PFD report

Jacqueline Oakes · Prevention of Future Deaths report

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Issued 16 Oct 2018•Birmingham and Solihull

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.

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Concerns
1

Raised in this report

Recipients
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
3

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.

Concerns raised1

  1. Lack of a mechanism to alert other agencies when high-risk offenders are released after completing their full sentence
    Part of recurring concern: Unreliable safe-release arrangements for high-risk offenders
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.1

  1. Action

    Write guidance on sentence termination activity, including expectations for sharing offender plans with other agencies under lawful information-sharing practice.

    Stated by HM Prison and Probation ServiceStated in progressThe respondent said that this action was in progress when they made their response on 16 October 2018.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Position

    After sentence termination, probation has no responsibility or powers to manage the offender.

    Stated by HM Prison and Probation ServiceOutside remitThe respondent said that this matter was outside its role or authority.

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 a mechanism to alert other agencies when high-risk offenders are released after completing their full sentence

Wider context from the report

“When an offender is released having completed their full sentence who is known to be a high risk to others there is no mechanism for any other agencies to be alerted to that person’s release. Had an alert been provided to other agencies that came into contact with Jacqueline and ████████ it would have meant they were better able to manage the risks he posed. Consideration should be given to whether such alerts can be provided. ”

Is this part of a recurring concern?

Yes — Unreliable safe-release arrangements for high-risk offenders.

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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

Write guidance on sentence termination activity, including expectations for sharing offender plans with other agencies under lawful information-sharing practice.

Verbatim wording from the response

“Guidance on activity that is required at termination of sentence is currently being written as part of the HMPPS transition to a new model for managing offenders in custody. This will set out a clear expectation that plans are shared with other agencies involved with the offender in line with lawful information sharing practice.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 5 · response
Published 16 October 2018

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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

After sentence termination, probation has no responsibility or powers to manage the offender.

Verbatim wording from the response

“Relevant agencies that have been, or will continue to be involved post sentence, should be informed about the final plan and also notified that Probation will no longer be responsible for managing the sentence of the court and do not have any further powers in relation to the offender. If there are concerns in relation to a known child (or children) probation providers have a duty to report these concerns to the Local Authority, following local referral procedures.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 4 · response
Published 16 October 2018

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

Where no organisation remains in contact with an offender, information cannot be passed on at sentence termination.

Verbatim wording from the response

“Where an offender is not in contact with any other organisations at the end of sentence, it is clearly not possible to pass information on at that point the offender will no longer be subject to monitoring or supervision by the NPS. However, Probation will contribute to any ongoing MAPPA management under Category 3, Multi Agency Risk Assessment Conferences for high risk victims of domestic abuse and can provide relevant and proportionate information to supplement that provided by the police on offenders they have previously managed.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 4 · response
Published 16 October 2018

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

Police decide whether to disclose pertinent risk information to relevant agencies in other situations.

Verbatim wording from the response

“In all other situations, the Police already have access to the information regarding the offending history, the sentence and licence and are able to consider disclosure of any pertinent risk information to any relevant agencies where they consider it appropriate to do so. This information will be supplemented by the additional information stored on VISOR.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 5 · response
Published 16 October 2018

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.2

  1. 1

    Expand NPS staff access to ViSOR and create records for all MAPPA-eligible violent offenders through a phased rollout with staff training.

    Stated by HM Prison and Probation ServiceStated in progressThe respondent said that this action was in progress when they made their response on 16 October 2018.
  2. 2

    Update MAPPA guidance with advice on referring certain controlling, coercive and serial domestic-abuse perpetrators for Category 3 consideration.

    Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 16 October 2018.

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

Expand NPS staff access to ViSOR and create records for all MAPPA-eligible violent offenders through a phased rollout with staff training.

Verbatim wording from the response

“Violent offenders who did not meet the criteria for level 2 or 3 MAPPA management are the only cohort of MAPPA offenders who have not routinely had records created on ViSOR. This identified gap in public protection provision is being addressed by a significant programme of change which will see the NPS increase staff access to ViSOR. It will be available to probation officers on their laptop computers for the first time and NPS will create ViSOR records for all MAPPA eligible violent offenders. Training is being scheduled and NPS will adopt a phased approach ensuring all relevant eligible offenders have a ViSOR record, starting with newly sentenced offenders, those already in the community or due for release and working back to those with longer to serve in custody. This will commence in February 2019.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 2 · response
Published 16 October 2018

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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

Update MAPPA guidance with advice on referring certain controlling, coercive and serial domestic-abuse perpetrators for Category 3 consideration.

Verbatim wording from the response

“Additionally, the most recent update to the Guidance has included further advice on specific offenders who are not automatically eligible for management under MAPPA, to be referred into MAPPA. This includes those sentenced for offences of “Controlling or Coercive Behaviour in an Intimate or Family Relationship” and serial domestic abuse perpetrators. Where the lead agency deems that these offenders pose a risk of serious harm that requires active multi-agency management, they should consider referral into Category 3.”

Source location

2018-0419-Response-by-HM-Prison-and-Probation-Service
Page 3 · response
Published 16 October 2018

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

Data last updated 7 September 2026