Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of formal risk assessment training for officers
The earlier warning
Thomas Gallagher · 11 Aug 2016 · L Hashmi, Greater Manchester (North)
“The lack of formal training in relation to risk assessment and child mental health.”
judiciary.uk/prevention-of-future-death-reports/thomas-gallagher
What was promised
Stated action 1 · response to Thomas Gallagher (11 Aug 2016) · stated timescale: none stated
“The OCB has set minimum staffing levels with regard to Command & Control.”
Stated action 2 · response to Thomas Gallagher (11 Aug 2016) · stated timescale: none stated
“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 3 · response to Thomas Gallagher (11 Aug 2016) · stated timescale: none stated
“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.”
3 further stated actions are listed on the full chain page.
What recurred
- 18 Nov 2020 · Alfie Gildea · Alison Mutch · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Thomas Gallagher · 11 Aug 2016
“The lack of formal training in relation to risk assessment and child mental health.”
Later · 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.”
What happened next
No web check of the stated actions has been published for this chain.