Police investigation management

Risk of replication of past management failures in police investigations due to absence of systems ensuring compliance.

824 items 13 sources 18 inquiries
Source spread

Where this theme appears

Police investigation management has been flagged across 13 independent accountability sources:

107 inquiry recs 116 PFD reports 151 committee recs 151 HMICFRS recs 1 ICIBI rec 10 PPO recs 193 IOPC recs 1 NAO rec 8 IMB reports 18 IMB recs 14 Article 2 learning points 8 detention investigation recs 46 LGO/SPSO decisions

When the same issue appears across inquiries, coroner reports, and regulators independently, it indicates a recurring issue across the public record.

Browse by source

Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.

MACP-34 — Ensure racist motivation evidence is recognised and included at all prosecution stages.
Macpherson Inquiry
Recommendation: That Police Services and the CPS should ensure that particular care is taken at all stages of prosecution to recognise and to include reference to any evidence of racist motivation. In particular it should be the duty of the CPS …
Unknown
7 — Introduce 28-day maximum time limit on detention
Brook House Inquiry
Recommendation: The government must introduce in legislation a maximum 28-day time limit on any individual's detention within an immigration removal centre.
Gov response: The government does not accept this recommendation. The government stated: 'A time limit would significantly impair the ability to remove those who have breached immigration laws and refused to leave the UK voluntarily.'
Not Accepted
3 — Limit cell occupancy to maximum two people
Brook House Inquiry
Recommendation: The Home Office must ensure that a maximum of two detained people are accommodated in each cell at Brook House.
Gov response: All rooms across the removal estate meet standards under Rule 15(1) of the Detention Centre Rules 2001. At Brook House, no room designed for two individuals houses more than two, with no plans to change …
Accepted in Part
COVID-M2.4 — Publish Technical Advice During Emergencies
COVID-19 Inquiry
Recommendation: During a whole-system civil emergency, the UK government and devolved administrations should each routinely publish technical advice on scientific, economic and social matters at the earliest opportunity, as well as the minutes of expert advisory groups – except where there …
Gov response: The government agrees with the Inquiry that it is important to provide clear communications to the public during an emergency. The government has made significant progress on the provision of guidance to departments when dealing …
Accepted
COVID-M2.2 — Devolved Nations SAGE Attendance
COVID-19 Inquiry
Recommendation: The Government Office for Science (GO-Science) should invite the governments of Scotland, Wales and Northern Ireland to nominate a small number of representatives to attend meetings of the Scientific Advisory Group for Emergencies (SAGE) from the outset of any future …
Gov response: No formal response published by this government.
Accepted
COVID-M1.9 — External Red Teams for Resilience
COVID-19 Inquiry
Recommendation: The governments of the UK, Scotland, Wales and Northern Ireland should each introduce the use of red teams in the Civil Service to scrutinise and challenge the principles, evidence, policies and advice relating to preparedness for and resilience to whole-system …
Gov response: No formal response published by this government.
Accepted In progress
COVID-M1.7 — Publish Exercise Reports and Lessons
COVID-19 Inquiry
Recommendation: For all civil emergency exercises, the governments of the UK, Scotland, Wales and Northern Ireland should each (unless there are reasons of national security for not doing so): publish an exercise report summarising the findings, lessons and recommendations, within three …
Gov response: No formal response published by this government.
Accepted In progress
COVID-M1.6 — Triennial Pandemic Exercises
COVID-19 Inquiry
Recommendation: The UK government and devolved administrations should together hold a UK-wide pandemic response exercise at least every three years. The exercise should: test the UK-wide, cross-government, national and local response to a pandemic at all stages, from the initial outbreak …
Gov response: No formal response published by this government.
Accepted In progress
COVID-M1.5 — Pandemic Data Systems and Research
COVID-19 Inquiry
Recommendation: The UK government, working with the devolved administrations, should establish mechanisms for the timely collection, analysis, secure sharing and use of reliable data for informing emergency responses, in advance of future pandemics. Data systems should be tested in pandemic exercises. …
Gov response: No formal response published by this government.
Accepted In progress
COVID-M1.4 — UK-wide Civil Emergency Strategy
COVID-19 Inquiry
Recommendation: The UK government and devolved administrations should together introduce a UK-wide whole-system civil emergency strategy (which includes pandemics) to prevent each emergency and also to reduce, control and mitigate its effects. The strategy should: be adaptable; include sections dedicated to …
Gov response: No formal response published by this government.
Accepted in Part In progress
COVID-M1.3 — Improved Risk Assessment Approach
COVID-19 Inquiry
Recommendation: The UK government and devolved administrations should work together on developing a new approach to risk assessment that moves away from a reliance on single reasonable worst-case scenarios towards an approach that: assesses a wider range of scenarios representative of …
Gov response: No formal response published by this government.
Accepted In progress
COVID-M1.1 — Simplify Emergency Preparedness Structures
COVID-19 Inquiry
Recommendation: The governments of the UK, Scotland, Wales and Northern Ireland should each simplify and reduce the number of structures with responsibility for preparing for and building resilience to whole-system civil emergencies. The core structures should be: a single Cabinet-level or …
Gov response: No formal response published by this government.
Accepted
POH-19 — Publish restorative justice programme by 31 October 2025
Post Office Horizon Inquiry
Recommendation: By 31 October 2025, the Department, Fujitsu and the Post Office shall publish, either separately or together, a report outlining any agreed programme of restorative justice and/or any actions taken by that date to produce such a programme. For the …
Gov response: Department for Business and Trade accepts this recommendation. DBT, Post Office, and Fujitsu have jointly embarked on a postmaster-led restorative justice programme facilitated by the Restorative Justice Council. Sessions began on 23 September 2025. A …
Accepted In progress
POH-18 — Devise redress process for affected family members
Post Office Horizon Inquiry
Recommendation: The Department shall devise a process for providing financial redress to close family members of those most adversely affected by Horizon. Such family members shall qualify for such redress only if they themselves, have suffered serious adverse consequences by reason …
Gov response: Department for Business and Trade accepts this recommendation. Some close family members of postmasters suffered serious adverse consequences because of the Horizon scandal. DBT is committed to establishing a redress scheme for close family members …
Accepted In progress
POH-17 — Establish standing public body to administer future redress schemes
Post Office Horizon Inquiry
Recommendation: As soon as is reasonably practicable, HM Government shall establish a standing public body which shall, when called upon to do so, devise, administer and deliver schemes for providing financial redress to persons who have been wronged by public bodies.
Gov response: Department for Business and Trade acknowledges this recommendation and sees clear advantages in establishing a standing public body for financial redress. However, the government recognises that establishing such an independent redress body requires careful consideration …
Response Unclear In progress
POH-13 — Close HSS Dispute Resolution Procedure when HSSA opens
Post Office Horizon Inquiry
Recommendation: The current Dispute Resolution Procedure in HSS should be closed once all claimants currently within the Procedure have either (a) settled their claims or (b) transferred to HSSA. No claimant who is not in the Dispute Resolution Procedure when HSSA …
Gov response: Department for Business and Trade rejects this recommendation as it conflicts with the principle of providing "full and fair" redress. Postmasters should retain the choice between continuing with the dispute resolution procedure or transferring to …
Not Accepted
POH-11 — Apply best offer principle equally in GLOS
Post Office Horizon Inquiry
Recommendation: The "best offer" principle which will apply in HSSA, as explained in response to Recommendation 10, shall be equally applicable in GLOS.
Gov response: Department for Business and Trade accepts this recommendation. The "best offer" principle applies equally across GLO, HSSA, and HCRS schemes at all panel stages. This has been in effect since 12 August. DBT will retrospectively …
Accepted
MACP-37 — Fully record and disclose prosecution discontinuance decisions to victims or families.
Macpherson Inquiry
Recommendation: That the CPS ensure that all decisions to discontinue any prosecution should be carefully and fully recorded in writing, and that save in exceptional circumstances, such written decisions should be disclosable to a victim or a victim's family.
Unknown
MACP-36 — CPS must personally notify victims and families of discontinuance decisions sensitively.
Macpherson Inquiry
Recommendation: That the CPS should have the positive duty always to notify a victim and victim's family personally of a decision to discontinue, particularly in cases of racist crime, with speed and sensitivity.
Unknown
MACP-35 — Consult and inform victims or families about any proposal to discontinue proceedings.
Macpherson Inquiry
Recommendation: That the CPS ensure that a victim or victim's family shall be consulted and kept informed as to any proposal to discontinue proceedings.
Unknown
MACP-33 — Establish a rebuttable presumption for prosecution in the public interest test.
Macpherson Inquiry
Recommendation: That the CPS should consider that, in deciding whether a criminal prosecution should proceed, once the CPS evidential test is satisfied there should be a rebuttable presumption that the public interest test should be in favour of prosecution.
Unknown
MACP-31 — Ensure training and use of victim/witness liaison officers for racist incidents.
Macpherson Inquiry
Recommendation: That Police Services ensure the provision of training and the availability of victim/witness liaison officers, and ensure their use in appropriate areas particularly in the field of racist incidents and crimes, where the need for a sensitive approach to young …
Unknown
MACP-29 — Develop guidelines for handling victims and witnesses, especially in racist incidents.
Macpherson Inquiry
Recommendation: That Police Services should together with the Home Office develop guidelines as to the handling of victims and witnesses, particularly in the field of racist incidents and crimes. The Victim's Charter to be reviewed in this context.
Unknown
MACP-4 — Conduct immediate HMIC inspection of Metropolitan Police Service, including undetected murders.
Macpherson Inquiry
Recommendation: That in order to restore public confidence an inspection by HMIC of the Metropolitan Police Service be conducted forthwith. The inspection to include examination of current undetected HOLMES based murders and Reviews into such cases.
Unknown
HIDD-91 — Ensure fault finding teams are accompanied by police and photographer for evidence
Hidden Inquiry
Recommendation: BR fault finding teams shall report to the Railway Incident Officer who, in consultation with the Police Incident Officer, shall ensure, in all but the most exceptional circumstances, that the team is accompanied by a police officer and a photographer …
Unknown
AR-3 — Commissioner to Appoint Debrief Officer
Azelle Rodney Inquiry
Recommendation: In the event of a shooting by an MPS officer that results in death or serious injury, the Commissioner should thereupon appoint a senior officer to conduct a full, operational debriefing. The officer must have sufficient seniority to not be …
Gov response: No formal government response published. MPS confirmed implementation of senior officer debriefing procedures on 12 August 2014.
Accepted
AR-1 — Full Review of Operation Tayport
Azelle Rodney Inquiry
Recommendation: I recommend that, as soon as is reasonably practicable, the MPS undertake a full, thorough review of all aspects of Operation Tayport. The review should be conducted by a senior officer appointed by the Commissioner with no inhibitions about critical …
Gov response: No formal government response published. MPS confirmed implementation on 3 June 2014 following internal review by Commander Basu.
Accepted
DM-20 — HOLMES access for independent panels
Daniel Morgan Panel
Recommendation: All independent panels and inquiries examining police investigations should be given full access to the associated HOLMES accounts at their secure premises when they begin their work.
Gov response: Since 2020, police HOLMES databases have become Cloud-based, making the system accessible for the first time via a corporately managed device for those with the appropriate security clearance and purpose.
Accepted
DM-8 — Guidance on disclosing material to journalists
Daniel Morgan Panel
Recommendation: Guidance should be issued by the Metropolitan Police to enable officers to determine whether it is appropriate, necessary and lawful to disclose investigative material to journalists. That guidance should include a requirement to record by whom, to whom and when …
Gov response: The College of Policing's counter-corruption APP already outlines categories of inappropriate associations that should be recorded and what notifiable association policies should look like for police forces. This includes that any associations with private investigators …
Accepted No update 2+ yrs
DM-5 — Separate SIO and Family Liaison Officer roles
Daniel Morgan Panel
Recommendation: The Metropolitan Police should ensure that the role of the Family Liaison Officer is never carried out by the Senior Investigating Officer of an investigation. There is an inherent conflict between these two roles.
Gov response: The new National Major Crime Investigation Manual (MCIM) published in November 2021 covers all aspects of major crime investigation and sets the standard for all forces alongside the relevant Authorised Professional Practice (APP) produced by …
Accepted
DM-3 — Prevent replication of Abelard Two management failures
Daniel Morgan Panel
Recommendation: It is recommended that the Metropolitan Police introduce systems to ensure that the management arrangements which applied during the Abelard Two Investigation can never be replicated in any future investigation, and that proper management arrangements, in compliance with the Association …
Gov response: The MPS has given assurances that the management arrangements during this particular investigation (Abelard Two) would not happen under current structures and have updated the relevant conflict of interest declaration and policy. The new National …
Accepted
JB-15.16 — Requirements for sustained public protection operations
Jermaine Baker Inquiry
Recommendation: APP-AP should be amended to cover the following: a. Sustained public protection should never be the object of an operation unless and until there is a clearly recorded note of the possible charge(s) that are anticipated, the evidence that will …
Gov response: MPS formally responded on 28 October 2022 (para 31). MPS carefully considering recommendation. Considers sustained public protection broader than conviction and imprisonment. Welcomes further APP-AP guidance.
Accepted
JB-15.7 — Recording and documentation of firearms planning meetings and briefings
Jermaine Baker Inquiry
Recommendation: MPS Armed Policing Standard Operating Procedure (SOP) to be amended so that: a. Notes and/or audio recordings should be made of all meetings in relation to general strategy where it is envisaged that firearms may or will be deployed during …
Gov response: MPS formally responded on 28 October 2022 (paras 17-20). Internal guidance issued to all SFCs and TFCs on comprehensive minutes for planning meetings. PUoF SOP consistent with APP-AP. Recording of firearms briefings still under review …
Accepted No update 2+ yrs
JB-15.1 — Clarify separation of SIO and firearms commander roles
Jermaine Baker Inquiry
Recommendation: There should be clearer guidance from the MPS, College of Policing and/or the NPCC on the separation of roles between the Senior Investigating Officer (SIO) and the Tactical and Strategic Firearms Commanders (TFC and SFC). The guidance should be clear …
Gov response: MPS formally responded on 28 October 2022 (paras 5-6). MO19 internal review commenced July 2021; DAC Barbara Gray authorised interim position separating SFC from investigation team. Chief Inspector Tom Williams led formal MO19 recommendations paper …
Accepted
SP31 — Response officer access to case information technology
Southport Inquiry
Recommendation: 1. Lancashire Constabulary should ensure response officers have access to effective technology providing clear, essential case information. 2. The National Police Chiefs’ Council, College of Policing and Home Office should review whether current policing information systems, particularly the limitations on …
Response Pending
SP28 — Recording case information on police systems
Southport Inquiry
Recommendation: Lancashire Constabulary should ensure its training and systems address the risks associated with failing to record case information on police systems so it is readily available to others. The National Police Chiefs’ Council and College of Policing should consider whether …
Response Pending
SP27 — Cross-force information sharing review
Southport Inquiry
Recommendation: Lancashire Constabulary and Merseyside Police should review the effectiveness of their information‑sharing systems and consider whether a more robust process is required. Findings should be shared with the National Police Chiefs’ Council and College of Policing for consideration as to …
Response Pending
SP26 — Recording words and behaviour of high-risk individuals
Southport Inquiry
Recommendation: Lancashire Constabulary, and the College of Policing nationally, should ensure that forms and training emphasise the importance of recording, as precisely as possible, the words and behaviour of individuals who may pose a significant risk to others.
Response Pending
WATE-(19) — Establish senior officer liaison with police for child abuse investigations
Waterhouse Inquiry
Recommendation: Whenever a police investigation follows upon a complaint of abuse of a looked after child, the senior officer referred to in recommendation (18) or another senior officer assigned for the specific purpose should establish and maintain close liaison with the …
Unknown
LAMI-99 — Amend Working Together for police to exclusively conduct child criminal investigations.
Laming Inquiry
Recommendation: The Working Together arrangements must be amended to ensure the police carry out completely, and exclusively, any criminal investigation elements in a case of suspected injury or harm to a child, including the evidential interview with a child victim. This …
Unknown
LAMI-98 — Social services must inform police immediately of child criminal offence referrals.
Laming Inquiry
Recommendation: The guideline set out at paragraph 5.8 of Working Together must be strictly adhered to: whenever social services receive a referral which may constitute a criminal offence against a child, they must inform the police at the earliest opportunity.
Unknown
LAMI-97 — Ensure child crime investigation is equal to other serious crime investigations.
Laming Inquiry
Recommendation: Chief constables must ensure that the investigation of crime against children is as important as the investigation of any other form of serious crime. Any suggestion that child protection policing is of a lower status than other forms of policing …
Unknown
LAMI-96 — Review police protection systems for Children Act compliance and designated inspector officer.
Laming Inquiry
Recommendation: Police forces must review their systems for taking children into police protection and ensure they comply with the Children Act 1989 and Home Office guidelines. In particular, they must ensure that an independent officer of at least inspector rank acts …
Unknown
LAMI-95 — ACPO must produce and implement standards-based child protection service.
Laming Inquiry
Recommendation: The Association of Chief Police Officers must produce and implement the standards-based service, as recommended by Her Majesty’s Inspectorate of Constabulary in the 1999 thematic inspection report, Child Protection.
Unknown
LAMI-94 — Require supervisory officers to actively ensure proper investigation of serious child crimes.
Laming Inquiry
Recommendation: In cases of serious crime against children, supervisory officers must, from the beginning, take an active role in ensuring that a proper investigation is carried out.
Unknown
LAMI-93 — Require manager involvement from both agencies in joint child harm investigations.
Laming Inquiry
Recommendation: Whenever a joint investigation by police and social services is required into possible injury or harm to a child, a manager from each agency should always be involved at the referral stage, and in any further strategy discussion.
Unknown
FENN-108 — Review British Transport Police King's Cross performance and provide additional fire training.
Fennell Inquiry
Recommendation: The British Transport Police should review the performance of its officers in the King's Cross emergency and give additional fire training.
Unknown
MACP-62 — Require police services to monitor, analyse, review, and publish relevant records
Macpherson Inquiry
Recommendation: That these records should be monitored and analysed by Police Services and Police Authorities, and reviewed by HMIC on inspections. The information and analysis should be published.
Unknown
MACP-61 — Require police to record all stops, searches, reasons, and ethnic identity
Macpherson Inquiry
Recommendation: That the Home Secretary, in consultation with Police Services, should ensure that a record is made by police officers of all "stops" and "stops and searches" made under any legislative provision (not just the Police and Criminal Evidence Act). Non-statutory …
Unknown
MACP-44 — Police and Courts prevent intimidation of witnesses through bail conditions
Macpherson Inquiry
Recommendation: That Police Services and the Courts seek to prevent the intimidation of victims and witnesses by imposing appropriate bail conditions.
Unknown
Robert Wilkinson
21 Oct 2013 · County Durham & Darlington
Concerns: 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.
Response (Durham Constabulary): 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 …
Responded
Andrew Cairns, Rachael Slack and Auden Slack
01 Nov 2013 · Derby and Derbyshire
Concerns: Police failed to inform the Mental Health Team of an arrest for threats to kill despite knowing of a recent mental health assessment; an existing information-sharing policy was also undisclosed.
Overdue
Billy Paul Thomas Salton
06 Jan 2014 · Manchester (South)
Concerns: GMP policy of not staffing the Prisoner Processing Unit overnight leads to unnecessary and prolonged custody times for individuals awaiting interview.
Response (Medacs): Medacs Healthcare has implemented measures to ensure staff are aware of and have access to Medacs policies and procedures. They are also reviewing the electronic MedacsFME system to include screening …
Response (Greater Manchester Police): Greater Manchester Police acknowledge delays in processing detainees due to staffing limitations. They are currently reviewing roles in custody and looking for a system that matches or improves coverage of …
Overdue
Daniel Collins
03 Feb 2014 · Plymouth, Torbay & South Devon
Concerns: The provided text indicates that matters of concern were revealed but does not detail what these specific concerns are.
Overdue
Lee MacPherson
03 Mar 2014 · London (West)
Concerns: Delayed police risk assessments and a lack of common understanding between escort and prison staff regarding critical handover documentation posed significant safety risks during transfers.
Overdue
David Oldfield
14 Mar 2014 · West Yorkshire (East)
Concerns: Concerns were raised about the appropriateness and justification of tasering the deceased, given discrepancies in officer accounts. Unjustified tasering unnecessarily increases the risk of serious injury or death.
Response (West Yorkshire Police): West Yorkshire Police acknowledge the concerns raised, particularly regarding officer accounts, and state that the IPCC was informed. They also offer a visit to their training facilities to demonstrate Taser …
Responded
Vincent Gibson
01 Apr 2014 · Gateshead & South Tyneside
Concerns: Police incident management suffered from unclear leadership, inadequate communication protocols, ineffective resource allocation, and unreliable electronic aids, compromising response safety and efficiency.
Overdue
Mark Duggan
29 May 2014 · London (North)
Concerns: Insufficient intelligence gathering and a failure to exhaust all intelligence avenues regarding key individuals prior to the stop, impacting subsequent police actions.
Response (IPPC): The IPCC acknowledges the coroner's concerns, particularly regarding access to intelligence materials, and states it is best placed to determine who within the IPCC investigation should have access. The IPCC …
Response (Home Office): The Home Office acknowledges the concerns raised, particularly regarding the IPCC's resources at the scene and access to intelligence. The response explains the existing legal framework for investigations and information …
Response (ACPO): The National Armed Policing Portfolio has commenced work to determine whether the introduction of body worn video (BWV), might be included in armed policing operations. The National Policing portfolios will …
Response (National Crime Agency): The National Crime Agency notes the concerns raised and states it has undertaken a thorough internal review of its operating procedures regarding intelligence gathering, development, and dissemination. Following this review, …
Response (Metropolitan Police Service): The MPS will adopt a procedure for all future police shootings whereby a Garage Sergeant or Collision Investigator is called by the DPS to download the IDR at the scene, …
Responded
Stephen Church
15 Jul 2014 · Berkshire
Concerns: A broken police command chain, insufficient staff knowledge of mental health protocols, and a critical lack of joint working between agencies delayed a Mental Health Act assessment for a high-risk individual.
Response (Thames Valley Police): Thames Valley Police is coordinating the re-drafting of an interagency joint working protocol for managing mental health in the Thames Valley area, taking into account the findings of the inquest.
Response (British Transport Police): BTP updated its Manual of Guidance to ensure detainees are not left unsupervised until formally handed over to medical professionals, and that relevant mental health professionals are advised of the …
Response (Royal Berkshire NHS Trust1): The Trust has finalised an interagency protocol and will be sending it out to all the agencies involved for consultation and will discuss the revised protocol with training for staff …
Responded
Suzanne Cammell
28 Jul 2014 · Oxfordshire
Concerns: Critical high-risk information about a patient's previous suicide attempt, recorded on police databases, was not effectively communicated between police forces or to frontline officers. This hindered proper risk assessment and the implementation of a Mental Health Act assessment.
Response (Thames Valley Police): Thames Valley Police reviewed the communication between their control room and Gloucestershire Police regarding the deceased. They clarified the information that was shared and noted that Gloucestershire Police had previous …
Overdue
Lee Friend
06 Aug 2014
Concerns: Insufficient visibility for temporary traffic lights and absent guidance for placement near blind bends created road safety risks, compounded by a lack of clear police protocol for reporting such hazards.
Overdue
Arsema Dawit
13 Oct 2014 · London (Inner South)
Concerns: Police investigation suffered from premature offence classification, misleading record entries, and inadequate supervision of action plans. There was also a gap in domestic violence reporting for non-adults and a reluctance to use interpreting services.
Response (Metropolitan Police Service): The Metropolitan Police Service has made improvements in training and reference materials for staff, investigator accreditation & quality assurance, supervision, and provision of support resources; it has broadened the function …
Responded
Lucasz Lewandowski
15 Oct 2014 · Manchester (North)
Concerns: The report identifies concerns regarding the timeliness of the police response, communication gaps between agencies, use of the Mental Health Act due to resource constraints, and a lack of correspondence from a psychiatric practice with the patient's GP.
Response (Green Surgery Medical Dental Care): A protocol is being implemented for psychiatric practice, including risk assessment and communication with healthcare professionals, to be reviewed regularly. The referral system is being improved to flag occurrences like …
Response (Greater Manchester Police): The Operational Communications Branch (OCB) has reviewed its Escalation Policy, issued individual management advice to staff involved in the incident, and recirculated the policy with emphasis on accurate recording. The …
Overdue
Nicholas Rowley
15 Apr 2015 · Stoke-on-Trent & North Staffordshire
Concerns: 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.
Response (College of Policing): 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 …
Response (Staffordshire Police): 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 …
Response (G4S1): 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 …
Overdue
Alice McMeekin
04 Jun 2015 · Cumbria
Concerns: Police failed to act on reported threats and share critical information with mental health services, leading to a flawed psychiatric assessment and early discharge of a high-risk individual with significant mental health issues.
Overdue
Darren Neville
10 Jun 2015 · London Inner (North)
Concerns: Police officers did not adequately consider the significant risk of death associated with prolonged restraint for individuals experiencing acute behavioural disturbance.
Response (Metropolitan Police Service): The Metropolitan Police acknowledge the concerns and detail the challenges of responding to Acute Behavioural Disorder (ABD) incidents, highlighting existing training and the need for officers to act decisively. They …
Responded
Michael Thorley
07 Jul 2015 · Manchester (South)
Concerns: There was an inexcusable delay in emergency entry and a lack of clear policy for forced entry. Police failed to thoroughly investigate the scene, overlooked crucial evidence, and did not consider potential third-party involvement, compromising the investigation.
Response (Greater Manchester Police): Greater Manchester Police has provided feedback and management advice to the officers concerned. The officer who attended is to remain on an action development plan to be managed by their …
Responded
Yvonne Davies and Andrew Davies
07 Jul 2015 · Manchester (South)
Concerns: An off-duty police officer, personally involved with the deceased, compromised the crime scene by breaking in and contaminating evidence before and after on-duty officers arrived, who then failed to secure the scene.
Overdue
Ronald Laidiar
08 Jul 2015 · Manchester (South)
Concerns: The police investigation was severely inadequate, failing to secure the scene, account for missing items, properly investigate the source of blood, or identify a key head injury, significantly raising the risk of undetected violent crime.
Overdue
Wiktoria Was
13 Jul 2015 · London (Inner South)
Concerns: Police pursuits showed insufficient regard for injured third parties, and lessons from previous pursuit-related deaths were not adequately learned or disseminated. Officers lacked sufficient and rigorous refresher training.
Response (Metropolitan Police Service): The Metropolitan Police Service has rolled out an RT Operators Course since 2011 to selected elements of the uniformed workforce and since July 2014 to all new recruits. They are …
Responded
Dean Joseph
12 Aug 2015 · London Inner (North)
Concerns: Inconsistent understanding of armed containment, lack of trained negotiator guidance for first responders, and sub-optimal post-incident procedures undermined the investigation and public confidence.
Response: The MPS has directed the post incident manager (PIM) to consult with the DPS and the IPCC to decide on what reference materials are proposed to be used by officers …
Responded
Andrew Roberts
20 Aug 2015 · North Wales (East and Central)
Concerns: Inaccurate and delayed completion of the Transfer of Care Form by a doctor prevented critical patient information from being immediately available to custody nurses.
Overdue
Darren Browne
01 Sep 2015 · London Inner (South)
Concerns: A vulnerable adult with high suicide risk was prevented from contacting family, a decision that failed to properly balance his acute needs and risks against restrictions.
Overdue
Mark Holdsworth
04 Jan 2016 · Central Lincolnshire
Concerns: Police failed to communicate critical information about the deceased's recent suicide threat to arresting officers and custody staff, resulting in an incomplete risk assessment upon release.
Overdue
Stefen Boswell
08 Jan 2016 · Shropshire, Telford and Wrekin
Concerns: Inconsistent police pursuit policies between local and national guidelines on wrong-way driving, coupled with inadequate communication systems for critical pursuit details, created unnecessary risks.
Response (West Mercia Police): West Mercia Police and Warwickshire Police have harmonised policies and procedures with the Authorised Professional Practice (APP) for police pursuits. All police vehicles entering service are now fitted with an …
Responded
Adele Blakeman
15 Apr 2016 · Manchester South
Concerns: The antiquated GMP computer system hinders officers' access to critical information, preventing adequate situation assessment. Officers also failed to consistently record pertinent intelligence on individual profiles.
Response (Greater Manchester Police): • GMP is investing significantly in the replacement of technology through the IS Transformation Programme to replace existing separate command and control, custody, intelligence, work allocation, and property systems with …
Responded
Luisa Mendes
30 Jun 2016 · Warwickshire
Concerns: Police call handlers inappropriately categorised violent incidents, and there were no formal handover procedures or training for shift changes. The STORM computer system also lacked alerts for unauthorised deferrals.
Response (Warwickshire Police): Warwickshire Police have trained staff on threat, harm, risk, and vulnerability using the National Decision Making model and are seeking to introduce a system change to alert priority incidents out …
Responded
Henry Hicks
04 Jul 2016 · London Inner (North)
Concerns: 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.
Response (Metropolitan Police Service): 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 …
Responded
Olawale Adelusi
22 Jul 2016 · London (West)
Concerns: There was no effective system to transmit critical information regarding a detained person's self-harm risk and mental health, as detailed observations of distress were not included in formal handover documents.
Overdue
Thomas Gallagher
11 Aug 2016 · Greater Manchester (North)
Concerns: 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.
Response (Thomas Gallagher): 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 …
Responded
Michelle Lawrence
08 Nov 2016 · London Inner (West)
Concerns: Key concerns include lack of independent investigations for deaths after private custody, inadequate concealment questioning, and insufficient strip-search facilities.
Overdue
Mark Yafai
09 Nov 2016 · Coventry
Concerns: Custody policies use unclear terminology for drug influence, granting officers excessive discretion in risk assessments and leading to inadequate Health Care Professional involvement.
Overdue
Tyrone Lock
11 Oct 2016 · Shropshire, Telford and Wrekin
Concerns: Police failed to classify a vulnerable person exhibiting clear distress as such, treating him as an absconding suspect. This led to a missed opportunity for a crucial helicopter deployment, potentially preventing death.
Response (National Police Air Service): NPAS will support West Mercia Police in a critical incident debrief and offer opinions on improvements in awareness or training. They will also discuss the matter with the NPAS Independent …
Response (West Mercia Police): West Mercia Police has undertaken an extensive programme to raise awareness of vulnerability, piloting a programme in Telford and rolling it out across West Mercia in 2017. They have also …
Responded
Darran Hunt
01 Mar 2017 · Carmarthenshire and Pembrokeshire
Concerns: 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.
Overdue
Terence Pimm
14 Aug 2017 · Essex
Concerns: 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.
Response (Essex Partnership University NHS Trust): 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 …
Response (Essex Police): 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. …
Responded
Mark Banks
14 Aug 2017 · Exeter and Great Devon District
Concerns: 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.
Response (Devon Cornwall Police): 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, …
Responded
Ozeivo Akerele
19 Jul 2017 · Coventry
Concerns: 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.
Response (West Midland Police): 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 …
Responded
Joshua Hamill
05 Dec 2017 · North Wales (East & Central)
Concerns: Police training was ineffective in identifying mental health issues, and 'concern for safety' incidents were closed without ensuring the individual's welfare.
Response (North Wales Police): 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.
Responded
Antony Coughtrey
15 Jan 2018 · Milton Keynes
Concerns: The Probation Service failed to conduct an internal investigation or Serious Incident Review after a prisoner's death on licence and had a procedural failure in referring licence breaches back to the Parole Board.
Overdue
Paul Hanton
18 Jan 2018 · West Sussex
Concerns: Concerns involve inadequate information sharing during 999 calls for AWOL patients, limited hospital CCTV access for police, and a discernible difference in police response to informal versus sectioned patients, despite similar risks.
Response (Sussex Police): The police force updated its missing person policy in September 2017, including new call handling guidance with mandatory risk level recording, and delivered related training to staff between January and …
Response (Sussex Partnership NHS Trust): The Trust created a checklist of information needed by police during 999 calls about AWOL patients, which is being incorporated into the Trust's AWOL policy. Instructions for accessing CCTV have …
Responded
Keiron Bould
13 Jun 2018 · Birmingham and Solihull
Concerns: Lack of clear communication protocols between police forces regarding incident primacy and case transfers led to significant delays in handling a missing person report.
Response (Warwickshire Police): 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 …
Overdue
Jeroen Ensink
19 Jul 2018 · London (Inner) North
Concerns: 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.
Overdue
Thomas Lear
11 Oct 2018 · Stoke-on-Trent and North Staffordshire
Concerns: A released prisoner was offered no accommodation support, and urgent suicide threats sent to his offender manager's mobile went unaddressed due to no out-of-hours coverage.
Overdue
Dane Pearson
14 Jan 2019 · Manchester (South)
Concerns: Police issued a CAWN without proper evidence, rationale, or risk assessment for a vulnerable person, and failed to communicate the decision to drop the investigation.
Response: The College of Policing is updating APP on issuing CAWNs to include a risk assessment and link to existing suicide prevention guidance. Additionally, GMP has implemented activities including providing districts …
Overdue
Lesley Armstrong
04 Apr 2019 · North Northumberland
Concerns: 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.
Response (Northumbria Police): 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 …
Responded
Duncan Tomlin
12 Apr 2019 · West Sussex
Concerns: 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.
Response (College of Policing): 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 …
Response (Sussex Police): 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 …
Overdue
Tyereece Johnson
23 May 2019 · London Inner (West)
Concerns: The approximate age of moped riders was not communicated to the police tactical team, omitting a relevant factor for risk assessment and decision-making.
Response (Metropolitan Police Service): The MPS will review the roles and responsibilities of the police pursuits pod to ensure they are maximising information/intelligence opportunities. They will consider a mandatory checklist of indices at the …
Responded
Aidan Ridley
09 Apr 2019 · Wiltshire and Swindon
Concerns: 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.
Response (Wiltshire Police): 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 …
Responded
Alfred Sykes
18 Jun 2019 · Manchester (South)
Concerns: The report identified unspecified matters of concern indicating a risk of future deaths.
Response (Greater Manchester Police): GMP will review all high-risk missing person searches daily with another officer and appraise the Force Search Coordinator. Annual PoISA/Search Manager CPD will include refresher training using incidents that have …
Responded
Adam Harris
23 Jul 2019 · Manchester (South)
Concerns: Lack of formal risk assessment for prisoners in van docks, failure to search suspects, poor handover between officers, inadequate custody record keeping, and conflicting guidance on prisoner positioning for aspiration risk were critical concerns.
Response (Greater Manchester Police): Greater Manchester Police explained their procedures for allocating detainee cell space and the role of the cell allocation team and Custody Inspector. They also detailed officer training and procedures for …
Responded
#25 — Review police and CPS strategies to increase FGM prosecution rates alongside prevention efforts.
Women and Equalities Committee
Recommendation: The Government should continue to adopt an approach that looks at prevention and prosecution by funding and engaging with prevention efforts in local communities. Alongside this work, criminal justice agencies should review police intervention and CPS prosecution strategies with a …
Gov response: The Government’s approach to tackling FGM is focused on preventing these crimes from happening, supporting and protecting survivors and those at risk, and bringing perpetrators to justice. To do this, prevention and prosecution must be …
Accepted
#24 — Urge the Government of Ireland to establish human rights-compliant legacy investigations at pace.
Northern Ireland Affairs Committee
Recommendation: We welcome the commitment to cooperation on legacy between the UK Government and the Government of Ireland. Ireland now needs to demonstrate its own commitment to establishing and completing human rights-compliant investigations, underpinned by legislation. There is a lack of …
Gov response: The Joint Framework contains very clear and important commitments by the Irish Government. This includes the commitment to facilitate the fullest possible cooperation with the Legacy Commission, to establish a dedicated unit within An Garda …
Not Addressed
#20 — Ensure effective investigation of legacy cases, reopening defective ones with appropriate safeguards.
Northern Ireland Affairs Committee
Recommendation: By introducing what it refers to as six new protections for veterans, the Government has attempted to address concerns among former military personnel and others that legacy investigations, whether leading to prosecution or not, have amounted to punishment in themselves. …
Gov response: We owe our Operation Banner veterans an enormous debt of gratitude – their service and their sacrifice will never be forgotten. The Government has a duty of care to all those who served. The collection …
Not Addressed
#7 — Address concerns about the Bill’s narrow definition of “close family member” and case exclusions.
Northern Ireland Affairs Committee
Recommendation: The Government must address concerns about the Bill’s narrow definition of “close family member,” which may exclude relatives who often play a key role in pursuing information decades after incidents occurred. Ministers must also consider the merits of ensuring that …
Gov response: The Bill’s current definition of ‘close family member’ (Clause 93) includes parents, siblings, and children. The Bill also allows the Commission to accept referrals from other relatives, such as grandchildren, if there are no close …
Not Accepted
#5 — Address concerns on ECHR-compliance, sexual crimes exclusion, disclosure risks, and commission powers.
Northern Ireland Affairs Committee
Recommendation: The Government must address concerns about the lack of any specific requirement for the investigations process to be ECHR-compliant; the de facto exclusion of most Troubles-related sexual crimes from the commission’s remit; the perceived risk that the Commission may disclose …
Gov response: The Government takes its human rights obligations very seriously. The Troubles Bill, alongside the Remedial Order, seeks to implement legacy mechanisms that are fully compliant with human rights. Clause 11(e) places the Commission under a …
Partially Accepted
#4 — Joint Framework offers reset for Troubles investigations, but raises questions on five-year window.
Northern Ireland Affairs Committee
Recommendation: The Joint Framework and Troubles Bill offer a chance to reset the investigation process for Troubles-related cases. Despite reassurances from ICRIR, some stakeholders continued to have misgivings about the 80 commission’s work. Many families and others have entrusted ICRIR with …
Gov response: Despite the difficult circumstances of its inception, including the declarations of incompatibility made by the Northern Ireland courts in relation to the Legacy Act, the ICRIR was found by the same courts to have wide …
Not Addressed
#11 — Police forces face growing demands from complex crimes and new responsibilities.
Public Accounts Committee
Recommendation: Police forces are facing growing demands. This includes an increase in the number of crimes which require more specialist resources to investigate; for example, fraud crimes, sexual offences, and stalking and harassment offences increased from 768,000 cases in 2014–15 (18% …
Gov response: 2.1 The government agrees with the Committee’s recommendation. Recommendation implemented 2.2 The Police Reform White Paper sets out a bold and ambitious reform programme to improve the quality, consistency and efficiency of policing. As part …
Response Pending
#9 —
Public Accounts Committee
Recommendation: Action Fraud was launched in 2009 as the national reporting centre for fraud. Victims can report to Action Fraud if they have been scammed, defrauded or experienced cyber crime in England, Wales and Northern Ireland. In 2019, the media reported …
Gov response: 3. PAC conclusion: Victims of fraud are being failed by Action Fraud, which risks undermining public trust in the police. 3. PAC recommendation: The Department should set out, as part of its Treasury Minute response, …
Accepted
#3 —
Public Accounts Committee
Recommendation: Victims of fraud are being failed by Action Fraud, which risks undermining public trust in the police. We are seriously concerned that the failures of Action Fraud in supporting victims of fraud has earned it the nickname “Inaction Fraud”. Many …
Gov response: The government agrees with the Committee’s recommendation. upgrade in the Action Fraud service by 2024. Victims, however, will not have to wait until then before they begin to see improvements in the reporting service and …
Accepted
#21 —
Petitions Committee
Recommendation: Alongside the introduction of the new communications offences, we recommend that the Government ensures the police and other law enforcement bodies have adequate resources to effectively investigate and prosecute communications, hate crime, and Violence Against Women and Girls offences committed …
Gov response: We thank the Committee for its recommendation to scale up existing specialist teams and to ensure police officers are able to access the right training to identify offences and support victims of hate crime. We …
Not Addressed
#17 — Police officers lack adequate skills to investigate complex crimes like fraud effectively.
Public Accounts Committee
Recommendation: Police forces must also invest in the skills of their workforce to be able to respond to the changing nature of crime. Evidence submitted by ADS Group Ltd stated that, according to a 2025 Police Foundation report, half of police …
Gov response: 3.1 The government agrees with the Committee’s recommendation. Recommendation implemented 3.2 The government has listened to policing’s concerns about the financial and operational impacts of requiring forces to maintain a centrally set number of officers; …
Response Pending
#16 — Require Chief Constables to improve monitoring, recording, and response to violence against shopworkers.
Home Affairs Committee
Recommendation: Chief Constables must do much more to demonstrate that they recognise the human cost of escalating violence and abuse against shopworkers. They need to ensure they have proper systems in place for monitoring and recording. Most importantly, they need to …
Gov response: It is a serious problem that police forces could not even tell us the scale of reported assaults against shopworkers because they do not currently record the data in a way that allows it to …
Not Addressed
#8 — Policing response is failing to match rising violence and abuse against retail workers.
Home Affairs Committee
Recommendation: The Committee has heard overwhelming evidence that the policing response is simply failing to match the rising tide of violence and abuse against retail workers. The evidence also suggests that the response varies significantly between police forces: while there are …
Gov response: National leadership in the response to retail crime is provided by the NRCSG. The NRCSG is an ongoing forum which brings together Government, the police, retailers and others to help ensure the response to retail …
Under Consideration
#55 — Make early assessments of s45 cases in trafficking-connected areas to identify indicators
Home Affairs Committee
Recommendation: Law enforcement should make early assessments of s45 cases in areas that are known to be connected to human trafficking (for example, cannabis cultivation) to identify any indicators of trafficking and then fully investigate where an offence is apparent or …
Gov response: 130. We agree with the Committee that law enforcement agencies should fully investigate all cases where there are indicators of trafficking. The Modern Slavery Statutory Guidance provides guidance on indicators of modern slavery, including indicators …
Accepted
#50 — Modern slavery prosecution and conviction rates remain unacceptably low despite legislation.
Home Affairs Committee
Recommendation: Despite legislative provisions being in place since 2015, prosecution and convictions rates are still comparatively low across the UK. This is unacceptable.
Gov response: In recent years the Government has tightened legislation to ensure that we have a robust system which supports genuine victims and reduces the opportunity for misuse. In the New Plan for Immigration the Government committed …
Accepted
#42 — Mandate every modern slavery specialist unit to include a dedicated financial investigator.
Home Affairs Committee
Recommendation: Every modern slavery and human trafficking specialist unit must have a dedicated financial investigator.
Gov response: 43. Since the Modern Slavery Act was passed in 2015, there has been significant law enforcement activity focused on modern slavery which has led to an increase in investigations and convictions secured. The Government remains …
Under Consideration
#41 — Require Government to prioritise and adequately resource financial investigations within law enforcement bodies.
Home Affairs Committee
Recommendation: The Government needs to ensure that appropriate priority is placed on resourcing financial investigations within law enforcement bodies. (Paragraph 128) 76 Human trafficking
Gov response: 17. We share the Committee’s focus on the importance of a strategy to guide work tackling this crime. As set out in the introduction, the UK’s response to modern slavery is underpinned by the Modern …
Not Addressed
#39 — Direct Government to ensure every police force has a dedicated modern slavery specialist team.
Home Affairs Committee
Recommendation: The Government should direct that every police force is provided with a dedicated modern slavery and human trafficking specialist team.
Gov response: 39. We keep the legislation in this area under regular review, working closely with law enforcement and others. Prostitution and sex work is an extremely complex issue and there are a wide range of potential …
Not Accepted
#33 — Police prioritisation of human trafficking and modern slavery offences remains unclear.
Home Affairs Committee
Recommendation: The National Crime Agency recognises Human Trafficking and Modern Slavery as a national threat; in consequence it should be a national priority. Yet it remains unclear the extent to which police forces prioritise the detection and investigation of human trafficking …
Gov response: 34. As the Prime Minister has made clear, current levels of migration to the UK are too high. There were 335,447 work visas granted to main applicants in the year ending September 2023, 35% higher …
Under Consideration
#32 — Accelerate efforts to investigate, prosecute, and adjudicate human trafficking and modern slavery cases.
Home Affairs Committee
Recommendation: Criminal justice practitioners, including the police in England and Wales, the National Crime Agency and Crown Prosecution Service, must urgently review and then accelerate and scale up their efforts to investigate, prosecute and effectively adjudicate human trafficking and modern slavery …
Gov response: 119. The Government remains steadfast in its commitment to pursue and prosecute those who seek to exploit others through modern slavery. As the Committee acknowledges, the criminal justice system faces competing resource demands, which is …
Under Consideration
#13 —
Public Accounts Committee
Recommendation: The Department acknowledged that the current police resourcing levels for fraud needed to increase. In April 2022, we reported on the Department’s Police Uplift Programme which aimed to recruit 20,000 new police officers.27 However, as set out in our sister …
Gov response: 4. PAC conclusion: The Department has failed to support police forces to build the capacity or skills they need to tackle fraud effectively. 4. PAC recommendation: The Department should outline, as part of its Treasury …
Accepted
#12 —
Public Accounts Committee
Recommendation: Despite making up 41% of all crime in the year to June 2022, only around 1% of police personnel are dedicated to fraud. In 2017, we raised concerns that fraud was not mentioned in all Police & Crime Commissioners’ police …
Gov response: 4. PAC conclusion: The Department has failed to support police forces to build the capacity or skills they need to tackle fraud effectively. 4. PAC recommendation: The Department should outline, as part of its Treasury …
Accepted
#11 —
Public Accounts Committee
Recommendation: The Department and the City of London Police are currently in the process of procuring a new Action Fraud system. We questioned them about their plans for the new system and how it will address the current issues. They told …
Gov response: 3. PAC conclusion: Victims of fraud are being failed by Action Fraud, which risks undermining public trust in the police. 3. PAC recommendation: The Department should set out, as part of its Treasury Minute response, …
Accepted
#1 —
Public Accounts Committee
Recommendation: On the basis of a report by the Comptroller and Auditor General, we took evidence from the Home Office (the Department), The National Crime Agency (NCA) and City of London Police about progress combatting fraud against businesses and individuals.2
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented The Fraud Strategy was published on 3 May 2023 on GOV.UK.
Accepted
#7 —
Public Accounts Committee
Recommendation: The Department has not prioritised developing relationships with international criminal justice agencies. Government estimates that around 70% of fraud cases have an international element, meaning that strong relationships with foreign and multinational criminal justice agencies are crucial to tackling fraud. …
Gov response: The government agrees with the Committee’s recommendation. government will develop stronger partnerships with international partners to share best practice and work together to reduce fraud globally. The government will work more closely with law enforcement, …
Accepted
#4 —
Public Accounts Committee
Recommendation: The Department has failed to support police forces to build the capacity or skills they need to tackle fraud effectively. Despite making up 41% of all crime in the year to June 2022, only around 1% of police personnel are …
Gov response: The government agrees with the Committee’s recommendation. We announced the launch of the National Fraud Squad (NFS) in the Fraud Strategy. This will include over 400 new posts across policing and the NCA by 2025. …
Accepted
#26 —
Petitions Committee
Recommendation: Where there is a need to trace and investigate accounts posting potentially illegal content, this is usually technically possible even if the account is publicly anonymous. However, the police’s ability to trace accounts posting such content at scale is constrained …
Gov response: Government response All online abuse is unacceptable and will be significantly reduced by the introduction of the online safety framework, regardless of whether it is anonymous. The government has engaged with law enforcement to ensure …
Not Addressed
#46 — Ensure a named Assistant Chief Constable in every police force to tackle business crime.
Business and Trade Committee
Recommendation: The Government should ensure that there is a named Assistant Chief Constable for every police force with explicit responsibility for tackling business crime. This Assistant Chief Constable should work with local authorities through Community Safety Partnerships to ensure there is …
Response Pending
#45 — Illegal high street trading requires a complex multi-agency approach with unclear leadership and reporting.
Business and Trade Committee
Recommendation: The disruption of illegal trading on the high street requires a complex multi- agency approach, combining neighbourhood policing, Trading Standards, Immigration Enforcement, and specialist financial investigation. As a result, businesses remain unclear as to who leads on this issue and …
Response Pending
#44 — Introduce amendments to the Anti-social Behaviour Act to strengthen local authority closure order powers.
Business and Trade Committee
Recommendation: The Government should introduce the following amendments to the Anti- social Behaviour, Crime and Policing Act 2014: • Give all local authorities, including county councils, explicit powers to issue closure orders, with an option of permanent closure for the premises …
Response Pending
#43 — Enforcement activities disrupt rather than stop illegal high street trading, requiring new agency tools.
Business and Trade Committee
Recommendation: Too often successful enforcement activity disrupts rather than stops illegal trading on the high street. Enforcement agencies require new tools to put an end to these practices and to ensure that legitimate businesses are able to thrive on the high …
Response Pending
#2 — Set out arrangements across government to quantify policy change impact on policing resources.
Public Accounts Committee
Recommendation: The Home Office does not understand how wider policy changes affect the demand on police resources. Police forces face growing demands as they take on additional responsibilities and tackle increasing volumes of more complex crimes, for example, the number of …
Gov response: The government agrees with the Committee’s recommendation. Recommendation implemented The Police Reform White Paper sets out a bold and ambitious reform programme to improve the quality, consistency and efficiency of policing. As part of those …
Accepted
#22 — Government funding and police resourcing for fraud response remain insufficient.
Justice Committee
Recommendation: The Government needs to put in place sufficient funding and police resourcing to bring about a step-change in the response to fraud.
Gov response: The Government is increasing law enforcement investigative capacity to tackle fraud. Over the next three years the Spending Review has allocated £400 million in tackling economic crime, including fraud. This is in addition to the …
Accepted
#21 — Fraud receives disproportionately low police funding and officer allocation despite prevalence.
Justice Committee
Recommendation: Fraud accounts for more than 40% of all crime yet receives only around 2% of police funding. Out of the 20,000 new police officers being recruited, only 380 are planned to be deployed in the response to fraud. If the …
Gov response: The Government is increasing law enforcement investigative capacity to tackle fraud. Over the next three years the Spending Review has allocated £400 million in tackling economic crime, including fraud. This is in addition to the …
Accepted
#20 — Fraud currently lacks Strategic Policing Requirement status and comprehensive performance data publication.
Justice Committee
Recommendation: Fraud should be made a Strategic Policing Requirement to focus effort and resources on combatting this crime type. Additionally, performance data should be collected, monitored, and published at local and regional levels, as is done for other crime types, to …
Gov response: The Strategic Policing Requirement (SPR) is the document that sets out what, in the Home Secretary’s view, are the national threats at the time the document is issued, and the national policing capabilities required to …
Under Consideration
#19 — Fraud lacks police investigative priority due to absence of performance accountability data.
Justice Committee
Recommendation: Fraud is not an investigative priority for police forces, partly because it is not a crime type for which forces are held accountable for their performance. Fraud statistics are not included in local and regional performance data despite most of …
Gov response: The Government recognises the importance of raising public awareness on fraud, which will form a key part of our forthcoming fraud strategy. One of best ways to safeguard the public is to ensure people are …
Under Consideration
#17 — Multiple police command chains for fraud cases create confusion and pass responsibility.
Justice Committee
Recommendation: Within policing, there are various chains of command when it comes to tackling fraud cases, with investigations being conducted at a local level but with central bodies, namely the City of London Police and the National Economic Crime Centre, having …
Gov response: The Government recognises that the current law on Corporate Criminal Liability does not adequately hold organisations and their senior persons to account for offences committed by the corporation and their associated persons. In November 2020, …
Under Consideration
#17 — Lack of neighbourhood policing capacity damages retail worker confidence and crime prevention efforts.
Home Affairs Committee
Recommendation: The lack of capacity in neighbourhood policing teams to build relationships with retailers, identify prolific offenders and respond swiftly to incidents of retail crime has damaged the confidence of retail workers. It has made it harder to maintain close relationships …
Gov response: The Government is delivering on the people’s priorities by recruiting an additional 20,000 police officers by March 2023. This sends a clear message that we are committed to giving police the resources they need to …
Not Addressed
#15 — Few Police and Crime Commissioners prioritise violence against retail workers in crime plans.
Home Affairs Committee
Recommendation: We strongly support calls for Police and Crime Commissioners to make action on violence and abuse towards retail workers a priority in police and crime plans. We are very concerned how few appear to have prioritised this in past plans, …
Gov response: This year (year two of the programme) we are providing £425m to spend on the recruitment of 6,000 additional officers by 2022. Of this, PCCs will receive £415m for territorial policing and Regional Organised Crime …
Not Addressed
#9 — Police guidance for retail workers insufficient to address perception of inaction on retail crime.
Home Affairs Committee
Recommendation: We welcome the guidance for retail workers on when to use emergency and non- emergency numbers when seeking a police response and, in particular, setting out risk factors which will help the police respond appropriately to incidents. However, we do …
Gov response: National leadership in the response to retail crime is provided by the NRCSG. The NRCSG is an ongoing forum which brings together Government, the police, retailers and others to help ensure the response to retail …
Not Addressed
#3 — Hate-motivated abuse against shopworkers needs serious police attention and dedicated survey data.
Home Affairs Committee
Recommendation: Where shopworkers are confronted by hate-motivated abuse in the course of their employment this should be taken seriously by employers and reported to the police. It is vital that the police, in dealing with these incidents, manage them with sensitivity …
Gov response: The Commercial Victimisation Survey (CVS) is an annual survey run by the Home Office to monitor crime against businesses and their staff. The last survey was undertaken in 2018 and published in September 2019. The …
Accepted
#16 — Home Office lacks data on RASSO-trained police officers, rendering uplift figures misleading.
Home Affairs Committee
Recommendation: It is very concerning that the Home Office does not have the numbers of police officers who are RASSO-trained. The emphasis on the uplift programme in the Rape Investigation and prosecution of rape 79 Review Progress Update is also potentially …
Gov response: In October 2020 the CPS completed a public consultation exercise on draft pre-trial therapy guidance. In February 2022, the CPS published the Pre-trial Therapy Fundamental Principles which confirmed its commitment to a number of fundamental …
Under Consideration
#14 — Government inaction on establishing effective specialist police rape teams is disappointing.
Home Affairs Committee
Recommendation: We are disappointed that, despite the difference that specialist police rape teams make, the Government has not done more to ensure such teams are in place.
Gov response: As recognised by the CPS in its response to the joint HMICFRS and HMCPSI inspection into the police’s and CPS’s response to rape, the way prosecutors communicate with victims and the way in which partners …
Under Consideration
#1 — Unacceptable low volumes of rape charges and prosecutions failing adult victims
Home Affairs Committee
Recommendation: Exceptionally low volumes of rape charges and prosecutions are unacceptable. Adult victims and survivors of rape are being failed by our criminal justice system. Rape is undoubtedly a complex, difficult and traumatic crime to investigate and prosecute successfully. However, that …
Gov response: When we published the End-to-End Rape Review Findings and Action Plan (‘the Rape Review’) in June 2021, we set out that it was unacceptable that the system was failing so many victims of rape and …
Accepted
#21 — Disappointment over exceptionally low number of successful spiking prosecutions
Home Affairs Committee
Recommendation: Successful prosecution has a deterrent value for both actual and would-be spikers and sends a clear message that spiking is a crime. We are therefore disappointed by the very low number of successful prosecutions for spiking offences.
Gov response: The Government recognises that there a number of factors which inhibit our ability to successfully target and prosecute individuals who commit spiking offences, not least of all the under-reporting discussed in the response to recommendation …
Under Consideration
#60 — Expand and utilise Victim Navigator programme in all cases with victim-centred approach
Home Affairs Committee
Recommendation: Victim support must be at the centre of the investigation and prosecution process. The Victim Navigator programme should be expanded and utilised in all cases. A victim centred approach will take account of culturally appropriate support and good communication with …
Gov response: 61. The Independent Review of the Modern Slavery Act 2015 (MSA) found in 2019 that the Section 45 defence struck the right balance between protecting victims and preventing abuse, however, the Government recognises that concerns …
Under Consideration
#59 — Victim Navigator role essential for victim support and building criminal justice cases
Home Affairs Committee
Recommendation: The role fulfilled by Victim Navigators is essential to supporting victims in the criminal justice process and enabling investigation teams to build evidential cases.
Gov response: 135. Victim Navigators play a crucial role in supporting victims of modern slavery throughout the criminal justice process. They provide victims with practical and emotional support, help them to understand the legal process, and advocate …
Under Consideration
#58 — Victim engagement, rapport, and trust improves outcomes, evidence, and prosecutions
Home Affairs Committee
Recommendation: Engaging with victims and building rapport and trust not only supports better outcomes for victims but can lead to a better evidence base and therefore to more successful prosecutions.
Gov response: 58. The UK is committed to tackling modern slavery and human trafficking internationally, working with multilateral and bilateral partners and using the full range of diplomatic and development tools to address the drivers, promote raised …
Under Consideration
#56 — Ensure broad application of non-punishment for compelled offences, without burden of proof hindering
Home Affairs Committee
Recommendation: In line with the recommendations on s45 of the Council of Europe’s Group of Experts on Action against Trafficking in Human Being’s third UK report, the Government should: a) ensure that the non-punishment provision can be applied to all offences …
Gov response: 132. The Government is committed to ensuring that victims of trafficking are not punished for offences they were compelled to commit as a direct consequence of their exploitation. Section 45 of the Modern Slavery Act …
Accepted
#53 — Human trafficking victims still prosecuted due to insufficient understanding of statutory defence
Home Affairs Committee
Recommendation: Victims of human trafficking are continuing to be prosecuted for criminal acts they were compelled to commit. The evidence suggests that this is mainly due to an insufficient understanding amongst investigators, prosecutors, judges, and defence lawyers of the statutory defence …
Gov response: 54. The Government recognises that people smuggling differs from human trafficking. a view to exploiting them by force, fraud or intimidation. Human trafficking includes travel within a country, not just across international borders.
Under Consideration
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force needs to make sure it carries out effective investigations which lead to satisfactory results for victims. Recommendation: Within six months, West Midlands Police should make sure investigation plans are created where applicable and that all …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2021-22 CoC Recommendations: Staffordshire Police
Cause of concern: The force needs to make sure that it carries out effective investigations and that it gives victims the support they need. Recommendation: Within six months: Staffordshire Police should make sure that it pursues evidence-led prosecutions when a …
Recommendation
PEEL 2021-22 CoC Recommendations: Staffordshire Police
Cause of concern: The force needs to make sure that it carries out effective investigations and that it gives victims the support they need. Recommendation: Within six months: Staffordshire Police should make sure that it complies with the requirements established …
Recommendation
PEEL 2023-25 CoC Recommendations: Nottinghamshire Police
Cause of concern: The force needs to improve how it manages, supervises and carries out effective investigations, and make sure that victims get the support they need. Recommendation: The force should immediately: - review how it manages crimes and make …
Recommendation
PEEL 2023-25 CoC Recommendations: Nottinghamshire Police
Cause of concern: The force needs to improve how it manages, supervises and carries out effective investigations, and make sure that victims get the support they need. Recommendation: By 30 September 2024, the force should make sure: - supervisors review …
Recommendation
PEEL 2023-25 CoC Recommendations: Metropolitan Police Service
Cause of concern: The force’s investigations aren’t being allocated to officers and teams with sufficient skills and experience to carry out good quality investigations Recommendation: Within six months, the Metropolitan Police Service should publish and implement a clear policy for …
Recommendation
PEEL 2023-25 CoC Recommendations: Metropolitan Police Service
Cause of concern: The force needs to make sure that it complies with the requirements of the Code of Practice for Victims of Crime Recommendation: Within six months, the Metropolitan Police Service should make sure that there is supervisory oversight …
Recommendation
PEEL 2023-25 CoC Recommendations: Metropolitan Police Service
Cause of concern: The force’s investigations aren’t being allocated to officers and teams with sufficient skills and experience to carry out good quality investigations Recommendation: Within six months, the Metropolitan Police Service should introduce a risk assessment process for allocating …
Recommendation
PEEL 2023-25 CoC Recommendations: Metropolitan Police Service
Cause of concern: The force’s investigations aren’t being allocated to officers and teams with sufficient skills and experience to carry out good quality investigations Recommendation: Within six months, the Metropolitan Police Service should improve the workforce’s understanding of their responsibilities …
Recommendation
PEEL 2023-25 CoC Recommendations: Lincolnshire Police
Cause of concern: The force needs to improve how it allocates, supervises and carries out investigations to make sure victims get the support they need. Recommendation: Within six months from the date of publication of this letter, Lincolnshire Police should …
Recommendation
PEEL 2023-25 CoC Recommendations: Lincolnshire Police
Cause of concern: The force needs to improve how it allocates, supervises and carries out investigations to make sure victims get the support they need. Recommendation: Within six months from the date of publication of this letter, Lincolnshire Police should …
Recommendation
PEEL 2021-22 CoC Recommendations: Greater Manchester Police
Cause of concern: The force does not investigate crime, supervise investigations or update victims to an acceptable standard. Recommendation: Greater Manchester Police should, within three months, make sure that the force pursues evidence-led prosecutions when a victim withdraws support for …
Recommendation
PEEL 2021-22 CoC Recommendations: Greater Manchester Police
Cause of concern: The force does not investigate crime, supervise investigations or update victims to an acceptable standard. Recommendation: Greater Manchester Police should, within three months, make sure that officers investigate crimes in a timely manner, and investigation plans are …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Cause of concern: The force is failing to make sure investigation plans are always completed to an acceptable standard and not adequately supervising investigations. This leads to poor standards of some investigations, a lack of timely progression of investigations and …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Cause of concern: The force is failing to make sure investigation plans are always completed to an acceptable standard and not adequately supervising investigations. This leads to poor standards of some investigations, a lack of timely progression of investigations and …
Recommendation
PEEL 2023-25 CoC Recommendations: Devon and Cornwall Police
Cause of concern: The force needs to make sure it carries out effective investigations that lead to satisfactory results for victims Recommendation: Within six months, Devon and Cornwall Police should implement appropriate governance and monitoring processes to make sure that …
Recommendation
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force needs to make sure it carries out effective investigations which lead to satisfactory results for victims. Recommendation: Within six months, West Midlands Police should make sure staff and officers have sufficient skills and capabilities to …
Recommendation
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force needs to make sure it carries out effective investigations which lead to satisfactory results for victims. Recommendation: Within six months, West Midlands Police should make sure it is using outcomes appropriately, in a way that …
Recommendation
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force needs to make sure it carries out effective investigations which lead to satisfactory results for victims. Recommendation: Within six months, West Midlands Police should make sure it consistently achieves appropriate outcomes for victims.
Recommendation
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force doesn’t manage the risk posed to the public by registered sex offenders effectively. Recommendation: Immediately, West Midlands Police should supervisors review cases at appropriate intervals in line with expected standards.
Recommendation
PEEL 2023-25 CoC Recommendations: West Midlands Police
Cause of concern: The force doesn’t manage the risk posed to the public by registered sex offenders effectively. Recommendation: Immediately, West Midlands Police should sex offender managers use digital tools effectively to identify offending.
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: West Mercia Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2021-22 CoC Recommendations: West Mercia Police
Cause of concern: The force needs to improve how it investigates crimes, supervises investigations and updates victims. Recommendation: West Mercia Police should, within three months:- make sure victims are regularly updated in line with the Victims’ Code and that victim …
Recommendation
PEEL 2021-22 CoC Recommendations: West Mercia Police
Cause of concern: The force needs to improve how it investigates crimes, supervises investigations and updates victims. Recommendation: West Mercia Police should, within three months:- make sure investigation plans are created where applicable, with supervisory oversight ensuring that all investigative …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2018-19 CoC Recommendations: Warwickshire Police
Cause of concern: The force does not have the capacity or capability to investigate crime effectively and this is affecting the service being provided to the public. There are failings in the way that crimes are being investigated. Recommendation: HMIC …
Recommendation
PEEL 2021-22 CoC Recommendations: Staffordshire Police
Cause of concern: The force needs to improve how it identifies and assesses vulnerability at first point of contact. Recommendation: Within three months, Staffordshire Police should make sure call handlers give relevant advice on the preservation of evidence and crime …
Recommendation
PEEL 2021-22 CoC Recommendations: Staffordshire Police
Cause of concern: The force needs to make sure that it carries out effective investigations and that it gives victims the support they need. Recommendation: Within six months: Staffordshire Police should make sure that it completes investigation plans to give …
Recommendation
PEEL 2021-22 CoC Recommendations: Staffordshire Police
Cause of concern: The force needs to make sure that it carries out effective investigations and that it gives victims the support they need. Recommendation: Within six months: Staffordshire Police should make sure that investigations are actively and regularly supervised …
Recommendation
PEEL 2021-22 CoC Recommendations: Metropolitan Police Service
Cause of concern: The force needs to improve how it answers calls for service and how it identifies vulnerability at the first point of contact. Recommendation: Within six months the force should make sure that call takers give good advice …
Recommendation
PEEL 2023-25 CoC Recommendations: Lincolnshire Police
Cause of concern: The force needs to make sure that it has the capacity and capability to manage the risks posed to the public by registered sex offenders. Recommendation: Within six months from the date of publication of this letter, …
Recommendation
PEEL 2023-25 CoC Recommendations: Lincolnshire Police
Cause of concern: The force needs to improve how it allocates, supervises and carries out investigations to make sure victims get the support they need. Recommendation: Within six months from the date of publication of this letter, Lincolnshire Police should …
Recommendation
PEEL 2023-25 CoC Recommendations: Hertfordshire Constabulary
Cause of concern: The constabulary is failing to record reports of crime correctly Recommendation: Within three months, the constabulary should provide specific training for officers and staff on recording rape crimes and review processes to make sure it is recording …
Recommendation
PEEL 2023-25 CoC Recommendations: Hertfordshire Constabulary
Cause of concern: The constabulary is failing to record reports of crime correctly Recommendation: Within three months the constabulary should provide training for all supervisors, officers and staff who work in crime-recording roles; this training should include the crime-recording requirements …
Recommendation
PEEL 2023-25 CoC Recommendations: Hertfordshire Constabulary
Cause of concern: The constabulary is failing to record reports of crime correctly Recommendation: With immediate effect, the constabulary should address gaps in the systems and processes for identifying and recording all reports made by victims of crime. It should …
Recommendation
PEEL 2021-22 CoC Recommendations: Gwent Police
Cause of concern: The force needs to improve how it answers calls for service, identifies vulnerability at first point of contact and attends incidents within its published time frames. Recommendation: Within three months, Gwent Police should make sure that call …
Recommendation
PEEL 2021-22 CoC Recommendations: Greater Manchester Police
Cause of concern: The force does not investigate crime, supervise investigations or update victims to an acceptable standard. Recommendation: Greater Manchester Police should, within three months, make sure that investigations are actively and regularly supervised to check progress and to …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Cause of concern: The force is failing to make sure it correctly records all reported crimes, particularly violent crime, including domestic abuse behavioural crimes such as harassment, stalking and coercive controlling behaviour. So these crimes are often not investigated and …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Cause of concern: The force is inappropriately concluding crime investigations with cautions and community resolutions that aren’t appropriate and in which it doesn’t consult the victim. The force is also recording that victims are not supporting or are withdrawing support …
Recommendation
The Governor of HMP Sudbury
The Governor should commission a disciplinary investigation into the actions of the staff involved in the initial response after they discovered Mr Day unresponsive in the toilet area.
The Governor
The Governor should initiate an investigation into the allegations made by prisoners about the behaviour of prison officers who were on the wing on the evening and night of 29 April 2020 with a view to considering whether disciplinary action …
The AP manager
The AP manager should ensure that all electronic evidence requested by the PPO, or the police is appropriately secured and retained to assist with investigations.
The Governor
The Governor should commission an investigation into the actions of staff involved in the use of force incident on 4 July and inform the Ombudsman of the outcome.
The Prison Group Director for Avon and South Dorset
The Prison Group Director for Avon and South Dorset should commence a disciplinary investigation into the actions of CM A and his decision to close the ACCT on 8 November.
The Governor
The Governor should ensure that incidents of violence, bullying or intimidation are investigated and dealt with in line with local and national policies.
The Governor
The Governor should ensure that incidents of violence, bullying or intimidation are taken seriously, investigated, and dealt with in line with local and national policies, and victims are supported and protected.
The Governor
The Governor should commission a disciplinary investigation into the actions of segregation unit staff on the morning of 5 July 2021.
The Operational Security Group Director for HMPPS
The Operational Security Group Director for HMPPS should monitor compliance with policy on the use of restraints during hospital escorts (for inpatient admissions and outpatient appointments), including at HMP Oakwood, and discuss the findings with the Ombudsman.
The Governor
The Governor should commission the National Incident Management Unit to review the use of force on 25 October 2021, and implement any recommendations they make.
Police contact with woman prior to her death - Metropolitan Police Service, …
The IOPC recommends that the MPS domestic abuse policy is updated to reflect the national College of Policing APP guidance which suggests when investigating a domestic incident where counter allegations are made risk assessments should be conducted for both parties. …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police remind officers that when completing a DASH risk assessment form, if the category ‘other’ is chosen, a full explanation must be provided in the free text field. In addition, routine audits should be …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
It is recommended that West Yorkshire Police remind Sergeants that DASH risk assessments and any supporting statements should be reviewed to endorse the risk level attributed to a victim. This recommendation follows an IOPC investigation where a probationary officer failed …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police review their domestic abuse policies and training to ensure that officers are clear on their responsibilities and the procedures that should be followed when dealing with domestic abuse incidents. This recommendation follows an …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police should ensure that all probationary officers that are deployed have appropriate support in place to review and supervise their work. This follows an IOPC Investigation where a probationary WYP officer dealt with a …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that a system is put in place to track domestic abuse cases that are returned to officers because the minimum standards of investigation were not met. This system should ensure that cases are progressed with appropriate supervision …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police reminds all officers and police staff that intelligence gained from incident reports should be uploaded to individual Niche intelligence profiles at the earliest opportunity. An IOPC investigation identified that significant intelligence relating to …
Woman reported as missing found dead - Metropolitan Police Service, August 2018
The IOPC recommends that the Metropolitan Police Service implements quality reviews of missing person reports to monitor compliance with force policy, including the MPS toolkits and the Revised Missing Persons Investigation Protocol. This will ensure that any concerns regarding adherence …
Recommendations - Metropolitan Police Service, August 2021
The IOPC recommends that the MPS implement systems to monitor officers’ compliance with the use of the correct regulatory framework for decision making as per the training provided. An IOPC independent investigation found multiple instances of confusion amongst the DPS …
Man found dead after welfare concerns reported – Greater Manchester Police, February …
The IOPC recommends that Greater Manchester Police should review the Call Handling Escalation policy in terms of call handling and resource allocation to ensure that unallocated incidents are not missed or deferred without being escalated in accordance with the policy …
Police response to a concern for welfare – Essex Police, August 2020
The IOPC recommends that Essex Police should provide officers with suitable training and guidance on how to make appropriate Southend Essex Thurrock Safeguarding Vulnerable Adult (SETSAF) referrals and the process which they are expected to follow when submitting these referrals …
Recommendation - West Yorkshire Police, July 2021
The IOPC recommends that West Yorkshire Police (WYP) develop a policy which clearly defines the role of the control room despatcher. The policy should include what information the despatcher is expected to relay and what actions should be completed on …
Recommendations - Cambridgeshire Constabulary, September 2021
The IOPC recommends that Cambridgeshire Constabulary takes steps to ensure it provides clear direction to officers on handling and recording allegations of crime which come to light during a missing person investigation. In particular, that appropriate guidance is provided regarding …
Recommendations - Cambridgeshire Constabulary, September 2021
The IOPC recommends that Cambridge Constabulary should develop and roll out additional training to Response Team officers in relation to missing person investigations, to include: This follows an IOPC investigation relating to a missing person investigation which was re-classified as …
Recommendations - Cambridgeshire Constabulary, September 2021
RecommendationsRecommendation 1 The IOPC recommends that Cambridgeshire Constabulary should review its processes for the supervision of medium risk missing persons investigation to ensure that: This recommendation follows an IOPC investigation into the investigation of a missing person which found a …
Recommendations - Wiltshire Police, September 2021
The IOPC recommends that Wiltshire Police should ensure specialist staff within the Public Protection Department have the necessary licenses and permissions to access relevant computer systems and software to effectively carry out their functions.This follows an IOPC investigation where we …
Recommendations - Wiltshire Police, September 2021
The IOPC recommends that Wiltshire Police reviews its document management and record keeping practices in relation to the Domestic Violence Disclosure Scheme (DVDS) to ensure that all research undertaken is recorded and the rationale for any decisions made is recorded, …
Police contact with woman prior to her death - Metropolitan Police Service, …
1) The IOPC recommends the Metropolitan Police reminds officers of the following crime reporting requirements, importance, and responsibilities to:(i) record allegations of crime reported directly to them(ii) record counter allegations on separate crime reports. This follows an IOPC investigation following …
Recommendations - Metropolitan Police Service, July 2021
The IOPC recommends that the Metropolitan Police Service (MPS) should review the custody handover practices to ensure there is adequate monitoring of occupied cells during handover periods. We would recommend that as part of this, it is also ensured that …
Recommendations - Metropolitan Police Service, July 2021
The IOPC recommends that the Metropolitan Police Service (MPS) should conduct a formal review of the custody procedures regarding the safekeeping of seized evidence before it enters an evidential store. It is important that the procedures in place are sufficiently …
Recommendation - Metropolitan Police, June 2021
The IOPC recommends that the Metropolitan Police Service (MPS) takes immediate steps to ensure that Borough Commanders ensure their Professional Standards Units (PSUs) are adhering to their legal duty under Schedule 3, Part 1 of the Police Reform Act (PRA) …
Reported concerns of welfare and subsequent police actions to conduct a missing …
The IOPC recommends the Metropolitan Police Service North Wembley borough command unit (BCU) reviews its current missing person investigation and supervision process to; As part of an ongoing IOPC investigation into the missing persons investigations of two females by the …
Reported concerns of welfare and subsequent police actions to conduct a missing …
The IOPC recommends the Metropolitan Police Service (MPS) informs all police officers and staff involved in missing person investigations of the updated MPS missing person investigation protocol Local Resolution Team, v2.3 May 2020. As part of an ongoing IOPC investigation …
Reported concerns of welfare and subsequent police actions to conduct a missing …
[Section 10 recommendation] The IOPC recommends that the Metropolitan Police Service should review the processes whereby separate computer systems are used by First Contact Officers (call handling) and Dispatch (CHS and CAD), review CAD literacy requirements for FCOs and consider …
Investigation into police contact with a woman and man between 2016 and …
Where there is a volume of calls and incidents alleging domestic abuse, and it is unclear as to the the extent of abuse and the identity of all parties, this should be flagged for further investigation and analysis by a …
Investigation into a serious injury afflicted by a man on police bail …
The IOPC recommends that Essex Police should ensure that where there are multiple investigations relating to the same suspect/ victim, methods of communication between teams are reviewed, and guidance developed, to include supervisors from each team having contact and recording …
Recommendation - Metropolitan Police Service, October 2024
The IOPC recommends that the Metropolitan Police Service (MPS) should put a process in place to re-allocate workloads where there is confirmation of an investigator’s absence from their role for a period of time either on leave, secondment or for …
Recommendation - South Wales Police, November 2024
The IOPC recommends that South Wales Police, as part of their ongoing review, ensure that there are clear policies in place for how warning markers and flags should be placed on an individual’s record, regardless of how they come into …
Recommendations - Metropolitan Police Service, November 2024
The IOPC recommends that the MPS should review and update their Sexual Offences Secondary Investigation guidance to provide clear roles and responsibilities in relation to Sexual Offence Investigative Trained officers (SOIT’s) and Officers in Charge (OIC’s) of investigating a sexual …
Recommendations - Metropolitan Police Service, November 2024
The IOPC recommends that the MPS should review and update their Sexual Offence Investigative Trained officer (SOIT) Guidance. In order to provide clear expectations of a SOIT in their role and responsibility as a conduit for information sharing between the …
Recommendation - Metropolitan Police Service and Ministry of Justice, March 2025
The IOPC recommends that the Metropolitan Police Service (MPS) and Ministry of Justice (MOJ) work together to review the process for responding to alleged breach of bail conditions to ensure that, where an electronic monitoring breach is identified, adequate checks …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends that Gloucestershire Constabulary should implement a new process by which requested intelligence markers are processed and become active. A presumption should exist that reported intelligence markers are required to be visible urgently, and therefore a system to …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends the following to Gloucestershire Constabulary in respect of the Neighbourhood Policing Team (NPT): This recommendation has arisen following an independent investigation into a longstanding neighbour dispute that sadly resulted in murder. Following the investigation, it was established …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends that Gloucestershire Constabulary should create a standard operating procedure which outlines how response officers and the Neighbourhood Policing Team (NPT) work together in circumstances when a deployment occurs to an incident which is in the context of …
Suicide after police contact - Metropolitan Police Service, September 2017
The Metropolitan Police Service to put necessary measures in place to ensure they are able to comply with the NPCC Suicide Prevention Risk Management guidance in relation to perpetrators of child sexual exploitation and indecent images of children. The MPS …
Road traffic collision - Metropolitan Police Service, November 2017
The Metropolitan Police Service to use their best endeavours to upgrade their IT systems as soon as possible to ensure that, when airwaves are provided to the IOPC, they are time stamped so it is clear when the transmissions were …
Contact with police before a man and a woman die - Hertfordshire …
Hertfordshire Constabulary to advise officers investigating incidents of domestic abuse, where the suspect has been bailed to return before charge, to complete the MG3 and seek a charging decision from the CPS in a timely manner, if the threshold or …
Contact with police before a man and a woman die - Hertfordshire …
Hertfordshire Constabulary to ensure any officer in charge (OIC) of a domestic abuse investigation is sufficiently qualified and suitable for the role. Do you accept the recommendation? Yes
Contact with police before a man and a woman die - Hertfordshire …
Hertfordshire Constabulary to consider formalising the process between custody and DAISU in relation to deciding whether to bail a suspect. The current Hertfordshire Standard Operating Procedure (SOP) on Bail states the decision to bail (with or without conditions) is the …
Contact with police before a man and a woman die - Hertfordshire …
Hertfordshire Constabulary to consider implementing mandatory risk assessments for domestic abuse victims when the alleged perpetrator breaches their bail conditions, or, where a risk assessment has been conducted and remains appropriate, revisit the victim’s safety plan. Do you accept the …
Contact with police before a man and a woman die - Hertfordshire …
​Hertfordshire Constabulary should require officers to document the rationale for any change in risk for domestic abuse victims. Do you accept the recommendation? Yes
Contact with police before a man and a woman die - Hertfordshire …
Hertfordshire Constabulary should make the outcome of domestic abuse risk assessments easily accessible and identifiable to those involved in the investigation. Do you accept the recommendation? Yes
Contact with police before a man and a woman die - Hertfordshire …
During this investigation it became apparent that rest day workers volunteering in DAISU were working on domestic abuse investigations, but did not have access to DAISU files. Hertfordshire Constabulary should therefore ensure all officers/staff involved in the investigation of a …
Actions taken following missing person’s report - Essex Police, March 2018
The IOPC has recently made a number of local recommendations to forces around the implementation and understanding of College of Policing’s Authorised Professional Practice (APP) for missing persons. A subsequent review of relevant cases found several instances where the APP …
Man found dead after being reported missing - Cambridgeshire Constabulary, May 2018
Cambridgeshire Constabulary’s Missing Persons Manual of Standards requires a system called COMPACT to be used to record information relating to missing persons. An IOPC investigation found that officers were also using a separate system called OneNote. Entries on OneNote can …
Man found dead after being reported missing - Cambridgeshire Constabulary, May 2018
The IOPC recommends that Cambridgeshire Constabulary should amend its Missing Persons Manual of Standards to ensure that a record is made where officers are unable to progress missing persons enquiries. Creating a record of why enquires were not progressed will …
Man found dead after being reported missing - Cambridgeshire Constabulary, May 2018
During an investigation into how Cambridgeshire Constabulary responded to a report of a missing person, the IOPC identified that officers were inconsistent in whether they recorded their handovers, reviews or actions taken in missing persons cases on the relevant COMPACT …
Response to calls for assistance - Metropolitan Police Service, June 2018
It is recommended that the MPS should consider developing a countdown or flagging system to highlight when attendance at an incident is delayed. Do you accept the recommendation? Yes
Response to calls for assistance - Metropolitan Police Service, June 2018
It is recommended guidance is provided regarding the steps to be taken by control room staff and officers, to ensure that, if a unit deployed to an incident is diverted, the original incident is still attended. Do you accept the …
Response to concern for welfare report - Kent Police, July 2018
It was also identified, during the IOPC investigation, that there are no guidelines in the incident grading policy on when a call should be prioritised by dispatch and whose responsibility it is within dispatch to ensure CADs are prioritised. Therefore, …
Forest Bank (2021)
HMP Forest Bank, a Category B male prison, faced a challenging year (Nov 2020-Oct 2021) marked by the Covid-19 pandemic, staff shortages, and a transition to a reception prison. Despite these challenges, the Board noted significant improvements in safety, accommodation, and security, driven by a new management team and a proactive approach to Covid containment. Key positive developments include a new employment hub for resettlement and exceptional catering, while concerns remain regarding property handling, organised crime group activity due to the new reception status, and the long-term sustainability of improvements given staff shortages.
PRISON Key concerns
Haverigg (2021)
HMP Haverigg, a Category D open prison for men convicted of sexual offences, has navigated the reporting year effectively, despite the ongoing pandemic. The Board found the prison to be a safe and humane environment, with low levels of self-harm and violence, and commended staff for managing Covid-19 and supporting resettlement. However, significant concerns persist regarding the inhumane treatment and progression of IPP prisoners, the recurring issue of property loss on transfer, and the impact of staff vacancies on key services.
PRISON Key concerns
Dovegate (2021)
HMP Dovegate, a Category B training prison, maintained a generally calm environment with positive staff-resident relationships despite the challenges of the Covid-19 pandemic. The Board welcomed improvements in facilities, the rollout of body-worn cameras, and innovative staff recruitment. However, significant concerns remain regarding unresolved property transfer issues, the lack of progress for IPP prisoners, and the inadequacy of the healthcare inpatient unit, alongside a dramatic rise in healthcare waiting times due to pandemic restrictions.
PRISON Key concerns
Drake Hall (2021)
HMP/YOI Drake Hall provides a safe and humane environment, with staff and prisoners showing commendable resilience during the pandemic. However, significant structural issues with accommodation, particularly Richmond and Plymouth houses, persist despite repeated concerns. The Board also highlights challenges with prisoner property transfers, inadequate mental health therapeutic space, and issues affecting resettlement such as late transfers and banking restrictions. Healthcare provision is generally good, managing Covid-19 outbreaks effectively, but specialist support gaps exist for complex needs. The restricted regime impacted rehabilitation, yet efforts were made to maintain activities and contact.
PRISON Key concerns
Charter Flight Monitoring Team (CFMT) (2021)
The IMB Charter Flight Monitoring Team (CFMT) report for 2021 found that while many returnees were treated with respect and efforts were made for infection control, significant concerns persisted regarding the fairness and humanity of the removal process. Key issues included prolonged in-vehicle confinement for returnees, inconsistent use of restraints, and communication gaps due to a lack of interpreters. The report also highlighted deficiencies in the provision of welfare items and information, especially for vulnerable individuals, and repeated recommendations on issues like distant airports and privacy on flights.
PRISON Key concerns
Feltham (2021)
HMP & YOI Feltham faced continued challenges during the reporting year, particularly regarding its dilapidated estate which limited purposeful activity. While Covid-19 restrictions led to a safer environment with reduced violence and self-harm, access to mental health support and effective resettlement planning remained areas of concern. Staff dedication was highly commended amidst these difficulties, but the Board noted significant issues with property handling and the collapse of the Listener scheme.
PRISON Key concerns
Gatwick IRC (2021)
The 2021 report covers the first year of the combined Gatwick IRC (Brook House and Tinsley House) under merged IMB oversight and Serco management, with the year dominated by Covid-19 restrictions, unprecedented Channel crossing arrivals through Tinsley House, and ongoing Home Office case management failures leading to prolonged and often unnecessary detention. While Serco staff generally treated detained men with respect and compassion, systemic failings in mental health support, access to legal advice, property management, and Home Office communication remained serious and in many cases repeated concerns.
IRC Key concerns
Frankland (2021)
HMP Frankland maintained a safe and humane environment during the pandemic, despite a restricted regime. The report highlights successes in staff dedication and reduced self-harm incidents, but raises significant concerns about healthcare provision, especially dental waiting times and the unsuitable physical environment. Staffing shortages in the OMU and inconsistencies in the key worker scheme impacted prisoner progression, alongside issues with property transfers and workshop conditions.
PRISON Key concerns
Thameside (2020)
The Director should overhaul investigations into prisoner allegations against staff, ensuring they are timely, reach meaningful conclusions, and provide valid responses to prisoners.
Governor / Director
South and West short term holding facilities (2025)
Provide use of force statistics as part of the monthly data return to the Board.
Other
Derwentside (2022)
To ensure all staff are trained and fully confident and competent in the governance, techniques and reporting requirements around use of force and rules 40 and 42.
Governor / Director
Long Lartin (2020)
The Board would like to see a more formal process for reviewing incidents and prisoner movements involving the use of force.
Governor / Director
Oakwood (2024)
Although the use of body worn video cameras is very high during UoF incidents, how can the Director encourage officers to take advantage of the benefits of turning on their cameras early enough to capture the lead up to a UoF.
Governor / Director
Maidstone (2024)
Increase the number of officers trained to quality assure use of force incidents to avoid delaying the scrutiny of incidents.
Governor / Director
Isis (2020)
ensure that initiatives to reduce violence are focused on the increasing number of young adults, and acknowledge the incidence of bullying (see section 4.4)
Governor / Director
Deerbolt (2020)
The Prison Service should implement arrangements to identify gang issues immediately after sentencing, so that prisoners can be dispersed in a way that could avoid gang culture having an impact on prisons like Deerbolt.
HMPPS
Dartmoor (2020)
What further measures can be taken to ensure that body-worn cameras (BWCs) record all use of force incidents within the prison, and that any lessons are taken from the recordings?
Governor / Director
Feltham (2021)
Following the lifting of the urgent notification and the easing of Covid restrictions, the roll on Feltham A is expected to rise. What mechanisms are in place to ensure that the reduction in violence seen over the past two years is maintained?
Governor / Director
Hull (2024)
Continue to undertake trend analysis and proactive work to reduce self-harm and violent incidents (prisoner on prisoner and assaults on staff).
Governor / Director
Holme House (2024)
Can the Governor comment on the increase in Use of Force and whether it is at proportionate levels to similar prisons?
Governor / Director
Stocken (2025)
The Board is concerned that certain prisoners held in the CSU on suspicion that they are involved in illicit activities within the prison are not sufficiently briefed by the security department about the reasons why they are under investigation.
Governor / Director
Scotland and Northern Ireland short-term holding facilities (STHF) (2025)
There is an unwarranted variation in practice when Mitie Care and Custody staff use body-worn video but other staff do not. Similarly, interviews are not consistently audio-recorded, despite this having been standard practice in the police for many years. How will you ensure all appropriate staff make consistent use of body-worn video and audio-record interviews?
Home Office
Coldingley (2025)
The Governor should ensure that far more moments of potential conflict and all incidents of the use of force are recorded on camera.
Governor / Director
Forest Bank (2021)
Concerns have been expressed by several sources around the prison regarding the transfer in status to reception prison. This is being managed well internally, but there continue to be problems, as prisoners who would previously have been sent to HMP Manchester are now coming into Forest Bank, raising significant issues regarding the ongoing activity of organised crime groups. What are …
HMPPS
Foston Hall (2023)
There have been increased levels of use of force and a disproportionate use of force towards young adults. How can this be reduced?
Governor / Director
Stocken (2024)
When Board members observe R45 reviews for prisoners held on security intelligence, the Duty Governor has little information to pass on to the prisoner and it often appears to take a long time for the security department to visit the prisoner. There was talk of the prisoner being sent a ‘holding’ letter, but we have seen no evidence of this …
Governor / Director
— LP 2
We recommend that the prison takes note of the problems that occurred in this case and ensures that where the police are investigating an incident in the prison, clear arrangements are made for a single point of contact in the prison and for another staff member to deputise if they …
HMPPS
— LP 8
HMPPS should ensure that liaison between Article 2 investigators and prisons is improved by ensuring that the member of staff in an establishment appointed to liaise: a) understands the nature of the Article 2 process, and b) is of sufficient seniority to direct staff and resources to facilitate the investigation.
HMPPS Accepted
— LP 4
If it has not already done so, NOMS should consider the requirement to review, at both national and local levels, protocols and procedures for referring crimes that take place within prisons to the Police, so that all organisations are clear around what is expected of them and the service that …
NOMS Accepted
— LP 6
If it has not already done so, NOMS may wish to consider reviewing its policies and procedures relating to the seizure, recording, retention and continuity of seized items, particularly in respect of critical incidents or where items are likely to be used as evidence in subsequent criminal proceedings.
NOMS Accepted
— LP 3
If it has not already done so, NOMS should consider the requirement, and benefits to be gained, by reviewing how it responds to managing serious prisoner on prisoner assaults or indeed other critical incidents. Whilst not necessarily exclusive, this review should consider including issues such as command structure, scene and …
NOMS Accepted
— LP 1
If it has not already done so, HMP Whitemoor may wish to consider the benefits to be obtained from reviewing internal procedures and guidance for the management, recording and investigation under PSOs 1300, 2700 and 2750 of both prisoner on prisoner assaults and unexplained injuries. It may also be considered …
HMP Whitemoor Accepted
— LP 6
We draw to the attention of the Governor of HMP Chelmsford deficiencies in the collection, recording and preservation of evidence that we have found in this case.
The Governor Accepted
— LP 7
HMPPS takes steps to reduce the time between incidents and the commission of Article 2 Investigations.
HMPPS Accepted
— LP 5
As a considerable time may pass before an Article 2 investigation is commissioned, HMPPS should clarify whether the prison is responsible for completing a full investigation where serious harm to an individual has been sustained.
HMPPS Accepted
— LP 3
HMP Featherstone should comply with the mandatory action contained in Prison Service Order 1300 – ‘Investigations’ that a formal investigation is completed when there is serious harm to any person.
HMP Featherstone Accepted
— LP 18
The list of documents to be retained as set out in PSI 15/2014 Investigations and learning following incidents of serious self-harm or serious assaults where an independent investigation will be necessary should mirror that in PSI 64/2011, Management of Prisoners at risk of harm to self, to others and from …
HMPPS Accepted
— LP 17
All relevant documentation relating to a prisoner following an incident that may result in an investigation under Article 2 should be promptly secured.
HMPPS Accepted
— LP 3
As a considerable time may pass before an Article 2 investigation is commissioned, HMPPS should clarify whether the prison is responsible for completing a full investigation where serious harm to an individual has been sustained.
HMPPS Accepted
— LP 1
HMPPS should update PSI 15/2014 (which has an expiry date of 02 April 2018). Consideration should be given to: • requiring governors to complete any simple investigation within three months of the incident, or provide an update on the progress of the investigation at three monthly intervals • facilitating the …
HMPPS
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 77
IND, jointly with the Prison Service, works with the police and the CPS to establish a national protocol for the conduct of inquiries into serious events where there is the possibility of criminal charges.
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R50
The SMT must ensure regular and timely review of all use-of-force incidents by appropriately trained staff and that regular meetings take place, involving the SMT, dedicated to considering matters arising from use-of-force incidents and to ensuring that any concerns are addressed. (To be completed as a matter of urgency)
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 73
if the allegation that a detainee was assaulted by staff is not being pursued through the courts, GSL carries out a full investigation.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 6
the police and the Prison Service pursue on a national basis arrangements for Prison Service Tornado units and the police to work together and for a training protocol.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 4
the Home Office enters into discussion with the Association of Chief Police Officers to agree and distribute clear advice to all police forces on the issue of police powers in respect of disturbances in closed institutions.
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R46
The SMT and safeguarding team should ensure that all incidents of violence and bullying at Brook House are investigated in a timely way. (To be completed as a matter of urgency)
Immigration Detention
Investigation into Allegations of Racism and Mistreatment of Detainees at … — Rec 51
I recommend that contract monitors be instructed personally to investigate all allegations against members of staff.
Immigration Detention
Investigation into Allegations of Racism and Mistreatment of Detainees at … — Rec 47
I recommend that IND considers the advantages and practicality of contract monitors carrying out investigations into allegations against staff in other centres.
Immigration Detention
24-021-097 — Police & Crime Commissioner for the Metropolitan Police
Summary: We cannot investigate this complaint because the law says we cannot investigate the actions of the police in connection with the investigation or prevention of crime.
LGO (Local Government & … Other Categories Mar 2025
25-006-058 — St Albans City Council
Summary: We will not investigate this complaint about the conduct of a Council Parking Enforcement Officer. This is because key matters in the complaint relate to an ongoing police investigation.
LGO (Local Government & … Other Categories Sep 2025
25-011-026 — Mayor's Office for Policing and Crime
Summary: We cannot investigate Mrs X’s complaint about the Authority’s investigation into the actions of the local police because the issues complained about relate to the investigation of a reported crime, and the law says we cannot investigate.
LGO (Local Government & … Children S Care Services Jan 2026
21-013-642 — Basildon Borough Council
Summary: We will not investigate this complaint about the actions of the Council in relation to a boundary dispute. This is because we will not be able to achieve the outcomes requested by the complainants.
LGO (Local Government & … Environment And Regulation Feb 2022
20-010-677 — Wiltshire Council
Summary: The Ombudsman found fault by the Council on Mr Y’s complaint about its failure to investigate his reports of his neighbours’ antisocial behaviour. It failed to show evidence of its antisocial behaviour officer’s involvement, whether it considered if any of their behaviour might be actionable, and whether it considered …
LGO (Local Government & … Environment And Regulation Upheld Mar 2022
23-019-742 — Office of the Police & Crime Commissioner for …
Summary: We will not investigate this complaint about a Police arrest. That is because we have no jurisdiction to investigate complaints about action taken by the Police in connection to the investigation or prevention of crime.
LGO (Local Government & … Other Categories Apr 2024
23-015-362 — Cumberland Council
Summary: We will not investigate Ms X’s complaint that she was illegally detained by the Police in 2017. We have no jurisdiction to investigate the actions of the Police. We will also not investigate Ms X’s complaint that a Council officer is stalking her. This is a criminal matter and …
LGO (Local Government & … Adult Care Services Jun 2024
24-003-826 — Hart District Council
Summary: We cannot investigate this complaint about the a decision not to seek a criminal prosecution against alleged perpetrators of anti-social behaviour. This is because the issues complained about concern actions taken by the police in connection with the investigation or prevention of crime. We have no jurisdiction to investigate …
LGO (Local Government & … Other Categories Jul 2024
24-003-438 — London Borough of Southwark
Summary: We cannot investigate this complaint the Council did not take steps to address noise nuisance caused by poor sound insulation. We have no jurisdiction to investigate the Council where it is acting as a social landlord.
LGO (Local Government & … Environment And Regulation Sep 2024
24-008-322 — London Borough of Newham
Summary: We will not investigate this complaint about the Council’s failure to take enforcement action against reports of breaches of planning control and property licensing. We have not seen enough evidence of fault in the Council’s actions to justify our involvement.
LGO (Local Government & … Planning Nov 2024
24-011-199 — South Hams District Council
Summary: We will not investigate Mr X’s complaint about the Council’s handling of his report of dangerous driving by a licensed taxi driver. This is because there is not enough evidence of fault by the Council or to show its actions caused Mr X significant injustice. It is also unlikely …
LGO (Local Government & … Environment And Regulation Nov 2024
21-013-159 — Cornwall Council
Summary: We will not investigate this complaint about alleged criminal actions by Council officers. The main issues raised in the complaint are best dealt with by the police.
LGO (Local Government & … Other Categories Jan 2022
21-005-629 — Royal Borough of Kensington & Chelsea
Summary: The Council’s failure to follow its Community Trigger process in response to Ms X’s request was fault. The Council has already taken satisfactory action to remedy the injustice caused.
LGO (Local Government & … Environment And Regulation Upheld Mar 2022
21-015-735 — Dorset Council
Summary: Ms X complains about the Council’s handling of anti-social behaviour issues relating to her and her neighbour. We will not investigate the complaint because it is unlikely we can add to the investigation already carried out by the Council and an investigation is unlikely to lead to a different …
LGO (Local Government & … Environment And Regulation Mar 2022
21-005-720 — London Borough of Lambeth
Summary: Mr X complains the Council did not cancel parking charge notices for his stolen car. This led to unnecessary enforcement action. Mr X also complains about the enforcement officers behaviour which caused significant distress. The Ombudsman finds fault with the Council for not cancelling the notice which resulted in …
LGO (Local Government & … Transport And Highways Upheld Mar 2022
21-018-128 — City of York Council
Summary: Mr X complains about the Council’s handling of matters relating to the clean-up of paint and graffiti which had been targeted towards his home. We will not investigate the complaint because an investigation is unlikely to add to the Council’s own investigation or lead to a different outcome.
LGO (Local Government & … Environment And Regulation May 2022
21-010-559 — London Borough of Bexley
Summary: We will not investigate this complaint about how the Council has dealt with reports of antisocial behaviour because there is insufficient evidence of fault. We cannot investigate matters relating to enforcement action that the Council took against the complainant, because this has been subject to court proceedings, and because …
LGO (Local Government & … Environment And Regulation May 2022
22-005-743 — Cherwell District Council
Summary: We will not investigate this complaint about a bike theft from a Council car park. This is because we cannot investigate allegations of crime and the complainant would need to seek compensation through insurers or the courts.
LGO (Local Government & … Environment And Regulation Aug 2022
22-006-880 — Sussex Police & Crime Commissioner
Summary: We cannot investigate this complaint about the Police and Crime Commissioner. This is because the complaint relates to the investigation or prevention of a crime.
LGO (Local Government & … Other Categories Sep 2022
22-005-222 — Northamptonshire Police & Crime Commissioner
Summary: We cannot investigate Miss X’s complaints about how the Police and Crime Commissioner dealt with complaints she made about police action relating to various issues. This is because we cannot investigate matters relating to the prevention and detection of crime.
LGO (Local Government & … Other Categories Sep 2022
24-000-968 — West Midlands Police & Crime Commissioner
Summary: We will not investigate Mr X’s complaint the police and other bodies have carried out illegal, non-consensual human experimentation on him and other family members in various ways. We cannot investigate illegal activities.
LGO (Local Government & … Other Categories May 2024
23-017-200 — London Borough of Croydon
Summary: The Council has already accepted fault for delay investigating Mr X’s reports of anti-social behaviour and delay dealing with his complaint. The remedy it offered in response to the complaint, an apology and symbolic payment, is suitable to remedy the injustice caused. There was no fault in the Council’s …
LGO (Local Government & … Environment And Regulation Upheld Sep 2024
24-001-170 — London Borough of Hounslow
Summary: We will not investigate Mr X’s complaint about the actions of a council officer in connection with his appeal against a penalty charge notice. This is because Mr X alleges the officer committed an offence and this is a matter for the police. The injustice Mr X claims stems …
LGO (Local Government & … Transport And Highways Sep 2024
24-017-143 — Trafford Council
Summary: We will not investigate Ms X’s complaint about noise nuisance from a neighbour. There is insufficient evidence of fault to warrant an investigation.
LGO (Local Government & … Environment And Regulation Mar 2025
23-017-198 — London Borough of Barnet
Summary: We will not investigate this complaint about how the Council dealt with reports of anti-social behaviour. The complaint is late.
LGO (Local Government & … Environment And Regulation Mar 2025
24-021-636 — Bristol City Council
Summary: We cannot investigate this complaint about the Council’s response to a complaint about anti-social behaviour. We have no remit to consider the Council’s action in connection with its management of its social housing.
LGO (Local Government & … Environment And Regulation May 2025
25-000-572 — Birmingham City Council
Summary: We will not investigate this complaint about how the Council dealt with reports of anti-social behaviour. There is not enough evidence of fault to justify our involvement.
LGO (Local Government & … Environment And Regulation Jul 2025
24-017-004 — London Borough of Harrow
Summary: We will not investigate Mr X’s complaint about antisocial behaviour and environmental concerns in his area. Part of the complaint is late. There is insufficient evidence of fault in the Council’s recent actions to warrant an investigation.
LGO (Local Government & … Environment And Regulation Aug 2025
25-003-581 — Crawley Borough Council
Summary: We will not investigate this complaint the Council taking insufficient enforcement action against her neighbour’s anti-social behaviour. This is because we are unlikely to find evidence of fault.
LGO (Local Government & … Environment And Regulation Aug 2025
25-002-682 — South Tyneside Metropolitan Borough Council
Summary: We will not investigate Mr X’s complaint about the Council’s complaints handling or a data breach by an officer because further investigation would not lead to a different outcome.
LGO (Local Government & … Environment And Regulation Aug 2025
24-017-126 — South Gloucestershire Council
Summary: Mr X complained the Council failed to take appropriate action to remove abandoned vehicles from the development on which he lives. We have found fault by the Council, causing injustice, in failing to properly consider its duty to remove abandoned vehicles. The Council has agreed to remedy this injustice …
LGO (Local Government & … Environment And Regulation Upheld Sep 2025
24-022-546 — London Borough of Barking & Dagenham
Summary: We will not investigate Mr X’s complaint about the Council’s decision not to reinstate a sign to prevent children from playing ball games in the green space near his home. This is because it would not lead to a different outcome and the injustice is not significant enough to …
LGO (Local Government & … Environment And Regulation Oct 2025
25-001-786 — Torridge District Council
Summary: We will not investigate this complaint about the Council’s failure to take enforcement action against Mr X’s neighbour for feeding wild birds in his garden. This is because an investigation is unlikely to find fault, and it is unlikely we could add to the response provided by the Council’s …
LGO (Local Government & … Environment And Regulation Oct 2025
23-017-997 — Swindon Borough Council
Summary: We will not investigate this complaint about the Council’s handling of Mr X’s reports of noise and antisocial behaviour he has experienced. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & … Environment And Regulation Oct 2024
22-002-772 — London Borough of Lambeth
Summary: We will not investigate this complaint about a Penalty Charge Notice. This is because it is reasonable to expect Miss Y to appeal to the London Tribunals. Further, the Council has offered a satisfactory remedy to the complaint and it is unlikely we would find fault.
LGO (Local Government & … Transport And Highways Jun 2022
22-002-940 — East Suffolk Council
Summary: We will not investigate Mr B’s complaint that the Council wrongly issued him with a Penalty Charge Notice for an alleged parking contravention. This is because it was reasonable for Mr B to appeal to the Traffic Penalty Tribunal.
LGO (Local Government & … Transport And Highways Jun 2022
22-003-081 — London Borough of Tower Hamlets
Summary: We will not investigate this complaint about the Council’s enforcement of a penalty charge notice as Mr X has a remedy via the courts which he can reasonably use.
LGO (Local Government & … Transport And Highways Jun 2022
22-010-895 — Trafford Council
Summary: We will not investigate this complaint about the Council’s enforcement investigation. This is because the complainant has not been caused significant injustice.
LGO (Local Government & … Planning Nov 2022
23-018-114 — Birmingham City Council
Summary: We will not investigate this complaint about the Council’s actions in issuing Ms X with a Community Protection Warning. This is because we are unlikely to find evidence of fault by the Council.
LGO (Local Government & … Environment And Regulation Apr 2024
22-014-496 — Nottingham City Council
Summary: Mr X complained about the Council’s decision not to take enforcement action for an overgrown hedge and delays in complaint handling. We find fault which caused Mr X avoidable uncertainty and frustration. The Council should review its decision, apologise to Mr X and make a symbolic payment for injustice …
LGO (Local Government & … Environment And Regulation Upheld May 2024
25-007-719 — Leicester City Council
Summary: We cannot investigate Mr X’s complaint about the Council’s decision to house a tenant. The law says we cannot investigate a Council’s actions when it is acting as a social housing provider. We will not investigate the Council’s handling of anti-social behaviour concerns, because there is not enough evidence …
LGO (Local Government & … Environment And Regulation Nov 2025
24-010-405 — London Borough of Barnet
Summary: We will not investigate this complaint about the Council’s handling of environmental protection issues involving Ms X. This is because past events fall outside our jurisdiction due to the passage of time and it is open to Ms X to engage with the Council if she wishes it to …
LGO (Local Government & … Environment And Regulation Nov 2024
24-011-426 — Barnsley Metropolitan Borough Council
Summary: We will not exercise discretion to investigate this complaint about the Council’s failure to take action against a social housing tenant for anti-social behaviour over a 5-year period. this complaint which was received outside the normal 12-month period for investigating complaints. There is no evidence to suggest that Miss …
LGO (Local Government & … Environment And Regulation Dec 2024
201302427 — Crown Office and Procurator Fiscal Service
Mr C’s wife (Mrs C) died in April 2011, and the Procurator Fiscal (PF) investigated her death. They decided that they needed to retain some of Mrs C's organs for tests to establish the cause of her death, and told Mr C this by letter. Mr C did not wish …
SPSO (Scottish Public Se… Scottish Government and Devolved Administration Partly Upheld Jun 2015
25-009-596 — Blackburn with Darwen Council
Summary: We cannot investigate this complaint about the Council’s decision to issue Mr X with a Community Protection Notice (“CPN”). This is because Mr X has used his right of appeal to court.
LGO (Local Government & … Environment And Regulation Dec 2025
23-018-618 — Sandwell Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s handling of Ms X’s complaints about her neighbours. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & … Environment And Regulation Apr 2024