Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Douglas Oak · 24 Oct 2019 · Rachael Griffin, Dorset
“College of Policing issued a training package at the end of 2016 to all Police Forces on ABD.”
What was promised
Stated action 1 · response to Douglas Oak (24 Oct 2019) · stated timescale: 2020
“the College will work with police stakeholders through the NPCC First Aid Forum and the national clinical governance panel to reflect this learning outcome in Module 2, the refresher training module for front line staff. This will ensure that this training is given to all front line officers. This amendment will be made as part of the wider scheduled review of the FALP following the release of updated guidance by the UK Resuscitation Council in 2020.”
judiciary.uk/…/2019-0352-Response-by-College-of-Policing.pdf
Stated action 2 · response to Douglas Oak (24 Oct 2019) · stated timescale: none stated
“providing additional Continuous Professional Development training around Acute Behavioural Disturbance”
What recurred
- 3 Jul 2023 · Andre Moura · Alison Mutch · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Douglas Oak · 24 Oct 2019
“College of Policing issued a training package at the end of 2016 to all Police Forces on ABD.”
Later · Andre Moura · 3 Jul 2023
“During the course of the Inquest, evidence was heard about the understanding and training in relation to Acute Behaviour Disturbance (ABD). All of the officers who had received their College of Policing Personal Safety Training had been trained on the ABD module within that package.”
What happened next
Evidence found · stated action 1
“The updated first aid learning programme (FALP) will mean that officers now receive at least 12 hours of first aid training and a refresher course each year. Using the NHS's 10-second triage will bring policing into line with other emergency services. Alongside these additions, the curriculum still includes training on dealing with stab wounds, acid attacks and giving cardiopulmonary resuscitation (CPR).”
Updated first aid training for officers | College of Policing · youtube.com/watch?v=xxUgLO6rIz0
“Learning and recommendations following the Manchester Arena Inquiry are in the new First Aid Learning Programme. This includes the management of catastrophic bleeding and the ability to assess the seriousness of a person's injuries within 10 seconds so the officer can help those most seriously ill first. Using the NHS's ten second triage will bring policing into line with other emergency services.”
Police first aid training significantly bolstered to save lives · collegeofpolicing-newsroom.prgloo.com/…/police-first-aid-traini…
No evidence found either way · stated action 2
“The **purpose** of this guide is to provide fellows and CPD Program participants with information, suggestions and resourcing support specific to each of the programs activities”
Acute severe behavioural disturbance (ASBD) in the adult patient - ANZCA & FPM CPD Program resources - Library resource guides at Australian and New Zealand College of Anaesthetists (ANZCA) Library · libguides.anzca.edu.au/cpd/emergency/asbd
No evidence found does not mean the action did not happen.