First reported 11 Nov 2014•Latest report 4 Feb 2026
Definition
What this concern includes
Includes failures to initiate, complete, repeat or physically verify a required welfare check for a person who is distressed, in potential medical distress, or otherwise presents a welfare concern.
Not included
Excludes failures concerning routine monitoring where no distress or welfare concern is identified.
Excludes failures to check records, prescriptions, guidance or other administrative information unless the report directly concerns completion of a welfare check.
Excludes generic staffing, training, policy or lone-working deficiencies that are not directly tied to a failure to conduct a welfare check.
Reports
23
Distinct published reports
Individual concerns
24
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
39
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care3
Ministry of Justice3
NHS England2
Welsh Ambulance Services NHS Trust2
Adullam Homes Housing Association Limited1
Birmingham and Solihull Mental Health NHS Foundation Trust1
Birmingham Community Healthcare NHS Foundation Trust1
British Transport Police1
Broadmoor Hospital1
Bury Borough Council1
Cardiff & Vale University LHB1
Care Quality Commission1
Coventry City Council1
David Ake & Co1
Department for Education1
Ministerial department6
NHS trust6
Prison or young offender institution3
English metropolitan district council2
Executive non-departmental public body2
Healthcare site2
Registered provider of social housing2
Company1
Devolved government1
English county council1
Executive agency1
Health and social care service regulator1
Health-system partnership1
Integrated care board1
Local health board1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
South Wales Central
Concerns raised1
Delays and non-occurrence of scheduled morning welfare checks due to lack of staff
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Reissue written instructions and reminders on correct unlock procedures and welfare checks, including communication through safety meetings.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Action
Update initial and refresher training to instruct officers on positive-response welfare checks during unlock.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Action
Issue updated welfare-check procedures requiring physical checks during morning unlock.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Action
Amend residential wing ledgers to require daily recorded welfare checks, including weekends.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Action
Operate enhanced daily compliance checks using CCTV review, rotational unit sampling, issue escalation and management follow-up.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Action
Review welfare-check compliance and trends through monthly multidisciplinary Safety Meetings.
Stated by Clyde & Co Claims LLPStated completedThe respondent said that this action was complete when they made their response on 4 February 2026.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Welfare checks could safely be conducted by one officer, and there was no requirement for officers to conduct them in pairs.
Stated by Clyde & Co Claims LLPDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Inner North London
Concerns raised1
Failure to maintain welfare calls at least every 30 minutes
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Gwent
Concerns raised1
Inadequate welfare checks on residents
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Issue and implement a prescriptive welfare-check form with recording and response guidance across all three temporary accommodation sites.
Stated by MJ Events Support Ltd and Monmouthshire County CouncilStated completedThe respondent said that this action was complete when they made their response on 23 October 2025.
Action
Upgrade induction training with specific welfare-check guidance and place the protocol alongside welfare-check forms at all three sites.
Stated by MJ Events Support Ltd and Monmouthshire County CouncilStated completedThe respondent said that this action was complete when they made their response on 23 October 2025.
Action
Adopt Welfare Response Bags and require Safe Guards to carry them during welfare checks.
Stated by MJ Events Support Ltd and Monmouthshire County CouncilStated completedThe respondent said that this action was complete when they made their response on 23 October 2025.
Inner North London
Concerns raised1
Delays in actioning welfare checks and physically attending rooms
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Change the Duty Manager rota geography to reduce each manager’s property coverage and improve responsiveness for room-entry requests.
Stated by Unite StudentsStated completedThe respondent said that this action was complete when they made their response on 28 January 2025.
Action
Review Emergency Control Centre call-handling procedures to improve triage and ensure staff ask questions that establish the basis and potential seriousness of enquiries.
Stated by Unite StudentsStated in progressThe respondent said that this action was in progress when they made their response on 28 January 2025.
Action
Provide 24/7 staffing at all sites to support student welfare and response capacity.
Stated by Unite StudentsStated completedThe respondent said that this action was complete when they made their response on 28 January 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The concern that the welfare-check request took hours to action is based on misinterpreted evidence, and the pre-escalation response was reasonable.
Stated by Unite StudentsDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Inner North London
Concerns raised1
Failure to escalate unsuccessful contact attempts for a welfare check
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Contact unallocated service users through a welfare-call system and escalate concerns under new guidance.
Stated by North London NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 27 September 2024.
Action
Train staff and implement the MaST tool for real-time caseload tracking and prioritisation of high-risk service users.
Stated by North London NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 27 September 2024.
Action
Use RAG case tracking, weekly allocation meetings and interim manual audits to prioritise and follow up high-risk cases.
Stated by North London NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 27 September 2024.
Action
Provide staff guidance on RCRP protocols, including escalation within the police system when welfare-check requests are declined.
Stated by North London NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 27 September 2024.
Action
Clarify whether reported welfare-check arrangements have been completed in future cases.
Stated by GRAY’S INN MEDICAL GROUPStated plannedThe respondent said that this action was planned when they made their response on 27 September 2024.
Action
Discuss welfare-check clarification arrangements with practice management and the clinical lead.
Stated by GRAY’S INN MEDICAL GROUPStated completedThe respondent said that this action was complete when they made their response on 27 September 2024.
Surrey
Concerns raised1
Failure to check residents who may be in distress
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Extend the Room Call Policy and Procedure to cover verbal calls for assistance and require physical checks without exceptions.
Stated by The Red HouseStated completedThe respondent said that this action was complete when they made their response on 17 September 2024.
Action
Require staff who feel unsure entering a resident’s room to seek help and enter with a colleague or duty nurse.
Stated by The Red HouseStated completedThe respondent said that this action was complete when they made their response on 17 September 2024.
Action
Install bedroom QR codes requiring staff to enter rooms and record night checks on the care system.
Stated by The Red HouseStated completedThe respondent said that this action was complete when they made their response on 17 September 2024.
Action
Deliver reflective-practice, lessons-learned and supervision sessions addressing response to resident calls and measures to prevent recurrence.
Stated by The Red HouseStated completedThe respondent said that this action was complete when they made their response on 17 September 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The incident is considered isolated and unforeseeable, disputing the concern that similar failures may recur.
Stated by The Red HouseDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Mid Kent and Medway
Concerns raised1
Failure to conduct prisoner welfare checks in line with national guidance and local policies
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Inner North London
Concerns raised1
Failure to conduct a later welfare check on a person left in potential medical distress
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Provide reflective practice to involved officers, including review of safeguarding policies, legal powers, welfare checks and body-worn-video use.
Stated by British Transport PoliceStated completedThe respondent said that this action was complete when they made their response on 7 June 2024.
South Wales Central
Concerns raised1
Failure to maintain regular welfare calls and reassess delayed ambulance responses
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Establish a dispatch support role whose day-to-day responsibilities include undertaking welfare calls for patients waiting prolonged periods for ambulance responses.
Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 February 2024.
Action
Explore technology-enabled methods for providing welfare calls to patients waiting in the community, informed by processes used by other UK ambulance trusts.
Stated by Welsh Ambulance Services NHS TrustStated in progressThe respondent said that this action was in progress when they made their response on 14 February 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
High demand and limited capacity prevent regular welfare calls while emergency calls are prioritised.
Stated by Welsh Ambulance Services NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Inner North London
Concerns raised2
Failure to undertake required welfare checks at least every 24 hours
Failure to physically verify residents’ welfare when welfare concerns arise
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.7
Action
Extend night-shift hours and use a mandatory handover template to communicate failed welfare checks and At Risk issues between shifts.
Stated by Sapphire Independent HousingStated completedThe respondent said that this action was complete when they made their response on 19 January 2024.
Action
Deliver and continue welfare-check, risk-management, complex-needs and related At Risk training for resident-facing and Conway House staff.
Stated by Sapphire Independent HousingStated in progressThe respondent said that this action was in progress when they made their response on 19 January 2024.
Action
Introduce and monthly monitor At Risk procedure performance indicators through operational management meetings, with senior management review and Board reporting of incidents and KPI failures.
Stated by Sapphire Independent HousingStated plannedThe respondent said that this action was planned when they made their response on 19 January 2024.
Action
Introduce a shift leader on every shift to oversee At Risk compliance and effective handover.
Stated by Sapphire Independent HousingStated completedThe respondent said that this action was complete when they made their response on 19 January 2024.
Action
Recruit permanent night staff with job descriptions incorporating the At Risk procedure.
Stated by Sapphire Independent HousingStated in progressThe respondent said that this action was in progress when they made their response on 19 January 2024.
Action
Implement smaller, more frequent working patterns instead of seven consecutive shifts to reduce fatigue and missed checks.
Stated by Sapphire Independent HousingStated completedThe respondent said that this action was complete when they made their response on 19 January 2024.
Action
Formulate and use a written contractor induction package covering the conduct and recording of welfare checks.
Stated by Sapphire Independent HousingStated completedThe respondent said that this action was complete when they made their response on 19 January 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The existing At Risk procedure remains fit for purpose and provides adequate welfare checks and escalation mechanisms when correctly followed.
Stated by Sapphire Independent HousingExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
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Includes failures to initiate, complete, repeat or physically verify a required welfare check for a person who is distressed, in potential medical distress, or otherwise presents a welfare concern.
