David Ormesher

PFD Report All Responded Ref: 2021-0192
Date of Report 4 June 2021
Coroner Veronica Hamilton-Deeley
Response Deadline est. 30 July 2021
All 2 responses received · Deadline: 30 Jul 2021
Response Status
Responses 2 of 2
56-Day Deadline 30 Jul 2021
All responses received
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner's Concerns AI summary
Police protocols regarding the constant use of in-car radios and timely siren deployment were not followed, raising concerns about emergency response safety.
Responses
NPCC
14 Jun 2021
Response received
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Dear Miss Hamilton-Deeley Re: Inquest into the death of David ORMESHER Write to acknowledge receipt of your letter dated 4" June 2021, the contents of which are noted.
Sussex Police
27 Jul 2021
Response received
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Dear Veronica, Ref: write in response to the Regulation 28 Preventing Future Deaths report dated 4th June 2021 that was issued following the inquest into death of David Ormesher in August 2017. note that the report has also been sent to my colleague at the NPCC in his capacity as National Police driver training lead. have considered the position of Sussex Police and our procedures in response to the recommendations that you have made: In doing so have consulted our Driver Training Department, our driving standards manager who gave evidence at the Inquest) and our Learning & Professional Development department; all of whom have a responsibility to deliver the most accurate and up to date driver training to our officers and staff on my behalf to equip them to drive safely and effectively in a policing context. Sussex Police is committed to providing the safest possible response to all incidents requiring Police attendance and will where appropriate review and amend our training & procedures as necessary: In response to the four recommendations: Recommendation 1 Thein-car radio should be switched on at all times The in-car radio (as with the personal hand-held radio issued to officers) is part of the 'Airwave' mobile communications network which is used throughout the UK by all emergency services_ Having reviewed our policies and procedures governing their use am satisfied that Sussex Police policy 594/2021 gives a sufficiently robust direction to all Airwave users to ensure that both their personal handsets and vehicle sets are switched on and operational at all times; 'All on duty staff using police vehicles will ensure that the Airwave terminal is turned on at all times unless leaving the vehicle unattended. Sussex Police: Malling House, Church Lane; Lewes, East Sussex, BN? 2DZ the

In this particular case it would appear that this policy was not followed by the occupants of the police vehicle which, as the jury found, sadly contributed to Mr Ormesher' s death_ have instructed conjunction with our Learning & Professional Development team to design bespoke training package relating to the use of the vehicle radio. This will be mandated to all members of Sussex Police officers and staff who hold a driving permit to complete. It will include the operation of the radio, a reminder of the Sussex Police policy and roles and responsibilities of any passenger within the vehicle_ This is already in the later stages of development and rollout should be completed by the end of October 2021_ have also instructed our Learning & Professional Development team to include a mandated input on vehicle radio use and procedure to all new starters a5 part of their foundation training with Sussex Police. This is now included in the mandated teaching in all Dedicated Coaching Units, which will be supported by an NCALT package that is in the process of created, Recommendations 2 & 4 _ The sirens should have been deploved & that the speed was excessive jury found that speed at the location was too high and that he should have had his sirens activated_ Having reviewed the training that is delivered to response drivers by Sussex Police am satisfied that we are delivering training that is commensurate with direction given by the College of Policing and the NPCC Driver Training lead. Response drivers are taught to risk assess situation and drive accordingly in line with the risks and hazards that are presented to them. This includes the use of all their emergency equipment. In line with national guidance, it is for the driver to justify the use (or lack thereof) of any blue lights and sirens and also their speed throughout: The College of Policing Authorised Professional Practice for Police Drivers states; "Even where statutory exemption exists, an officer must always give due regard to their driving manner and behaviour which should not other road users or members of the public at a risk which cannot be justified: This is reinforced by Sussex Police Policy 616/2020 which states; "There is a public expectation on the police to respond promptly to calls for assistance. Police officers must do s0 as safely as possible and never allow the apparent urgency of such @ call to the public, their colleagues or themselves at unnecessary risk because of their manner of driving. Safety is paramount and cannot be compromised: Police drivers should always drive having regard to their training, the limitations of their vehicle, the prevailing circumstances and within the constraints of the restrictions imposed by their category of driving permit and groups authorised. am satisfied that in this particular case the officer was taught in line with national and Sussex Police standards. was found both at inquest but also at a Misconduct Hearing, chaired by a independent; Legally Qualified Chair, to have been driving inappropriately and was found to have breached the standards of professional behaviour in relation to "Orders and Instructions" and "Duties and Responsibilities. has been found guilty of misconduct against these standards Sussur Pdlice, House Cwrch Lano, Lowes Eawl Sussox BN? 202 being The every put_ put Malking

This was tragic case that was found to be caused by a combination of factors, including the driving of Ido not believe that these failings are systemic in Sussex Police and nor are they asa result of our driver training: Whilst shall not be recommending any fundamental changes to our driver training, we are in close contact with the national lead on Driver Training and will ensure that Sussex Police adopts any relevant practise have also instructed to reinforce to all police drivers, the need to drive appropriately, justify their actions and plan their journey using all available information: As well as highlight that under the code of ethics, it is a passengers' to report any dangerous driving they witness that may put themselves or the public at risk This will take the form of force wide messaging to all relevant officers in the force. Sussex Police invested in Telematics, a vehicle management system which provides information about vehicles so the force can monitor how vehicles are driven and track vehicle movements A Driver Behaviour Working Group is also in place which reviews trends shown by Telematics, driver training, police vehicle incidents, pursuit learning and health and safety. A Police Vehicle Incidents meeting oversees new policy, reviews vehicle incidents and share lessons learnt: The panel also reviews behaviour of drivers and moderate this through a full range of sanctions or learning outcomes. point system has been introduced with the aim of making interventions at lower levels and avoiding more serious incidences occurring in future_ Recommendation3 _ Thepersonalradio should notbehanded to the passenger in the police vehicle and not returned immediately The use of the handheld radio is for the officer in possession ofit to ensure its security at all times_ In this case failed to return the radio to This was an incredibly rare failing between these particular two officers; do not believe that our policies or procedures are able to cover such eventualities. Notwithstanding this, Sussex Police do have the opportunity to raise awareness of this matter. The aforementioned training package that is in development will not only contain training pertaining to the vehicle radio set but will also contain a timely reminder to all staff as to their responsibilities concerning their personal radios and their duty as a passenger in a police vehicle to ensure that all information is passed appropriately to the driver to ensure that can amend their driving plan appropriately. Sussex Police absolutely recognise that this was a tragic case in which a man lost his life and his family lost a cherished member. Lessons can always be learnt; both by the officers involved, by the force and by national policing:
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you AND your organisation have the power to take such action.
Report Sections
Investigation and Inquest
On 5th September 2017 ! commenced an investigation into the death of David Conway ORMESHER: The investigation concluded at the end of the inquest on 17th My 2021. The conclusion of the inquest was Narrative.
Circumstances of the Death
See Record of Inquest
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.