At the final hearing heard evidence from who was the paramedic involved in the assessment of Heather on 18 June 2018. He had primarily been called to give evidence s0 that could understand a little more in terms of the process by which a detained person is medically assessed whilst in police detention and also there was an issue in relation to the recording of his findings which needed to be raised withl What arose during the questioning was problem which may affect other healthcare professionals in a similar situation and in respect of which may cause a problem that may lead to a future death if not addressed. Wiltshire Police contract with G4S Health Services (UK) Ltd in relation to the provision of healthcare services at their custody suites in Wiltshire and Swindon. Principally to the ever-increasing challenges that people with mental health issues present to front line emergency services, Wiltshire Police operate an arrangement called Street Triage whereby 24 hours there is a mental health professional available at the Force Control with full access to mental health records_ Working alongside the G4S healthcare professionals, at least between the hours of O8OOhrs-20OOhrs, are personnel from the Liaison and Diversion Service (LADS): Coincidentally the same healthcare trust is responsible for the provision of both those services As you will appreciate when somebody is in state detention, the state is under an obligation having regard to Article 2 of the European Convention of Human Rights to safeguard life in those circumstances One of the concerns that arose relates to G4S healthcare professionals and any other healthcare professional in this situation when asked to carry out front line assessment which could include mental health features, that those individuals may not have the fullest amount of information that is available so that they can make an informed decision as to whether or not for example further healthcare input is required, such as for example a formal mental health at assessment Whilst problem insofar as getting complete picture did not seem to be quite such an issue when personnel from LADS were available it would appear that out of those hours_ a G4S healthcare professional wanted to make enquiries insofar as an individual's mental health background which potentially might be within the knowledge of the relevant healthcare trust, that when an approach is made to the Street Triage team out of hours that more often than not the issue of confidentiality was raised to withhold information or felt that equally there was a danger that selective information might only be passed at best to the G4S healthcare operative. The concern that was left with was that the healthcare professionals from G4S and arguably at the end of the Wiltshire Police whose ultimate responsibility it is to safeguard life when an individual is in Police custody are effectively trying to do job, through their contract service providers (G4S) , in circumstances whereby in trying to discharge their duty having regard to Article 2 of European Convention of Human Rights they were