National Police Chiefs Council

PFD Addressee
Reports: 54 Earliest: Apr 2015 Latest: 30 Mar 2026

100% 2-year response rate (above 83% average). 32% of classified responses show concrete action taken.

PFD Reports
54 results
Darren Wakefield
All Responded
2016-0020 22 Jan 2016 Plymouth, Torbay and South Devon
Police related deaths
Concerns summary (AI summary) The report highlights a national safety issue and requests confirmation that IPCC recommendations have been followed, implying a potential gap in implementing or verifying crucial safety improvements.
Action Taken (AI summary) The Department for Transport has reviewed legislation regarding derelict vessels and concluded that the existing legal framework is sufficient. They have provided further guidance in the revised Port Marine Safety Code and associated Guide to Good Practice, which are to be published shortly.
Paul McGuigan
All Responded
2015-0185 12 May 2015 Manchester (South)
Other related deaths
Concerns summary (AI summary) General concerns were raised across relevant agencies about risks that could lead to future deaths, requiring action.
Action Planned (AI summary) The Home Office states that the Notifiable Occupations Scheme (NOS) was withdrawn and replaced with a new police-led scheme, the Common Law Police Disclosure (CLPD) scheme, which provides greater consistency across forces in the disclosure of information. The Trust states that following the Bradley Report (2009), the MDO teams transferred into single line management and implemented operational policy and approved documentation for assessment of needs and risks. They are rolling out an electronic clinical record (PARIS) and clinical staff have adequate time to access information from case notes. GMP will train officers in understanding their responsibilities under the pressing social need test, including classroom and NCALT training. They will be entering and holding notifications on the intelligence file of offenders. The SIA offered training and guidance to all UK police forces.
Kesia Leatherbarrow
Partially Responded
2015-0143 16 Apr 2015 Manchester (South)
Child Death Other related deaths
Concerns summary (AI summary) Critical communication failures and incomplete information sharing between Children's Services and CAMHS across different regions, along with a failure to transfer the Youth Offending Team case, led to a lack of support for a high-risk young person.
Action Planned (AI summary) The Department of Health has shared the report with NHS England, who are working to develop Liaison and Diversion services in Greater Manchester. NHS England is also reshaping mental health services commissioning and delivery and will prioritize investment in areas with Local Transformation Plans. The government has already made a partial change to PACE via the Criminal Justice and Courts Act to require 17 year olds to be treated as 10-16 year olds for detention after charge. Planning is underway to amend the remaining PACE provisions, and the Secretary of State for Education wrote to local authorities reminding them of their duty to provide accommodation for children denied bail. A multi-agency working group has been commissioned to understand issues and develop solutions. Pennine Care NHS Foundation Trust has completed an investigation, requesting written clinical summaries and risk assessments when young people transfer from other mental health services. The health diversion pathway has been re-published and re-promoted, and a multi-agency panel now has the capacity to deal with children and young people. The CPS has modified CPS training so advocates conducting youth court cases are reminded that a youth can always be remanded for their "own welfare". The Chief Crown Prosecutor for Greater Manchester is discussing wider issues and lessons learned with the Assistant Chief Constable for GMP.
Nicholas Rowley
Partially Responded
2015-0138 15 Apr 2015 Stoke-on-Trent & North Staffordshire
Police related deaths
Concerns summary (AI summary) Insufficient verbal consultation between medical practitioners and custody staff, coupled with inadequate joint training, led to unclear observation levels and poor management of drug/alcohol risks in detainees.
Noted (AI summary) The College of Policing will incorporate guidance on verbal consultation between medical practitioners and custody sergeants and will make additions to the Detention and Custody Authorised Professional Practice providing advice on observation levels; updated guidance will be published circa summer 2015. Guidance has been issued to custody staff and the medical services provider to ensure verbal updates are given by medical practitioners to the Custody Sergeant. A Custody Training sub-group has been created and further guidance issued regarding levels of observation, and training secured regarding drug and alcohol abuse. G4S no longer provides Detention Officer Services to Staffordshire Police as of June 2015. They state they always have and continue to provide mandatory training regarding setting levels of observation and first aid, and will write to contracting police forces to recommend joint ventures as best practice.