage in a chain of reception/training/resettlement prisons; but population pressures ‘upstream’ have led to the ‘inappropriate’ sort of prisoner arriving in Brixton, one who has unaddressed issues and insufficient sentence time remaining to resolve them. This means that they leave Brixton ill-equipped to avoid reoffending. How does the Minister plan to change this?
Ministry of Justice
Aylesbury (2024)
Prioritise pre-release welfare and employment planning by establishing and funding stronger statutory links between prisons, external agencies offering ex-offender support, and employers.
Ministry of Justice
Lancaster Farms (2020)
The Board remains disappointed that constraints placed upon the Governor result in ROTL is rarely used, despite the designation of the establishment as a resettlement prison (see paragraph 11.5).
HMPPS
Lancaster Farms (2020)
The Board believes that the monitoring of resettlement would be enhanced by having access to data, and cooperation from all the agencies with resettlement responsibilities, both inside the prison and in the community (see paragraph 11.1).
Ministry of Justice
Hull (2020)
Improving the initial education assessments to overcome the disengagement that leads some prisoners into reoffending.
HMPPS
Hull (2020)
Develop better feedback on prisoners’ after release so that prisons can see whether their resettlement straegies are working.
Ministry of Justice
Whatton (2021)
Will the Prison Service review, with other agencies, the timely notification of approved premises for released prisoners, to give them the best chance of resettlement and rehabilitation?
HMPPS
Wayland (2021)
The Board believes that, despite the challenges, there should be a serious attempt to identify those with the greatest need for resettlement assistance and do what is possible to provide this and so recommends to the Prison Service (see section 7.3).
HMPPS
Hindley (2021)
As raised last year, Covid-19 and the introduction of new contracts have had a negative impact on the information advice and guidance available to men prior to and on release. Resolving this now needs to be a priority to ensure prisoners receive comprehensive support at this time of potential vulnerability.
Governor / Director
Bedford (2021)
It is very surprising that the removal of the community rehabilitation companies (CRCs) and the reintegration of probation services in June 2021 could not be coordinated with the letting of new finance, debt and benefits contracts, which, we understand, will not be in place until February 2022, some eight months later. Without support in these key areas, released prisoners are …
HMPPS
Thameside (2022)
Work with other government departments to provide sufficient resources so that prisoners have adequate resettlement support and guidance on release such as housing and employment which is known to reduce recidivism.
Ministry of Justice
Thameside (2022)
Provide sufficient resourcing for the probation service to ensure adequate support to both sentenced and remand prisoners before and after their release.
Ministry of Justice
Portland (2022)
Will HMPPS consider reverting to a properly-funded resettlement service based within each establishment? How will HMPPS ensure that the implementation of new policies and systems is well managed and delivered in a way that does not adversely impact on the safety, fair and humane treatment, health and wellbeing and progression towards a successful resettlement of all those entrusted to its …
HMPPS
Lowdham Grange (2022)
To give priority to resourcing of probation services to the required levels within the prison estate and in the community, so that prisoners have adequate support and guidance before and after their release.
HMPPS
Durham (2022)
What can be done to give remand prisoners access to probation services prior to release (7.5.2)?
HMPPS
Whatton (2023)
Will the Prison Service ensure that adequate funding is made available to HMP Whatton to provide for effective and meaningful resettlement training for its prisoners approaching release?
HMPPS
Styal (2023)
What financial support can be given for pre-release planning for remand prisoners? Currently in Styal, basic services are provided but there is no funding for these, nor is there funding for the level of service available to sentenced prisoners.
Ministry of Justice
Wandsworth (2024)
Will the Remand Project continue to be funded? Are there any other initiatives in place to assist the rehabilitation of remand prisoners?
Ministry of Justice
Swinfen Hall (2024)
Can HMPPS provide funding to support HMP Swinfen Hall with the release of prisoners, bearing in mind that the prison currently has no funding to support prisoners on release and some 80 prisoners are expected to be released directly from the prison in the coming year?
HMPPS
Stoke Heath (2024)
Can the prison be creative in finding more places for prisoners to be trained or employed and less time in their cells?
Governor / Director
Stoke Heath (2024)
It would be encouraging if men in resettlement prisons could be actively engaged in resettlement activities, i.e. they should spend less time in their cells and more in purposeful work and training for vocational qualifications.
Ministry of Justice
Stoke Heath (2024)
The Minister should arrange for appropriate resourcing to prevent overcrowding and allow the means to educate and provide skills to reduce reoffending.
Ministry of Justice
Send (2024)
The initiative to tackle obesity in prisoners needs to be followed through.
Governor / Director
Lincoln (2024)
What support can be provided to help remand prisoners with release planning, as they are not eligible for probation services?
HMPPS
Isis (2024)
What plans are there for a strategy that aims to reduce violence among young offenders in the community before they are sentenced, after sentencing and after their sentence is over?
Ministry of Justice
Hewell (2024)
Will the Minister extend support for prisoners after release to reduce recall and re-offending?
Ministry of Justice
Elmley (2024)
Improve funding for vocational work-based opportunities for prisoners to support effective transition back into legitimate paid employment on release and promote greater opportunities for prisoners to directly improve their living environment.
HMPPS
Bristol (2024)
There appears to be insufficient support for prisoners on release to prevent them returning to prison for short periods of time and/or being recalled due to relatively minor licence breaches. How will the Minister address this?
Ministry of Justice
Thameside (2025)
The Director should consider reinstating the restorative justice post.
Governor / Director
East Sutton Park (2025)
Could the Prison Service work with closed women’s establishments to ensure that prisoners arriving at HMP ESP have a minimum of six months left to serve to enable them to benefit from release on temporary licence (ROTL) and be properly prepared for release and resettlement?
HMPPS
Doncaster (2025)
In the Board’s view, the Probation Service nationally is critically understaffed and poorly managed, leaving people before and after release without proper support. This creates a ‘revolving door’ of reoffending and rising recidivism. What action will the Prison Service take to fix staffing and management so individuals get the support they need to break this cycle?
HMPPS
Askham Grange (2025)
The Board looks forward to seeing what new developments there may be to ensure that prisoners get the best experience whilst at HMP/YOI Askham Grange to reduce re-offending and have a successful resettlement in the community on release.
Governor / Director
Brinsford (2023)
The length of time prisoners remain on remand before appearing in court continues to be too long. Prisoners are being released into the community following sentencing at court without attending any programmes to examine their offending.
Ministry of Justice
Standford Hill (2020)
We would again commend the work done on resettlement and its success in reducing reoffending after prisoners leave Standford Hill. We believe that the prison has the physical potential for expansion, so that this work could be capitalised on; however, the prison desperately needs its own kitchen facilities and the upgrading of cell block C before this can be achieved.
Other
Portland (2020)
In order to maximise the opportunities for learning and change provided to prisoners while in custody, investment needs to be put into accommodation, employment and learning opportunities in the community post-release.
Ministry of Justice
Hull (2020)
Develop the key worker scheme to better understand the needs of young adults making use of, for example, the maturity screening toolkit.
Governor / Director
Highpoint (2020)
JobCentrePlus withdrew all support from the prison in March 2020. The Board asks the minister to investigate this action, in light of the fact that other services were maintained across the estate by remote means. The continuation or return of Covid restrictions should not deprive those due for release of this vital support.
Ministry of Justice
PHSO Casework Decisions (12)
P-001359 — A medical practice in the Reading area
Mr U complains a medical practice in the Reading area did not provide him with appropriate diabetic care and treatment, delayed administering his Covid-19 vaccine and poorly handled his complaint.
NHS in England
Upheld
Apr 2022
P-001781 — A practice in the Plymouth area
Mrs E complains the Practice prescribed medication to her mother without looking at what medication she was already taking. She also complains it failed to monitor her mother and give ongoing care.
NHS in England
Feb 2023
P-001895 — A practice in the Bury area
Mrs R complains the Practice failed to prescribe fluoxetine between 2018 and 2021.
NHS in England
Mar 2023
P-004387 — County Durham and Darlington NHS Foundation Trust
Mrs O complains about the lack of care and treatment provided to her mother at home by County Durham and Darlington NHS Trusts community nursing team before she sadly died. She also complains about a GP Practice in the Durham area and says they should have carried out blood tests …
NHS in England
Dec 2025
P-004413 — A practice in the West Suffolk area
Mr M complains that the surgery's early diagnoses and failure to refer his wife for an X-ray meant there was a lost opportunity for early intervention for a later cancer diagnosis.
NHS in England
Dec 2025
P-001806 — A practice in the West Midlands area
Ms O complains the Practice should have referred her mother, Ms I, to specialists to help with her nutrition, alcohol intake and mental health conditions. She says her mother should have been sectioned for her own wellbeing.
NHS in England
Feb 2023
P-003906 — A practice in the Doncaster area
Ms L complains about the Practice's care of her physical and mental health concerns since 2000.
NHS in England
Jul 2023
P-004475 — A practice in the South Gloucestershire area
Miss X complains about the care and treatment her three-year-old daughter received from the Practice in November 2024. She says the Practice did not diagnose her daughter’s pneumonia and fluid on her lungs, reassured her that her daughter was well despite ongoing symptoms, and failed to investigate or escalate her …
NHS in England
Not Upheld
Dec 2025
P-003005 — A practice in the Exeter area
Miss O complains the Practice did not provide her mother with timely specialist support.
NHS in England
Sep 2024
P-002915 — A practice in the Birmingham area
Mr A complains the Practice failed to act upon his requests to arrange his wife's annual flu vaccination between October and December 2023.
NHS in England
Sep 2024
P-004358 — Midlands Partnership University NHS Foundation Trust
Miss K complains the Trust attributed her sons attachment difficulties to her mental health, and refused to assess him for autism.
NHS in England
Nov 2025
P-004359 — Midlands Partnership University NHS Foundation Trust
Miss K complains the Trust refused to acknowledge her son had severe developmental delays and autistic traits, and refused to assess him for autism.
NHS in England
Nov 2025
LGO / SPSO Decisions (48)
21-010-585 — Bristol City Council
Summary: Mr X complained the Council was taking too long to investigate complaints about unlawful houses in multiple occupation (HMOs) in its area. We found fault because there was unreasonable delay in enforcement investigations. The Council has agreed to a remedy, to resolve the injustice caused by the fault we …
LGO (Local Government & …
Planning
Upheld
Mar 2022
21-012-092 — Stockton-on-Tees Borough Council
Summary: The Council failed to properly consider Mrs X’s application for a blue badge and failed to offer her the opportunity to appeal its decision.
LGO (Local Government & …
Adult Care Services
Upheld
May 2022
21-006-136 — Westminster City Council
Summary: Ms T complains that the Council has not taken the necessary action to address her concerns about anti-social behaviour from a café near to her home. She says this is having a negative effect on her life and her property has been targeted by the perpetrators. We find fault …
LGO (Local Government & …
Environment And Regulation
Upheld
Apr 2022
23-014-194 — Dorset Council
Summary: Mrs E complains her son’s school was following an out-of-date Education, Health and Care Plan. We uphold her complaint due to fault by the Council in its actions around this. Mrs E also complains about the school’s actions around a teacher’s use of language, inappropriate emails and suspensions of …
LGO (Local Government & …
Education
Upheld
Aug 2024
24-002-218 — Wirral Metropolitan Borough Council
Summary: Miss X complained about the Council’s delay completing her child, Y’s Education, Health and Care needs assessment. We find fault, causing injustice to Y and avoidable distress and uncertainty to Miss X. The Council has agreed to apologise and make a payment to Miss X.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-020-681 — Suffolk County Council
Summary: We found fault in the way the Council carried out an Education Health and Care needs assessment for the complainant’s (Mrs X) daughter (Y) and in the Council’s communication with Mrs X. This fault caused Y and Mrs X injustice.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-019-057 — London Borough of Wandsworth
Summary: HOS found the Council has provided reasonable redress for Ms X’s complaint regarding works to her kitchen. LGSCO did not find fault in how the Council assessed whether Ms X’s property could be adapted to meet her needs. LGSCO found fault in how the Council decided Ms X’s priority …
LGO (Local Government & …
Adult Care Services
Upheld
Aug 2024
23-018-792 — Liverpool City Council
Summary: There was delay by the Council in agreeing and putting in place transport for Y’s college placement and lateness by the taxi the Council commissioned. This caused avoidable distress, inconvenience and missed education. The Council will apologise and make payments.
LGO (Local Government & …
Education
Upheld
Aug 2024
23-018-774 — Liverpool City Council
Summary: There was a delay issuing Y’s final Education, Health and Care Plan naming his post 16 college placement. This caused avoidable distress, inconvenience and a delay in appeal rights. The Council will apologise, make symbolic payments and review its procedures to minimise the chance of recurrence.
LGO (Local Government & …
Education
Upheld
Aug 2024
201404348 — South Lanarkshire Council
Mr C complained about how the council handled his concerns about nuisance and anti-social behaviour. He had complained about damage to common areas, noise nuisance and the keeping of chickens which he believed attracted vermin. We found that the council followed their policy when Mr C reported neighbour nuisance and …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Mar 2015
202303409 — West Dunbartonshire Council
C complained that the council failed to deal with concerns that they raised about alleged anti-social behaviour (ASB) involving a neighbour. During our investigation, we considered whether or not the council had followed their anti-social behaviour policy (ASB policy) in relation to their handling of C’s concerns. We found that …
SPSO (Scottish Public Se…
Local Government
Upheld
Jun 2025
21-010-089 — Middlesbrough Borough Council
Summary: Mr X complained the Council failed to properly investigate anti-social behaviour from his neighbour. The Council was at fault for failing to consider all available options, for delaying looking into support for the alleged perpetrator, and for failing to regularly send Mr X’s CCTV evidence to the estate agent …
LGO (Local Government & …
Environment And Regulation
Upheld
Jul 2022
23-018-415 — Bristol City Council
Summary: Ms X complained about the way the Council dealt with her reports of anti-social behaviour. The Council failed to properly monitor and keep Ms X updated on the actions of the ASB case review. The Council’s complaint handling and communication was also inadequate. These faults caused Ms X distress, …
LGO (Local Government & …
Environment And Regulation
Upheld
Aug 2024
201005261 — Dundee City Council
Mr C lived in a sheltered housing complex. He complained that the council wrongly cautioned him about antisocial behaviour after a complaint was made against him that claimed he was responsible for noise nuisance. We found, from looking at the information provided by Mr C and at the council's records, …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jun 2012
201305629 — The City of Edinburgh Council
Mrs C's neighbour is a council tenant living in temporary accommodation. Mrs C said that the tenant was noisy on a number of occasions, and she was unhappy with the council's response to the problem. She complained that the council were not dealing with this effectively, and that a housing …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Jul 2014
201608278 — Falkirk Council
Ms C is a council tenant and she reported a number of incidents of her neighbour's anti-social behaviour to the council. Ms C complained that the council failed to address her complaints about her neighbour's anti-social behaviour within a reasonable timescale. The council advised Ms C they can only investigate …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Sep 2017
201608217 — North Lanarkshire Council
Mr C complained about the council as he felt that they had failed to appropriately investigate reports of anti-social behaviour he and his wife had made about their previous neighbour. He claimed that the council had failed to liaise with Police Scotland over charges brought against the neighbour and that …
SPSO (Scottish Public Se…
Local Government
Partly Upheld
Sep 2017
201602803 — South Lanarkshire Council
Miss C complained about the way the council dealt with her complaint to them. She was also was unhappy that the council had issued warnings following an investigation into allegations of anti-social behaviour. We were satisfied that the council demonstrated that a fair and balanced investigation into complaints of anti-social …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Nov 2017
201805833 — North Lanarkshire Council
Mr C complained that the council had unreasonably acted in contravention of the title deeds of his property, that they had unfairly discriminated against him and his family and that they had failed to investigate his complaints over six months. We found that the council had taken reasonable steps to …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Mar 2020
202407333 — North Glasgow Housing Association Ltd
C complained that the association did not reasonably address reports of antisocial behaviour. C is the Chief Executive of a charity who owns a property in a block where other properties are owned by the association. The charity's tenant complained of antisocial behaviour from one of their neighbours and the …
SPSO (Scottish Public Se…
Local Government
Upheld
Dec 2025
25-013-384 — Mansfield District Council
LGO (Local Government & …
Environment And Regulation
25-013-070 — London Borough of Hackney
LGO (Local Government & …
Environment And Regulation
25-005-573 — Milton Keynes Council
LGO (Local Government & …
Environment And Regulation
21-015-886 — Leeds City Council
Summary: Mrs X says the Council’s delay in investigating her complaint led to a company going into liquidation. This means she cannot get her money back. The Council is at fault because of the delays in its response. However, this failing did not cause Mrs X significant personal injustice which …
LGO (Local Government & …
Environment And Regulation
Upheld
Mar 2022
24-004-655 — Wakefield City Council
Summary: We will not investigate this complaint about the Council’s handling of Ms X’s report of anti-social behaviour by a person who is a neighbour of family members. This is because there is no evidence to suggest fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Aug 2024
23-021-006 — Milton Keynes Council
Summary: We will not investigate this complaint about the Council’s failure to take sufficient action against a council tenant who Mr X says is causing noise nuisance and anti-social behaviour. We cannot investigate complaints about the management of tenancies by social housing landlords.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-005-999 — Torbay Council
Summary: We will not investigate this complaint about the Council’s handling of reports of neighbour anti-social behaviour (ASB) and nuisance made by Mr X. This is because an investigation is unlikely to add to that already carried out by the Council or lead to a significantly different outcome.
LGO (Local Government & …
Environment And Regulation
Aug 2024
23-017-648 — South Kesteven District Council
Summary: We will not investigate this complaint about anti- social behaviour. This is because the complaint does not meet the tests in our Assessment Code on how we decide which complaints to investigate. This is an ongoing case being investigated by the Council so there is no worthwhile outcome to …
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-005-184 — London Borough of Enfield
Summary: We will not investigate this complaint about a Fixed Penalty Notice for fly tipping. This is because the complainant could have raised a defence in court.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-004-766 — Stoke-on-Trent City Council
Summary: We will not investigate this complaint about the Council’s handling of Miss X’s reports of noise nuisance. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Aug 2024
24-020-850 — Manchester City Council
Summary: Mr X complained the Council repeatedly missed waste collections from his property and failed to deal with reports of fly-tipping and stolen bins, causing frustration and distress. We found the Council at fault, and it agreed to apologise and make payments for the distress it caused. We also found …
LGO (Local Government & …
Environment And Regulation
Upheld
Sep 2025
24-019-295 — St Albans City Council
Summary: We will not investigate this complaint about the Council’s investigation into an alleged statutory nuisance from a neighbouring business. This is because
LGO (Local Government & …
Environment And Regulation
Sep 2025
25-007-962 — Royal Borough of Kingston upon Thames
Summary: We will not investigate Ms Z’s complaint about how the Council has handled her noise complaints since 2023. Part of the complaint is late. There is not enough evidence of fault and an investigation would be unlikely to lead to a different outcome.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-007-136 — Stevenage Borough Council
Summary: We will not investigate Mr X’s complaint about how the Council has dealt with his concerns about a development near his home. There is not enough evidence of fault on how the Council investigated Mr X’s concerns to justify our involvement. Mr X has also raised concerns that fall …
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-004-556 — Stafford Borough Council
Summary: We will not investigate this complaint about a missed refuse collection. This is because the injustice is not significant enough to justify investigation.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-005-845 — Dartford Borough Council
Summary: We will not investigate this complaint about the Council’s handling of its garden waste and general refuse collection services. There is insufficient evidence of fault, and we cannot achieve the outcome the complainant is seeking.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-010-062 — Birmingham City Council
Summary: We will not investigate Mr X’s complaint about the Council’s failure to collect waste bins due to industrial action. This is because we have no jurisdiction to investigate matters which affect all or most people in the Council’s area.
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-001-904 — London Borough of Lambeth
Summary: We will not investigate this complaint about how the Council responded to a noise nuisance concern. This is because
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-006-455 — Reading Borough Council
Summary: We will not investigate this complaint that the Council refuses to consider Mr X’s ongoing complaints about noise nuisance from his neighbour. This is because we are unlikely to find enough evidence of fault by the Council to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Nov 2025
24-014-369 — Norwich City Council
Summary: We will not investigate this complaint about the advice provided by the Council’s pest control service. This is because there is not enough evidence of fault to justify an investigation.
LGO (Local Government & …
Environment And Regulation
Nov 2024
24-014-470 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about the Council’s decision that the complainant must pay to replace bins that were stolen. This is because there is insufficient evidence of fault by the Council.
LGO (Local Government & …
Environment And Regulation
Dec 2024
24-014-099 — City of Bradford Metropolitan District Council
Summary: We will not investigate this complaint about the time taken by the Council to deliver bins to the complainant. This is because there is insufficient evidence of injustice.
LGO (Local Government & …
Environment And Regulation
Dec 2024
24-005-529 — Cumberland Council
Summary: Miss X complains about a lack of action from the Council following its decision to issue an Abatement Notice to her neighbour. We have concluded our investigation having made a finding of fault. The evidence demonstrates excess delay in reaching a decision on what further action to take, if …
LGO (Local Government & …
Environment And Regulation
Upheld
Dec 2024
201501711 — West Lothian Council
Mr C, who is a council tenant, complained to us about two issues regarding reports he had made to the council about the anti-social behaviour of his neighbour. Firstly, he complained that the council failed to follow their policies and procedures by deciding not to investigate his reports. We found …
SPSO (Scottish Public Se…
Local Government
Partly Upheld
Nov 2015
201404811 — South Lanarkshire Council
Mrs C complained about the council's handling of complaints about some of their tenants in a neighbouring property, which was used by the council to temporarily house homeless households from 2011 to 2014. Mrs C complained about the way her complaints were handled by the council and, in particular, that …
SPSO (Scottish Public Se…
Local Government
Not Upheld
Nov 2015
25-008-206 — Wakefield City Council
Summary: We will not investigate this complaint about the Council’s response to reports of antisocial behaviour. This is because there is not enough evidence of fault to justify our involvement.
LGO (Local Government & …
Environment And Regulation
Dec 2025
25-004-995 — Coventry City Council
Summary: We will not investigate this complaint about the Council’s decision not to investigate Mrs Y’s complaint about trading standards enforcement. The complaint is late and there is no good reason why it could not have been made sooner.
LGO (Local Government & …
Environment And Regulation
Aug 2025
24-014-958 — Bedford Borough Council
Summary: We will not investigate this complaint about a taxi licence decision. This is because the complaint is late and there are not good reasons to investigate the complaint now.
LGO (Local Government & …
Environment And Regulation
Nov 2024