Police contact with a woman and her partner, prior to the woman’s death – Metropolitan Police Service, May 2022

Metropolitan Police Service · Ref: 2022/170163

Recommendation date: 13 May 2024

Response due: 8 July 2024

Published: 30 July 2024

Death and serious injury

In May 2022, Metropolitan Police Service (MPS) officers visited a house following a report of a domestic disturbance. The husband and wife couple who lived there were spoken to separately and their accounts were recorded, but no further action was taken. Nine days later the woman was fatally stabbed at the house, with her husband claiming responsibility in a 999 call. The man was arrested and in April 2023 he was convicted of his wife’s murder. This case came to our attention as a death or serious injury referral and we started an independent investigation, primarily focused on the police visit to the house regarding the domestic disturbance. During our investigation, investigators examined evidence including a recording of the call received by MPS reporting the domestic disturbance, police radio communications, the officers’ body-worn video footage, the officer’s training records, and relevant police policy and procedures. We also obtained witness accounts …

View on IOPC website

Recommendations (8)

Recommendation 1 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS): (a) updates the ‘Anonymous Caller’ guidance in the document, ‘Learning plan for Metropolitan Police Contact Centre (Met CC) Academy’, to highlight that although callers are entitled to remain anonymous, this is … Read moreThe IOPC recommends that the Metropolitan Police Service (MPS): (a) updates the ‘Anonymous Caller’ guidance in the document, ‘Learning plan for Metropolitan Police Contact Centre (Met CC) Academy’, to highlight that although callers are entitled to remain anonymous, this is not something that should be offered up front by the operator, but used only if expressly requested by the caller. This is based on the information provided by the Deputy Head of the Met CC Academy, who has confirmed that recruits are advised of this. (b) ensures all Contact Centre staff are made aware of the updated guidance, once it is in place. This follows an IOPC investigation where the ‘call taker,’ recording a report of a domestic abuse incident in progress, asked the caller if they wished to remainanonymous, to which they responded that they did. At no point prior to this, did the caller give any indication they wished to remain anonymous. No further contact was made with the caller by the investigating officers and an opportunity to gather further information to assist with the investigation and inform safeguarding considerations was missed. One of the attending officers stated that, in part, no contact was made because they were informed the caller wanted to remain anonymous. In respect of ‘Anonymous Caller’ guidance, currently the MetCC ‘Learning plan’ states, ‘callers may remain anonymous.’ No other information is provided. The deputy head of the MetCC Academy has stated, “although callers are entitled to remain anonymous, this is not something that should be offered upfront by the operator, but used only if expressly requested by the caller.” The MetCC ‘Learning plan’ does not reflect this. The IOPC believe that implementing this recommendation will ensure MetCC training staff will impart the anonymous caller instructions consistently to students. Additionally, the amended MetCC ‘Learning plan’ will be a reference guide for all MetCC staff when guidance is sought on this topic. Show less

Force Response

Recommendation accepted: The Metropolitan Police Service (“MPS”) has reviewed and accepts the recommendation by the IOPC. ‘Anonymous Caller’ guidance is now included in our ‘Learning Plan’ for the MetCC. Training content has been updated to emphasise the importance of obtaining … Read more

Recommendation 2 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS) include ‘Anonymous caller’ guidance in the ‘MPS Public Protection – Domestic Abuse (DA) Policy.’ Officers may benefit from specific guidance, where potential benefits and risks associated with contacting callers who wish … Read more

Force Response

Recommendation accepted: The MPS accepts this recommendation. On 7th February 2024, the MPS Frontline Policing Delivery Unit amended the MPS Domestic Abuse Policy. However, this will be amended further to include the following paragraph to reflect this recommendation: “It is … Read more

Recommendation 3 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS) provides guidance to all staff relating to the use of ‘Document Templates.’ Document templates contain pre-set wording generic to specific policing functions. They can act as a time saving guide to … Read moreThe IOPC recommends that the Metropolitan Police Service (MPS) provides guidance to all staff relating to the use of ‘Document Templates.’ Document templates contain pre-set wording generic to specific policing functions. They can act as a time saving guide to users when providing updates. Used correctly templates can provide structure and prompt required considerations. However, each incident or investigation reviewed should be considered on its unique individual circumstances with rationale for decision making documented. Simply copying the decision- making rationale from previous similar types of incident or investigation, without due consideration of the individual circumstances, may lead to the recording of inaccurate and/or misleading information. This may leave individual officers and the force open to scrutiny and criticism. Additionally, to use the above provision of guidance as an opportunity to remind staff of the importance of providing ‘comprehensive updates,’ with rationale for decision making, particularly important at supervisory level. This follows an IOPC investigation where two unrelated domestic abuse incidents, eighteen months apart, were updated by different supervising officers using the same document template. The supervisors’ comments relating to the investigation report, intelligence checks and safeguarding considerations were identical on the two templates. The level of scrutiny each supervisor gave to the actions and decisions of the initial investigating officer(s) is not apparent in the templates. If the MPS are using ‘standard document templates,’ to assist supervisors with assessment and decision making, it would seem reasonable to have expected additional comments of an individual nature relating to each of the two investigations in question, including decision making rationale. It was also apparent that officers were not providing updates which included all necessary information and decision making rationale. On this occasion officers did not conduct house to house enquiries or contact the reporting person as part of their investigation. No explanation was provided by the officers and their supervisor as to why these, DA policy required actions, were not completed. Show less

Force Response

Recommendation accepted: The Metropolitan Police Service (“MPS”) has reviewed and accepts the recommendation by the IOPC. Whilst document templates that contain pre-set wording generic to policing tasks and actions are useful as both aide-memoires and time saving instruments to prompt … Read more

Recommendation 4 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS) provides consistency across all MPS Domestic Abuse policy (DA), guidance and related documents in terms of whether the intelligence checks to be completed are for a ‘period of five years,’ or … Read more

Force Response

Recommendation accepted: The MPS accepts this recommendation. The MPS Frontline Policing Delivery Unit will amend the MPS Domestic Abuse Policy to clarify that: Intelligence checks must be completed for a minimum of five years on all parties involved in the … Read more

Recommendation 5 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS): (a) should provide guidance on what is expected of, ‘thorough intelligence checks,’ across all MPS Domestic Abuse (DA) policy, guidance and related documents. Potentially, ‘thorough intelligence checks’ will include all related … Read moreThe IOPC recommends that the Metropolitan Police Service (MPS): (a) should provide guidance on what is expected of, ‘thorough intelligence checks,’ across all MPS Domestic Abuse (DA) policy, guidance and related documents. Potentially, ‘thorough intelligence checks’ will include all related incidents, particularly domestic related, that a party to the checks has been involved in which, for example, may indicate a propensity for violence (including weapons). This guidance should make clear that previous incidents that involve different parties to the one(s) involved in the latest incident, such as a different partner, or a relative or family member, may also be relevant. (b) ensures all staff are made aware of the updated guidance once it is in place.The input to staff should be tailored relating to rank and responsibilities, with particular emphasis on the expectations of supervisors and managers when overseeing staff investigative and risk management decisions. This follows an IOPC investigation relating to a DA incident where it was apparent officers were interpreting ‘thorough intelligence checks’ differently leading to relevant safeguarding information being missed. The investigation found that three previous domestic incidents involving Mr A and his brothers fell within the stipulated five-year period for completing intelligence checks, yet the attending officer did not record these incidents in the checks they completed. Two of the three incidents reported that Mr A had threatened his brothers with a knife. Subsequently, these three historic incidents were not considered in the safeguarding arrangements for the family unit who remained together in the home. Nine days later Mr A fatally stabbed his wife whilst their two young children were present in the home. One of the officers who attended the initial incident involving Mr and Mrs A stated they would not consider the previous sibling-based DA incidents to be relevant to the circumstances between Mr A and his wife, albeit this was not the officer who completed the intelligence checks that day. Providing staff with clear guidance regarding the expectations relating to intelligence checks, including parameters and relevant content, could help to ensure that they are properly informed to assist with making safeguarding decisions and implementing appropriate actions. Show less

Force Response

Recommendation accepted: This recommendation is accepted. The MPS Domestic Abuse Policy will be amended to reflect the suggested wording in this recommendation. This will be drafted in June 2024. This is being incorporated in the new Standard operating Procedures for … Read more

Recommendation 6 Accepted

Recommendation

The IOPC recommends the Metropolitan Police Service (MPS) should amend the ‘Gathering Evidence’ section of its Domestic Abuse (DA) Policy. Currently it says, ‘Officers must ensure that they gather as much information as practicable… and record the information gathered and … Read more

Force Response

Recommendation accepted: The MPS accepts this recommendation. The section referred to in this recommendation will be rewritten and clarified as per this recommendation in the MPS Domestic Abuse Policy. This will be completed in June 2024 and communicated to all … Read more

Recommendation 7 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS) should conduct a review of their ‘refresher training programme’ for its ‘contact centre’ staff, including non-permanent staff, and for all staff to have access to continuing professional development (CPD) to ensure … Read more

Force Response

Recommendation partially accepted: The Metropolitan Police Service (MPS) has reviewed and partially accepts the recommendation by the IOPC. In response to the IOPC’s recommendation that the MPS conduct a review of the ‘refresher training programme’ for officers and staff to … Read moreRecommendation partially accepted: The Metropolitan Police Service (MPS) has reviewed and partially accepts the recommendation by the IOPC. In response to the IOPC’s recommendation that the MPS conduct a review of the ‘refresher training programme’ for officers and staff to ensure alignment with Domestic Abuse (DA) policies and current best practices, the following points are provided for consideration. MetCC update staff on key changes twice a year through Continuous Professional Development days (CPDs). Content for our CPDs is provided by our Performance and Assurance Team, along with our Organisation Learning (OL) department. The OL department collates organisational learning from partners such as the IOPC, HMICFRS, the wider MPS and other national and local colleagues. Governance of CPD content is provided through the Training Board, ultimately signed off by the OCU Commander. This decision is based on learning requirements and organisational strategic priorities. We have now ensured that the guidance on anonymous callers is included in the current round of CPDs running until Q4 (24-25). In addition to the CPDs, we deliver training through; mandated online learning, bespoke training (Right Care, Right Person – RCRP – training, Front & Middle Line Leaders Programs), large information display screens placed throughout each of our three Centres on operational floors, a weekly digest sent to all staff – and the numbers of staff viewing this is tracked to ensure effectiveness, bespoke emails, and messages cascaded through line managers. MetCC also has a dedicated ‘Returner and Refresher’ team who deliver bespoke refresher training to staff returning from extended periods of leave, such as career breaks, maternity leave, and long-term sickness. Each staff member undergoes a skills fade assessment, and the course is tailored to their specific needs. VBOS (Voluntary Borough Officer Support – our non-permanent staff) make up just over 10% of our cohort but significantly less than 10% of our shifts. Officers receive bespoke training when there is a specific need, such as RCRP and training updates via email. In response to this recommendation we will explore how we can provide more structured training (CPD) to this group whilst balancing our needs with the needs of their home Command. This action will be recorded as Organisational Learning and developed and then tracked/audited through our Training Board. We remain committed to ensuring our staff are equipped with the knowledge and skills necessary to handle Domestic Abuse cases effectively and in line with policy and best practice. Show less

Recommendation 8 Accepted

Recommendation

The IOPC recommends that the Metropolitan Police Service (MPS) should conduct a review of their ‘refresher training programme’ for its officers and staff, to ensure that their knowledge and skills are aligned with policies associated with Domestic Abuse (DA) and … Read moreThe IOPC recommends that the Metropolitan Police Service (MPS) should conduct a review of their ‘refresher training programme’ for its officers and staff, to ensure that their knowledge and skills are aligned with policies associated with Domestic Abuse (DA) and they remain appraised of current best practice. This training should be tailored relating to rank and responsibilities, with particular emphasis on the expectations of supervisors and managers when overseeing staff investigative and risk management decisions. This follows an IOPC investigation where on reviewing police officer training records, after the initial DA training as a student officer, there does not appear to be any training that ‘focuses’ on investigating domestic abuse, which includes associated risk assessment and safeguardingactions. There appears to be some localised input to staff, on aspects associated with DA, but it does not appear to be targeted as part of an overall strategy to ensure officers are equipped to fulfil their responsibilities as outlined in the MPS DA policy. It appears evident, from the witness interviews with the officers involved, that none had any depth of knowledge in relation to force policies associated with DA, particularly in relation to the mandatory responsibilities around investigative actions of the attending officers/supervisors and the importance of providing detailed updates, showing decision making rationale (including when actions are not completed). This limited knowledge would appear to correlate with the current lack of a refresher training programme, incorporated within the MPS strategy related to DA. Domestic abuse is a high risk, priority area to police and at the forefront of public protection. There is a potential safeguarding risk to members of the public and to the reputation of the MPS through the actions and decision making of officers and staff, who may not have been adequately trained then appropriately updated and developed through regular refresher training. Show less

Force Response

Recommendation accepted: The MPS accepts this recommendation. The MPS Frontline Delivery Unit has already rolled out Continuous Professional Development training to all Emergency Response Policing Teams across the MPS. The Strengthening Public Protection Programme has a specific pillar for training … Read more