Luisa Mendes

30 Jun 2016 · Coroner Tom Leeper · Warwickshire

The coroner's concerns

1. incidents involving violence not categorised as violent
“The approach of controllers and call handlers to the categorisation of incidents which include allegations of violence”
2. lack of formal handover procedures and training
“The handover procedures between controllers coming on and off shift in the Operations and Communications Centre”
3. absence of alert for unauthorised deferrals
“The set up of the STORM computer system as it relates to deferrals”