Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of clear information sharing protocols between probation and other agencies
The earlier warning
Elizabeth McCann · 29 May 2024 · Alison Mutch, Manchester South
“Clear Information Sharing protocols between Probation and such groups as drug and alcohol services were limited. Without clear agreements understood by both sides there was a significant risk that crucial information that impacted risk assessments would not be shared.”
judiciary.uk/…/elizabeth-mccann-prevention-of-future-deaths-rep…
What was promised
Stated action 1 · response to Elizabeth McCann (29 May 2024) · stated timescale: none stated
“The Trust recognises that, at the time of the incident the College did not have a clear written protocol in place to manage risk. As an educational establishment the College did not have plans or processes in place to communicate effectively with other teams within the Trust such as the clinical teams or externally to organisations such as the Probation Service about the risk of harm occurring to others. The College is bound by Trust policies in relation to safeguarding and the College team did”
Stated action 2 · response to Elizabeth McCann (29 May 2024) · stated timescale: 2023
“the Head of Public Protection at Greater Manchester Police and the Head of Public Protection at Greater Manchester Probation service commenced monthly meetings in 2023.”
Stated action 3 · response to Elizabeth McCann (29 May 2024) · stated timescale: 30 June 2024
“Steps have been taken to recruit and train further probation officers which provides some assistance but means that overall, a significant number of probation officers are young in service and experience”
What recurred
- 22 Jan 2025 · Nathan Shepherd · Alison Mutch · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Elizabeth McCann · 29 May 2024
“Clear Information Sharing protocols between Probation and such groups as drug and alcohol services were limited. Without clear agreements understood by both sides there was a significant risk that crucial information that impacted risk assessments would not be shared.”
Later · Nathan Shepherd · 22 Jan 2025
“Evidence from Probation and Prison staff showed a lack of understanding of how the prison system could update the probation system and where that information could be found.”
What happened next
No web check of the stated actions has been published for this chain.