Tyereece Johnson

PFD Report All Responded Ref: 2019-0166
Date of Report 23 May 2019
Coroner Shirley Radcliffe
Response Deadline est. 23 September 2019
All 1 response received · Deadline: 23 Sep 2019
Coroner's Concerns (AI summary)
The approximate age of moped riders was not communicated to the police tactical team, omitting a relevant factor for risk assessment and decision-making.
View full coroner's concerns
_ The first CAD messages gave an approximate age of the riders ofthe moped (aged 15 to
16). However this was not passed on to the team in the Police Control Centre who were formulating tactics to the moped to a stop. All witnesses from the police control room and police helicopter agreed that the age of the riders was a relevant factor to take into account when formulating a risk assessment in order to inform their tactical decision (However I did not find that it caused 0r contributed to the death in this instance.)
Responses
Metropolitan Police Service Police / Law Enforcement
23 May 2019
Action Planned
The MPS will review the roles and responsibilities of the police pursuits pod to ensure they are maximising information/intelligence opportunities. They will consider a mandatory checklist of indices at the start of a pursuit and ensure Pan London courses and refresher training include an input on information and intelligence gathering. This review will be completed by 31st October 2019. (AI summary)
View full response
Dear Dr Radcliffe am writing on behalf of the Commissioner in response to your Regulation 28 Report to Prevent Future Deaths dated 23rd May 2019, following the conclusion of the inquest into death of Tyereece Johnson: In Deputy Assistant Commissioner Matthew Horne's absence, will be responding in my role as OCU Commander for the Directorate of Professional Standards_ In drafting our response we have_consulted with the relevant subject matter experts principally:Superintendent Service Delivery for Met Command and Control (Metcc); Head of Support for MetCC and Chief Inspector Lisa Maslen, Met Grip , MetCc. Response to Matter of Concern: The first CAD messages gave an approximate age of the riders of the moped (aged 15 to 16): However this was not passed on to the team in the Police Control Centre who were formulating tactics to bring the moped to stop: All witnesses from the police control room and police helicopter agreed that the age of the riders was a relevant factor to take into account when formulating a risk assessment in order to inform their tactical decision making: (However did not find that it caused or contributed to the death in this instance): Action should be taken to ensure such important information is made available to all relevant staff who are formulating risk assessments in this type of scenario. Since 2016 a number of changes have been made within Met Command and Control (MetCC)- There is a now a dedicated pod for police pursuits and follows as occurred here, which consists of the following six roles; Intop Channel Operator (Interoperability dedicated channel to allow neighbouring forces to have a set of radio channels that could easily be used for cross-border incidents , especially pursuits. Each police force has at least two interoperability channels which each surrounding force has access to) 2 Channel 5 Operator (This is the support function for the Pan London radio channels_ In the of a pursuitlfollow on the Channel 5 operator can help the operator with typing whilst the operator speaks, assigning units to the incident). 1|Pa g e July the event Intop, Intop

North Area and South Area Operator. Pursuit Tactical Advisor. 5_ Traffic Supervisor.
6. Pan London Supervisor. Whilst each has a number of responsibilities, it is for the Pan London Supervisor to take overall control of the pursuitlfollow. Their role is to constantly risk assess the situation based on the information and intelligence available using the National Decision Model. Due to the dynamic nature of incidents it is for the Pan London Supervisor to determine who is best placed at that time to carry out any additional intelligence checks and to continue to assess and task as appropriate throughout the incident The MPS considers that changes implemented since 2016 are sufficient; however as result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action; Review the roles and responsibilities of the pod to ensure are maximising informationlintelligence opportunities. Consider whether there should be mandatory checklist of indices at the start of a pursuit eg: Police National Computer; Computer Aided Despatch (CAD) incidents including linked CADS, and Integrated Information Platform: Ensure Pan London courses and refresher training includes an input on information and intelligence gathering: This review will be completed by 31st October 2019. In Conclusion In the last couple of years MetCC has created a dedicated police pursuits pod. This contains necessary resources to support the Pan London Supervisor, who has overall control of pursuitslfollows, with the information and intelligence required to risk assess the incident using the National Decision Model, MetCC believes this is sufficient to address the matter of concern raised by the Coroner; however seek to improve their practices further and will conduct a review of the roles and responsibilities contained within the pod to ensure they maximise all available information and intelligence opportunities. This review will be completed within the next four months_ trust this provides the reassurance that we have considered the point you have raised and that we have made improvements and continuously seek to do so.
Sent To
  • Metropolitan Police
Response Status
Linked responses 1 of 1
56-Day Deadline 23 Sep 2019
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 20uh July I commenced an investigation into the death of Tyereece Johnson, 16 years. The investigation concluded at the end of the inquest on 9th 2019. The conclusion was a narrative, the medical cause of death was Head and Thoracic injury. (Narrative attached)
Circumstances of the Death
Tyereece died following a collision with a police vehicle (not the vehicle following the moped). He was moped with 2 passengers. The moped had been identified as a suspect in attempted thefts earlier in the evening and was followed by the police helicopter and latterly by a police vehicle.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action and aged May driving being bring making:

In my opinion action should be taken to ensure such important information is made available to all relevant staff who are formulating risk assessments in this type of scenario.
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Recording words and behaviour of high-risk individuals
Southport Inquiry
Police investigation management
Cross-force information sharing review
Southport Inquiry
Police investigation management
Recording case information on police systems
Southport Inquiry
Police investigation management
Risks posed by children and young people
Southport Inquiry
Police investigation management
Response officer access to case information technology
Southport Inquiry
Police investigation management
Simplify Emergency Preparedness Structures
COVID-19 Inquiry
Police investigation management
Improved Risk Assessment Approach
COVID-19 Inquiry
Police investigation management
UK-wide Civil Emergency Strategy
COVID-19 Inquiry
Police investigation management
Pandemic Data Systems and Research
COVID-19 Inquiry
Police investigation management
Triennial Pandemic Exercises
COVID-19 Inquiry
Police investigation management

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.