Andre Moura
3 Jul 2023 · Coroner Alison Mutch · Manchester South
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of recognition of Acute Behaviour Disturbance
“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. However it was clear that the training package had not achieved the objective i.e. to recognise ABD in a real life setting. The Inquest heard that ABD is an umbrella term and not all of the symptoms need to be”
2. absence of formal knowledge assessment
“The Inquest heard that the ABD training did not have any formal way of measuring/testing knowledge but was reliant of the perception of the trainer”
3. absence of safety officer role
“The role for a safety officer which is part of the College of Policing training in a situation such as this was not recognised”
4. subjective assessment of unresponsiveness
“Many of the officers who gave evidence indicated that they believed that Mr [name redacted] was feigning his lack of responsiveness”
5. lack of body worn video recording
“The officers escorting Mr [name redacted] to the police station did not have their body worn cameras on”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“College of Policing issued a training package at the end of 2016 to all Police Forces on ABD.”
This report
“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.”