Recurring concern

Unreliable recording of safeguarding information

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First reported 12 Sep 2014•Latest report 25 Feb 2026

Definition

What this concern includes

Includes failures to record, update or preserve material safeguarding information in designated safeguarding forms, admission records or comparable care and custody records where the omission can impair recognition, assessment, communication or management of safeguarding risk.

Not included

  • Excludes generic clinical or administrative record-keeping failures where safeguarding information is not the material object.
  • Excludes failures to investigate, refer, escalate or act on safeguarding information after it has been accurately recorded.
  • Excludes failures involving transfer or access to safeguarding information where the information was recorded reliably and the unsafe condition is only later communication or retrieval.
  • Excludes generic safeguarding training or professional-judgement deficiencies that do not directly cause incomplete or absent recording of safeguarding information.
Reports
11

Distinct published reports

Individual concerns
14

A report can raise multiple concerns

Date range
2014–2026

First to latest report issue date

Stated actions
23

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.

Home Office3
Ministry of Justice2
Care Quality Commission1
Catholic Safeguarding Standards Agency1
Church of England1
Cookham Wood Prison1
Crown Prosecution Service1
Department for Education1
Department for Work and Pensions1
Department of Health and Social Care1
Derby City Council1
Derbyshire County Council1
East Riding of Yorkshire Council1
G4S1
Greater Manchester Combined Authority1

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.

  1. Isle of Wight

    AI-generated summary

    Barbara Monica May Cooke · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Barbara Monica May Cooke, an 84-year-old resident of Waxham House Residential Care Home, developed severe pressure ulcers, sepsis and multiple organ failure, and died in hospital on 11 April 2014. The report raised concerns about inadequate staffing, delays in toileting and cleaning, failure to recognise and manage infection risks associated with pressure sores, and gaps in communication and safeguarding procedures after her admission and death.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of admission recording of open safeguarding concerns

    Wider context from the report

    “4. I am concerned that there does not appear to be a system in place at St Mary’s Hospital to record on admission that a patient is the subject of an open Safeguarding concern. (In this case, the subject of the Safeguarding alert was an adult, but this concern relates to both adults and children.) ”

    Source location

    Barbara Monica May Cooke · Prevention of Future Deaths report
    Page 6 · concerns

    Open source report
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Data last updated 7 September 2026