Skip to content
recurance

Kaine Fletcher (2)

25 Jul 2025 · Coroner Alexandra Pountney · Nottinghamshire

The coroner's concerns

  1. 1. lack of joint agency policy

    “Lack of joint agency policy/cross-sector working on Acute Behavioural Disorder/Disturbance”
  2. 2. lack of agreed joint agency policy

    “Lack of agreed joint agency policy between EMAS and the police on s.136 MHA 1983 detentions”
  3. 3. use of non-ambulance conveyance

    “Police use of an ambulance as the mode of conveyance for s.136 detainees”
  4. 4. lack of police training

    “Police training on s.136 MHA 1983 detention and mental health”

Responses

2025-0383-Response-from-College-of-Policing.pdf ↗· College of Policing

Stated action

“The panel is currently reviewing existing guidance developed by the Faculty of Legal and Forensic Medicine, alongside representatives, with the intention of ensuring first aid training remains appropriate”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error