Mental Health related deaths

Noted (AI summary) • The College of Policing provides eLearning training for investigators on the national ‘College Learn’ platform. • These learning packages “Introduction to Communications Data,” sit within the Digital Media Investigators (DMI) modules. • This training is available for all police officers and staff across England and Wales.

Noted (AI summary) South Yorkshire Police have reviewed the concerns. They state that the s136 power is temporary and they engaged with the NHS trust. They are unable to make changes to the Police National Computer.

Noted (AI summary) NHS England refers to updated guidance regarding risk of harm to self, and states that secure access to fire escapes should be embedded within providers’ risk assessments. They state that they cannot comment further on the specific local risk assessment and direct the Coroner to the Birmingham and Solihull Integrated Care Service. The trust has updated the Environmental Risk Assessment to include the Fire Escape, installing metal fence panels and an eight-foot-high gate on the ground floor, as well as metal panels at the top of the fire escape platform. The ICB will share learning from this incident with all local mental health and rehabilitation providers by 17th December 2025. CQC acknowledges the concerns and notes that the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 apply to registered providers. They signpost to information regarding fire safety and environmental safety on their website but state they are not aware of specific guidelines regarding fire escapes in rehabilitation settings.