PFD report

Alexander Rogers · Prevention of Future Deaths report

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Issued 8 Nov 2024•Oxfordshire

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
8

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised3

  1. Lack of effective, fair and unbiased formal channels for reporting serious concerns
  2. Social ostracism and exclusion of students based on allegations or perceptions of wrongdoing
  3. Failure to use formal processes and proper investigation or evidence when addressing allegations of serious misconduct
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 recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. Action

    Convene an early-2025 roundtable with experts, university welfare officials and students on social ostracism and trust in formal processes.

    Stated by Department for EducationStated plannedThe respondent said that this action was planned when they made their response on 14 November 2024.
  2. Action

    Work with sector bodies to help higher education providers implement new harassment and sexual misconduct measures.

    Stated by Department for EducationStated in progressThe respondent said that this action was in progress when they made their response on 14 November 2024.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of effective, fair and unbiased formal channels for reporting serious concerns

Wider context from the report

“In accordance with guidance to Universities, the College had commissioned an independent Serious Incident Review conducted by ████████, a specialist in mental health, and that Review identified evidence of a concerning practice of social ostracism among students, often referred to as a ‘cancel culture’. Her evidence was that this behaviour, where individuals are isolated and excluded from social groups based on allegations or perceptions of wrongdoing, poses a significant risk to student mental health and well-being. Both ████████ and the Director of Student Welfare at Oxford University, ████████, were of the view that this practice was likely in evidence in other higher education institutions although there was some uncertainty as to his prevalence. ████████ has made a number of recommendations specific to the to the College and University which they are implementing with some diligence. It was acknowledged this was complex and highly-sensitive issue in student life. Accordingly, I have attached a redacted extract from the ████████’s Review which sets out the evidence-base for this culture and its potential effects and risk, together with her proposals as to how it may be addressed through awareness raising and education. I did not find on the balance of probabilities that this culture specifically caused or contributed to Alexander’s death, but it did give rise to a concern that circumstances creating a risk of future deaths could occur. • Prevalence of social ostracism: Evidence suggests that social ostracism is a recognized practice within student communities, with multiple cases observed and acknowledged by both students and staff. The evidence was that this may be an issue more broadly for Universities in the UK. • Social ostracism as 'self-policing': Students appear to employ social ostracism as a means of 'self-policing' their community, often in response to allegations of serious misconduct. This occurs in the absence of formal processes and without proper investigation or evidence. • Negative impact on mental health: Social ostracism can have severe and lasting negative impacts on mental health. It can lead to feelings of isolation, shame, guilt, and worthlessness, all of which are recognized risk factors for suicide. • Lack of trust in formal processes: The prevalence of social ostracism may be linked to a lack of trust in formal channels for reporting serious concerns. Students may perceive these processes as ineffective, unfair, or biased, leading them to seek alternative means of addressing perceived wrongdoing. • Normalization of exclusionary behaviour: There is concern that social ostracism has become normalized within student communities, with individuals viewing it as an expected and accepted response to certain allegations or behaviours. This normalization hinders the development of healthy and supportive social environments. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Social ostracism and exclusion of students based on allegations or perceptions of wrongdoing

Wider context from the report

“In accordance with guidance to Universities, the College had commissioned an independent Serious Incident Review conducted by ████████, a specialist in mental health, and that Review identified evidence of a concerning practice of social ostracism among students, often referred to as a ‘cancel culture’. Her evidence was that this behaviour, where individuals are isolated and excluded from social groups based on allegations or perceptions of wrongdoing, poses a significant risk to student mental health and well-being. Both ████████ and the Director of Student Welfare at Oxford University, ████████, were of the view that this practice was likely in evidence in other higher education institutions although there was some uncertainty as to his prevalence. ████████ has made a number of recommendations specific to the to the College and University which they are implementing with some diligence. It was acknowledged this was complex and highly-sensitive issue in student life. Accordingly, I have attached a redacted extract from the ████████’s Review which sets out the evidence-base for this culture and its potential effects and risk, together with her proposals as to how it may be addressed through awareness raising and education. I did not find on the balance of probabilities that this culture specifically caused or contributed to Alexander’s death, but it did give rise to a concern that circumstances creating a risk of future deaths could occur. • Prevalence of social ostracism: Evidence suggests that social ostracism is a recognized practice within student communities, with multiple cases observed and acknowledged by both students and staff. The evidence was that this may be an issue more broadly for Universities in the UK. • Social ostracism as 'self-policing': Students appear to employ social ostracism as a means of 'self-policing' their community, often in response to allegations of serious misconduct. This occurs in the absence of formal processes and without proper investigation or evidence. • Negative impact on mental health: Social ostracism can have severe and lasting negative impacts on mental health. It can lead to feelings of isolation, shame, guilt, and worthlessness, all of which are recognized risk factors for suicide. • Lack of trust in formal processes: The prevalence of social ostracism may be linked to a lack of trust in formal channels for reporting serious concerns. Students may perceive these processes as ineffective, unfair, or biased, leading them to seek alternative means of addressing perceived wrongdoing. • Normalization of exclusionary behaviour: There is concern that social ostracism has become normalized within student communities, with individuals viewing it as an expected and accepted response to certain allegations or behaviours. This normalization hinders the development of healthy and supportive social environments. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to use formal processes and proper investigation or evidence when addressing allegations of serious misconduct

Wider context from the report

“In accordance with guidance to Universities, the College had commissioned an independent Serious Incident Review conducted by ████████, a specialist in mental health, and that Review identified evidence of a concerning practice of social ostracism among students, often referred to as a ‘cancel culture’. Her evidence was that this behaviour, where individuals are isolated and excluded from social groups based on allegations or perceptions of wrongdoing, poses a significant risk to student mental health and well-being. Both ████████ and the Director of Student Welfare at Oxford University, ████████, were of the view that this practice was likely in evidence in other higher education institutions although there was some uncertainty as to his prevalence. ████████ has made a number of recommendations specific to the to the College and University which they are implementing with some diligence. It was acknowledged this was complex and highly-sensitive issue in student life. Accordingly, I have attached a redacted extract from the ████████’s Review which sets out the evidence-base for this culture and its potential effects and risk, together with her proposals as to how it may be addressed through awareness raising and education. I did not find on the balance of probabilities that this culture specifically caused or contributed to Alexander’s death, but it did give rise to a concern that circumstances creating a risk of future deaths could occur. • Prevalence of social ostracism: Evidence suggests that social ostracism is a recognized practice within student communities, with multiple cases observed and acknowledged by both students and staff. The evidence was that this may be an issue more broadly for Universities in the UK. • Social ostracism as 'self-policing': Students appear to employ social ostracism as a means of 'self-policing' their community, often in response to allegations of serious misconduct. This occurs in the absence of formal processes and without proper investigation or evidence. • Negative impact on mental health: Social ostracism can have severe and lasting negative impacts on mental health. It can lead to feelings of isolation, shame, guilt, and worthlessness, all of which are recognized risk factors for suicide. • Lack of trust in formal processes: The prevalence of social ostracism may be linked to a lack of trust in formal channels for reporting serious concerns. Students may perceive these processes as ineffective, unfair, or biased, leading them to seek alternative means of addressing perceived wrongdoing. • Normalization of exclusionary behaviour: There is concern that social ostracism has become normalized within student communities, with individuals viewing it as an expected and accepted response to certain allegations or behaviours. This normalization hinders the development of healthy and supportive social environments. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Convene an early-2025 roundtable with experts, university welfare officials and students on social ostracism and trust in formal processes.

Verbatim wording from the response

“2) We will work with experts and leading university student welfare officials”

Source location

Response from Department for Education
Page 3 · response
Published 14 November 2024

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

Work with sector bodies to help higher education providers implement new harassment and sexual misconduct measures.

Verbatim wording from the response

“1) Action by the OfS to bring more consistency and rigour to the handling of harassment and sexual misconduct allegations in higher education settings. The OfS has introduced new regulatory requirements for preventing and addressing harassment and sexual misconduct which will be a condition of being registered with the OfS. This new condition of registration (condition E6) will come into force from August 2025. DfE and the OfS are working with sector bodies to help providers implement the new measures. All universities and colleges registered with the OfS will be required to publish and maintain policies and procedures that set out how they will deal with incidents of harassment and sexual misconduct. They will need to provide students with training on policies and processes, and ensure they understand behaviour that may constitute harassment and sexual misconduct.”

Source location

Response from Department for Education
Page 3 · response
Published 14 November 2024

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. 1

    Provide £15 million in 2024/25 funding through the OfS to help English higher education providers engage with the National Review and develop prevention strategies.

    Stated by Department for EducationStated completedThe respondent said that this action was complete when they made their response on 14 November 2024.
  2. 2

    Recruit 8,500 specially trained mental health workers to support people at risk of suicide.

    Stated by Department for EducationStated in progressThe respondent said that this action was in progress when they made their response on 14 November 2024.
  3. 3

    Commission the National Review of Higher Education Student Suicides to identify lessons and recommendations for preventing student suicides.

    Stated by Department for EducationStated in progressThe respondent said that this action was in progress when they made their response on 14 November 2024.
  4. 4

    Publicise insights and outputs from the roundtable on social ostracism and trust in formal processes.

    Stated by Department for EducationStated plannedThe respondent said that this action was planned when they made their response on 14 November 2024.
  5. 5

    Continue implementing the five-year cross-government suicide prevention strategy.

    Stated by Department for EducationStated in progressThe respondent said that this action was in progress when they made their response on 14 November 2024.
  6. 6

    Lead the Higher Education Mental Health Implementation Taskforce and publish its staged findings to drive improved mental health practice.

    Stated by Department for EducationStated in progressThe respondent said that this action was in progress when they made their response on 14 November 2024.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    Responsibility for protecting higher-education students lies with the OfS, which is taking relevant actions.

    Stated by Department for EducationRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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

Provide £15 million in 2024/25 funding through the OfS to help English higher education providers engage with the National Review and develop prevention strategies.

Verbatim wording from the response

“To support engagement with the National Review and enable higher education providers to develop mental health and suicide prevention strategies, DfE has made available £15 million in funding this academic year 2024/25, allocated via the OfS, to English higher education providers.”

Source location

Response from Department for Education
Page 2 · response
Published 14 November 2024

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

Recruit 8,500 specially trained mental health workers to support people at risk of suicide.

Verbatim wording from the response

“This government is committed to tackling suicide as one of this country’s leading causes of death for younger people. We are recruiting 8,500 new mental health workers who will be specially trained to support people at risk from suicide. We also continue to implement the five-year multi-sector and cross-government suicide prevention strategy, which set out a comprehensive set of actions to reduce the rates of suicide in England.”

Source location

Response from Department for Education
Page 1 · response
Published 14 November 2024

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

Commission the National Review of Higher Education Student Suicides to identify lessons and recommendations for preventing student suicides.

Verbatim wording from the response

“Office for National Statistics data suggests that the higher education student suicide rate is significantly lower compared to those of similar ages in the general population, with 64 deaths by suicide occurring in England and Wales in academic year ending 2020. However, we are clear that we expect higher education providers to go further in their efforts and take all reasonable steps to support students and prevent suicides. That is why we have asked a team of suicide experts at the University of Manchester, overseen by Professor ████████, to conduct a National Review of Higher Education Student Suicides (the National Review). We have seen exceptional engagement from the higher education sector, and the National Review will report in the Spring with valuable lessons learned and recommendations for better prevention of student suicides.”

Source location

Response from Department for Education
Page 2 · response
Published 14 November 2024

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

Publicise insights and outputs from the roundtable on social ostracism and trust in formal processes.

Verbatim wording from the response

“and students to convene a roundtable in early 2025 exploring the issues around social ostracism and lack of trust in formal processes in more depth. This will build on work being led by the University of Oxford to establish a working group on social ostracism and open discussions around how students can ‘disagree well’ and engage with ‘constructive dialogue’. The intention of the roundtable is to build shared knowledge on the issue, understand what gaps there may be currently in action in the higher education sector and appropriate responses. Insights and outputs which emerge following the roundtable will be publicised.”

Source location

Response from Department for Education
Page 4 · response
Published 14 November 2024

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 implementing the five-year cross-government suicide prevention strategy.

Verbatim wording from the response

“This government is committed to tackling suicide as one of this country’s leading causes of death for younger people. We are recruiting 8,500 new mental health workers who will be specially trained to support people at risk from suicide. We also continue to implement the five-year multi-sector and cross-government suicide prevention strategy, which set out a comprehensive set of actions to reduce the rates of suicide in England.”

Source location

Response from Department for Education
Page 1 · response
Published 14 November 2024

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

Lead the Higher Education Mental Health Implementation Taskforce and publish its staged findings to drive improved mental health practice.

Verbatim wording from the response

“prevention extremely seriously. We are taking action in partnership with the OfS and the sector to ensure students are better supported. Our Higher Education Support Champion, Professor ████████, is leading a Higher Education Mental Health Implementation Taskforce representing students, bereaved parents, the health and higher education sectors and mental health and suicide experts. It aims to bring about meaningful change in mental health practice and has recently published its second stage report.¹”

Source location

Response from Department for Education
Page 2 · response
Published 14 November 2024

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

Responsibility for protecting higher-education students lies with the OfS, which is taking relevant actions.

Verbatim wording from the response

“Having sought your consent, we have shared the Report with the Office for Students (OfS), the independent regulator for higher education in England. The OfS are responsible for protecting the interests of students in the higher education sector and we have included actions OfS are taking as part of our response. We have also spoken to representatives of the University of Oxford and with Dr ████████, ████████, who as you know, led the serious incident review, in forming our response.”

Source location

Response from Department for Education
Page 1 · response
Published 14 November 2024

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026