National recommendation 1
IOPC recommendationThe IOPC recommends that the National Police Chiefs' Council asks force custody leads to review their systems and processes to ensure that risk assessments completed during the booking-in process support custody officers to identify if a detainee has a potential head injury.
This follows an incident when a South Wales police custody Sergeant did not appear to consider this possibility despite being aware that force, including strikes, had been used during the arrest. It appears that the force’s systems or processes do not explicitly prompt a custody officer to ask if the detainee has suffered a head injury. This resulted in PS A not calling for a HCP to examine [the man] which resulted in a delay in him receiving medical attention. The next morning [the man] complained of feeling as though he had concussion and was experiencing tightness in his chest. He was seen by a HCP and then transferred to hospital.
The College of Policing APP states that staff must be aware of the risks associated with head injuries, particularly when dealing with detainees ‘who may have been involved in a fight or a road traffic collision’; and should also be aware that people with a serious head injury can present as though they are drunk. The APP states that, "A head injury may result in a rapid deterioration in the health of the detainee."
Research has found that some forces have introduced questions (both in electronic and paper formats) within their risk assessment process to help the custody officer identify if a detainee likely has a head injury.
Recommendation accepted:
To satisfy this action, a request for change was submitted to our digital services division, requesting that a Supplementary question was added to the niche custody risk assessment, specifically asking officers to disclose any incidents or Injuries that may have occurred prior to or enroute to the custody suit.
This request was discussed by the Niche Minerva group. This is a national group made up of representatives of all niche forces. The group recommended an additional element be added to the custody risk assessment.
This update allows for greater scrutiny and focus on injuries that the Detained Person (DP) may have at the risk assessment stage, asking the Delivering officer to add any additional details regarding use of force/issues at the point of booking in. I have included a screen shot of the new updated risk assessment questions to the email for your reference. In addition to this: • Force communications have been issued to Staff reminding of the importance of relaying information to custody officers and staff. • All custody staff have been briefed to ask the question, if there are any injuries or information known that is relevant to safely detain the individual.