Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate communication between agencies
The earlier warning
Kevin Fitton · 28 May 2021 · Veronica Hamilton-Deeley, City of Brighton and Hove
“(5) Communication between the various teams and individuals were poor.”
judiciary.uk/prevention-of-future-death-reports/kevin-fitton
What was promised
Stated action 1 · response to Miles Hurley (9 Jul 2024) · stated timescale: none stated
“The practice of arresting officers risk assessments being formally completed prior to arrival at custody is inconsistent across forces. Best practice is being considered through the NPCC Betterment Workstream to include a nationally recognised pre arrival risk assessment in place to communicate risks and concerns that may have been raised.”
Stated action 2 · response to Miles Hurley (9 Jul 2024) · stated timescale: none stated
“It is recognised that there is a lack of information being recorded on custody detention logs. The College of Policing Hydra packages are in place to improve this and the NPCC are supportive of this training for custody staff. I understand that Sussex Police have now adopted this training.”
Stated action 3 · response to Miles Hurley (9 Jul 2024) · stated timescale: none stated
“Guidelines around supporting a LDS Practitioner as to when it is appropriate to undertake a formal mental health assessment when an individual is intoxicated is a matter for the LDS provider.”
1 further stated action is listed on the full chain page.
What recurred
- 9 Jul 2024 · Miles Hurley · Karen Henderson · Closely related · confidence 0.90 (high)
- 24 Sept 2024 · Ryan Ouslem · Robert Simpson · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Kevin Fitton · 28 May 2021
“(5) Communication between the various teams and individuals were poor.”
Later · Ryan Ouslem · 24 Sept 2024
“I am concerned that the importance of sharing all relevant information will not be understood unless each organisation understands what information to provide to the other or what questions to ask.”
What happened next
No web check of the stated actions has been published for this chain.