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recurance

Inadequate seizure recognition and post‑seizure behaviour training

Closely relatedConfidence 0.90 · high2 reports · 2019–2022 One-page brief (print or PDF)

College of Policing received 2 coroners' reports about this hazard between 12 Apr 2019 and 21 Jul 2022.

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 1 specific action.

2
reports
2
different coroners
2019–2022
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Duncan Tomlin↗

    12 Apr 2019 · Elisabeth Bussey-Jones · West Sussex

    “Although epilepsy was not found to be causative in the death in this Inquest, in another situation with a similar set of circumstances,”
    Original on judiciary.uk ↗

    College of Policing responded.Response (PDF) ↗

  2. 3 years 3 months later

    Raised again · 1st time

    Gaia Pope-Sutherland↗

    21 Jul 2022 · Rachael Griffin · Dorset

    Closely relatedConfidence 0.90 · higha different coroner
    “Police Officers provided evidence that they did not have training on epilepsy and mental health conditions such as post ictal psychosis, PTSD and those who have experienced sexual trauma”
    Original on judiciary.uk ↗

    College of Policing responded, stating 1 specific action.Response (PDF) ↗

    “We recognise that policing must have some medical knowledge and this is provided through our first aid programme. This programme and medical knowledge makes explicit links to our vulnerability training. To ensure police responders are equipped to effectively respond to missing persons, our training focuses on managing the full spectrum of vulnerabilities through effective and proportionate risk management. In reality, this means that College standards require front line responders to ask good”

    Stated timescale: 15 September 2022

  3. All reports to College of Policing

Next

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.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error