Katherine Wright
PFD Report
All Responded
Ref: 2025-0624
All 1 response received
· Deadline: 5 Feb 2026
Coroner's Concerns (AI summary)
Police lack structured training and clear guidance for conducting adequate searches in missing person cases, and there are no protocols for officers to escalate safety concerns during searches.
View full coroner's concerns
1. Lack of training and guidance for frontline officers on conducting searches of premises in missing person cases. Evidence given by the Police at the Inquest indicated that there is no structured training or clear operational guidance on what constitutes an adequate search, including checking all areas of a property where a person could reasonably be found.
2. Absence of protocols for escalating safety concerns during searches. The officer who undertook the search felt unsafe due to the cluttered environment but did not escalate this concern or request additional resources to enable an adequate search to be carried out. There appears to be no guidance on when and how officers should escalate such issues.
2. Absence of protocols for escalating safety concerns during searches. The officer who undertook the search felt unsafe due to the cluttered environment but did not escalate this concern or request additional resources to enable an adequate search to be carried out. There appears to be no guidance on when and how officers should escalate such issues.
Responses
Action Taken
Thames Valley Police has reviewed their Missing Persons Operational Guidance and included a new section dedicated to the searching of premises for missing persons which includes sections on the extent of the search; equipment and resources and potential hazards. The new Premises Search Guidance sets out options for officers when encountering hazards and specifying supervisory escalation requirements. (AI summary)
Thames Valley Police has reviewed their Missing Persons Operational Guidance and included a new section dedicated to the searching of premises for missing persons which includes sections on the extent of the search; equipment and resources and potential hazards. The new Premises Search Guidance sets out options for officers when encountering hazards and specifying supervisory escalation requirements. (AI summary)
View full response
Dear Nicholas, Inquest into the Death of Katherine Wright, Known as Sarah Thank you for your report in respect of circumstances surrounding the tragic death of Sarah sent, under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and Regulations 28 and 29 of the Coroners (Investigations) Regulations 2013, by letter dated 9th December 2025. It is with much regret that I would confirm the initial search for Sarah was not conducted to the standards I would expect from my officers. Thames Valley Police (TVP) is committed to learning from this incident and to taking all necessary steps to improve the standard of searching in similar circumstances. I respond below to the matters of concern raised. Absence of structured guidance for officers undertaking premises searches during missing person investigations. To address this, we have reviewed our Missing Persons Operational Guidance and included a new section dedicated to the searching of premises for missing persons. This includes sub sections on the extent of the search; equipment and resources that may be used including the use of personal protective equipment; potential hazards and how the Specialist Search Unit may be used to advise and mitigate such hazards. The source documents used to create this section include a College of Policing e-learning package ‘Searching Premises’ and an input for all new recruits on Specialist Police Search Advisors. This new guidance has been shared with our Learning and Development department and will be integrated into Foundation Training for new recruits. It has also been shared with all officers in a force wide communication. Absence of protocols for escalating safety concerns during searches Your report identified an absence of clear escalation processes where hazards or safety concerns arise during a premises search. The new Premises Search Guidance directly addresses this by setting out options for officers
1 when encountering hazards and specifying supervisory and PolSA escalation requirements. This ensures officers do not conduct searches beyond their training or in unsafe conditions. I am satisfied that the measures outlined above provide a comprehensive and durable response to the matters of concern raised in your Regulation 28 Report. The introduction of dedicated premises search guidance, its integration into missing persons operational guidance and the force-wide communication of these changes will strengthen TVP’s response to missing person investigations. Please do not hesitate to contact me should you require any further information.
1 when encountering hazards and specifying supervisory and PolSA escalation requirements. This ensures officers do not conduct searches beyond their training or in unsafe conditions. I am satisfied that the measures outlined above provide a comprehensive and durable response to the matters of concern raised in your Regulation 28 Report. The introduction of dedicated premises search guidance, its integration into missing persons operational guidance and the force-wide communication of these changes will strengthen TVP’s response to missing person investigations. Please do not hesitate to contact me should you require any further information.
Sent To
- Thames Valley Police
Response Status
Linked responses
1 of 1
56-Day Deadline
5 Feb 2026
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
Report Sections
Investigation and Inquest
On 3 January 2024, I commenced an investigation into the death of Katherine Wright, known as Sarah, aged 60. The investigation concluded at the end of the inquest on 4 December 2025. The conclusion of the inquest was a Narrative Conclusion: Sarah Wright was found deceased at her home address on 20 December 2023. She had a long-standing history of chronic alcohol misuse. Concerns for her welfare were raised on 15 December 2023 and police attended her address on 16 December 2023 but did not locate her. She was subsequently found deceased on 20 December 2023 following a further search of her address. Post-mortem examination and toxicological tests revealed no traumatic injuries or natural causes for her death, but tests did confirm significant alcohol levels. Her death was likely caused by sudden unexpected death in the context of alcohol misuse. It has not been possible to determine on the evidence when Sarah died and whether, if she had been found earlier, she would have survived.
Circumstances of the Death
Sarah Wright was reported missing on 15 December 2023. Thames Valley Police officers attended her flat on 16 December 2023, forced entry, and conducted a search but did not locate her. She was later found deceased in the same flat on 20 December 2023, during a second search. The Professional Standards investigation and evidence at the inquest confirmed that the initial search was inadequate. The officer who undertook the bedroom search cited concerns about personal safety due to the cluttered condition of the room but did not escalate these concerns. The family were informed that a thorough search had been completed.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.