Ofsted’s chief inspector has vowed to make changes to the system in the wake of the tragic death of headteacher Ruth Perry.
Mrs Perry took her own life in January last year after Caversham Primary School in Reading, Berkshire, was downgraded from top grade, “outstanding”, to the lowest, “inadequate”.
Senior coroner Heidi Connor issued a series of recommendations in a Prevention of Future Deaths report, which Ofsted formally responded to on Friday.
Ofsted’s chief inspector Sir Martyn Oliver, appointed head of the education watchdog at the start of the year, said he is “determined to do everything in my power to prevent such tragedies in the future”.
In a statement, he said he accepted the coroner’s findings and pledged to carry out inspections “in a way that is sensitive to the pressures faced by leaders and staff, without losing our focus on our children and learners”.
“We intend to re-evaluate our internal policies and procedures in light of these findings, so we can identify where changes need to be made,” Sir Martyn said.
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What did the coroner recommend?
The Prevention of Future Deaths report identified a number of areas of concern, including the impact the current Ofsted system has on the welfare of school leaders.
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There is “an almost complete absence” of Ofsted training when a school leader shows signs of distress during an inspection, taking practical steps and recognising when it is appropriate to pause the inspection.
The report also pointed to the “absence of a clear path” to raise concerns during an Ofsted visit, if they cannot be resolved with the inspector.
There was no formal written policy about any confidentiality requirement after inspections – meaning teachers may fear discussing the outcomes with colleagues outside of the school and mental health professionals.
Image: Ofsted has vowed to make changes to ensure ‘no one should feel as Ruth did’
Ms Connor also raised concerns about how fast Ofsted reports are published and the lack of policy for any “learning review” to be conducted.
Finally, she made reference to Education Secretary Gillian Keegan being quoted in an Ofsted publication last June as saying the department is “significantly expanding wellbeing support for headteachers”.
However, a witness during the inquest was unable to clarify what form the additional support had taken place.
What action will Ofsted take?
The education watchdog has already “done much” in the wake of Mrs Perry’s death but “there is a lot still to do”, Sir Martyn said.
Ofsted will provide mandatory mental health awareness training for all inspectors, due to be completed by the end of March this year, to not only spot signs of distress but also reduce anxiety.
New policies include allowing a rapid return for schools graded “inadequate” solely due to ineffective safeguarding – meaning they have a chance to fix problems and improve their grade before any formal intervention.
Inspectors will also be able to request a pause if, for example, a headteacher needs more support.
Image: Sir Martyn Oliver was appointed Ofsted chief inspector on New Year’s Day this year
Headteachers can now share inspection outcomes with their personal support network.
An independent expert will be appointed to lead a learning review of Ofsted’s response to Mrs Perry’s death.
In addition, the watchdog will conduct a “comprehensive learning exercise” called The Big Listen, which gives a voice to parents, children, learners and professionals.
Sir Martyn added: “I would like to express my deepest condolences to Ruth’s family and friends and apologise sincerely for the part our inspection of her school played in her death.
“I will do everything in my power to help ensure that inspections are carried out with professionalism, courtesy, empathy and respect, and with consideration for staff welfare.
“Such tragedies should never happen again, and no one should feel as Ruth did.”
Image: Professor Julia Waters, sister of Ruth Perry, says she is disappointed that ‘single-word judgments’ have not been dropped
Mrs Perry’s sister, Professor Julia Waters, said she was “disappointed that the government has opted to keep misleading and harmful single-word judgments”.
She said: “Whether these brand a school as ‘outstanding’ or ‘inadequate’, or the grades in between, these blunt verdicts obscure many of the important details. As the coroner noted, Ruth was devastated by the impact of such language.
“Parents, teachers, governors and others should be encouraged to engage with the details of inspection findings, and not just fixate on one or two words. Simplicity may be convenient for government bureaucrats, but it acts against the true interests of children, parents and teachers.”
An inquiry last November found Ofsted was “not fit for purpose” and had “lost the trust of the teaching profession and increasingly of parents”.
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Former Ofsted chief inspector Amanda Spielman apologised to Mrs Perry’s friends and family, who blamed her death on the “deeply harmful” pressure of the inspection in November 2022.
In a statement, Ms Keegan said: “Ruth Perry’s death was a tragedy and the coroner’s findings made clear that lessons need to be learned.
“We are working to ensure inspections keep children safe while also prioritising the safety and wellbeing of school leaders serving in our schools, through expanded wellbeing support for leaders.”
:: Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.
At least 13 people may have taken their own lives after being accused of wrongdoing based on evidence from the Horizon IT system that the Post Office and developers Fujitsu knew could be false, the public inquiry has found.
A further 59 people told the inquiry they considered ending their lives, 10 of whom tried on at least one occasion, while other postmasters and family members recount suffering from alcoholism and mental health disorders including anorexia and depression, family breakup, divorce, bankruptcy and personal abuse.
Writing in the first volume of the Post Office Horizon IT Inquiry report, chairman Sir Wyn Williams concludes that this enormous personal toll came despite senior employees at the Post Office knowing the Horizon IT system could produce accounts “which were illusory rather than real” even before it was rolled out to branches.
Sir Wyn said: “I am satisfied from the evidence that I have heard that a number of senior, and not so senior, employees of the Post Office knew or, at the very least, should have known that Legacy Horizon was capable of error… Yet, for all practical purposes, throughout the lifetime of Legacy Horizon, the Post Office maintained the fiction that its data was always accurate.”
Referring to the updated version of Horizon, known as Horizon Online, which also had “bugs errors and defects” that could create illusory accounts, he said: “I am satisfied that a number of employees of Fujitsu and the Post Office knew that this was so.”
The first volume of the report focuses on what Sir Wyn calls the “disastrous” impact of false accusations made against at least 1,000 postmasters, and the various redress schemes the Post Office and government has established since miscarriages of justice were identified and proven.
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‘It stole a lot from me’
Recommendations regarding the conduct of senior management of the Post Office, Fujitsu and ministers will come in a subsequent report, but Sir Wyn is clear that unjust and flawed prosecutions were knowingly pursued.
“All of these people are properly to be regarded as victims of wholly unacceptable behaviour perpetrated by a number of individuals employed by and/or associated with the Post Office and Fujitsu from time to time and by the Post Office and Fujitsu as institutions,” he says.
What are the inquiry’s recommendations?
Calling for urgent action from government and the Post Office to ensure “full and fair compensation”, he makes 19 recommendations including:
• Government and the Post Office to agree a definition of “full and fair” compensation to be used when agreeing payouts • Ending “unnecessarily adversarial attitude” to initial offers that have depressed the value of payouts, and ensuring consistency across all four compensation schemes • The creation of a standing body to administer financial redress to people wronged by public bodies • Compensation to be extended to close family members of those affected who have suffered “serious negative consequences” • The Post Office, Fujitsu and government agreeing a programme for “restorative justice”, a process that brings together those that have suffered harm with those that have caused it
Regarding the human impact of the Post Office’s pursuit of postmasters, including its use of unique powers of prosecution, Sir Wyn writes: “I do not think it is easy to exaggerate the trauma which persons are likely to suffer when they are the subject of criminal investigation, prosecution, conviction and sentence.”
He says that even the process of being interviewed under caution by Post Office investigators “will have been troubling at best and harrowing at worst”.
The report finds that those wrongfully convicted were “subject to hostile and abusive behaviour” in their local communities, felt shame and embarrassment, with some feeling forced to move.
Detailing the impact on close family members of those prosecuted, Sir Wyn writes: “Wives, husbands, children and parents endured very significant suffering in the form of distress, worry and disruption to home life, in employment and education.
“In a number of cases, relationships with spouses broke down and ended in divorce or separation.
“In the most egregious cases, family members themselves suffered psychiatric illnesses or psychological problems and very significant financial losses… their suffering has been acute.”
The report includes 17 case studies of those affected by the scandal including some who have never spoken publicly before. They include Millie Castleton, daughter of Lee Castleton, one of the first postmasters prosecuted.
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Three things you need to know about Post Office report
She told the inquiry how her family being “branded thieves and liars” affected her mental health, and contributed to a diagnosis of anorexia that forced her to drop out of university.
Her account concludes: “Even now as I go into my career, I still find it so incredibly hard to trust anyone, even subconsciously. I sabotage myself by not asking for help with anything.
“I’m trying hard to break this cycle but I’m 26 and am very conscious that I may never be able to fully commit to natural trust. But my family is still fighting. I’m still fighting, as are many hundreds involved in the Post Office trial.”
Business Secretary Jonathan Reynolds said the inquiry’s report “marks an important milestone for sub-postmasters and their families”.
He added that he was “committed to ensuring wronged sub-postmasters are given full, fair, and prompt redress”.
“The recommendations contained in Sir Wyn’s report require careful reflection, including on further action to complete the redress schemes,” Mr Reynolds said.
“Government will promptly respond to the recommendations in full in parliament.”
The long-awaited first report from the Post Office Horizon scandal inquiry lays bare not just the devastating personal toll of one of the greatest miscarriages of justice in British legal history, but also the slow-motion failure of the government and the Post Office to deliver meaningful redress.
Sir Wyn Williams’s first report documents with stark clarity how hundreds of sub-postmasters, wrongly accused of theft and fraud due to the faulty Horizon IT system, lost their livelihoods, homes, reputations – and in some cases, their lives.
Thirteen people are believed to have taken their lives as a result of the scandal.
Fifty-nine contemplated it.
It talks of alcohol addiction, serious mental illness, and bankruptcy – all tearing families apart and leaving behind a heartbreaking legacy.
But if the scandal was a failure of justice, the response to it has become a second injustice.
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Critical on a technical level
The report is critical, on a fairly technical level, about the complexity, delays, and bureaucracy of redress schemes that have left victims still waiting years for full compensation.
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‘It stole a lot from me’
Hundreds of whom have died before seeing “full and fair redress”.
While Sir Wyn is fair to the government and the Post Office in stating that he believes their commitment to delivering the above has been in “good faith”, he concludes this has not been achieved for every victim, describing “formidable” difficulties.
There are 19 recommendations – including a push to ensure consistency across all four redress schemes, with an agreed and public definition of “full and fair redress”.
Compensation
Among them, that family members of victims should be compensated, and a permanent public body established to manage future redress schemes in future.
Additionally, Fujitsu, the Post Office, and the government should engage in formal restorative justice programmes.
There was also a flavour of what is to come in the final report later this year or next.
The report has found that both Fujitsu and Post Office staff knew Horizon could produce false data but concealed this, maintaining a false narrative of accuracy.
One of the most important things now, though, is how and when the government, Post Office, and Fujitsu respond officially.
Sir Wyn has also set a deadline of 10 October 2025 for that.
The victims of this scandal have waited long enough.
There was a “wholesale and general failure” to address the risks posed by Axel Rudakubana before the Southport attack, the chairman of the public inquiry into the murders has said.
In his opening statement at Liverpool Town Hall, Sir Adrian Fulford said the teenager’s “known predilection for knife crime” suggests it was “far from an unforeseeable catastrophic event”.
The former vice president of the Court of Appeal said Rudakubana’s actions “impose the heaviest of burdens” to investigate how it was possible for him to cause “such devastation”.
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‘We need to understand what went wrong’
The 18-year-old murdered Elsie Dot Stancomb, seven, Bebe King, six, and Alice da Silva Aguiar, nine, at a Taylor Swift-themed class on 29 July last year.
He also injured eight other children and two adults at the Hart Space in the Merseyside seaside town, with Sir Adrian describing the attack as “one of the most egregious crimes in our country’s history”.
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‘We don’t want Elsie forgotten’
The public inquiry, announced by Home Secretary Yvette Cooper in January, will look into whether the attack could or should have been prevented, given what was known about the killer.
Rudakubana, who was born in Cardiff, had been referred to the government’s anti-extremism Prevent scheme three times before the murders, including over research into school shootings and the London Bridge terror attack.
He had also accessed online material about explosives, warfare, knives, assassination and an al Qaeda training manual.
A rapid review into his contact with Prevent found his case should have been kept open and that he should have been referred to Channel, another anti-terror scheme.
Rudakubana was twice caught with a knife and managed to hoard other blades, as well as a bow and arrow, machetes, a sledgehammer and the deadly toxin ricin at his home.
He bought the 20cm chef’s knife used to carry out the attack using a Virtual Private Network (VPN).
Sir Adrian said he did not want to pre-judge the outcome of the inquiry.
But he added: “These factors, if correct and when taken together, tend to suggest that far from being an unforeseeable catastrophic event, the perpetrator posed a very serious and significant risk of violent harm, over a number of years, with a particular and known predilection for knife crime.
“Furthermore, his ability, unhindered, to access gravely violent material on the internet, to order knives online when underage, and then to leave home unsupervised to commit the present attack, speaks to a wholesale and general failure to intervene effectively, or indeed at all, to address the risks that he posed.”
Sir Adrian said the inquiry will examine decisions taken in light of Rudakubana’s “deteriorating and deeply troubling behaviour” to identify “without fear or favour” all of the relevant failings.
He said he aims to make recommendations to ensure the best chance of stopping others “who may be drawn to treating their fellow human beings in such a cruel and inhuman way”.
Rudakubana, 18, was jailed for a minimum of 52 years in January and is being investigated over an alleged attack on a prison officer at Belmarsh prison in May.
Sir Adrian said he would be referred to by his initials or as “the perpetrator” during the inquiry and asked the media not to show his “terrifying and singularly distressing” police mugshot to avoid causing distress to the survivors and their families, who have been granted anonymity.
The surviving children, many whom were under the age of 10, are “bravely trying to cope with school life in the face of what they have suffered,” he added.
Sir Adrian asked those in the room to stand for a minute’s silence for the victims.
Some of those whose children were injured will speak at a hearing on Wednesday before the inquiry is adjourned to 8 September, with the first phase expected to last until November.
It will then move on to a second phase next year to “consider the wider issues of children and young people being drawn into extreme violence”.
Rachael Wong, director at law firm Bond Turner, representing the three bereaved families, said: “We know that nothing the inquiry reveals or subsequently recommends will change the unimaginable loss felt by the families of Elsie, Alice and Bebe, but we all now have a responsibility to ensure that something like this never happens again.
“We will be doing all we can to assist the chair through the inquiry and uncover the truth.
“It is only through intense public scrutiny that real change can be effected.”
Sefton Council is asking people not to leave flowers near schools or the scene of the attack to mark the anniversary later this month, but to donate to local charitable causes instead.
There will be a three-minute silence and flags will be lowered to half-mast on public buildings around the Liverpool city region.
“We fully understand that many of us still need to grieve and to mark the day,” the council said in an open letter.
“Our colleagues have been working with faith and community leaders to identify local spaces where you can go, within your neighbourhood, to pay tribute, whether this be to say a prayer, light a candle, speak to someone or quietly reflect in a way that feels right for you.”