Recipient

Northumberland Children and Adults Safeguarding Partnership

First report 20 Feb 2025•Latest report 20 Feb 2025

Recipient record

Reports, concerns and published responses

Other public bodies · Other public body. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 2
Stated actions: 9

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

100%published responses found

9stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Northumberland Children and Adults Safeguarding Partnership linked to the concerns in each report. Select any concern, action or position to view the source wording.

20 Feb2025
Cumbria
Concerns raised2
1. Failure to adopt a multiagency safeguarding approach
2. Failure to make safeguarding referrals when other agencies are thought to be aware
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 3
1. Action
  Audit cases involving self-neglect risk, assess referral, escalation and management oversight, and share findings with partners for practice review.
  Stated in progress
2. Action
  Continue delivering multi-agency self-neglect training across the partnership, including training for the GP practice.
  Stated in progress
3. Action
  Introduce a multi-agency risk management framework within six months for earlier intervention and referrals involving adults with complex needs and serious-risk concerns.
  Stated planned
Respondent positions 1
1. Position
  The Integrated Care Board is leading work to ensure escalation processes and safeguarding responsibilities are understood across primary care services.
  Redirects responsibility
AI-generated summary

Janet Scott · 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

Janet Scott, who had schizophrenia and diabetes and was at serious risk of self-neglect, was found unresponsive at home on 28 March 2023 after concerns about her living conditions and welfare had been raised. She died in hospital on 30 March 2023 after developing sepsis. The report identified missed opportunities to provide assistance and a failure to activate multi-agency safeguarding procedures, raising concern that safeguarding referrals may not be made when agencies assume others are already aware.

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. The report was sent to Northumberland Children and Adults Safeguarding Partnership; that does not assign responsibility.
PFD Monitor interpretation
Failure to adopt a multiagency safeguarding approach
Wider context from the report
“(1) Although individual agencies referred me to training they had provided to staff since Ms Scott's death, I also received evidence that, for instance, the GP surgery might not raise a safeguarding referral if the same circumstances were repeated because social services had already been informed. This leads me to be concerned that the message that 'safeguarding is everyone's responsibility' has not been taken on board. I am concerned that future cases will occur in which a multiagency approach is not adopted or that individuals will not make safeguarding referrals because they assume that other agencies are already aware of the issue. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Northumberland Children and Adults Safeguarding Partnership; that does not assign responsibility.
PFD Monitor interpretation
Failure to make safeguarding referrals when other agencies are thought to be aware
Wider context from the report
“(1) Although individual agencies referred me to training they had provided to staff since Ms Scott's death, I also received evidence that, for instance, the GP surgery might not raise a safeguarding referral if the same circumstances were repeated because social services had already been informed. This leads me to be concerned that the message that 'safeguarding is everyone's responsibility' has not been taken on board. I am concerned that future cases will occur in which a multiagency approach is not adopted or that individuals will not make safeguarding referrals because they assume that other agencies are already aware of the issue. ”
Open source report
Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation
Audit cases involving self-neglect risk, assess referral, escalation and management oversight, and share findings with partners for practice review.

Verbatim wording from the response
“Audits of clients at risk of self-neglect have evidenced a range of referral sources including (but not limited to) family, friends and neighbours; community health staff; probation workers; fire service personnel and GPs. Close examination of records includes historic cases as well as recent referrals and consideration of whether appropriate and timely action was taken (including escalation to safeguarding procedures) and if there has been sufficient management oversight. Findings from these audits will be shared with partners across NCASP via the task and finish group once completed and implications for practice considered and kept under review.”

Source location
Response from Northumberland Children's and Adults Safeguarding Partnership
Page 2 · response
Published 27 February 2025
Open published response
Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation
Continue delivering multi-agency self-neglect training across the partnership, including training for the GP practice.

Verbatim wording from the response
“tool for use by practitioners and outlines suggested responses depending upon the level of risk and harm identified. The policy emphasises the importance of a person-centred approach as well as the need to balance autonomy with protection and a duty of care, which was highlighted in the review of Ms Scott’s death. Multi-agency training has been delivered across the partnership to increase awareness of the policy, and training will continue throughout 2025 including with Ms Scott’s GP practice in July 2025.”

Source location
Response from Northumberland Children's and Adults Safeguarding Partnership
Page 2 · response
Published 27 February 2025
Open published response
Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation
Introduce a multi-agency risk management framework within six months for earlier intervention and referrals involving adults with complex needs and serious-risk concerns.

Verbatim wording from the response
“Multi-agency Risk Management (MARM) Framework NCASP will introduce a multi-agency risk management framework within 6 months, which will set out a shared commitment across agencies who work with risk in Northumberland and will provide practice guidance to practitioners who are working with adults who have multiple and complex needs and are at risk of serious harm or abuse. This framework will support professionals to provide earlier multi-agency intervention than traditional safeguarding procedures and encourage referrals for low level concerns before they become significant and critical.”

Source location
Response from Northumberland Children's and Adults Safeguarding Partnership
Page 3 · response
Published 27 February 2025
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
The Integrated Care Board is leading work to ensure escalation processes and safeguarding responsibilities are understood across primary care services.

Verbatim wording from the response
“In addition, as a Statutory Partner, the Integrated Care Board are taking the lead in relation to ensuring escalation processes and safeguarding responsibilities are widely known and understood across Primary Care services and will ensure evidence of this is shared with NCASP.”

Source location
Response from Northumberland Children's and Adults Safeguarding Partnership
Page 3 · response
Published 27 February 2025
Open published response

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026

Reports, concerns and published responses

Reports over time

Concerns raised2

Failure to adopt a multiagency safeguarding approach

Failure to make safeguarding referrals when other agencies are thought to be aware

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.3

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.1

Actions described in response 3

Respondent positions 1