Delayed risk assessment documentation and missing exit assessments for self-harm

“The access of Medacs Policies and Procedures to Medacs staff | was also concerned to hear that | was not aware of the Medacs Epilepsy Policy. He said in evidence that he had no specific recollection of the epilepsy policy, but he was aware that the Medacs policies were available in a 'loose leaf binder in most custody suites'. Asa very experienced FME J gave evidence that he had been asked to review most of the policies, but he could not specifically recall this one”

“| have an ongoing review of divisional policing entitled 'Transforming Divisional Policing' which looks at all aspects of improving the operational service we provide. | have specifically asked it to look at finding ways of processing detainees with greater efficiency in order to reduce their periods of detention,”

“GMP has reviewed its arrangements for communication between custody and clinical staff to negate the practice of MEDACs staff working on two separate records of notes and to improve the continuity of care provided to detainees with health needs”

“We already have a process that checks custody records to ensure visits are timely and carried out in accordance with the sergeant's risk assessment”

“Since the death of Mr [name redacted], Custody Branch has significantly upgraded its ICIS computer system. This system prompts Custody Sergeants to undertake further reviews linked to specific/significant events affecting the detainees period of detention, including an exit risk assessment”

“We have conducted a review of handovers between sergeants. As a result we have made it clear to sergeants that the handover need not be a comprehensive review of each detainee. Rather, they should have completed the Custody Summary Screen so that all the relevant detail is available on the ICIS system and the handover should contain key risk issues, for example medical conditions, medication required and so forth”

“Since your observations we have put out improved guidance on completion of the PER form to sergeants which include what to record, when it is to be done and how it is to be signed off”

“The CPS Operations Directorate has also been considering the national implications and as a result ensured we have modified CPS training so advocates conducting youth court cases are reminded that a youth can always be remanded for their "own welfare”