Police related deaths
PFD Category
Reports: 152
Areas: 51
Earliest: Sep 2013
Latest: 6 Jan 2026
87% response rate (above 63% average). 46% of classified responses show concrete action taken.
PFD Reports
152 resultsDuncan Tomlin
Partially Responded
2019-0135
12 Apr 2019
West Sussex
Association of Police Officers
College of Policing
Sussex Police
Concerns summary (AI summary)
Police training inadequately emphasizes the heightened risks of prone restraint with multiple breathing-affecting factors. Officers may prioritize quick removal over adequately assessing the reasons for a detainee's distress or resistance.
Action Planned
(AI summary)
The College of Policing will examine the concerns raised in the report at the next scheduled meeting in July and bring them to the attention of the national clinical governance panel. They will also ensure liaison between First Aid and SDAR groups for consistent advice. Sussex Police will work with the College of Policing and NPCC to alter lesson plans regarding the risks of prone restraint. They anticipate introducing an electronic recording system for PST training attendance and are considering hosting a video on epilepsy on their internal website.
David Dooley
All Responded
2019-0127A
10 Apr 2019
Brighton and Hove
Sussex Police
Concerns summary (AI summary)
Police officers' lack of knowledge regarding seafront lifeline locations caused critical delays, and public awareness of sea dangers, particularly under the influence, is insufficient.
Action Taken
(AI summary)
Police CCTV operators will now scan for water safety equipment as part of the initial response where someone has entered the water. Sussex Police will be supporting the summer 'Keeping safe campaign' which includes water safety advice, highlighting the dangers of entering the sea when under the influence of drink/drugs or in adverse weather conditions.
Aidan Ridley
All Responded
2019-0173
9 Apr 2019
Wiltshire and Swindon
Wiltshire Police
Concerns summary (AI summary)
Inadequate police call handler training led to incorrect advice not to move a patient and failure to involve ambulance services, compounded by underutilization of a new 3-way call system.
Action Taken
(AI summary)
Wiltshire Police states that staff briefings have been sent out reminding 999 call handlers to use the three-way call process when needed. They also state that further revisions of the relevant Force procedure on managing calls have now taken place.
Raymond Knight
Historic (No Identified Response)
2019-0120
5 Apr 2019
Essex
Essex Police
Concerns summary (AI summary)
Police station CCTV cameras do not cover individual holding cells, creating a critical gap in monitoring and photographic records of prisoners.
Lesley Armstrong
All Responded
2019-0136
4 Apr 2019
North Northumberland
Northumbria Police
Concerns summary (AI summary)
Northumbria Police failed to communicate the discontinuation of an investigation, hindering the employer's ability to inform the employee and the Safeguarding Board from progressing their duties.
Disputed
(AI summary)
Northumbria Police argues that it already has a system for reminding officers to inform suspects of the outcome of police investigations, that decisions to disclose information to employers can only be made on a case-by-case basis, and that providing information to employers as a 'fail safe' mechanism would be unlawful without the employee's consent, therefore no further action is deemed necessary.
Simon Robinson
All Responded
2019-0176
7 Mar 2019
Oxfordshire
Thames Valley Police
Concerns summary (AI summary)
The current partnership agreement inadequately addresses mental health crises in private places, creating a gap in effective agency response where police powers are limited despite their primary responsibility.
Action Planned
(AI summary)
Thames Valley Police reviewed their Interagency Partnership Agreement and proposed amendments to clarify police response to mental health crises, with a consultation of amendments expected by April 30, 2019. The police intend to immediately instigate amendments 1, 2, 4, and 7 relating to operational guidance.
Karl Brunner
Partially Responded
2018-0310
29 Oct 2018
Bedfordshire & Luton
ACPO
Bedfordshire Police
Concerns summary (AI summary)
The incident highlights a risk of future deaths where individuals swallow drugs during police stops, requiring a review of procedures for managing such medical emergencies.
Noted
(AI summary)
Bedfordshire Police states that their officer training includes a module on managing choking detainees, and they issue officers with personal Pocket Face Masks. They believe their training complies with IOPC recommendations and College of Policing standards.
Jeroen Ensink
Historic (No Identified Response)
2018-0235
19 Jul 2018
London (Inner) North
Metropolitan Police Service
Concerns summary (AI summary)
Police failures included not creating mental health alerts, inaccurate record-keeping regarding injuries and force, and failing to inform the forensic medical examiner of mental health concerns or family-reported history.
Charles Rashan
All Responded
2018-0210
29 Jun 2018
London Inner (North)
Metropolitan Police Service
Concerns summary (AI summary)
Police training should emphasize recognizing that struggling to resist arrest can be a struggle to breathe or silent choking, and highlight the need to manage public intervention.
Action Taken
(AI summary)
The MPS has recommended changes to the Personal Safety Manual, Module 12 'Management of Persons Suspected of Concealing Items in Mouth', now requiring that where possible the subjects head should be tilted forward; the MPS continues to review and refine existing first aid techniques.
Keiron Bould
Partially Responded
2018-0178
13 Jun 2018
Birmingham and Solihull
National Police Chiefs' Council
Warwickshire Police
West Midlands Police
Concerns summary (AI summary)
Lack of clear communication protocols between police forces regarding incident primacy and case transfers led to significant delays in handling a missing person report.
Action Taken
(AI summary)
Warwickshire Police has updated its working practice guidance to require call handlers to follow up a transfer of a missing person report to another force with a telephone call to confirm receipt of information. They have also re-circulated College of Policing guidance on ownership of missing persons.
Stephen Tidey
All Responded
2018-0140
8 May 2018
Surrey
Surrey & Borders Partnership NHS Trust
Surrey County Council
Surrey Police
Concerns summary (AI summary)
Inadequate recording of changes in suicide risk assessments and significant delays by mental health services in acting on high-risk MASH referrals following a critical trigger event.
Noted
(AI summary)
The Trust has already implemented a standardised log for Single Combined Assessment of Risk Forms (SCARF) across Community Mental Health Recovery Service (CMHRS) teams. They have also devised a new checking system between the MASH and the CMHRS teams and set up an automated email reply from the Mental Health/Drug & Alcohol inbox within the MASH. Surrey Police explains how Multi Agency Safeguarding Hub (MASH) reports are processed upon receipt and graded for risk. They state that they do not monitor partner agency responses and suggest forwarding one question to SABP and Adult Social Care.
Joshua Hamill
All Responded
2017-0351
5 Dec 2017
North Wales (East & Central)
North Wales Police
Concerns summary (AI summary)
Police training was ineffective in identifying mental health issues, and 'concern for safety' incidents were closed without ensuring the individual's welfare.
Action Taken
(AI summary)
North Wales Police provide a list of mental health resources including webinars, powerpoints, business cards, posters, and modules that are delivered to officers as part of training.
Michaela Haines
All Responded
2017-0415
23 Nov 2017
Carmarthenshire & Pembrokeshire
Dyfed-Powys Police
Concerns summary (AI summary)
The police STORM report was not consistently updated, leading to uncertainty about completed actions, potential loss of evidence, and duplicated work, highlighting a need for better training.
Action Planned
(AI summary)
Following a review, the police force will implement eight recommendations including reviewing and amending the Sudden Death Policy, preventing closure of the STORM log until investigation completion, and recording all raised actions numerically.
Mark Banks
All Responded
2017-0271
14 Aug 2017
Exeter and Great Devon District
Devon and Cornwall Police Headquarters
Concerns summary (AI summary)
Police failures in call handling included not contacting ambulance services as requested, incorrectly grading a high-risk call, and insufficient efforts to search for and check on the deceased's wellbeing.
Action Taken
(AI summary)
Devon and Cornwall Police have reviewed their grading and deployment policy and operational practices regarding call grading and incident creation. They have also put in place training packages for staff, quality assurance checks, and processes to assess THRIVE compliance, as well as reviewing their command and control policy.
Terence Pimm
All Responded
2017-0217
14 Aug 2017
Essex
Essex Partnership University NHS Founda…
Essex Community Rehabilitation Company
Essex Police
Concerns summary (AI summary)
Deficiencies in police call handling, record-keeping, and inter-agency information sharing hampered risk assessment for individuals with mental health issues. Insufficient training also affected police in identifying immediate risk and mental health assessors.
Action Taken
(AI summary)
The Trust has directed all health-based place of safety calls through a new call centre where calls are recorded and documented. They have also reinforced to staff the importance of family involvement, reinforced the information-sharing concordat, launched a new street-triage team, and put a new flowchart in place for staff detailing actions to take when people are subject to a warrant, with training underway. Essex Police have instructed switchboard operators to refer public calls not concerning a person in custody to the Force Control Room, and advised custody suite staff on handling detainee-related calls. FCR staff receive training on threat, harm, and risk assessment. The police are implementing a process to notify Essex Police when staff meet with wanted persons and are developing Information Sharing Agreements with health partners.
Richard Davies
Partially Responded
2017-0325
24 Jul 2017
Cambridgeshire and Peterborough
Bedfordshire Police Constabulary
Cambridgeshire police forces
Hertfordshire police forces
+1 more
Concerns summary (AI summary)
A police armed policing unit used unbonded ammunition which did not align with national recommendations and lacked a clear bullet mass retention specification.
Action Taken
(AI summary)
The BCH APU is no longer using the un-bonded 5.56mm ammunition which was used in the present case and has amended its system of record-keeping to ensure that all decisions relating to the selection of ammunition are recorded on a single electronic system.
Ozeivo Akerele
All Responded
2017-0337
19 Jul 2017
Coventry
West Midlands Police
Concerns summary (AI summary)
Police failed to locate the deceased during an intensive search due to a critical oversight in searching a nearby disused graveyard, and subsequent efforts were inadequate.
Action Planned
(AI summary)
The case will be referred to the National Missing Persons Operational Group to consider amending guidance around how a search is co-ordinated in similar cases. This will provide clarity around the tasking of the search, what is being searched for, and the accurate recording of the search.
Olaseni Lewis
All Responded
2017-0205
28 Jun 2017
London (South)
Metropolitan Police
South London and Maudsley NHS Trust
Concerns summary (AI summary)
Police training on restraint techniques and Acute Behavioural Disturbance (ABD) was inadequate and misunderstood, leading to officers misinterpreting risks, especially regarding "prolonged restraint." Additionally, there was a critical lack of clarity and training on inter-agency roles and responsibilities between police and healthcare staff.
Action Planned
(AI summary)
The Metropolitan Police Service describes updated training for officers regarding restraint techniques, Acute Behavioural Disturbance (ABD), and mental health, including de-escalation techniques and communication skills. It also notes the implementation of a national MOU about when police can be asked to attend mental health settings. The South London and Maudsley NHS Trust outlined actions to address training compliance, including immediate action requests and potential service suspension if training levels fall below minimum safety standards.
Valdas Jasiunas
Historic (No Identified Response)
2017-0062
8 Mar 2017
London (East)
Metropolitan Police
Concerns summary (AI summary)
Custody risk assessments inadequately screen for alcohol dependency, and the computer system's design leads to frequent errors, further complicated by a lack of multi-language support for safety information.
Darran Hunt
Historic (No Identified Response)
2017-0038
1 Mar 2017
Carmarthenshire and Pembrokeshire
College of Policing
National Police Chiefs’ Council
Concerns summary (AI summary)
The report identifies confusion regarding police training in situations where a detained person puts a harmful substance in their mouth, specifically concerning the use of PAVA spray and forced searches, with inconsistencies across different police forces and conflicting guidance.
James Fox
All Responded
2017-0014
2 Feb 2017
London (North)
Metropolitan Police Service
Concerns summary (AI summary)
Concerns were raised about the accuracy of close-range police firearms, lack of less-lethal options, inadequate contingency planning for volatile situations, and inconsistent national training for officers.
Disputed
(AI summary)
The Metropolitan Police defends its officers' actions and states that there is no indication of misconduct. The IPCC investigation reported no matters of organisational learning other than a positive comment with regard to the use of body worn video.
Mark Yafai
Historic (No Identified Response)
2016-0403
9 Nov 2016
Coventry
Office of The Police and Crime Commissi…
West Midlands Police
Concerns summary (AI summary)
Custody policies use unclear terminology for drug influence, granting officers excessive discretion in risk assessments and leading to inadequate Health Care Professional involvement.
Sian Jones
Historic (No Identified Response)
2016-0371
20 Oct 2016
London Inner (North)
New Scotland Yard
Concerns summary (AI summary)
There is a critical lack of protocol and training for monitoring non-detained individuals in police stations, including guidance on interpreting snoring, the impact of intoxication, and effective information sharing.
Thomas Gallagher
All Responded
2016-wp25354
11 Aug 2016
Greater Manchester (North)
Greater Manchester Police
Concerns summary (AI summary)
Staff lacked formal training in risk assessment and child mental health, and there was intentional disregard of force policies; also, decisions not to allocate additional cover or resources lacked documented rationale, and a 'Golden Hour' was missed due to delays.
Action Taken
(AI summary)
GMP has implemented a programme of staff training emphasizing vulnerability, safeguarding, and risk mitigation. Locally, Bury has introduced a demand/triage desk and intelligence support to conduct Golden Hour tasks, including service calls to informants. The escalation policy has been amended to require recall to the informant within 40 minutes.
Henry Hicks
All Responded
2016-0244
4 Jul 2016
London Inner (North)
Metropolitan Police
Concerns summary (AI summary)
Police officers failed to identify a situation as a pursuit and seek authorisation, contrary to the jury's determination, implying non-compliance with the Metropolitan Police Service's standard operating procedure.
Noted
(AI summary)
The Metropolitan Police states that the existing pursuit policy remains unchanged but will be fully explored in the context of a formal disciplinary process for the officers involved, and notes that their guidance is kept under constant review and revision.