Dear Mr Hughes, Re: Mr Matthew William Lewis (Deceased) refer to your letter dated 14h February 2019 addressed to the Chief Constable of South Wales Police as it has been passed to me: This letter is the Regulation 29 Response on behalf of the Chief Constable. have had the opportunity to consider wholly the contents of the Regulation 28 Report to Prevent Future Deaths dated 13 February 2019 enclosed with your letter. The matters raised therein have been fully considered by the senior officers responsible for the South Wales Police Public Service Centre in an effort to ensure that we have addressed the concerns raised. This arises out of the Inquest into the death of the late Mr. Mathew William Lewis The matters of concern you have identified are contained in section 5 of the Regulation 28 Report: have set this out below, for ease for reference: (1) Botl in their evidence expressed confusion as to the instructions that were passed to them by the call handler: In particular; whether should approach Mr Lewis and attempt to cut him down or refrain from SO in the interests of scene preservation. (2) The subsequent evidence of the Officer in Charge, was to the effect that his primary role as a police officer was the preservation of life. The initial instructions of the call handler here appeared inconsistent with that expressed overriding duty: (3) In any hanging episode, time is very much of the essence following suspension. Whilst it could not be determined on the evidence the exact time that that occurred on
27.02.18, medical evidence received at the Inquest indicated that death/rreversible brain injury would likely occur, no later than 5 minutes post suspension. With such a naiow "rescue window", the clarity of instructions to rescuers appears paramount HEDDLU DE CYMRU SOUTH WALES POLICE Pencadlys Heddlu De Cxmru, Heoly Bont-faen, Penybont CF3I 3SU South Wales Pollce Headquarters, Cowbridge Road, Bridgend CF3 | 3SU Mewn argyfwng ffoniwch 999, fal arall, ffontwch I0/ In an emergengy always dial 999, for non-emergencles dial IOl Gwelan: wwwheddlu-de-cymru-policeuk Website: wwwsouth-wales police:uk Mae Hodlu De Cymrum coestwu derbyn gohebhathyn Gymnez Sacrncg: South Wks Folica wekomes receing conEspondence h Wekhund Endih: Byddwn yn nteb gohebisath dderbynnkry Gyrrgyn Gymnegec nl fdd cenespondence recclved In Webh wdl be answered h Webh and conponding gohcbuyn Gmracgyn arwln %t oedi: In Wckh will not kead to responding: Prlf Gwnstabl Matt Jukes QPM, MA(Oxon)MSc Chlef Constable they doing willing AMm delzy

Whilst it was found on the neither evidence that the actions of the call handler were directly, nor indirectly causative of Mr Lewis' death, there is a risk that in the future repeat of confusinglnconsistent call handler instructions may lead to delay potentially contribute to the prospects of an unsuccessful rescue_ (4) Guidance to/training for call handlers as to to deal with such scenarios would seem desirablelmandated: South Wales Police invest considerably in training call handlers to deal with a multitude of situations; however, training scenario can never replicate the experience gained from with real incidents. In respect of can confirm that South Wales Police have a procedure in place for new and inexperienced call handlers , where a trainer or more experienced operator monitors and is able to step in quickly when the new operator is unsure of the advice they should be giving: In addition, whilst there is no national guidance for this type of circumstance issued by the College of Policing to Call Handlers in Police Forces, South Wales Police has taken steps to develop a procedure for call handlers, which incorporates appropriate guidance into its force procedures. This new procedure is incorporated into the training that call handlers receive and in particular; the paragraph below that highlights the presumption that 'life is not extinct' "It is important to note that in any hanging scenario the emphasis is that the presumption must always be that that life is not extinct It is recognised that no two incidents be the same and there will be other factors that need to be taken into consideration. For example, the ability of the member of the public reporting the incident to assist; or to offer assistance without placing himself or herself in any jeopardy or danger; and the accessibility to the location in which the person is found hanging". The guidance is designed for the call handler to engage with the caller in a constructive and meaningful way to determine the appropriate level of support and assistance , which may be provided until the arrival of the emergency services hope that these actions address the points raise within your Regulation 29 notice, but if there are any further concerns, please let me know:

Dear Mr Hughes Re:13270 , Matthew William Lewis (deceased) write on behalf of the College of Policing in response to the Prevention of Future Deaths report of the 13 February 2019 in relation to Matthew William Lewis (deceased) who sadly lost his life through suicide in 2018 In the report you refer to instructions given by the police call handler which, whilst not judged to be directly or indirectly linked to the death of Matthew Lewis, may have implications for similar future events You express your concern that there is a risk that a repeat of inconsistent or confusing call handler instructions may lead to and potentially contribute to the prospects of an unsuccessful rescue_ You also observe that training for call handlers on how to deal with such scenarios would be desirable and mandatory The College of Policing produces the National Policing Curriculum which sets the learning standards for a number of areas of policing including contact management which informs the training of police call handlers and dispatchers. In SO we work closely with the National Police Chiefs Council lead for this area, currently Assistant Chief Constable (ACC)E from the Police Service of Northern Ireland: In response to this report we will, within the next month, amend the learning standards for contact management staff to reflect that the preservation of life is paramount when considering the impact on scene preservation and that suitable instructions should be given t0 willing members of the public who are able to assist in preserving life and providing rescue where possible_ have also asked that a summary of this issue is circulated, via Ito all heads of contact management across England and Wales so that can take any necessary urgent action in respect of clarifying locally delivered training hope that this addresses the concerns that you set out in your report and am grateful for you bringing them t0 my attention: