Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Billy Paul Thomas Salton · 6 Jan 2014 · Joanne Kearsley, Manchester (South)
“When the deceased is visited and checked all such visits should be | accurately recorded on the custody record”
What was promised
Stated action 1 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“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”
Stated action 2 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“| 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,”
judiciary.uk/…/2014-0002-Response-by-Greater-Manchester-Police.…
Stated action 3 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“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”
judiciary.uk/…/2014-0002-Response-by-Greater-Manchester-Police.…
4 further stated actions are listed on the full chain page.
What recurred
- 23 Jul 2019 · Adam Harris · Alison Mutch · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Billy Paul Thomas Salton · 6 Jan 2014
“When the deceased is visited and checked all such visits should be | accurately recorded on the custody record”
Later · Adam Harris · 23 Jul 2019
“The Custody Sergeant did not open a custody record immediately on [the deceased] } Harris's arrival in the custody office. He used a piece of paper to record the”
What happened next
No web check of the stated actions has been published for this chain.