Lack of formal risk assessment training for officers
Greater Manchester Police received 2 coroners' reports about this hazard between 11 Aug 2016 and 18 Nov 2020.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 8 specific actions.
The story, report by report
Spacing grows with the time between reports.
“The lack of formal training in relation to risk assessment and child mental health.”
Original on judiciary.uk ↗ Greater Manchester Police responded, stating 6 specific actions.Response (PDF) ↗
“The OCB has set minimum staffing levels with regard to Command & Control.”
“The OCB Branch Commander and Superintendent have completed one to one meetings with all Supervisors to offer absolute clarity over their role in identifying and managing an effective response to all reports of vulnerability.”
4 more stated actions in the Promises tab.
- 4 years 3 months laterIdentical hazardConfidence 0.90 · higha different coroner
“The inquest was told that the DASH risk assessment is a national tool. However training of GMP officers on understanding how to evaluate risk and score risk was limited.”
Original on judiciary.uk ↗ Repeated from the earlier report:riskassessmenttraining
Greater Manchester Police responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
“the Council has made significant improvements to its policies and procedures since 2018”
“CPS Direct have also trained all prosecutors on 'Domestic Abuse Evidence Led Prosecutions'. This built on the Case Analysis and Strategy training focussing on the importance of case-building DA cases from the very start, where possible strengthening the case to ensure that it could proceed without the victim. It also gave refresher guidance on the available legislation and gateways for the admission of evidence without calling the victim, stressing the need to ensure scrupulous policy compliance”
Stated timescale: July-October 2020
- All reports to Greater Manchester Police
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2020Alfie Gildea4 years 3 months after Thomas Gallagher · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports highlight insufficient training for officers on conducting risk assessments.
Thomas Gallagher · 11 Aug 2016
“The lack of formal training in relation to risk assessment and child mental health.”
Original on judiciary.uk ↗ Alfie Gildea · 18 Nov 2020
“The inquest was told that the DASH risk assessment is a national tool. However training of GMP officers on understanding how to evaluate risk and score risk was limited.”
Original on judiciary.uk ↗
Stated action
“The OCB has set minimum staffing levels with regard to Command & Control.”
Stated action
“The OCB Branch Commander and Superintendent have completed one to one meetings with all Supervisors to offer absolute clarity over their role in identifying and managing an effective response to all reports of vulnerability.”
Stated action
“A Quality Assurance 'audit' process has been introduced to review incident management by individual staff, enabling a feedback mechanism, post assessment, highlighting good and poor performance.”
Stated action · timescale: August 2016
“The reviewed policy was prepared in June 2016 with a formal launch across Force in August 2016.”
Stated action
“GMP is developing a business case to have two mental health professionals posted to the OCB during key demand times to professionalise the Police response to mental health calls”
Stated action
“The specific officers identified from the IPCC investigation into the death of [the deceased], have received detailed development plans of which mental health is a key provision.”
Stated action
“the Council has made significant improvements to its policies and procedures since 2018”
No specific action could be extracted with a verified quote.
Stated action · timescale: July-October 2020
“CPS Direct have also trained all prosecutors on 'Domestic Abuse Evidence Led Prosecutions'. This built on the Case Analysis and Strategy training focussing on the importance of case-building DA cases from the very start, where possible strengthening the case to ensure that it could proceed without the victim. It also gave refresher guidance on the available legislation and gateways for the admission of evidence without calling the victim, stressing the need to ensure scrupulous policy compliance”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Greater Manchester Police at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2020 | 0.69 | 0.05 | Identical · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Greater Manchester Police
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.