PFD report

Barry Christopher Spooner · Prevention of Future Deaths report

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Issued 1 Jul 2025•Nottinghamshire

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
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
1

Described in responses

Recipients and published responses

Source document

Full report text

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure to provide previous PPNs to Adult Social Care when a current PPN is referred immediately
    Part of recurring concern: Unreliable inter-agency information sharing for coordinated carePart of recurring concern: Unreliable social care referral pathways
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

    Amend information-sharing processes so referred PPNs include relevant previously unshared PPNs from the preceding 12 months, commencing 1 October 2025.

    Stated by Crime, Custody and Criminal JusticeStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.

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 provide previous PPNs to Adult Social Care when a current PPN is referred immediately

Wider context from the report

“1. Insufficient information sharing from Nottinghamshire Police to the Local Authority in the event of a public protection concern. I heard evidence about the new Vulnerability Policy followed by the police in order to try to improve information sharing between organisations. I was told that when a PPN is completed and sent to the MASH it is considered by an experienced officer who decides whether or not to refer it on to Adult Social Care for their consideration. If they decide not to refer onwards then the officer will consider all PPNs from the previous 12 months. If this review causes them to change their opinion then the current PPN and the previous PPNs will be referred onwards. This ensures Adult Social Care has all relevant information to help them decide upon the best course of action. In accordance with the Vulnerability Policy, it was explained to me that when a PPN is considered suitable for referral to Adult Social Care straight away then previous PPNs are not reviewed and sent on to Adult Social Care if they have not already had them. This means that in a scenario where there have been previous PPNs that have not been provided to Adult Social Care, then that team will not be aware of all of the relevant information when considering the referral from the MASH and the most appropriate course of action. This may impact upon Adult Social Care’s ability to make a proper decision in such cases and may put vulnerable people at more of a risk depending upon whether previous PPNs have been provided to Adult Social Care, or not. ”

Is this part of a recurring concern?

Yes — Unreliable inter-agency information sharing for coordinated care; Unreliable social care referral pathways.

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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

Amend information-sharing processes so referred PPNs include relevant previously unshared PPNs from the preceding 12 months, commencing 1 October 2025.

Verbatim wording from the response

“We will be amending our information sharing processes to address the concerns raised so that in the event that a PPN is considered suitable for referral to adult social care, these will be accompanied by any PPN’s from the previous 12 months which had not previously been deemed suitable for sharing.”

Source location

Response from Nottinghamshire Police
Page 1 · response
Published 14 July 2025

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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