Robert Wilkinson

PFD Report All Responded Ref: 2013-0269
Date of Report 21 October 2013
Coroner Andrew Tweddle
Response Deadline ✓ from report 16 December 2013
All 1 response received · Deadline: 16 Dec 2013
Coroner's Concerns (AI summary)
The firearms certificate revocation process was inadequate, lacking a face-to-face meeting and personal service of the revocation letter, which contributed to the deceased retaining access to weapons.
View full coroner's concerns
(1) As part of the process leading to the decision to revoke, although there had been contact with the deceased/his family/medical practitioner, there had not been a face to face meeting between a member of the firearms licensing team and the deceased. Such a meeting would have provided better quality of information to enable those considering the issue of revocation to have made the decision on the best possible information (2) The revocation letter was never personally served. The deceased was in hospital for some of the time. Contact had been made with the deceased’s family, in particular his son, and whilst it may not have been said in clear terms, the inference clearly was that the deceased was to have his certificates revoked and it was the deceased's son who communicated this information to his father and not the Police. Further consideration needs to be given as to the most appropriate means by which a decision to revoke should be made known to the certificate holder. It is accepted that this was a difficult case for the Police to manage, but clearly if the deceased had not had access to his guns on the day that he shot himself then he would not have been able to take his own life in the way that he did on the day that he did. Thus, an objective review how this case was managed should be undertaken so that improvements to the system might be identified with the result that similar fatalities in the future might be avoided.
Responses
Durham Constabulary Police / Law Enforcement
6 Dec 2013
Action Taken
Durham Constabulary now includes face-to-face meetings with certificate holders as part of the structured review process when it would add value, and is rationalising and indexing the 8,500 live certificate files into a more efficient electronic format. (AI summary)
View full response
1 6 DEC 2013 DuRHAM CONSESTRICEU LA RY Mike Barton LL_B: Chief Constable Chief Constable's Office Constabulary Headquarters Aykley Heads Aiming for EXCELLENCE DURHAM County Durham DH1 5TT DX: 68850 Web Site: Wdurham police uk E-mail: Your Ref: Our Ref: CCICR Date: 10 December; 2013 Il. -xduu Re: Inquest into_the death of Robert Wilkinson b.20/06/194Z Thank you for your letter of 21st of October 2013 subsequent to the inquest which you held into the death of the above named person and in accordance with regulation 28 & 29 of the Coroner's (Investigations) Regulations 2013. note your comments in Section 5 of your letter that you accept that this was difficult case for the police to manage: Having considered your letter will respond now to the two matters of concern you raise. 1_ The benefit of a face to face meeting between certificate holder and member of the Firearms Licensing Team: acknowledge that such meeting could provide better quality of information to enable more informed decision making: Indeed | am aware that Chief Inspector acknowledged this point in his evidence before you, on the 18th October 2013. would confirm that when such a meeting RESTRICTED Mr Andrew Tweddle H.M Coroner's Office PO Box 282 Bishop Auckland Co Durham DL14 4FY SlnetSafs m 872e 2548449

RESTRICTED would add value to any review of a shotgunlfirearms certificate holder then this will be undertaken and now forms part of the structured review process. would add that it is important that such a meeting should have a specific aim in view of the numbers of reviews currently undertaken by Durham Constabulary. am pleased to report that the Constabulary's efforts to monitor 8,500 certificates has led to over 100 refusals and revocations so far this year. In many of these cases the behaviour of the certificate holder was sufficiently disturbing that & face to face meeting would not have added value to the refusallrevocation process_ 2 You requested an objective review of how the Robert Wilkinson case was managed s0 that improvements to the system might be identified. After the sudden death of Mr Robert Wilkinson was reported to the police a Gold Group was set up and managed by Deputy Chief Constable land the facts of the case reported to the Independent Police Complaints Commission (IPCC) As consequence the decision making around this case was scrutinised by the IPCC who forwarded the Constabulary a number of key questions to answer also referred the matter to the Professional and Legal Services Department (PS & LS) for investigation with specific focus on the rationale around the circumstances of Mr Wilkinson retaining his firearms and the related record keeping: know the IPCC were satisfied once their queries were answered that this case should be investigated locally. The subsequent review by the PS & LS Department was undertaken with specific terms of reference and particular focus on whether agreed protocols and procedures had been followed (post Atherton): What became apparent from these processes was the amount of information provided to the Licensing Authority by Robert Wilkinson's immediate family in mitigation of the seriousness of his health issues and his passion for shooting: My staff endeavoured to balance Mr Wilkinson's wishes to continue with his pastime and have to a great extent relied on his family's on-going support On reflection an earlier meeting with Mr Wilkinson once the initial GP report was received and lesser emphasis on the information from his family may have led to a different outcome. My Professional Standards Department reported that procedures were indeed followed, Lessons were also identified and these highlighted the potential weaknesses with the current paper format of Firearms Licensing the number of systems used to record actions and decisions and the volume and apparent dis- organised state of the (Robert Wilkinson) Licensing files which made prompt retrieval ofinformation problematic These matters are currently being addressed with considerable investment in time by the Firearms Licensing Department in the rationalising and indexing of the 8,500 live certificate files. The aim is to convert all of the certificate files into a more efficient electronic format: RESTRICTED files;

RESTRICTED hope the evidence presented by Chief Inspector at the inquest and my response here provides you with reassurance that Durham Constabulary continues to invest to ensure the effective and efficient management of Firearms Licensing: We are also working closely with our Local Medical Committee and the Counties ninety GP surgeries in a pilot that seeks to more effectively and proactively identify medical risks relevant to firearms and shotgun certificate holders This has national implications and our work is being closely followed by ACPO and Home Office: If | can be of any further assistance to you in these issues please do not hesitate to contact me_
Sent To
  • Durham Constabulary
Response Status
Linked responses 1 of 1
56-Day Deadline 16 Dec 2013
All responses received
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Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On10th June 2013 I commenced an investigation into the death of Robert Wilkinson aged 65 years. The investigation concluded at the end of the inquest on 18th October 2013. The conclusion of the inquest was that the deceased intentionally took his own life

Medical Cause of Death

1a,. Fatal Gunshot Injuries
Circumstances of the Death
The deceased had been a firearms and shotgun certificate holder for a number of years. Although there had been some historic incidents with regard to his licence, no issues of concern had been raised with the Constabulary for many years. In late 2012, the Police became aware, through a change in family circumstances, that a question of the deceased’s suitability to continue being a certificate holder was raised and enquiries and reports received led to Deputy Chief Constable signing a Letter of Revocation for the certificates on 3rd May 2013. It was intended that the revocation letter being personally served upon the deceased. It was not so served prior to his death. The deceased was a very keen shooter and was suffering from a terminal illness. The deceased shot himself with one of his firearms the day after being discharged from hospital. It was never thought by the Police that the deceased was a threat to any third party.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.