Source · Prevention of Future Deaths

Jack William Payton

Ref: 2013-0220 Date: 30 Aug 2013 Coroner: Michael Rose Area: West Somerset Responses identified: 1 / 1 View PDF

Control room staff's judgement and handling of the matter were negatively affected by excessive working hours and heavy caseloads, raising concerns about operational capacity.

Date 30 Aug 2013
56-day deadline 25 Oct 2013 est.
Responses identified 1 of 1
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
Control room staff's judgement and handling of the matter were negatively affected by excessive working hours and heavy caseloads, raising concerns about operational capacity.
View full coroner's concerns
In the circumstances it is my statutory duty_to report to YQu:

At the Inquest two members of control room staff at Portishead namely by their replies to my questions demeanour conveyed to me the distinct impression that the hours they worked together with their case load had a detrimental affect on their judgement and subsequent handling of this matter.

Responses

1 respondent
Avon and Somerset Police Police / Law Enforcement
18 Oct 2013 PDF
Action Planned

The police are commissioning an independent assessment of current shift patterns and their effects on staff, anticipated to commence in January 2014, with recommendations to be considered at Force level. (AI summary)

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Dear Sir JACK WILLIAMPAYTON DECEASED REGUoNTON29 CORONERSUNVESTIGATIONSLREGULATIONS 2012 RESPONSE leeier t2 Your Regulation 28 report dated 30 August 2013 following your inquest into the death of Jack William Payton: Teported matters; of concern regarding the current shift patterns for Communications Department staff within the Avon and Somerset Constabulary: This was as a result of the evidence of two members of staff leaving with a distinct impression that pattern was factor affecting their judgement their shift involving the death of Mr detrimentally at the time of the incident Payton: have considered the matters of concern you have raised and what action should be taken and will be taking following action: you consider
1. am commissioning an independent assessment of the current shift_nattemn andits effects on staff currently anticipate this will be completed by Human Scientist with Qinetiq who will be working in conjunction with the Force Medical Advisor from our Occupational Health Department who, as specialist consultant physician; authored dissertation on driving fatigue and shift work It is anticipated this work will commence in January 2014, due to the availability ofp NSTABUY Valley 8am You you the

2_ Their report will be presented for initial consideration to Chief Superintendent| who heads the Communications Department; together with representatives from the HR Department who will review the findings and develop recommendations balancing the findings of the independent report with the demand profiles the organisation experiences, the resources we have available, our need to provide a 24 hour/365 service, and any other business impacts_ 3 These recommendations will then be considered at Force level by an appropriate group to decide whether they should be implemented or whether any other options should be progressed. Should a decision be taken to amend shift patterns there are specific timescales set out with staff associations involving consultation and notice periods_ The impact of these could mean that the timescales for full implementation could take until July 2014. 4_ We would, of course, be happy to share our findings and the outcome with you in due course should you wish to see them The Constabulary recognises that working a shift pattern, particularly where that pattern involves working during the night; may cause a level of fatigue not experienced by non- shift workers. As such, the existing shift pattern was considered in order to balance the demand profile for service which exists across 24 hours, against available resources and the need to reduce the impact of shift working on staff: For this reason, the current pattern has forward-rotating shifts and sufficient breaks intended to minimise its impact on our staff. Commissioning the independent review have outlined will; believe; enable the Force to take an informed decision on any changes which may be required. If | can be of further assistance in this matter, please do not hesitate to contact me_

Report sections

Investigation and inquest
On 13 November 2023 commenced an investigation into the death of Jack William PAYTON deceased at 85 years The investigation concluded at the end of the Inquest on 12 August 2013. The Conclusion of the Inquest was natural causes and the cause of death was: 1a Ischaemic Heart disease
Circumstances of the death
The deceased was driving home to Cossington after attending a dialysis session at Taunton when at approximately 5.30 pm on 17th October 2012 his car veered off the carriageway of the A38 road at Bathpool to go down an embankment on his nearside The incident was reported to the Police Control Room at Portishead ("Portishead") at 7.2pm but no action was taken after the report was downgraded to "schedule" The deceased's absence was reported to Portishead at 8.51 pm by a member of his family but although action was taken to check the A38 between Bridgwater and Taunton the deceased was not found until 25 minutes after midnight the following morning following a review of closed logs which led to a more precise identification of the scene. The pathologist at the subsequent post mortem found the deceased died of Ischaemic heart disease but was not able to confirm whether or not the deceased would have died if his body had been found earlier.
Action should be taken
That the existing hours of work in an enclosed environment; namely four shifts of 10 hours followed by two shifts of hours should be examined by an experienced physiologist to ascertain whether or not the work pattern is reasonable for people of the age and experience undertaking this type of work
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30.Vr . 13 the and

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Report details

Reference
2013-0220
Date of report
30 August 2013
Coroner
Michael Rose
Coroner area
West Somerset

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 25 Oct 2013 (estimated).

Sent to

Avon and Somerset Constabulary

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