First reported 29 Jul 2022•Latest report 2 Apr 2026
Definition
What this concern includes
Includes mandatory reviews, quality checks and assurance mechanisms for commissioned, privately arranged or packaged care provision.
Not included
Direct care-delivery failures with no commissioning or assurance deficiency
Clinical care-plan review within a provider
Regulatory inspection outside the commissioning relationship
Reports
4
Distinct published reports
Individual concerns
5
A report can raise multiple concerns
Date range
2022–2026
First to latest report issue date
Stated actions
9
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.
NHS England2
Cygnet Health Care Limited1
Department of Health and Social Care1
Multi-Care Community Services Suffolk1
NHS North West London Integrated Care Board1
Executive non-departmental public body2
Integrated care board1
Ministerial department1
Private limited company1
Type not available1
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.
Suffolk
Concerns raised1
Inadequate assurance of commissioned care services
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.
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
Audit care records and care-plan activities, addressing identified concerns and non-compliance.
Stated by Multi-Care Community Services Suffolk LtdStated completedThe respondent said that this action was complete when they made their response on 10 April 2026.
Action
Implement weekly governance meetings and strengthened supervision, performance management, auditing, competency review, senior oversight and stakeholder feedback processes.
Stated by Multi-Care Community Services Suffolk LtdStated completedThe respondent said that this action was complete when they made their response on 10 April 2026.
Action
Commission and maintain a quarterly programme of external audits and service reviews for independent scrutiny.
Stated by Multi-Care Community Services Suffolk LtdStated in progressThe respondent said that this action was in progress when they made their response on 10 April 2026.
Action
Review quality-assurance reporting directly at Board level to maintain accountability for care quality and compliance.
Stated by Multi-Care Community Services Suffolk LtdStated completedThe respondent said that this action was complete when they made their response on 10 April 2026.
Manchester South
Concerns raised1
Lack of a mechanism to ensure appropriate quality of privately arranged care
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Local authority safeguarding duties provide a mechanism to investigate private home-care arrangements where poor quality places an adult at risk.
Stated by Department of Health and Social CareDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
South Yorkshire (Western)
Concerns raised1
Failure of commissioners to obtain assurance about ligature practice and individual safety
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.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Weekly meetings, reports, care-plan discussions and review of serious incidents were considered sufficient commissioner oversight of ligature risks.
Stated by NHS England - North East and YorkshireExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
NHS England is responsible for commissioning and assuring the quality of the service, including management of risk and ward culture.
Stated by Cygnet Health Care LimitedRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
West London
Concerns raised2
Failure to conduct mandatory care-package quality checks and reviews
Lack of scrutiny and reconciliation of the care package
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.5
Action
Conduct scheduled and needs-based care-package reviews with families and multidisciplinary teams, formally record and panel-discuss them, and monitor performance through senior managers.
Stated by NHS North West LondonStated completedThe respondent said that this action was complete when they made their response on 4 October 2022.
Action
Hold quarterly case-manager meetings with commissioned providers’ clinical leads and the child’s lead professional to identify concerns and monitor whether clinical needs are safely met.
Stated by NHS North West LondonStated completedThe respondent said that this action was complete when they made their response on 4 October 2022.
Action
Issue NHS standard contracts requiring provider quality checks, monthly care reports, staff competency assurance and care-package risk assessments.
Stated by NHS North West LondonStated completedThe respondent said that this action was complete when they made their response on 4 October 2022.
Action
Conduct quarterly monitoring meetings between senior continuing-care managers, the care brokerage officer and commissioned care providers.
Stated by NHS North West LondonStated completedThe respondent said that this action was complete when they made their response on 4 October 2022.
Action
Benchmark and peer-review care packages to identify support hours meeting assessed clinical needs and promote safe, fair and consistent provision.
Stated by NHS North West LondonStated completedThe respondent said that this action was complete when they made their response on 4 October 2022.
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Includes mandatory reviews, quality checks and assurance mechanisms for commissioned, privately arranged or packaged care provision.
