Anugrah Abraham
PFD Report
All Responded
Ref: 2025-0024
All 2 responses received
· Deadline: 11 Mar 2025
Coroner's Concerns (AI summary)
Police occupational health lacks specialist mental health nurses and post-death investigation for learning. Protocols are unclear for officers disclosing suicidal thoughts, and student officer training causes stress without adequate progress tracking.
View full coroner's concerns
National Police Chiefs Council and West Yorkshire Police The court heard that most OHU referrals within police forces now relate to mental health issues as opposed to physical health issues Despite this, there are no specialist Registered Mental Health nurses recruited into WYP OHU. Indeed the court heard the situation within WYP may be indicative of the national picture. day day the day_ being out Following Anu's death there was no investigation into the quality of care afforded to him by the OHU within WYP. Hence at the time of the Inquest, there had been no reflection by practitioners as to the quality of care provided and no learning in respect of processes and procedures_ It was accepted that following the Inquest there were matters which would be considered. The lack of investigation meant learning from deaths in order to prevent future deaths was not addressed. National Police Chiefs Council National Wellbeing service The court heard as to the increase in mental health issues amongst Police Officers nationally Despite this, the question of what imminent adjustments should be made or considered once an officer discloses suicidal thoughts, was unclear: This is before an OHU appointment In this case Anu's mental deterioration was reportedly directly linked to his role as police officer. It is acknowledged that this is a difficult issue and there will be issues such as confidentiality to consider. College of Policing 4_ Whilst the court heard there are now different routes into policing and there is no longer a requirement to undertaken degree_ The court heard from significant number of officers who had undertaken the PCDA. Many of the witnesses told the court of the impact this route into policing had on them at the time, including the levels of stress incurred: The PCDA does continue to operate. College of Policing and National Police Chiefs Council 5 . Ensuring there is a full understanding across Police forces as to the PCDA and the sharing of accurate information with all those involved in the management of student officers so there is clear documented records and understanding as to how a student officer is progressing and whether they are likely to become an efficient constable_
6. Consideration of the Regulation 13 process for PCDA students and how this works in practice across forces.
6. Consideration of the Regulation 13 process for PCDA students and how this works in practice across forces.
Responses
Action Taken
West Yorkshire Police has reflected on the events, and has already taken or is planning to take the following actions: The OH answerphone message should include advice for the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number, Discussions between the clinical team regarding risk should be documented, Frequency of suicidal ideation should be recorded, Protective factors should be recorded, the OH page should include the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number, contact Force Legal Services to provide inquest feedback, the service level agreement target is to be abandoned as unrealistic, Introduction of 90mins appointments, and Escalation to Force Medical Advisor for student officers referred due to their mental health. (AI summary)
West Yorkshire Police has reflected on the events, and has already taken or is planning to take the following actions: The OH answerphone message should include advice for the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number, Discussions between the clinical team regarding risk should be documented, Frequency of suicidal ideation should be recorded, Protective factors should be recorded, the OH page should include the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number, contact Force Legal Services to provide inquest feedback, the service level agreement target is to be abandoned as unrealistic, Introduction of 90mins appointments, and Escalation to Force Medical Advisor for student officers referred due to their mental health. (AI summary)
View full response
Dear Ms Kearsley,
Thank you for your letter of 14th January 2025 and for sharing the ‘prevention of future deaths’ report in relation to the tragic death of Anugrah Abraham. Anugrah’s death has impacted the West Yorkshire Police family greatly and reflection on events has taken place on many levels, and of course our thoughts remain with his loved ones and close colleagues.
Please find below the response from West Yorkshire Police in relation to your prevention of future deaths report.
1. There has been an increase in the ratio of mental health related issues to physical health issues being referred to our Occupational Health department, but these fall within the expertise of occupational health clinicians who are trained to provide advice to both employees and employers regarding these conditions.
It must be reinforced that the Occupational Health department (“OH”) is a specialist advice service relating to the impact of work on health and health on work. It is not a treatment service and the normal expectation for anyone with a crisis presentation, whether physical or mental health is that they present to primary care or the Emergency Department of the local NHS provider. Because treatment for mental health conditions is not a service provided by OH, they do not employ specialist treatment providers such as registered mental health nurses. If A14
anything, this would likely further confuse the situation by creating an expectation of treatment provision.
Regarding the adequacy of response to an urgent request, at that time the provision of an appropriately staffed OH team would have better addressed the issue of waiting times more pertinently than the specialist background of team members. Fortunately, the clinical staffing levels have improved, and the team is currently fully staffed.
Frequency of updates in mental health training to existing staff is far more relevant and effective, and this is the response determined as appropriate by West Yorkshire Police. There are annual, formal Continuous Professional Development training events that are sourced and provided ad- hoc, but other events also include: Bi-monthly case discussions where mental health cases are raised alongside hot topics; Audit plan which includes audit of mental health cases and individual and team learning. The Senior OH Nurse Advisor is also undertaking a Post Graduate Certificate in Psychological Trauma as part of her development and development of related processes. This is provided by the University of Chester. In addition to the above, the OH team have also recently reviewed training and development and identified additional training requirements, one example of this being a nurse who had previously acquired the Diploma in OH Nursing, now upskilling to the degree (BSC in OH) through Cumbria University.
It is important to confirm that the West Yorkshire Police Occupational Health function will be subject to an independent external audit of service provision, the operating model, etc., to understand whether the function remains appropriately resourced and modelled to meet current and future service delivery demands. The review is being undertaken by Acorn Occupational Health Ltd who are a Safe Effective Quality Occupational Health Service accredited organisation. This audit is expected to be completed by April 2025. Ultimately, the findings of the review will be considered by the Force’s Service Delivery & Change Group (SDCG) which comprises the Force’s most senior leaders and is chaired by the Deputy Chief Constable.
2. An informal post-incident briefing was held with relevant members of the OH team at the time. It should be noted that the OHU did not undertake formal serious incident analysis (SIA) until after the inquest on the guidance of the IOPC. The learning that was identified in the SIA related to the addition of recording frequency of suicidal ideation, and the recording of informal team advice/conversations. As a consequence, the Assessment of Suicide and Self Harm protocol was updated to include this learning, and it is now embedded into normal practice. There has also been the introduction of a recorded message informing callers where to obtain crisis support on initial telephone contact with the OH team. A15
The following are the key points arising from a review in November 2024 of events and clinical history. Feedback was presented from those involved in the clinical case and the inquest. An OH whole team discussion to agree changes took place:
What went well.
• The waiting time at triage was made clear to the referring manager
• Signposting of support was made to the referring manager
• A high standard of compassionate care was offered by the OH Nurse Advisor
• Team support following the incident was excellent
What could have gone better.
• A vague self-referral was accepted
• The frequency of suicidal ideation should be recorded
• Protective factors should be recorded
• There should be better documentation of risk discussions between the clinical team
• Clear understanding of the advisory role of OH
• Although the OH Nurse Advisor contact was an informal contact, it was inappropriately referred to as a Consultation during the Inquest
• The service level agreement of 5 days for a Management Referral appointment is inappropriate.
• The IOPC advised not to discuss the case due to their proceedings, should a formal case review have taken place in the interim?
Learning/Actions
• That the OH answerphone message should include advice for the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number.
• Discussions between the clinical team regarding risk should be documented as an edit to the clinical note.
• Where suicidal ideation is being discussed, the frequency should be recorded as part of the risk assessment.
• Protective factors should be recorded as part of self-harm/suicide risk assessment.
• It is proposed that the OH page should include the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number.
• Contact Force Legal Services to provide inquest feedback.
• The service level agreement target is to be abandoned as unrealistic. A16
• Introduction of 90mins appointments for individuals referred with more than one health condition including mental health.
• Escalation to Force Medical Advisor for student officers referred due to their mental health.
If you require and further information from West Yorkshire Police about our actions and progress following your report, please do not hesitate to contact me.
Thank you for your letter of 14th January 2025 and for sharing the ‘prevention of future deaths’ report in relation to the tragic death of Anugrah Abraham. Anugrah’s death has impacted the West Yorkshire Police family greatly and reflection on events has taken place on many levels, and of course our thoughts remain with his loved ones and close colleagues.
Please find below the response from West Yorkshire Police in relation to your prevention of future deaths report.
1. There has been an increase in the ratio of mental health related issues to physical health issues being referred to our Occupational Health department, but these fall within the expertise of occupational health clinicians who are trained to provide advice to both employees and employers regarding these conditions.
It must be reinforced that the Occupational Health department (“OH”) is a specialist advice service relating to the impact of work on health and health on work. It is not a treatment service and the normal expectation for anyone with a crisis presentation, whether physical or mental health is that they present to primary care or the Emergency Department of the local NHS provider. Because treatment for mental health conditions is not a service provided by OH, they do not employ specialist treatment providers such as registered mental health nurses. If A14
anything, this would likely further confuse the situation by creating an expectation of treatment provision.
Regarding the adequacy of response to an urgent request, at that time the provision of an appropriately staffed OH team would have better addressed the issue of waiting times more pertinently than the specialist background of team members. Fortunately, the clinical staffing levels have improved, and the team is currently fully staffed.
Frequency of updates in mental health training to existing staff is far more relevant and effective, and this is the response determined as appropriate by West Yorkshire Police. There are annual, formal Continuous Professional Development training events that are sourced and provided ad- hoc, but other events also include: Bi-monthly case discussions where mental health cases are raised alongside hot topics; Audit plan which includes audit of mental health cases and individual and team learning. The Senior OH Nurse Advisor is also undertaking a Post Graduate Certificate in Psychological Trauma as part of her development and development of related processes. This is provided by the University of Chester. In addition to the above, the OH team have also recently reviewed training and development and identified additional training requirements, one example of this being a nurse who had previously acquired the Diploma in OH Nursing, now upskilling to the degree (BSC in OH) through Cumbria University.
It is important to confirm that the West Yorkshire Police Occupational Health function will be subject to an independent external audit of service provision, the operating model, etc., to understand whether the function remains appropriately resourced and modelled to meet current and future service delivery demands. The review is being undertaken by Acorn Occupational Health Ltd who are a Safe Effective Quality Occupational Health Service accredited organisation. This audit is expected to be completed by April 2025. Ultimately, the findings of the review will be considered by the Force’s Service Delivery & Change Group (SDCG) which comprises the Force’s most senior leaders and is chaired by the Deputy Chief Constable.
2. An informal post-incident briefing was held with relevant members of the OH team at the time. It should be noted that the OHU did not undertake formal serious incident analysis (SIA) until after the inquest on the guidance of the IOPC. The learning that was identified in the SIA related to the addition of recording frequency of suicidal ideation, and the recording of informal team advice/conversations. As a consequence, the Assessment of Suicide and Self Harm protocol was updated to include this learning, and it is now embedded into normal practice. There has also been the introduction of a recorded message informing callers where to obtain crisis support on initial telephone contact with the OH team. A15
The following are the key points arising from a review in November 2024 of events and clinical history. Feedback was presented from those involved in the clinical case and the inquest. An OH whole team discussion to agree changes took place:
What went well.
• The waiting time at triage was made clear to the referring manager
• Signposting of support was made to the referring manager
• A high standard of compassionate care was offered by the OH Nurse Advisor
• Team support following the incident was excellent
What could have gone better.
• A vague self-referral was accepted
• The frequency of suicidal ideation should be recorded
• Protective factors should be recorded
• There should be better documentation of risk discussions between the clinical team
• Clear understanding of the advisory role of OH
• Although the OH Nurse Advisor contact was an informal contact, it was inappropriately referred to as a Consultation during the Inquest
• The service level agreement of 5 days for a Management Referral appointment is inappropriate.
• The IOPC advised not to discuss the case due to their proceedings, should a formal case review have taken place in the interim?
Learning/Actions
• That the OH answerphone message should include advice for the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number.
• Discussions between the clinical team regarding risk should be documented as an edit to the clinical note.
• Where suicidal ideation is being discussed, the frequency should be recorded as part of the risk assessment.
• Protective factors should be recorded as part of self-harm/suicide risk assessment.
• It is proposed that the OH page should include the National Police Wellbeing Service ‘Oscar Kilo’ Crisis line number.
• Contact Force Legal Services to provide inquest feedback.
• The service level agreement target is to be abandoned as unrealistic. A16
• Introduction of 90mins appointments for individuals referred with more than one health condition including mental health.
• Escalation to Force Medical Advisor for student officers referred due to their mental health.
If you require and further information from West Yorkshire Police about our actions and progress following your report, please do not hesitate to contact me.
Action Planned
The College of Policing will review APP on suicide prevention to incorporate Anugrah Abraham's case and will also create a central repository of information on suicide prevention. They will also ensure the sharing of information about concerns with performance and any associated processes that are commenced will be referenced. (AI summary)
The College of Policing will review APP on suicide prevention to incorporate Anugrah Abraham's case and will also create a central repository of information on suicide prevention. They will also ensure the sharing of information about concerns with performance and any associated processes that are commenced will be referenced. (AI summary)
View full response
Dear Mrs Kearsley,
RESPONSE TO REGULATION 28: REPORT TO PREVENT FUTURE DEATHS
The College of Policing and the National Police Chief’s Council acknowledge the matters of concern raised in the Regulation 28 Report to Prevent Future Deaths dated 14 January 2025, concerning Anugrah Abraham. The suicide of Anu Abraham, a serving student officer on the ‘Police Constable Degree Apprenticeship’ (PCDA) with West Yorkshire Police, was a tragedy. The inquest has identified important learning for policing in relation to support for new police constable joiners to the service and processes during their probation period.
This joint response addresses the matters of concern directed to the College of Policing (the College) and the National Police Chiefs’ Council (NPCC). The Director of the National Police Wellbeing Service (NPWS), Andy Rhodes has also contributed.
• The College was established in 2012 as the professional body for policing in England and Wales, its remit includes supporting professional development; sharing knowledge and good practice; and setting standards to drive consistency in key areas of policing.
• The NPCC brings police forces in the UK together to help the service coordinate operations, reform, improve and provide value for money. As well as leading the national operational implementation of standards and policy, the NPCC works with the College on the joint development of national approaches, for example, through its workforce portfolio. A5
© College of Policing Limited (2025)
• The National Police Wellbeing Service (NPWS) sits within the College and also works closely with the NPCC. It was launched in 2019 to provide support and guidance for police forces across England and Wales to improve and build organisational wellbeing.
As the body responsible for setting standards for police constable initial education, the College provides national programme specifications, curriculum, and associated guidance for four ‘police constable entry routes’ (PCER). Forces design and deliver local PCER programmes in accordance with our requirements and often (including, for the PCDA) in collaboration with higher education institution (HEI) partners. The national documentation is subject to continual review and updating, including through close engagement with relevant NPCC national policing leads. The College also works with forces and HEIs to support their continual improvement of local PCER programmes.
We accept the Coroner’s findings. Our response to this Regulation 28 report describes actions the College and NPCC will undertake to embed learning from your findings, through continuous improvement processes. The response also outlines a range of recent and ongoing nationally led work that relates to enhancing the student officer experience and support. It outlines activity connected with the national optimisation programme for PCER, which launched in April 2023, and which is led by the College and overseen by an NPCC chaired PCER Optimisation Group.
Forces acquire a licence from the College to design and deliver their own local PCDA programmes, in collaboration with HEI partners. The College will be introducing a number of changes to our national programme specification for the PCDA to respond to the inquest learning. The changes will be to strengthen wording and provide extra clarity, creating impetus for collaborations to review their approaches in these areas and make any improvements as required. In all cases the College will:
• apply the changes to the national specifications for all four police constable entry routes (PCDA, the ‘degree holder entry programme’, the route for holders of a degree in professional policing and the new ‘police constable entry programme’);
• have changes adopted in the next iteration of the specifications, due for release in April 2025;
• commence review of how forces have responded to the changes in the 2025/26 annual programme monitoring (in particular, the College will request evidence about how collaborations reassure themselves of the quality, consistency and appropriateness of relevant provision and policies through internal review mechanisms); A6
© College of Policing Limited (2025)
Chair National Police Chiefs’ Council
Chief Executive Officer College of Policing
• use this monitoring as an opportunity to seek out and share promising, innovative practice, to encourage continuous improvement in these critical aspects of programme design, delivery, and review.
Our full response is appended below. If you would like to discuss any of the content or require any further information, the Head of Recruitment and Initial Education at the College is available to assist. Louise.Meade@College.Police.UK
RESPONSE TO REGULATION 28: REPORT TO PREVENT FUTURE DEATHS
The College of Policing and the National Police Chief’s Council acknowledge the matters of concern raised in the Regulation 28 Report to Prevent Future Deaths dated 14 January 2025, concerning Anugrah Abraham. The suicide of Anu Abraham, a serving student officer on the ‘Police Constable Degree Apprenticeship’ (PCDA) with West Yorkshire Police, was a tragedy. The inquest has identified important learning for policing in relation to support for new police constable joiners to the service and processes during their probation period.
This joint response addresses the matters of concern directed to the College of Policing (the College) and the National Police Chiefs’ Council (NPCC). The Director of the National Police Wellbeing Service (NPWS), Andy Rhodes has also contributed.
• The College was established in 2012 as the professional body for policing in England and Wales, its remit includes supporting professional development; sharing knowledge and good practice; and setting standards to drive consistency in key areas of policing.
• The NPCC brings police forces in the UK together to help the service coordinate operations, reform, improve and provide value for money. As well as leading the national operational implementation of standards and policy, the NPCC works with the College on the joint development of national approaches, for example, through its workforce portfolio. A5
© College of Policing Limited (2025)
• The National Police Wellbeing Service (NPWS) sits within the College and also works closely with the NPCC. It was launched in 2019 to provide support and guidance for police forces across England and Wales to improve and build organisational wellbeing.
As the body responsible for setting standards for police constable initial education, the College provides national programme specifications, curriculum, and associated guidance for four ‘police constable entry routes’ (PCER). Forces design and deliver local PCER programmes in accordance with our requirements and often (including, for the PCDA) in collaboration with higher education institution (HEI) partners. The national documentation is subject to continual review and updating, including through close engagement with relevant NPCC national policing leads. The College also works with forces and HEIs to support their continual improvement of local PCER programmes.
We accept the Coroner’s findings. Our response to this Regulation 28 report describes actions the College and NPCC will undertake to embed learning from your findings, through continuous improvement processes. The response also outlines a range of recent and ongoing nationally led work that relates to enhancing the student officer experience and support. It outlines activity connected with the national optimisation programme for PCER, which launched in April 2023, and which is led by the College and overseen by an NPCC chaired PCER Optimisation Group.
Forces acquire a licence from the College to design and deliver their own local PCDA programmes, in collaboration with HEI partners. The College will be introducing a number of changes to our national programme specification for the PCDA to respond to the inquest learning. The changes will be to strengthen wording and provide extra clarity, creating impetus for collaborations to review their approaches in these areas and make any improvements as required. In all cases the College will:
• apply the changes to the national specifications for all four police constable entry routes (PCDA, the ‘degree holder entry programme’, the route for holders of a degree in professional policing and the new ‘police constable entry programme’);
• have changes adopted in the next iteration of the specifications, due for release in April 2025;
• commence review of how forces have responded to the changes in the 2025/26 annual programme monitoring (in particular, the College will request evidence about how collaborations reassure themselves of the quality, consistency and appropriateness of relevant provision and policies through internal review mechanisms); A6
© College of Policing Limited (2025)
Chair National Police Chiefs’ Council
Chief Executive Officer College of Policing
• use this monitoring as an opportunity to seek out and share promising, innovative practice, to encourage continuous improvement in these critical aspects of programme design, delivery, and review.
Our full response is appended below. If you would like to discuss any of the content or require any further information, the Head of Recruitment and Initial Education at the College is available to assist. Louise.Meade@College.Police.UK
Sent To
- College of Policing
- National Police Chiefs’ Council
- West Yorkshire Police
Response Status
Linked responses
2 of 3
56-Day Deadline
11 Mar 2025
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 the 15th March 2023, | commenced an investigation into the death of Anugrah Abraham ("Anu") Anu died on the 4h March 2023 in Woodland near Red Rock Lane in He was 21 years old The medical cause of death was confirmed as 1a) Hanging: recorded a conclusion of Suicide recording the circumstances as follows: "The deceased was serving West Yorkshire police officer: He had been on annual leave since the 16th February 2023. He was due to return to work on the 4th March 2023_ The prospect of returning to work is likely to have been a source of distress to the deceased. On the 3r March 2023 in the early afternoon he left his home address_ There was nothing in his behaviour which gave rise to concerns from his family. At 22.50 hours when he had not returned home, Greater Manchester Police were contacted and he was reported missing: In the early morning of the 4th March 2023 the deceased was located ina wooded area near Red Rock Lane, Radcliffe. He had died as a result of hanging with the intention of ending his life.
Circumstances of the Death
In 2021 Anu had joined West Yorkshire Police ("WYP") under the Police Constable Degree Apprenticeship programme ("PCDA"). This was in conjunction with Leeds Trinity University ("LTU"). At the time it was only possible to join the police if you already had a degree or undertook at degree alongside training to be police officer_ In 2021 the application programme was online and there was no face to face assessment. In addition;, decision had been taken by WYP Chief Officers to remove the in-force interviews_ Of note, Anu had not achieved the grades required at A level to undertake a stand alone policing degree. Prior to commencing the PCDA there is no evidence of Anu having any issues with his mental health_ The court heard from large number of witnesses in respect of various aspects of the PCDA and how it operated in practice_ Bury.
found as a matter of fact that there should have been closer working between the Central Assessment Unit in WYP in particular the student officer's assessor and the District Sgts who had to line management responsibilities for the officer. Anu had emerged from his 12 week training at Carr Gate on development plan: This was not immediately known to his District Sgts and also raised concerns as to decision to place officers onto patrol when they had failed to demonstrate the skills required of them_ Anu was subject to what were described as "Stage meetings in accordance with Regulation 13 of the Police Regulations 2003" Within WYP use of regulation 13 had developed into a series of staged meetings. Anu was subject to "stage1 meeting It was not immediately clear where the process for implementing various stages of Regulation 13 emanated from. In Anu's case his District Sgts were not aware Anu was subject to such a review as this information was not shared with them The lack of shared information between those tasked with the various aspects of Anu's management led to mixed, inconsistent messages to Anu as to how he was developing and performing_ On the 24"h September 2022 Anu was referred to Occupational Health ("ODU") the waiting time to be seen was three months_ He was not seen until the 15th December 2022. The referral had been for a back injury but also his mental health. There was an inadequate assessment of his mental health and a lack of consideration of any adjustments required given his mental health issues were linked to his work and the PCDA During this time he also accessed the Employee Assistance Programme and was referred to a counsellor. In October 2022 it was recorded that he was suffering from severe anxiety and severe depression. This was linked to the PCDA programme and his work_ He reported having suicidal thoughts This information provided to the counsellor was not shared with
found as a matter of fact that there should have been closer working between the Central Assessment Unit in WYP in particular the student officer's assessor and the District Sgts who had to line management responsibilities for the officer. Anu had emerged from his 12 week training at Carr Gate on development plan: This was not immediately known to his District Sgts and also raised concerns as to decision to place officers onto patrol when they had failed to demonstrate the skills required of them_ Anu was subject to what were described as "Stage meetings in accordance with Regulation 13 of the Police Regulations 2003" Within WYP use of regulation 13 had developed into a series of staged meetings. Anu was subject to "stage1 meeting It was not immediately clear where the process for implementing various stages of Regulation 13 emanated from. In Anu's case his District Sgts were not aware Anu was subject to such a review as this information was not shared with them The lack of shared information between those tasked with the various aspects of Anu's management led to mixed, inconsistent messages to Anu as to how he was developing and performing_ On the 24"h September 2022 Anu was referred to Occupational Health ("ODU") the waiting time to be seen was three months_ He was not seen until the 15th December 2022. The referral had been for a back injury but also his mental health. There was an inadequate assessment of his mental health and a lack of consideration of any adjustments required given his mental health issues were linked to his work and the PCDA During this time he also accessed the Employee Assistance Programme and was referred to a counsellor. In October 2022 it was recorded that he was suffering from severe anxiety and severe depression. This was linked to the PCDA programme and his work_ He reported having suicidal thoughts This information provided to the counsellor was not shared with
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe each of you respectively have the power to take such action:
Inquest Conclusion
"The deceased was serving West Yorkshire police officer: He had been on annual leave since the 16th February 2023. He was due to return to work on the 4th March 2023_ The prospect of returning to work is likely to have been a source of distress to the deceased. On the 3r March 2023 in the early afternoon he left his home address_ There was nothing in his behaviour which gave rise to concerns from his family. At 22.50 hours when he had not returned home, Greater Manchester Police were contacted and he was reported missing: In the early morning of the 4th March 2023 the deceased was located ina wooded area near Red Rock Lane, Radcliffe. He had died as a result of hanging with the intention of ending his life.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.