First reported 12 Sep 2014•Latest report 5 Mar 2026
Definition
What this concern includes
Includes failures of the end-to-end safeguarding response involving safeguarding notices, referrals or identified safeguarding concerns, including inadequate assignment, follow-up, escalation, investigation or protective action.
Not included
Excludes generic communication, documentation or staffing deficiencies unless they are directly tied to the safeguarding response.
Excludes failures concerning clinical referrals or other service referrals without an explicit safeguarding concern.
Excludes failures to issue general warnings or safety notices that are not safeguarding notices.
Reports
39
Distinct published reports
Individual concerns
44
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
74
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 Care4
Care Quality Commission3
East London NHS Foundation Trust2
Greater Manchester Mental Health NHS Foundation Trust2
Surrey County Council2
Berkshire Healthcare NHS Foundation Trust1
Berrycroft Manor1
Broadland View Care Home1
Cafcass1
Catholic Safeguarding Standards Agency1
Central London Community Healthcare NHS Trust1
Chippenham Community Hospital1
Church of England1
Clifton Court Nursing Home1
Community Health Care1
NHS trust13
English county council7
Private limited company6
English metropolitan district council5
English unitary authority5
Ministerial department5
Police force5
Executive non-departmental public body3
Health and social care service regulator3
Healthcare site3
London borough council3
Other public body3
Residential care home3
Registered provider of social housing2
Type not available2
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.
Inner North London
Concerns raised2
Failure to take responsibility for coherent evidence-based process decisions
Failure to define the safeguarding purpose and route information to the appropriate professionals
This report raised 15 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.8
Action
Design and implement improved systems for capturing, triaging, recording, assessing and appropriately sharing safeguarding and conduct information.
Stated by Diocese of London and Lambeth PalaceStated in progressThe respondent said that this action was in progress when they made their response on 15 July 2021.
Action
Develop a supervised referral and triage process that assigns case holders and maintains initial and ongoing risk assessments, including mental health.
Stated by Diocese of London and Lambeth PalaceStated in progressThe respondent said that this action was in progress when they made their response on 15 July 2021.
Action
Develop casework tracking and structured review systems to record progress against milestones and monitor actions throughout each case.
Stated by Diocese of London and Lambeth PalaceStated in progressThe respondent said that this action was in progress when they made their response on 15 July 2021.
Action
Change the minimum case-management supervision standard to monthly, with more frequent supervision when required.
Stated by CSSAStated plannedThe respondent said that this action was planned when they made their response on 15 July 2021.
Action
Develop and establish a formal Case Consultation Committee providing expert advice, documented recommendations and case-management follow-up.
Stated by CSSAStated in progressThe respondent said that this action was in progress when they made their response on 15 July 2021.
Action
Use a single safeguarding referral line and inbox as the entry point for referrals and their initial triage.
Stated by Diocese of London and Lambeth PalaceStated completedThe respondent said that this action was complete when they made their response on 15 July 2021.
Action
Implement formal information-sharing protocols and agreements for safeguarding information with relevant statutory, faith and partner organisations.
Stated by Diocese of London and Lambeth PalaceStated plannedThe respondent said that this action was planned when they made their response on 15 July 2021.
Action
Collaborate with the Church of England to create and implement information-sharing and unresolved-concern escalation processes.
Stated by CSSAStated plannedThe respondent said that this action was planned when they made their response on 15 July 2021.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Established guidance requiring direct referral of safeguarding concerns to qualified professionals remains appropriate; clergy should not filter or investigate them.
Stated by Diocese of London and Lambeth PalaceExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Warwickshire
Concerns raised1
Failure to raise safeguarding alerts with the local authority
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.2
Action
Implement challenging-behaviour, dementia and safeguarding training programmes, with safeguarding included in staff induction.
Stated by Crosscrown LimitedStated completedThe respondent said that this action was complete when they made their response on 9 July 2021.
Action
Record challenging behaviour in CareDocs, require ABC forms, conduct daily managerial checks, escalate safeguarding concerns, and analyse referrals through monthly management reporting.
Stated by Crosscrown LimitedStated completedThe respondent said that this action was complete when they made their response on 9 July 2021.
Mid Kent and Medway
Concerns raised1
Failure to act on safeguarding alerts
This report raised 12 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.
Surrey
Concerns raised1
Failure to communicate MARAC-identified risks and planned safeguarding measures to general practitioners
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.1
Action
Assist Surrey Police with its detailed review of MARAC workings.
Stated by Surrey County CouncilStated in progressThe respondent said that this action was in progress when they made their response on 7 October 2022.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Surrey Police, as MARAC lead agency and chair, is responsible for reviewing and improving MARAC workings; Surrey County Council will assist.
Stated by Surrey County CouncilRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Brighton and Hove
Concerns raised1
Delays in processing medium-risk safeguarding alerts
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.
Shropshire, Telford and Wrekin
Concerns raised1
Inadequate response to safeguarding concerns and allegations of domestic abuse
This report raised 11 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.
Manchester North
Concerns raised1
Lack of automated safeguarding alerts for high-risk pupil searches on school computers
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.
Surrey
Concerns raised1
Failure to conduct an adequate safeguarding enquiry
This report raised 11 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.5
Action
Improve systems to identify long-running adult safeguarding enquiries and bring them to satisfactory conclusions.
Stated by Surrey County CouncilStated completedThe respondent said that this action was complete when they made their response on 22 December 2017.
Action
Implement a revised quality assurance auditing programme for adult safeguarding work.
Stated by Surrey County CouncilStated completedThe respondent said that this action was complete when they made their response on 22 December 2017.
Action
Revise adult safeguarding policies and procedures with clearer expectations for planning, family involvement, organisational contributions, responsibility and timeliness.
Stated by Surrey County CouncilStated in progressThe respondent said that this action was in progress when they made their response on 22 December 2017.
Action
Deliver a learning and development programme to help staff meet revised adult safeguarding expectations.
Stated by Surrey County CouncilStated plannedThe respondent said that this action was planned when they made their response on 22 December 2017.
Action
Review systems to support expected adult safeguarding practice and produce better management information for oversight.
Stated by Surrey County CouncilStated plannedThe respondent said that this action was planned when they made their response on 22 December 2017.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The employing provider had first responsibility to complete the safeguarding enquiry, subject to the Council assuring its sufficiency and following up if necessary.
Stated by Surrey County CouncilRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Wiltshire and Swindon
Concerns raised1
Failure to properly investigate safeguarding referrals before sign-off
This report raised 8 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.
Milton Keynes
Concerns raised1
Failure to respond effectively to safeguarding alerts when the person does not engage
This report raised 6 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.
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Includes failures of the end-to-end safeguarding response involving safeguarding notices, referrals or identified safeguarding concerns, including inadequate assignment, follow-up, escalation, investigation or protective action.
