Recurring concern
Failure to conduct required welfare checks on people in distress
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Request correctionFirst reported 11 Nov 2014•Latest report 4 Feb 2026
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
- Individual concerns
- 24
- Date range
- 2014–2026
- Stated actions
- 39
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
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.
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.
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Concerns raised1
Lack of observations and welfare checks for prisoners found under the influence of psychoactive substances
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 concernsEach 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
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Action
Gather information from regional prison safety groups about local initiatives for observations and welfare checks.
Stated by HM Prison and Probation Service -
Action
Discuss nationally rolling out local drug-related safety initiatives with the NHSE/I national team.
Stated by HM Prison and Probation Service
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
HMPPS is responsible for deciding whether local welfare, substance intervention and life-support processes should be rolled out nationally.
Stated by NHS England
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Position
Matters of concern i, ii, iii and v do not relate to NHS Digital, so it has no comment on them.
Stated by NHS England
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Concerns raised1
Failure to conduct timely welfare checks on a prisoner at risk of suicide
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to conduct a two-person physical welfare check after no response
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of assertive outreach and organised welfare checks after community discharge
This report raised 13 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Care coordination and assertive outreach concerns relate to services commissioned by the CCG and provided by Lincolnshire Partnership NHS Trust.
Stated by Lincolnshire County Council
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Position
A police welfare check was not considered necessary based on the information available at the time.
Stated by Lincolnshire Partnership NHS Foundation Trust
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Concerns raised1
Failure to conduct a welfare check on cell unlock
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 concernsEach 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
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Action
Introduce the Residential Activities, Basics and Cleanliness compliance process to support welfare checks during prisoner unlocks.
Stated by Ministry of Justice
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Concerns raised1
Failure to request police assistance for welfare checks when ambulance resources are constrained
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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
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Action
Raise overdose welfare checks with police and seek a formal memorandum-of-understanding extension.
Stated by Cardiff & Vale University LHB and Welsh Ambulance Services NHS Trust
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Concerns raised1
Failure to arrange welfare checks pending mental health assessment
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Insufficient efforts to search and check upon a person's wellbeing when asked to attend the scene
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Delays in conducting a home welfare visit after unexplained non-attendance
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to check that patients are alive and well when room doors are unlocked
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 concernsEach 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
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Action
Implement standard operating procedures requiring the nurse in charge to attend each post-confinement door opening and confirm each patient’s presence and wellbeing.
Stated by West London NHS Trust
Data last updated 7 September 2026