Public protection planning
106 items
2 sources
Absence of clearly recorded notes on anticipated charges, required evidence, and objectives for sustained public protection operations.
Cross-Source Insight
Public protection planning has been flagged across 2 independent accountability sources:
92 inquiry recs
14 PFD reports
This issue has been identified by multiple independent accountability bodies, suggesting it is a recurring systemic concern.
Inquiry Recommendations (92)
ANG-18 — Increased use of police Designing Out Crime Officers
Recommendation: By November 2026, the Government should explore how to improve the impact that the safety advice provided by police Designing Out Crime Officers could have on the prevention of sexually motivated crimes in public spaces, including by amendments to policies …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
ANG-19 — Targeted and consistent public messaging
Recommendation: By March 2026, the Home Office, as the lead department for the response to violence against women and girls, should agree funding for a multi-year series of public information campaigns centred around the prevention of sexually motivated crimes against women …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
ANG-20 — Empowering and engaging citizens to take action
Recommendation: The public has a pivotal role to play in the prevention of sexually motivated crimes against women in public spaces. In recognition of that: a. By April 2026, the Home Office should agree funding for a multi-year series of active …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
ANG-21 — National roll-out of Project Vigilant
Recommendation: By April 2026, the Home Office, the National Centre for Violence Against Women and Girls and Public Protection, and the National Police Chiefs' Council should roll out Project Vigilant nationally and consistently across all forces in England and Wales. This …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
ANG-22 — Information and early intervention for men and boys
Recommendation: By September 2026, the Home Office, working closely with the Department for Education, the Ministry of Justice, and the Department of Health and Social Care, should increase and improve the information, support and programmes available to men and boys that …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
ANG-25 — Whole-system approach to preventing sexually motivated crimes
Recommendation: By June 2026, building on the wider violence against women and girls strategy, the Government should publish a comprehensive, multi-year and whole-system prevention strategy, which specifically targets the perpetrators of sexually motivated crimes against women in public spaces. This strategy …
Gov response: Parliamentary Under-Secretary of State Jess Phillips made a written statement to Parliament (HCWS1122) on 2 December 2025 accepting all 13 Part 2 recommendations. The government announced £13.1 million in funding to deliver a coordinated approach …
Accepted
2 — Require IRC contracts to uphold Rule 3 humane detention principles
Recommendation: The Home Office must ensure that each contract for the management of an immigration removal centre must expressly require compliance with the overriding purpose of Rule 3, which is to provide "the secure but humane accommodation of detained persons in …
Gov response: New contracts mandate adherence to Detention Services Orders including the Detention Centre Rules 2001. The Home Office's Detention Services Operations Compliance and Assurance strategy for 2024 onwards is being improved to standardise processes across the …
Accepted in Part
Delivered
4 — Ensure reasonable internet and computer access for detainees
Recommendation: The Home Office and its contractors must ensure reasonable access to computers and the internet. Contractors must comply in full with Detention Services Order 04/2016: Detainee Access to the Internet, in particular: Computers and the internet provided for detained people's …
Gov response: Service contracts mandate adherence to Detention Services Orders including the mandatory provision of and regulated access to IT equipment and internet services. Fines are available for non-compliance.
Accepted in Part
Delivered
8 — Mandatory comprehensive Rule 34 and Rule 35 training
Recommendation: The Home Office (in collaboration with NHS England as required) must ensure that comprehensive training on Rule 34 and Rule 35 of the Detention Centre Rules 2001 is rolled out urgently across the immigration detention estate. Staff must be subject …
Gov response: The Home Office is reviewing the Adults at Risk policy and Detention Centre Rules 34 and 35. NHS England is developing interim clinical guidance to support GPs on Rule 35 assessments, with full training to …
Accepted in Part
No update 2+ yrs
P1-12 — Local authorities examine contractual arrangements
Recommendation: Kent County Council and East Sussex County Council should examine their contractual arrangements with Maidstone and Tunbridge Wells NHS Trust to ensure that they are effective in protecting the safety and dignity of the deceased.
Gov response: Implemented. Both Kent County Council and East Sussex County Council have reviewed their contractual arrangements with the Trust to strengthen protections for the deceased. (Source: Trust assurance statement, February 2024; confirmed in Written Ministerial Statement …
Accepted
Delivered
JB-15.16 — Requirements for sustained public protection operations
Recommendation: APP-AP should be amended to cover the following: a. Sustained public protection should never be the object of an operation unless and until there is a clearly recorded note of the possible charge(s) that are anticipated, the evidence that will …
Gov response: MPS formally responded on 28 October 2022 (para 31). MPS carefully considering recommendation. Considers sustained public protection broader than conviction and imprisonment. Welcomes further APP-AP guidance.
Accepted
Delivered
MAI-42 — SMG sharing of emergency response plans
Recommendation: SMG should review its processes to ensure that it shares with Greater Manchester Police, Greater Manchester Fire and Rescue Service, British Transport Police and North West Ambulance Service its most current emergency response plans and policies for dealing with an …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-43 — Guidance on covering deceased at mass casualty scenes
Recommendation: Guidance should be provided to event healthcare providers, to emergency service responders other than paramedics and to the public generally about the circumstances in which those who are believed to be dead should be covered. The guidance should make clear …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-44 — Ambulance trusts submit resource recommendations
Recommendation: Having carried out that review, the trusts should make recommendations to their NHS commissioners about the additional and/or different resources they require in order to ensure that they are able to respond effectively to a mass casualty incident in the …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-45 — Ensure effective explosive detection dog deployment
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, Counter Terrorism Policing Headquarters and the College of Policing should take steps to ensure that all police services have in place effective systems for the prompt deployment of explosives detection …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-46 — Guidance on Major Incident plan review frequency
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for all police services on how often operational plans for responding to a Major Incident, including a terrorist incident, …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-47 — Sufficient resources for operational planning
Recommendation: His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should work together to put in place robust systems, policies and guidance to ensure that all police services have sufficient resources dedicated …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-5 — Major Incident training for North West Fire Control staff
Recommendation: All North West Fire Control staff should be trained on the best practices for responding to a Major Incident, as identified through its participation in exercises. North West Fire Control should ensure that learning is kept under review.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-50 — Address Arena failings identified in Volume 1
Recommendation: Improvements, to the extent that they have not already been made, should be made at the Arena to address the failings identified in Volume 1. Specific consideration should be given to how to address my concerns in relation to complacency.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-51 — Address Showsec failings identified in Volume 1
Recommendation: Improvements, to the extent that they have not already been made, should be made by Showsec to address the failings identified in Volume 1. Specific consideration should be given to how to address my concerns in relation to complacency.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-55 — Risk-based visitor restrictions for radicalising prisoners
Recommendation: It is recommended that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses for radicalisation of others. This system should allow for proportionate restrictions to be applied to visitors to that …
Gov response: Home Secretary Suella Braverman made a statement to Parliament on 6 March 2023 following publication of Volume 3 on 2 March 2023. She stated: 'We will carefully consider the report's findings and recommendations in full' …
Accepted
Delivered
MAI-6 — Ensure Airwave Tactical Advisors availability
Recommendation: All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical Advisor is either on duty or on call at all times.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-61 — Independent inspection regime for LRFs
Recommendation: Local resilience forums have a vital role in the preparation for the response to any Major Incident. The Cabinet Office and the Home Office should consider implementing an independent inspection regime for local resilience forums.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-62 — LRF oversight of lessons from exercises and incidents
Recommendation: Local resilience forums should establish procedures to ensure that they oversee the process of identifying the lessons to be learned from major exercises, or serious incidents, in their areas, and that they are responsible for overseeing the debriefing of those …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-63 — Monitor LRF attendance and flag concerns
Recommendation: Local resilience forums should monitor attendance and participation at their meetings, and flag promptly any concerns about attendance by members to the leadership of the organisation concerned. The Home Office should ensure that this is being done by local resilience …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-65 — NaCTSO guidance on terrorism risk assessments
Recommendation: NaCTSO should issue guidance in relation to the completion of risk assessments addressing the threat of terrorism.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-66 — Multi-agency site-specific plans for NWAS
Recommendation: North West Ambulance Service should ensure that all its site-specific plans are multi-agency and that all Category 1 responders operating in the areas it serves have contributed to them.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-67 — NWAS policy for relieving Operational Commanders
Recommendation: North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may be relieved and how that should occur and be communicated to the outgoing Operational Commander and beyond.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-68 — Up-to-date site-specific plans for high-risk locations
Recommendation: North West Ambulance Service should ensure that it has up-to-date site-specific plans for all large, complex or high-risk locations within its area.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-7 — Robust version control for operational plans
Recommendation: All police services should ensure that they have robust version control arrangements in place for all plans.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-73 — NWAS predetermined attendance for specialist teams
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to consider whether, in order to speed up mobilisation, it should provide pre-determined attendances for the Hazardous Area Response Team, Ambulance Intervention Team and Special Operations Response Team crews …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-74 — NWAS predetermined attendance for Major Incidents
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to consider whether it should be updated to include a predetermined attendance for Major Incidents.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-75 — Operational Commander to gain situational awareness first
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume the role of Operational Commander only once they have achieved situational awareness.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-76 — Review HART mobilisation policies
Recommendation: North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is available as soon as possible for an emergency where its specialist skills are required.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-8 — Review mass casualty response capacity
Recommendation: Ambulance service trusts should review their capacity to respond to a mass casualty incident. That should include an assessment of whether they have an adequate number of trained specialist personnel to respond effectively to a mass casualty incident.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-80 — North West Fire Control regular multi-agency exercising
Recommendation: North West Fire Control should ensure that it regularly tests how it operates, by ensuring that its staff participate in regular exercises and practical tests. These should include multi-agency exercises.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-82 — Allocate best-trained operators to Major Incident roles
Recommendation: North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major Incident. It should consider whether it is beneficial to allocate a Control Room Operator to monitor communications on …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-83 — Review NWFC information policies during incidents
Recommendation: North West Fire Control should review its guidance and policies on how it receives and passes on information during a Major Incident. It is important that, for any update given, it is established when the last time the person receiving …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-85 — NWFC involvement in multi-agency exercises
Recommendation: North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and the response to a Major Incident in line with the Joint Emergency Services Interoperability Principles (JESIP).
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-87 — Healthcare provider relationship with NWAS
Recommendation: SMG should ensure that the healthcare service provider at the Arena has a strong working relationship with North West Ambulance Service.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-88 — Review Arena healthcare equipment provision
Recommendation: SMG should review its approach to the provision of healthcare service equipment at the Arena to ensure that adequate equipment is always available
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-92 — Emergency service hotline to Force Duty Officer
Recommendation: The College of Policing and Counter Terrorism Policing Headquarters should take steps to ensure that each police service establishes a hotline that enables those within the command structure of the three emergency services to make contact with the Force Duty …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-93 — 24-hour qualified command structure rostering
Recommendation: The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has in place a system that means appropriately qualified and experienced personnel are rostered 24 hours each day so …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
In progress
MAI-94 — Review firearms officer Post Incident Procedures delays
Recommendation: The College of Policing should assess whether delays in the provision of written accounts by some firearms officers involved in the response to the Attack were due to Post Incident Procedures. If so, those procedures should be reviewed.
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-96 — Force Duty Officer not to handle media enquiries
Recommendation: The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: a. The Force Duty Officer is not expected to deal with media enquiries. b. The important task of …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
MAI-99 — Review licensing guidance on event healthcare
Recommendation: The Ministry of Housing Commuities and Local Government should review the guidance given to all licensing authorities on the decisions they make in relation to venues that hold events, and on what level of event healthcare services may be required …
Gov response: The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to …
Accepted
Delivered
POPP-A.2 — Include police officers in local authority teams issuing sports ground safety certificates.
Recommendation: The local authority team responsible for issuing safety certificates in respect of designated grounds should, as heretofore, include police officers.
Unknown
POPP-A.9 — Improve coordination and communication of inspections by HSE and authorities
Recommendation: There should be urgent consultation between the Health & Safety Executive and the fire authorities and local authorities as to how best to co-ordinate and communicate their inspections and reports.
Unknown
POH-12 — Amend GLOS to allow claimants oral submissions at panel hearings
Recommendation: The scheme documents governing GLOS should be amended so that a right is conferred upon claimants (exercisable by the claimants themselves or their recognised legal representatives) to make oral submissions in support of their claim at the hearing convened by …
Gov response: Department for Business and Trade accepts this recommendation. GLOS claimants already had the right to make oral submissions for up to one hour at independent panel hearings prior to the panel making a binding determination. …
Accepted
Delivered
POH-14 — Post Office to engage in negotiations during HSSA appeal period
Recommendation: During the nine-month period afforded to claimants to submit an appeal to the Department in HSSA, the Post Office shall engage in negotiations and/or mediation with any claimants who notify the Post Office of a desire to seek a negotiated …
Gov response: Department for Business and Trade accepts this recommendation. Rather than a 9-month period, DBT has implemented a 3-month notification deadline for claimants to indicate their intent to appeal, with subsequent deadlines for submission of full …
Accepted
Delivered
POH-16 — Clarify whether HCRS and OCS assessment processes differ
Recommendation: The Department shall make a public announcement in which (a) it clarifies whether there will be any differences in the process for assessing financial redress, between the merged HCRS and OCS, and the process currently operating in OCS and if …
Gov response: Department for Business and Trade accepts this recommendation. DBT confirms that HCRS applies identical principles to the previous OCS scheme, ensuring no disadvantage to overturned conviction claimants. Case management and independent panel processes are in …
Accepted
Delivered
COVID-M1.7 — Publish Exercise Reports and Lessons
Recommendation: For all civil emergency exercises, the governments of the UK, Scotland, Wales and Northern Ireland should each (unless there are reasons of national security for not doing so): publish an exercise report summarising the findings, lessons and recommendations, within three …
Gov response: No formal response published by this government.
Accepted
In progress
LAMI-27 — Include children's services explicitly in local authority priorities and operational plans
Recommendation: Chief executives and lead members of local authorities with social services responsibilities must ensure that children’s services are explicitly included in their authority’s list of priorities and operational plans.
Unknown
LAMI-28 — Require local authorities to assess and plan improvements for children's duty systems
Recommendation: The Department of Health should require chief executives of local authorities with social services responsibilities to prepare a position statement on the true picture of the current strengths and weaknesses of their ‘front door’ duty systems for children and families. …
Unknown
LAMI-29 — Implement system for directors to monitor children's social services duty team data
Recommendation: Directors of social services must devise and implement a system which provides them with the following information about the work of the duty teams for which they are responsible: • number of children referred to the teams; • number of …
Unknown
LAMI-3 — Establish National Agency to assess, advise, and monitor children and families policy
Recommendation: The newly established National Agency for Children and Families should have the following responsibilities: • to assess, and advise the ministerial Children and Families Board about, the impact on children and families of proposed changes in policy; • to scrutinise …
Unknown
LAMI-30 — Directors must ensure senior managers regularly inspect children's social services case files
Recommendation: Directors of social services must ensure that senior managers inspect, at least once every three months, a random selection of case files and supervision notes.
Unknown
LAMI-31 — Ensure all staff working with children receive comprehensive vocational and ongoing training
Recommendation: Directors of social services must ensure that all staff who work with children have received appropriate vocational training, receive a thorough induction in local procedures and are obliged to participate in regular continuing training so as to ensure that their …
Unknown
LAMI-32 — Ensure single, compatible electronic database for all children and families services
Recommendation: Local authority chief executives must ensure that only one electronic database system is used by all those working in children and families’ services for the recording of information. This should be the same system in use across the council, or …
Unknown
LAMI-33 — Establish 24-hour public referral line for child concerns, pilot electronic recording
Recommendation: Local authorities with responsibility for safeguarding children should establish and advertise a 24-hour free telephone referral number for use by members of the public who wish to report concerns about a child. A pilot study should be undertaken to evaluate …
Unknown
LAMI-34 — Standardise social worker home visits: clarify purpose, check records, document findings
Recommendation: Social workers must not undertake home visits without being clear about the purpose of the visit, the information to be gathered during the course of it, and the steps to be taken if no one is at home. No visits …
Unknown
LAMI-35 — Ensure children subject to harm allegations are seen within 24 hours
Recommendation: Directors of social services must ensure that children who are the subject of allegations of deliberate harm are seen and spoken to within 24 hours of the allegation being communicated to social services. If this timescale is not met, the …
Unknown
LAMI-36 — Require legal advice before emergency child harm action, ensure 24-hour availability
Recommendation: No emergency action on a case concerning an allegation of deliberate harm to a child should be taken without first obtaining legal advice. Local authorities must ensure that such legal advice is available 24 hours a day.
Unknown
LAMI-37 — Train social workers to confidently challenge other professionals' opinions on child needs
Recommendation: The training of social workers must equip them with the confidence to question the opinion of professionals in other agencies when conducting their own assessment of the needs of the child.
Unknown
LAMI-38 — Ensure inter-departmental case transfers are recorded and confirmed in writing
Recommendation: Directors of social services must ensure that the transfer of responsibility of a case between local authority social services departments is always recorded on the case file of each authority, and is confirmed in writing by the authority to which …
Unknown
LAMI-39 — Train front-line staff to promptly record and transfer child safety calls
Recommendation: All front-line staff within local authorities must be trained to pass all calls about the safety of children through to the appropriate duty team without delay, having first recorded the name of the child, his or her address, and the …
Unknown
LAMI-4 — National Agency to use regional structure for local policy implementation and monitoring
Recommendation: The National Agency for Children and Families will operate through a regional structure which will ensure that legislation and policy are being implemented at a local level, as well as providing central government with up-to-date and reliable information about the …
Unknown
LAMI-40 — Establish mandatory steps for closing child harm cases, including welfare plan
Recommendation: Directors of social services must ensure that no case that has been opened in response to allegations of deliberate harm to a child is closed until the following steps have been taken: • The child has been spoken to alone. …
Unknown
LAMI-41 — Require senior managers and councillors to regularly visit children's intake teams
Recommendation: Chief executives of local authorities with social services responsibilities must make arrangements for senior managers and councillors to regularly visit intake teams in their children’s services department, and to report their findings to the chief executive and social services committee.
Unknown
LAMI-42 — Implement systems to detect failures in internal social services case transfers
Recommendation: Directors of social services must ensure that where the procedures of a social services department stipulate requirements for the transfer of a case between teams within the department, systems are in place to detect when such a transfer does not …
Unknown
LAMI-43 — Mandate training for Section 47 inquiries and audit staff for compliance
Recommendation: No social worker shall undertake section 47 inquiries unless he or she has been trained to do so. Directors of social services must undertake an audit of staff currently carrying out section 47 inquiries to identify gaps in training and …
Unknown
LAMI-44 — Conduct six-monthly reviews of temporary staff promotions and record outcomes
Recommendation: When staff are temporarily promoted to fill vacancies, directors of social services must subject such arrangements to six-monthly reviews and record the outcome.
Unknown
LAMI-45 — Ensure regular supervision of staff working with children, including case file review
Recommendation: Directors of social services must ensure that the work of staff working directly with children is regularly supervised. This must include the supervisor reading, reviewing and signing the case file at regular intervals.
Unknown
LAMI-46 — Ensure clear understanding of child protection adviser roles across children's services
Recommendation: Directors of social services must ensure that the roles and responsibilities of child protection advisers (and those employed in similar posts) are clearly understood by all those working within children’s services.
Unknown
LAMI-47 — Provide 24/7 specialist services for children and families, separate from general teams
Recommendation: The chief executive of each local authority with social services responsibilities must ensure that specialist services are available to respond to the needs of children and families 24 hours a day, seven days a week. The safeguarding of children should …
Unknown
LAMI-48 — Require social worker agreement and record purpose for all agency referrals
Recommendation: Directors of social services must ensure that when children and families are referred to other agencies for additional services, that referral is only made with the agreement of the allocated social worker and/or their manager. The purpose of the referral …
Unknown
LAMI-49 — Review cases and meet professionals when other agencies raise concerns
Recommendation: When a professional from another agency expresses concern to social services about their handling of a particular case, the file must be read and reviewed, the professional concerned must be met and spoken to, and the outcome of this discussion …
Unknown
LAMI-5 — National Agency to conduct or oversee and publish serious child case reviews
Recommendation: The National Agency for Children and Families should, at their discretion, conduct serious case reviews (Part 8 reviews) or oversee the process if they decide to delegate this task to other agencies following the death or serious deliberate injury to …
Unknown
LAMI-50 — Implement systems to action communications during social services staff absence
Recommendation: Directors of social services must ensure that when staff are absent from work, systems are in place to ensure that post, emails and telephone contacts are checked and actioned as necessary.
Unknown
LAMI-51 — Ensure strategy meetings include action points, records, and review mechanisms
Recommendation: Directors of social services must ensure that all strategy meetings and discussions involve the following three basic steps: • A list of action points must be drawn up, each with an agreed timescale and the identity of the person responsible …
Unknown
LAMI-52 — Allocate cases only when social workers have adequate training, experience, and time
Recommendation: Directors of social services must ensure that no case is allocated to a social worker unless and until his or her manager ensures that he or she has the necessary training, experience and time to deal with it properly.
Unknown
LAMI-53 — Managers must ensure social workers understand allocated cases, actions, and supervision
Recommendation: When allocating a case to a social worker, the manager must ensure that the social worker is clear as to what has been allocated, what action is required and how that action will be reviewed and supervised.
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LAMI-54 — Allocate social workers to all children's cases or report unallocated cases monthly
Recommendation: Directors of social services must ensure that all cases of children assessed as needing a service have an allocated social worker. In cases where this proves to be impossible, arrangements must be made to maintain contact with the child. The …
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LAMI-55 — Define 'allocated' cases as those with active social worker engagement
Recommendation: Directors of social services must ensure that only those cases in which a social worker is actively engaged in work with a child and the child’s family are deemed to be ‘allocated’.
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LAMI-56 — Prevent discharge of hospitalised children with concerns until home is safe
Recommendation: Directors of social services must ensure that no child known to social services who is an inpatient in a hospital and about whom there are child protection concerns is allowed to be taken home until it has been established by …
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LAMI-57 — Ensure social workers can access international information on vulnerable children
Recommendation: Directors of social services must ensure that social work staff are made aware of how to access effectively information concerning vulnerable children which may be held in other countries.
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LAMI-58 — Require a properly maintained chronology in every child's case file
Recommendation: Directors of social services must ensure that every child’s case file includes, on the inside of the front cover, a properly maintained chronology.
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LAMI-59 — Provide single-source, up-to-date guidance and monitor adherence for staff
Recommendation: Directors of social services must ensure that staff working with vulnerable children and families are provided with up-to-date procedures, protocols and guidance. Such practice guidance must be located in a single-source document. The work should be monitored so as to …
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LAMI-6 — Establish a Committee for Children and Families to coordinate inter-agency services
Recommendation: Each local authority with social services responsibilities must establish a Committee of Members for Children and Families with lay members drawn from the management committees of each of the key services. This Committee must ensure the services to children and …
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LAMI-60 — Line manage hospital social workers within children and families' services section
Recommendation: Directors of social services must ensure that hospital social workers working with children and families are line managed by the children and families’ section of their social services department.
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LAMI-61 — Ensure hospital social workers participate in all child safeguarding hospital meetings
Recommendation: Directors of social services must ensure that hospital social workers participate in all hospital meetings concerned with the safeguarding of children.
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LAMI-62 — Implement single agreed guidance for hospital social workers with out-of-area children
Recommendation: Where hospital-based social work staff come into contact with children from other local authority areas, the directors of social services of their employing authorities must ensure that they work to a single set of guidance agreed by all the authorities …
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PFD Reports (14)
Leah Croucher
Concerns: Inadequate monitoring of a known sex offender under probation and police supervision, coupled with poor inter-agency information sharing, allowed him to breach terms and commit murder.
Responded
Zara Aleena
Concerns: Severe understaffing within the probation service led to poor quality risk assessments, inadequate staff training, and ineffective risk management. Additionally, the existing risk assessment tool and alert systems proved to be unwieldy and ineffective.
Responded
Terri Harris, John-Paul Bennett, Lacey Bennett and Connie Gent
Concerns: Probation Service offender records lacked clear, prominent recording of critical risk information, leading to unread vital details and insufficient domestic abuse and child safeguarding checks. Systemic issues contributed to ongoing risks.
Overdue
Angela Craddock
Concerns: An offender's Restraining Order was not communicated to prison staff, leading to breaches. Community rehabilitation services were unaware, affecting risk assessment and recall procedures upon release.
Responded
Jayden Booroff
Concerns: Inadequate risk assessments at Essex Partnership NHS Foundation Trust led to reduced observations. There was also critical miscommunication and misunderstanding between the Trust and emergency services regarding escaped detained patients.
Responded
Daniel-John Varndell
Concerns: A probation officer unilaterally removed a critical mental health appointment condition from a high-risk individual's license, without consulting MAPPA professionals, posing a risk of future deaths.
Overdue
Terance Radford
Concerns: The Home Detention Curfew policy allows early release of high-risk prisoners without adequate assessment of their harm to others or multi-agency information sharing for risk management.
Responded
Frankie Macritchie
Concerns: Dog attacks require thorough investigation and, where appropriate, euthanasia of the dangerous animal to mitigate risks of future serious incidents.
Overdue
Katie Locke
Concerns: Knowledge and understanding of the Potentially Dangerous Persons (PDP) process were sporadic among police and partner agencies. This lack of dissemination and training hinders the multi-agency process from effectively protecting the public.
Overdue
Philip Owen
Concerns: Challenges exist in safely releasing high-risk offenders after short custodial sentences, compounded by limited probation supervision and unclear communication of risks or guidance to sentencing courts.
Responded
John Gogarty
Concerns: A mental health trust failed to follow up and share information with the Probation Service regarding a patient associating with a high-risk individual. This breakdown in inter-agency communication prevented consideration of further safeguards.
Overdue
Nguyen Quyen
Concerns: A dysfunctional public protection system for offenders on life licence relied excessively on self-reporting and suffered from poor information sharing between police and probation, with inadequate monitoring and challenges to deceit.
Responded
Jacqueline Oakes
Concerns: There is no system to alert other agencies when high-risk offenders are released after completing their full sentence, preventing effective risk management.
Overdue
Joyce Carney
Concerns: Fragmented risk assessments and a lack of communication between police and hospital staff led to a misunderstanding of the ward layout, inadequate patient supervision, and a failure to assess risks to other patients and staff. There were no agreed protocols or senior oversight.
Responded