Sharon Kelly
24 Nov 2020 · Coroner Caroline Beasley-Murray · Essex
The coroner's concerns
1. lack of clear training on flag markers and communication of relevant information
“Whether there is sufficiently clear training at EEASin relation to (1) identifying 1 relevant flag markers to ensure police attendance ata property where appropriate and 2) communicating relevant information from relevant records to ambulance crews to ensure that dynamic risk assessments take place on the basis of all relevant information (in light of decision making and delays on 27 June 2019”
2. unclear lines of communication and joint attendance modus operandi
“Whether lines of communication and the modus operandi between EEAS and Essex Police are sufficiently clear in relation to a potential joint attendance at a property where there is a risk marker (given the delays on 27 June 2019)”
3. insufficient clarity on blue lights response criteria for Police Comms Officers
“Whether there is sufficient clarity in the training for Essex Police Comms Officers as to the circumstances in which a blue lights response should be mandated (in light of the evidence of Insp as to the response on 27 June 2019)”
4. inadequate arrangements for urgent MHS assessment with social services
“Whether EPUT can review its arrangements for convening an urgent MHS assessment, in conjunction with social services. (in light of the jury's findings with regard to the MHA assessment in June 2019)”