In the circumstances_ it is my statutory duty to report to you:

(1) Adequacy of Training of Custody Officers in interpreting the behaviourldemeanour of detainees; Although both Bedfordshire Police Custody Sergeants had received in their training (as evidenced by the Power-Point presentation exhibited as "EMO2") guidance on interpreting 'Behaviour' in the ABCDE of Vulnerability Assessments, both Sergeants had interpreted David's response that he was 'on of the World' to the Question 'How are you feeling?' on being booked in, literally, when, in fact; this might be interpreted as having an element of irony requiring further exploration; (2) Adequacy of Training of Custody Officers in formulating a suitable care-Plan for a detainee; in particular, identifying the need in the Pre-Release Risk Assessment (PRRA) for Mr Bird to see a Health Care Practitioner (HCP) before release: Although both Custody Sergeants had received in their training (as evidenced by the Power-Point presentation exhibited as "EMO2") guidance on formulating a Care-Plan and page 28 of that presentation gave the following example: DP has been returned from interview from OIC, became tearful during interview and made comments that indicated possible self-harm risk on release, Obs level changed to Li3Omins obs PRRA considerations DP to see HCP before release, DP has been told to see his GP about how he feels; he lives with his partner so there is someone at home to give support", Mr Bird was released without a being seen by the HCP even though: David had already been identified as a Vulnerable Adult (in term of a possible suicide by Bedford Police on 18 August 2018 and a further concern for weliare had been raised in respect of him by Northamptonshire Police on 19 August 2018; He had been very tearful and distressed during his interview describing himself as 'one with no home no life, no job' . The I0 and his colleague had requested a medical assessment for him prior to release 3 times