Police investigation management
Risk of replication of past management failures in police investigations due to absence of systems ensuring compliance.
Source spread
Where this theme appears
This theme appears across 21 independent accountability sources, so the source mix matters as much as the headline total.
189 inquiry recs
124 PFD reports
180 committee recs
29 HMICFRS recs
1 ICIBI rec
10 PPO recs
223 IOPC recs
1 NAO rec
18 IMB recs
8 IMB reports
2 Scottish FAIs
14 Article 2 learning points
8 detention investigation recs
743 DHR recs
46 LGO/SPSO decisions
31 CJINI reports
2 ISC reports
1 Law Commission project
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry recommendations(189)— showing 50 strongest matches
126 — Control of interview tapes
Recommendation: Clear arrangements should be made to secure the control and custody of any audio-tapes or video-tapes of interviews with children (17.68).
Unknown
119 — Agreed strategy for joint interviews
Recommendation: Where agencies are to undertake joint interviews, there should be an agreed strategy both for the course of interviews and for the resolution of disputes and for the assessment of the ongoing work both by managers and interviewers (17.59).
Unknown
117 — Channels from interviewers to case managers
Recommendation: Clear communication channels should be set up from interviewers to case managers (17.57).
Unknown
116 — Interviewers to keep an open mind
Recommendation: The importance should be recognised of interviewers keeping an open mind on the truth or otherwise of any allegations (17.56).
Unknown
114 — Avoid interviewers of other children
Recommendation: Wherever possible interviewers who have dealt extensively with children making allegations about other children should not be involved in interviews of those other children (17.53).
Unknown
111 — Plan all details before interviewing
Recommendation: All details should be thoroughly planned before any interviewing starts (17.50).
Unknown
109 — Plan purpose and course of interviews
Recommendation: The purpose, techniques and course of any interviews should be planned at the outset as well as the need to make an overall assessment of the child (17.48).
Unknown
12 — Agencies share information in joint approach
Recommendation: In a joint approach while investigation of a case is properly a matter for the police each agency should share fully with each other the whole information relevant to their particular responsibilities (15.30-31).
Unknown
10 — Secrecy and planning in multiple abuse cases
Recommendation: In the investigation of multiple sexual abuse a high level of secrecy and organisation, a carefully planned approach and a degree of caution should be adopted (15.26-27).
Unknown
FP75 — Recommendation 75
Recommendation: COPFS should ensure that appropriate written guidance as to fingerprint evidence is available to its staff. COPFS should also ensure that a sufficient number of lawyers fully conversant with fingerprint evidence are available to deal with any issues that may …
No response yet
FP74 — Recommendation 74
Recommendation: The SPSA should develop a procedure for the provision of information to COPFS where issues have been raised about the performance of an examiner who may be required to report or give evidence. COPFS should provide SPSA with guidance as …
No response yet
FP71 — Recommendation 71
Recommendation: All fingerprint examiners at SPSA should receive court skills training at suitable intervals. The training should emphasise the role of the expert witness.
No response yet
FP65 — Recommendation 65
Recommendation: The use of technology to assist fingerprint examiners in demonstrating to the court aspects of their evidence should be explored.
No response yet
FP64 — Recommendation 64
Recommendation: COPFS should pay particular attention to ensuring that fingerprint evidence is presented to the court in such manner as to be readily understood by the judge and jury.
No response yet
FP63 — Recommendation 63
Recommendation: In the event of a challenge to an identification the defence should disclose the full reasons why it believes that the SPSA examiners’ opinions are incorrect. This may require the disclosure of marked up images of mark and print with …
No response yet
FP62 — Recommendation 62
Recommendation: As a matter of good practice, defence examiners should examine the unmarked mark and print and reach their own conclusions on that material before examining any marked images produced by SPSA.
No response yet
FP61 — Recommendation 61
Recommendation: Fingerprint examiners engaged by the defence should be afforded access to any other images of the mark or fingerprint forms as are available to SPSA and COPFS. If negatives are available, arrangements should be made on request to provide the …
No response yet
FP60 — Recommendation 60
Recommendation: Fingerprint examiners engaged by the defence should be afforded access to the same material as that used by SPSA, in appropriate examination or laboratory conditions.
No response yet
FP59 — Recommendation 59
Recommendation: Each examiner’s separate opinion should cover: (i) the images of the mark and also the specific print used in the comparison; (ii) the examiner’s opinion about the quality of the mark; (iii) if the examiner considers the mark to be …
No response yet
FP58 — Recommendation 58
Recommendation: The joint report prepared should be supported by the production of the individual opinions. It should be a matter for the Crown and defence to determine whether the joint report would suffice in a given case, or whether examiners should …
No response yet
FP57 — Recommendation 57
Recommendation: Each examiner should provide a separate written opinion and prepare his or her own material before any attempt is made to produce a joint report.
No response yet
FP56 — Recommendation 56
Recommendation: The following information should always be provided to the Crown: (i) a list of names of all examiners who have examined the mark at SPSA and their opinions as to the mark and the comparison; (ii) whether the complex marks …
No response yet
FP55 — Recommendation 55
Recommendation: SPSA and COPFS should agree and implement, as a matter of urgency, a process for the provision of information by SPSA to COPFS. COPFS should provide SPSA with information and advice as to the Crown’s duty of disclosure with a …
No response yet
FP54 — Recommendation 54
Recommendation: The omission of the SPSA from the statutory scheme of disclosure under sections 117 to 120 inclusive of the Criminal Justice and Licensing (Scotland) Act 2010 should be reviewed. The SPSA should be regarded as having the same duties as …
No response yet
FP52 — Recommendation 52
Recommendation: Where notes are required as a result of the preceding recommendations, the notes should be taken at each stage of ACE-V by every examiner involved in the process at that stage and should cover the following matters: (i) the assessment …
No response yet
FP51 — Recommendation 51
Recommendation: Notes should be taken in any case in which a fresh comparison is made in response to a request from the Crown for a report.
No response yet
FP50 — Recommendation 50
Recommendation: Examiners should always take notes when they are examining marks that they consider to be complex.
No response yet
FP49 — Recommendation 49
Recommendation: The audit trail for a mark should be available to the Crown if requested.
No response yet
FP48 — Recommendation 48
Recommendation: Any discussions between examiners (including any consultation with an examiner not directly involved in the comparison of the mark in question) at any stage of ACE-V should be recorded.
No response yet
FP47 — Recommendation 47
Recommendation: A record should be kept for each mark which (i) shows whether or not it has been regarded as suitable for comparison; (ii) lists all prints with which it has been compared.
No response yet
FP46 — Recommendation 46
Recommendation: Any image(s) studied by the examiner in making an identification should be provided to the Crown on request together with the remainder of the selection of images.
No response yet
FP45 — Recommendation 45
Recommendation: The selection of images provided to the examiner, the image chosen for comparison work and the photographic negatives, if any, should all be recorded as part of the audit trail.
No response yet
FP44 — Recommendation 44
Recommendation: The method used by scene of crime examiners to detect and record a mark should be recorded as part of the audit trail for that mark.
No response yet
FP43 — Recommendation 43
Recommendation: Where the police or COPFS require a fingerprint comparison to be reconsidered by SPSA for any reason the matter should be referred to the review panel to be addressed in accordance with the procedures recommended in recommendation 36.
No response yet
FP41 — Recommendation 41
Recommendation: Consideration requires to be given to the need for examiners to examine the object on which the mark was found
No response yet
FP40 — Recommendation 40
Recommendation: Any adjustments made to a photographic print should be recorded as part of the audit trail.
No response yet
FP39 — Recommendation 39
Recommendation: In relation to digital images: (i) the digital original should be stored separately; (ii) any digital image processing should be carried out only on accurate replicas of the digital original; (iii) any adjustments made to the digital image should be …
No response yet
FP38 — Recommendation 38
Recommendation: Fingerprint photographers should provide an examiner with a selection of images of a mark.
No response yet
FP36 — Recommendation 36
Recommendation: The SPSA should amend its procedures to include a review panel to consider any disagreement between examiners: (i) Where there is a disagreement between examiners the further investigation should be conducted by a panel the members of which should have …
No response yet
FP35 — Recommendation 35
Recommendation: Where an examiner has doubts, the comparison should be processed in accordance with the complex marks procedure recommended in recommendation 42.
No response yet
FP34 — Recommendation 34
Recommendation: The SPSA should review its Standard Operating Procedures relative to handling differences of opinion and provision should be made not only for cases of disagreement between examiners but also for instances where an examiner has some doubt about the finding …
No response yet
FP33 — Recommendation 33
Recommendation: Practitioners should conduct their individual ACE comparisons conscious of the fact that they are working in a field where there is no certainty and where there is scope for differences of opinion. When it comes to verification, examiners should be …
No response yet
FP32 — Recommendation 32
Recommendation: No discussions should take place between verifiers and preceding examiners until they have completed their work and reached their conclusions.
No response yet
FP31 — Recommendation 31
Recommendation: A verifier should not be someone who has been consulted for advice on the mark by the original examiner in the course of his or her examination.
No response yet
FP30 — Recommendation 30
Recommendation: A verifier should not be told of the preceding examiner’s reasoning before completing A-C-E. It follows that the verifier should not be shown, for example, a photograph or comparator screen marked up to show points of similarity.
No response yet
FP29 — Recommendation 29
Recommendation: All verifiers should be experienced examiners who have been given special training for this task, stressing the need for independence.
No response yet
FP28 — Recommendation 28
Recommendation: SPSA guidance to fingerprint examiners should emphasise the need at the evaluation stage to reflect on: tolerances, the quality of similarities, the nature of differences, any explanations for differences, the extent to which reverse reasoning may have been employed and …
No response yet
FP27 — Recommendation 27
Recommendation: Although evaluation may be taking place throughout the analysis/comparison part of the ACE-V process, emphasis should be placed on the need for a separate E - evaluation - stage.
No response yet
FP26 — Recommendation 26
Recommendation: Characteristics first found at the comparison stage should be included in any note of the examination. Less weight should be attached to such characteristics.
No response yet
FP25 — Recommendation 25
Recommendation: Fingerprint examiners should assess tolerances during the analysis stage so that when they come to evaluate whether the mark and print match they are conscious of the risk of applying excessive tolerances.
No response yet
Prevention of Future Deaths reports(124)— showing 50 strongest matches
Robert Wilkinson
Concerns: The coroner noted the absence of a face-to-face meeting with the deceased before revoking firearms certificates, and that the revocation letter was not personally served by police, with the decision communicated via family.
Response (Durham Constabulary): • The Constabulary stated that face-to-face meetings would be undertaken when they add value to a review and now form part of the structured review process. • The Constabulary reported … (AI summary)
Responded
Andrew Cairns, Rachael Slack and Auden Slack
Concerns: The coroner noted a lack of reciprocal information sharing between the Police and Mental Health Team regarding an individual's arrest and prior mental health assessment. An existing policy for mutual information sharing was not disclosed during the inquest, preventing witness questioning on it.
Overdue
Billy Paul Thomas Salton
Concerns: The coroner identified delays in custody progression due to unstaffed overnight processing units, a lack of understanding among staff regarding observation levels, and inadequate record-keeping and handovers between shifts, along with issues in monitoring CCTV cells.
Response (Medacs): • Medacs confirmed that new healthcare staff are now required to sign to acknowledge awareness of policy and procedure locations. • A new procedure, 'Pre and post clinical assessment guidelines … (AI summary)
Response (Greater Manchester Police): • An ongoing review of divisional policing, 'Transforming Divisional Policing', has been asked to identify ways to process detainees more efficiently. • The review aims to reduce the periods of … (AI summary)
Overdue
Daniel Collins
Concerns: The coroner raised concerns about a property in multiple occupation with a history of drug abuse, noting the potential for future drug-related deaths among inhabitants and asking for a review of the property's occupation.
Overdue
Lee MacPherson
Concerns: The coroner noted issues with the timely completion and transfer of police risk assessments, alongside a lack of shared understanding between SERCO and prison staff regarding accompanying documentation. Handover details on the Prisoner Escort Record (PER) were also not completed by prison staff.
Overdue
David Oldfield
Concerns: The coroner raises concerns regarding the appropriate and justifiable use of tasers by firearms officers, noting discrepancies in the account of events immediately preceding the tasering.
Response (West Yorkshire Police): • The force referred the incident to the Independent Police Complaints Commission (IPCC) immediately, which subsequently determined a local investigation was appropriate. • The force reviewed officer accounts from the … (AI summary)
Responded
Vincent Gibson
Concerns: The coroner identified a lack of clear command structure and accountability for incident management, alongside issues with communication protocols and the effective use of electronic mapping tools for resource allocation and deployment.
Overdue
Mark Duggan
Concerns: The coroner noted the scene of a fatal police shooting was not video recorded, which created difficulties with evidence and fostered public distrust. Concerns were also raised about the clarity of responsibility transfer from police to IPCC at a death scene.
Response (IPPC): • The IPCC stated it has recently released draft statutory guidance relevant to taking accounts from police officers. • The IPCC stated it has commented on concerns regarding access to … (AI summary)
Response (Home Office): • The Anti-social Behaviour, Crime and Policing Act 2014 strengthened the IPCC's power to obtain data from third parties. • The Act provides the IPCC with the power to serve … (AI summary)
Response (ACPO): • The National Policing portfolios are undertaking a further review of post-incident procedures, partly in response to issues arising from the death of Mark Duggan. • Steps have been taken … (AI summary)
Response (National Crime Agency): • The National Crime Agency undertook an internal review of its operating procedures for intelligence gathering, development, and dissemination. • Following this review, the Agency stated it did not consider … (AI summary)
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) has collaborated with the National Crime Agency (NCA) on reviews and learning, including professional development training and reviews into safeguarding and critical incident procedures. … (AI summary)
Responded
Stephen Church
Concerns: The British Transport Police experienced a broken chain of command, and staff from the psychiatric liaison service and Royal Berkshire Hospital had insufficient knowledge of interagency protocols. This contributed to a lack of joint working and delays in arranging a Mental Health Act assessment.
Response (Thames Valley Police): • A new draft of the interagency protocol for managing mental health in the Thames Area is in the consultation phase and will incorporate inquest findings. • Thames Valley Police … (AI summary)
Response (British Transport Police): • The British Transport Police (BTP) stated it would implement recommendations from an ongoing Independent Police Complaints Commission investigation into the breakdown of the command chain. • BTP updated its … (AI summary)
Response (Royal Berkshire NHS Trust1): • An interagency meeting was held to discuss concerns regarding mental health protocols and interagency working. • A flowchart for A&E staff was drafted, finalised, and approved to clarify steps … (AI summary)
Responded
Suzanne Cammell
Concerns: The coroner noted concerns regarding a lack of communication between Thames Valley Police and Gloucestershire Constabulary, and within Gloucestershire Control, meaning high-risk information about a prior incident was not available to officers conducting a welfare check. This prevented them from initiating a Mental Health Act assessment.
Response (Thames Valley Police): • Measures were put in place to address concerns regarding information sharing between the Professional Standards Department and the officer who prepared the report for the Coroner. • An appointment … (AI summary)
Overdue
Lee Friend
Concerns: Concerns relate to inadequate visibility and training for temporary traffic light placement, along with the absence of clear police and council procedures for identifying and addressing road safety risks.
Overdue
Arsema Dawit
Concerns: The coroner noted concerns regarding the premature and incorrect classification of the offence, misleading entries in the police recording system, and sub-optimal supervision of the investigation. Gaps were also identified in police standard operating procedures for non-adult domestic violence cases and the use of interpreting services.
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) introduced Public Access Officers (PAOs) with mandatory training on crime classification and risk assessment, supported by the National Decision Model and online toolkits. • … (AI summary)
Responded
Lucasz Lewandowski
Concerns: Police response timeliness, call grading protocol adherence, and inter-agency communication gaps were identified. Additionally, a psychiatric practice's limited correspondence with GPs affected continuity of care.
Response (Green Surgery Medical Dental Care): • A protocol is being implemented for psychiatric practice to ensure risk assessments are recorded, communicated to other healthcare professionals, and reviewed, including follow-up for medication non-compliance. • Patient notes … (AI summary)
Response (Greater Manchester Police): • Greater Manchester Police's Operational Communications Branch issued management advice and feedback to staff and supervisors regarding non-adherence to the Escalation Policy. • The Escalation Policy was re-circulated with instructions … (AI summary)
Overdue
Nicholas Rowley
Concerns: The coroner noted a lack of verbal consultation between medical practitioners and custody sergeants regarding detainee concerns and observation levels. There is a need for joint training on observation levels, precise observation specification, and risks of drug and alcohol abuse in custody.
Response (College of Policing): • The College of Policing stated it would incorporate guidance on verbal consultation between medical practitioners and custody sergeants into the Detention and Custody Authorised Professional Practice. • It confirmed … (AI summary)
Response (Staffordshire Police): • Guidance has been issued to custody staff and medical services providers to ensure verbal updates, which will be incorporated into Force Policy. • A Custody Training sub-group has been … (AI summary)
Response (G4S1): • G4S provides mandatory training to custody officers on setting observation levels, in line with PACE, ACPO, and College of Policing guidance. • G4S provides mandatory first aid training, including … (AI summary)
Responded
Alice McMeekin
Concerns: Police did not pass on significant reported remarks about a perpetrator, meaning a psychiatric nurse was unaware of this key information during assessment. Consequently, the individual was assessed as zero risk and discharged with limited follow-up, despite a history of self-harm and a recent suicide attempt.
Overdue
Darren Neville
Concerns: Police gave insufficient consideration to the risk of death from prolonged restraint in individuals experiencing acute behavioural disturbance.
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) and London Ambulance Service (LAS) published a Memorandum of Understanding in January 2014, which formalised joint working practices and response protocols for incidents involving … (AI summary)
Responded
Michael Thorley
Concerns: The coroner identified concerns regarding a significant delay in gaining entry to premises and the absence of a clear policy for forced entry in such emergencies. There were also issues with the initial police investigation, which did not adequately find evidence or consider all potential scenarios.
Response (Greater Manchester Police): • The Specialist Operational Training Unit will use this case example in method of entry training modules to highlight the balance required for urgent entry. • An internal message will … (AI summary)
Responded
Yvonne Davies and Andrew Davies
Concerns: The coroner identified concerns regarding an off-duty police officer contaminating a death scene and the subsequent failure of attending on-duty officers to secure the scene or remove their colleague.
Overdue
Ronald Laidiar
Concerns: The coroner identified significant shortcomings in the police investigation, including a lack of inquiry into missing items, failure to verify the source of blood at the scene, and overlooking a critical laceration that contributed to death. This reflected an insufficient level of thoroughness in evidence collection.
Overdue
Wiktoria Was
Concerns: The coroner noted insufficient regard for injured third parties immediately after impact in police pursuits, with inadequate follow-up regarding their welfare. Concerns were also raised about the lack of evidence that lessons from previous police pursuit deaths had been learned, and the inadequacy of police officer refresher training on pursuits.
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) adopted the National Decision Model (NDM) in December 2014, integrating it into new recruit training and operational procedures to guide officer decision-making in dynamic … (AI summary)
Responded
Dean Joseph
Concerns: The coroner noted inconsistent understanding among officers regarding armed containment, a lack of guidance from trained hostage negotiators for untrained officers, and post-incident management procedures that eroded public confidence and hampered learning.
Response: • The Metropolitan Police Service (MPS) committed to enhancing training for firearms officers and commanders on armed containment types, communication, and the early deployment of trained negotiators. • The National … (AI summary)
Responded
Andrew Roberts
Concerns: The Transfer of Care Form was incomplete and contained inaccurate information. It was not provided to escorting police officers at the time of examination for immediate access by the custody nurse.
Overdue
Darren Browne
Concerns: The coroner raised concerns that insufficient consideration was given to balancing the acute needs and risks of a vulnerable individual, who relied heavily on family, when decisions were made to restrict their communication with family members.
Overdue
Mark Holdsworth
Concerns: Critical information regarding threats of self-harm was not effectively communicated from the incident log to arresting officers, custody staff, or the custody sergeant, impacting their risk assessment.
Overdue
Stefen Boswell
Concerns: The coroner notes inconsistencies between West Mercia Police's policy and national guidance on wrong-way dual carriageway pursuits, impacting officer training. A lack of explicit communication protocols between pursuing officers and supervisors during high-risk tactics was also identified.
Response (West Mercia Police): • West Mercia Police and Warwickshire Police aligned pursuit policies and training with the College of Policing's Authorised Professional Practice (APP). • The forces implemented a single Operational Control Centre … (AI summary)
Pending
Adele Blakeman
Concerns: Concerns were raised about the GMP computer system hindering officer access to information and a failure to record pertinent intelligence on individual profiles. There were also issues with call escalation procedures and understanding the MMU's role in enquiries.
Response (Greater Manchester Police): • Greater Manchester Police is investing in a new unified computer system (iOPS) and distributing mobile technology to improve officers' access to information. • Supervisors will be reminded to ensure … (AI summary)
Responded
Luisa Mendes
Concerns: Concerns were raised regarding the categorisation of violent incidents by call handlers, the lack of formalised handover procedures and training for controllers, and the absence of an alert feature in the STORM computer system for unauthorised deferrals.
Response (Warwickshire Police): • Warwickshire Police refreshed training for all Operations and Communications Centre staff on incident categorisation models and commenced workshops on vulnerability. • Changes were made to the initial training programme … (AI summary)
Responded
Henry Hicks
Concerns: The coroner noted a discrepancy between police officers' assessment of a situation and the jury's determination that it constituted a police pursuit, implying non-compliance with Metropolitan Police Service procedures for seeking authorisation.
Response (Metropolitan Police Service): • The four principal officers involved in the incident have been referred to gross misconduct proceedings. • The Metropolitan Police Service reviewed its wider practices and protocols, including existing guidance, … (AI summary)
Responded
Olawale Adelusi
Concerns: The coroner raised concerns about the absence of an effective system for transmitting all information relevant to a detained person's self-harm risk or mental health, as observations recorded in police logs were not formally passed on.
Overdue
Thomas Gallagher
Concerns: The coroner identified a lack of formal training in child mental health risk assessment, staff disregard for Force policies, and persistently low staffing levels. There were also concerns about unrecorded rationales for resource allocation decisions and unallocated welfare incidents, leading to delays.
Response (Thomas Gallagher): • Greater Manchester Police (GMP) implemented a staff training programme for the Operational Communications Branch (OCB) focused on vulnerability, risk mitigation, and safeguarding. • GMP reviewed and launched the FWIN … (AI summary)
Responded
Michelle Lawrence
Concerns: Concerns included the absence of independent investigation into deaths following release from private custody. The coroner also noted insufficient procedures for identifying and managing detainee concealment, inadequate CCTV monitoring, and character limits on the PNC system impacting risk assessment.
Overdue
Mark Yafai
Concerns: Police detention policy lacked clear guidance on assessing detainees who had consumed drugs, leading to broad discretion for custody officers regarding Health Care Professional examination. This ambiguity impacted risk assessment and observation levels.
Overdue
Tyrone Lock
Concerns: The jury identified that Tyrone should have been classified as a vulnerable person, not an absconding suspect, based on available police information. This classification would have prompted a second, prioritised helicopter deployment, increasing the chance of finding him.
Response (National Police Air Service): • The NPAS Assistant Operations Director contacted West Mercia Police to support a Critical Incident debrief. • NPAS will offer an opinion on potential improvements in awareness or training for … (AI summary)
Response (West Mercia Police): • West Mercia Police has embarked on an extensive programme to raise awareness and understanding of vulnerability among officers and staff. • The force has consulted with NPAS to clarify … (AI summary)
Responded
Darran Hunt
Concerns: The coroner identifies gaps and confusion in police training regarding the management of detained persons who place items in their mouth, specifically concerning the use of PAVA spray and inconsistent guidance on forced mouth searches across different forces.
Overdue
Terence Pimm
Concerns: The coroner raised concerns regarding police call handling and record-keeping, and the sufficiency of guidance for call handlers on immediate risk assessment and for mental health assessors on family input. The report also notes insufficient information sharing between agencies and a lack of understanding among mental health clinicians regarding the effect of warrants on their ability to assess and treat.
Response (Essex Partnership University NHS Trust): • The Trust has directed all health-based place of safety calls through a new call centre, where calls are recorded and documented by trained staff. • The information-sharing concordat has … (AI summary)
Response (Essex Police): • Custody suite staff received instructions on appropriate call handling and record-keeping for detainees. • Force Control Room staff training was supplemented to enhance immediate risk assessment for welfare calls. … (AI summary)
Responded
Mark Banks
Concerns: The coroner identified failures in contacting the ambulance service, recording the request, and correctly grading an emergency call. There were also insufficient efforts to search for and check on Mr. Banks' wellbeing at the scene.
Response (Devon Cornwall Police): • The police's grading and deployment policy (DO51) was reviewed and updated, integrating the THRIVE risk assessment tool to guide call handlers in incident grading. • Specific staff members were … (AI summary)
Responded
Ozeivo Akerele
Concerns: The coroner identified failures in the police search operation, including not finding Mr Akerele's body close to his last sighting and inadequate searches of a disused graveyard where he was later found. Concerns were also raised about the Police Search Advisor being unaware of recommendations for a more thorough search and the cursory nature of an earlier search.
Response (West Midland Police): • The Independent Office for Police Conduct (IOPC) investigation concluded, and a Professional Standards Department review determined no further action regarding officer conduct. • The organisation identified opportunities for organisational … (AI summary)
Responded
Joshua Hamill
Concerns: The coroner noted insufficient training for North Wales police officers in identifying mental health issues, and that 'Concern for Safety' incidents were closed without recorded resolution of the person's welfare.
Response (North Wales Police): • North Wales Police implemented several mental health and vulnerability training packages for officers since 2015, including a 'Vulnerable Person' package, an 'Acute Behavioural Disorder' package, and an 'early intervention' … (AI summary)
Responded
Antony Coughtrey
Concerns: The coroner identified a lack of internal investigation or serious incident review by the Probation Service following the death of a released prisoner, along with procedural issues for referring prisoners back to the Parole Board after a licence breach.
Overdue
Paul Hanton
Concerns: The coroner identified gaps in the clarity and consolidation of information provided by hospital staff when reporting AWOL patients, and noted a discernible difference in police response to high-risk informal patients versus those detained under the Mental Health Act.
Response (Sussex Police): • Sussex Police published new call handling guidance for missing persons in September 2017 and delivered associated training to contact handlers, controllers, and inspectors. • The joint policy with Sussex … (AI summary)
Response (Sussex Partnership NHS Trust): • A checklist document was created to assist with 999 calls for AWOL patients and is being incorporated into the Trust's new AWOL policy. • CCTV at Langley Green is … (AI summary)
Responded
Keiron Bould
Concerns: The coroner noted a lack of communication between police forces regarding primacy for a missing person report. There was also a significant delay in actioning an email transfer of the case due to it being sent to a generic address, highlighting a need for verbal confirmation.
Response (Warwickshire Police): • Working practice guidance for call handlers was updated to require a follow-up telephone call to confirm receipt of information when directing a missing person report to another force. • … (AI summary)
Overdue
Jeroen Ensink
Concerns: The coroner noted insufficient recording and escalation of mental health concerns for a detainee, which prevented MASH referral and led to a superficial medical examination. Further concerns included inconsistencies in police statements and custody records regarding injuries and use of force.
Overdue
Thomas Lear
Concerns: The coroner noted a lack of accommodation support for the deceased following his release from prison. Additionally, urgent messages regarding threats to self-harm were not picked up due to no weekend cover or divert system for the Integrated Offender Manager's phone.
Overdue
Dane Pearson
Concerns: Police issued a CAWN without proper evidence, rationale, or risk assessment for a vulnerable person, and failed to communicate the decision to drop the investigation.
Response: • The College of Policing stated it would release updated guidance for Child Abduction Warning Notices (CAWNs) to include risk assessment and clear explanation of events, while Greater Manchester Police … (AI summary)
Overdue
Lesley Armstrong
Concerns: Northumbria Police did not formally communicate the discontinuation of an investigation to the employer and Local Safeguarding Adults Board. This prevented the employer from updating their employee on her employment status and the Safeguarding Board from progressing its review.
Response (Northumbria Police): • Northumbria Police delivered further training and guidance following a national review of voluntary attender processes. • Officers involved were dealt with under Force conduct procedures for their errors. (AI summary)
Responded
Duncan Tomlin
Concerns: Training does not sufficiently emphasise the heightened risks of prone restraint when multiple factors affect breathing. There are also concerns that officers' training prioritises speedy removal of a restrained person rather than an opportunity to assess their condition once control is obtained.
Response (College of Policing): • The Self Defence Arrest and Restraint (SDAR) group will amend existing advice to include specific safety warnings for officers regarding the increased risk of prone restraint when multiple factors … (AI summary)
Response (Sussex Police): • Sussex Police stated that national training packages are delivered, and any alterations to lesson plans will be done in conjunction with the College of Policing and NPCC, with expected … (AI summary)
Overdue
Tyereece Johnson
Concerns: Information about the approximate age of moped riders (15-16) was not passed from initial CAD messages to the Police Control Centre team, despite age being considered a relevant factor for risk assessment and tactical decisions.
Response (Metropolitan Police Service): • MetCC will review the roles and responsibilities of the police pursuits pod to maximise information and intelligence opportunities. • MetCC will consider whether a mandatory checklist of indices should … (AI summary)
Responded
Aidan Ridley
Concerns: The coroner identified concerns regarding a police call handler's advice not to turn a person over and their inadequate guidance to seek ambulance service advice. The report also notes insufficient training and supervision for call handlers.
Response (Wiltshire Police): • Wiltshire Police sought national guidance, which confirmed that police call handlers should not provide first aid advice. • This guidance has been communicated to all call handling staff, and … (AI summary)
Responded
Alfred Sykes
Concerns: The coroner noted inadequate consideration and action for a crucial public sighting report of Mr Sykes, leading to an insufficient police search of the identified sports fields by only two officers. Increased deployment could have led to an earlier discovery.
Response (Greater Manchester Police): • High-risk missing person searches conducted by a PoISA from the Specialist Search Unit will be reviewed daily by another officer. • The Force Search Coordinator will be appraised of … (AI summary)
Responded
Adam Harris
Concerns: The coroner noted gaps in formal risk assessment, search procedures, and officer handover during prisoner transport and initial custody. Delayed custody record initiation and conflicting guidance on positioning intoxicated individuals in cells were also identified.
Response (Greater Manchester Police): • The revised "Transportation of Detained Persons" procedure was incorporated into initial Student Police Officer foundation training from August 2019, with further components under review for annual Personal Safety Training. … (AI summary)
Responded
Select committee recommendations(180)— showing 50 strongest matches
#47 —
Recommendation: We commend the Government’s progress in establishing the SLAPPs Taskforce. We urge participants to maintain momentum. Particular attention should be paid to engaging the police to establish a standard way of reporting intimidation of journalists, and tackling transnational repression from …
Response attribution not verified
#19 —
Recommendation: We recommend that the Government establish a dedicated national reporting hotline for individuals who experience TNR to enhance victim support, improve data collection, and facilitate timely referrals to the appropriate personnel. The reporting hotline should be established within one year …
Response attribution not verified
#18 —
Recommendation: Victims of TNR often take considerable personal risk in reporting TNR related crimes. Many choose not to come forward due to a lack of confidence in existing reporting systems, concerns that have often been shaped by previous negative experiences. Establishing …
Response attribution not verified
#17 —
Recommendation: We heard consistent evidence highlighting the absence of an effective mechanism for reporting suspected incidents of TNR. This gap not only leaves victims without adequate support but also significantly undermines the UK’s capacity to monitor, assess, and respond to such …
Response attribution not verified
#11 —
Recommendation: We recommend that timely acquisition and delivery of evidence should be made a priority in future. In response to this report the Government should confirm what steps it will take, and commit to implementation within six months. (Recommendation, paragraph 77)
Response attribution not verified
#10 —
Recommendation: Some processes were excessively protracted, with extensive to and fro. From the outside some aspects look shambolic. The process for securing the DNSA’s second witness statement took nearly eight months, for example. The reason for this delay remains obscure to …
Response attribution not verified
#25 — Review police and CPS strategies to increase FGM prosecution rates alongside prevention efforts.
Recommendation: The Government should continue to adopt an approach that looks at prevention and prosecution by funding and engaging with prevention efforts in local communities. Alongside this work, criminal justice agencies should review police intervention and CPS prosecution strategies with a …
Response attribution not verified
#24 — Urge the Government of Ireland to establish human rights-compliant legacy investigations at pace.
Recommendation: We welcome the commitment to cooperation on legacy between the UK Government and the Government of Ireland. Ireland now needs to demonstrate its own commitment to establishing and completing human rights-compliant investigations, underpinned by legislation. There is a lack of …
Response attribution not verified
#20 — Ensure effective investigation of legacy cases, reopening defective ones with appropriate safeguards.
Recommendation: By introducing what it refers to as six new protections for veterans, the Government has attempted to address concerns among former military personnel and others that legacy investigations, whether leading to prosecution or not, have amounted to punishment in themselves. …
Response attribution not verified
#7 — Address concerns about the Bill’s narrow definition of “close family member” and case exclusions.
Recommendation: The Government must address concerns about the Bill’s narrow definition of “close family member,” which may exclude relatives who often play a key role in pursuing information decades after incidents occurred. Ministers must also consider the merits of ensuring that …
Response attribution not verified
#5 — Address concerns on ECHR-compliance, sexual crimes exclusion, disclosure risks, and commission powers.
Recommendation: The Government must address concerns about the lack of any specific requirement for the investigations process to be ECHR-compliant; the de facto exclusion of most Troubles-related sexual crimes from the commission’s remit; the perceived risk that the Commission may disclose …
Response attribution not verified
#4 — Joint Framework offers reset for Troubles investigations, but raises questions on five-year window.
Recommendation: The Joint Framework and Troubles Bill offer a chance to reset the investigation process for Troubles-related cases. Despite reassurances from ICRIR, some stakeholders continued to have misgivings about the 80 commission’s work. Many families and others have entrusted ICRIR with …
Response attribution not verified
#11 — Police forces face growing demands from complex crimes and new responsibilities.
Recommendation: Police forces are facing growing demands. This includes an increase in the number of crimes which require more specialist resources to investigate; for example, fraud crimes, sexual offences, and stalking and harassment offences increased from 768,000 cases in 2014–15 (18% …
Response attribution not verified
#8 —
Recommendation: The Government should prioritise the establishment of a clear framework to allow for greater cooperation between UK’s relevant national bodies and between the UK and other mechanisms involved in the gathering and preserving of evidence. It should also identify the …
Response attribution not verified
#7 —
Recommendation: There is a lack of cooperation between UK investigative and prosecuting bodies, such as the War Crimes Unit of the Metropolitan Police, and the Crown Prosecution Service. (Conclusion, Paragraph 60)
Response attribution not verified
#4 —
Recommendation: Where the UK has jurisdiction over international crimes, the UK should seek to investigate and prosecute such crimes. (Recommendation, Paragraph 44)
Response attribution not verified
#31 —
Recommendation: The NCA and Border Force should use the existing powers under POCA to prevent goods linked to forced labour being sold in the UK and to seize assets linked to forced labour. (Recommendation, Paragraph 179) Free Trade Agreements
Response attribution not verified
#30 —
Recommendation: The powers already available under POCA are being underused by law enforcement agencies in relation to goods linked to forced labour which occurs outside of the UK. (Conclusion, Paragraph 178)
Response attribution not verified
#20 —
Recommendation: We further recommend that data collected through the hotline be anonymised and recorded to inform policy development and threat assessments. (Recommendation, Paragraph 63) INTERPOL and visa applications
Response attribution not verified
#21 —
Recommendation: The Electoral Commission and law enforcement should have powers to receive relevant information from HM Revenue and Customs in connection with an investigation into suspicions of foreign money. We further recommend exploring options to make better use of existing powers, …
Response attribution not verified
#16 —
Recommendation: The Government should amend the Representation of the People Bill to increase maximum custodial sentences to three years for the most serious breaches of political finance laws involving impermissible foreign money. This would improve deterrence and also enable law enforcement …
Response attribution not verified
#4 —
Recommendation: The Unit should have formalised information sharing agreements with the parent organisations of participating personnel, to ensure the parent organisation’s powers may be deployed during the course of investigations. (Recommendation, Paragraph 48) Crypto
Response attribution not verified
#9 —
Recommendation: Action Fraud was launched in 2009 as the national reporting centre for fraud. Victims can report to Action Fraud if they have been scammed, defrauded or experienced cyber crime in England, Wales and Northern Ireland. In 2019, the media reported …
Response attribution not verified
#3 —
Recommendation: Victims of fraud are being failed by Action Fraud, which risks undermining public trust in the police. We are seriously concerned that the failures of Action Fraud in supporting victims of fraud has earned it the nickname “Inaction Fraud”. Many …
Response attribution not verified
#21 —
Recommendation: Alongside the introduction of the new communications offences, we recommend that the Government ensures the police and other law enforcement bodies have adequate resources to effectively investigate and prosecute communications, hate crime, and Violence Against Women and Girls offences committed …
Response attribution not verified
#17 — Police officers lack adequate skills to investigate complex crimes like fraud effectively.
Recommendation: Police forces must also invest in the skills of their workforce to be able to respond to the changing nature of crime. Evidence submitted by ADS Group Ltd stated that, according to a 2025 Police Foundation report, half of police …
Response attribution not verified
#16 — Require Chief Constables to improve monitoring, recording, and response to violence against shopworkers.
Recommendation: Chief Constables must do much more to demonstrate that they recognise the human cost of escalating violence and abuse against shopworkers. They need to ensure they have proper systems in place for monitoring and recording. Most importantly, they need to …
Response attribution not verified
#8 — Policing response is failing to match rising violence and abuse against retail workers.
Recommendation: The Committee has heard overwhelming evidence that the policing response is simply failing to match the rising tide of violence and abuse against retail workers. The evidence also suggests that the response varies significantly between police forces: while there are …
Response attribution not verified
#55 — Make early assessments of s45 cases in trafficking-connected areas to identify indicators
Recommendation: Law enforcement should make early assessments of s45 cases in areas that are known to be connected to human trafficking (for example, cannabis cultivation) to identify any indicators of trafficking and then fully investigate where an offence is apparent or …
Response attribution not verified
#50 — Modern slavery prosecution and conviction rates remain unacceptably low despite legislation.
Recommendation: Despite legislative provisions being in place since 2015, prosecution and convictions rates are still comparatively low across the UK. This is unacceptable.
Response attribution not verified
#42 — Mandate every modern slavery specialist unit to include a dedicated financial investigator.
Recommendation: Every modern slavery and human trafficking specialist unit must have a dedicated financial investigator.
Response attribution not verified
#41 — Require Government to prioritise and adequately resource financial investigations within law enforcement bodies.
Recommendation: The Government needs to ensure that appropriate priority is placed on resourcing financial investigations within law enforcement bodies. (Paragraph 128) 76 Human trafficking
Response attribution not verified
#39 — Direct Government to ensure every police force has a dedicated modern slavery specialist team.
Recommendation: The Government should direct that every police force is provided with a dedicated modern slavery and human trafficking specialist team.
Response attribution not verified
#33 — Police prioritisation of human trafficking and modern slavery offences remains unclear.
Recommendation: The National Crime Agency recognises Human Trafficking and Modern Slavery as a national threat; in consequence it should be a national priority. Yet it remains unclear the extent to which police forces prioritise the detection and investigation of human trafficking …
Response attribution not verified
#32 — Accelerate efforts to investigate, prosecute, and adjudicate human trafficking and modern slavery cases.
Recommendation: Criminal justice practitioners, including the police in England and Wales, the National Crime Agency and Crown Prosecution Service, must urgently review and then accelerate and scale up their efforts to investigate, prosecute and effectively adjudicate human trafficking and modern slavery …
Response attribution not verified
#25 —
Recommendation: Crypto-assets are the lifeblood of the ransomware ecosystem, and have been a major driver of the increased threat. The Government is making welcome reforms to the A hostage to fortune: ransomware and UK national security 67 UK’s legislative regime underpinning …
Response attribution not verified
#20 —
Recommendation: Efforts to reduce the time taken to complete investigations are clearly working and are welcome. The FCA should consider whether it should focus its efforts on expediting its investigative processes to increase transparency before making substantial changes to the wider …
#17 —
Recommendation: The Government should undertake every effort to prosecute British individuals held in camps in NES where there is evidence that they were involved in Daesh crimes. (Recommendation, Paragraph 98) 34
Response attribution not verified
#10 —
Recommendation: We urge the Government to use its influence to ensure that such valuable evidence is not lost and that it is kept safe from both state and non- state actors who could put the lives of survivors at risk. The …
Response attribution not verified
#2 —
Recommendation: Terrorism charges do not capture the nature and scale of crimes committed against victims. Where there is sufficient evidence to provide a realistic prospect of conviction for international crimes, individuals should be prosecuted for such crimes. (Recommendation, Paragraph 37)
Response attribution not verified
#158 —
Recommendation: SCPOs can be obtained from the High Court in a stand-alone application or from the Crown Court by application following a person’s conviction for a serious crime. Only the DPP, the Director of the Serious Fraud Office and (in respect …
Response attribution not verified
#71 —
Recommendation: Searches of a person may involve the search of the person’s mouth and may require the removal of outer clothing.107 Reasonable force may be used.108 The Bill also allows officers to retain data for as long as they deem “necessary”,109 …
Response attribution not verified
#70 —
Recommendation: The new powers are exercisable when an immigration officer or a police constable who has received authorisation from a superintendent (“authorised officer”) has reasonable grounds to suspect that a relevant person is in possession of a relevant article that relates …
Response attribution not verified
#27 —
Recommendation: In taking steps to enable Border Force officers to find illicit consignments, the Government should ensure they are enabled to search out consignments of goods linked to forced labour. (Recommendation, Paragraph 148)
Response attribution not verified
#9 —
Recommendation: The Home Office and relevant enforcement bodies should develop clear guidance on how FIRS data can be used to support investigations into TNR, and regular reviews should be conducted to assess the scheme’s effectiveness in this regard. (Recommendation, Paragraph 34)
Response attribution not verified
#4 —
Recommendation: Without clear data on the scale and nature of TNR events in the UK, it is difficult both to create effective policy responses and to judge the effectiveness of the Government’s new TNR strategy. The Government should ask police forces …
Response attribution not verified
#3 —
Recommendation: The Government should establish a centralised Political Finance Enforcement Unit. This should be a joint unit, which could be housed in the National Crime Agency. It should hold the overall national lead and accountability for proactive assessments and criminal investigations …
Response attribution not verified
#2 —
Recommendation: The governance and accountability arrangements for criminal enforcement of illegal political finance interference are inadequate. Responsibilities and capabilities are dispersed across the Electoral Commission, the Metropolitan Police Service, Counter Terrorism Policing, MI5, the National Crime Agency, the National Police Chiefs’ …
Response attribution not verified
#13 —
Recommendation: The Department acknowledged that the current police resourcing levels for fraud needed to increase. In April 2022, we reported on the Department’s Police Uplift Programme which aimed to recruit 20,000 new police officers.27 However, as set out in our sister …
Response attribution not verified
#12 —
Recommendation: Despite making up 41% of all crime in the year to June 2022, only around 1% of police personnel are dedicated to fraud. In 2017, we raised concerns that fraud was not mentioned in all Police & Crime Commissioners’ police …
Response attribution not verified
HMICFRS recommendations(29)
An inspection of the service provided to victims of crime by Greater …
The force should immediately reinforce the requirement for the use of investigation plans, where these should be recorded and the supervisory responsibilities for overseeing and reviewing these, and introduce effective governance arrangements so it can satisfy itself that this is …
Recommendation
An inspection of the service provided to victims of crime by Greater …
The force should immediately put in place arrangements to make sure that in all investigations the risk to victims has been appropriately assessed and sufficiently documented, and that any risks are mitigated.
Recommendation
An inspection of the service provided to victims of crime by Greater …
Within three months the force should start crime-recording training for all supervisors, officers and staff in a crime recording role, to include the crime-recording requirements for harassment, stalking and coercive and controlling behaviour offences.
Recommendation
An inspection of the service provided to victims of crime by Greater …
Within three months the force should make arrangements to improve the use and supervision of cautions and community resolutions so that they are only applied in appropriate circumstances, taking into account the nature of the offence and the background of …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Within three months the force should complete an assessment of the standard and supervision of investigation plans and put in place any identified remedial actions to ensure the plans support a high standard of investigation and a good service to …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Within three months the force should complete a review to understand why it uses such a high proportion of outcome 16 (where a victim is recorded as not supporting or withdrawing support for police action) in respect of domestic abuse. …
Recommendation
An inspection of the service provided to victims of crime by Greater …
Within six months the force should complete a review of its operational governance arrangements. It should ensure the review properly and adequately considers relevant information and data, and has the appropriate authority and is effective in directing the necessary activity …
Recommendation
An inspection of the service provided to victims of crime by Greater …
The force should immediately take steps to identify and address gaps in its systems and processes for identifying and recording all reports of crime.
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 27 March 2025, chief constables should take steps to improve the quality of stalking investigations by taking a victim-centred, suspect-focused and context-led approach, ensuring their workforce has the capacity and capability to undertake effective stalking investigations, that all reasonable …
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 27 March 2025, chief constables should implement a mechanism for early screening of crimes to improve the identification, recording and management of all stalking cases, including screening for harassment, malicious communications, and breach crimes.
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 27 March 2025, chief constables should make sure the new College of Policing investigations APP content on case allocation is reflected in stalking and breach policies, supporting allocation to skilled officers considering risk and complexity.
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
The Home Office should provide further guidance on the types of considerations to take into account when deciding to restrict an officer's duties (for example, move them to a new role or location) while there is an ongoing investigation into …
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Local plans should include procedures to mitigate any unintended consequences to the speed and quality of the investigation and/or victim engagement in the investigative process that may be caused by referring a case to an external force for investigation.
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
External force investigation may be appropriate when truly independent investigators cannot be found internally or when victim trust cannot be secured another way, particularly in smaller forces or cases involving well-known suspects.
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Chief constables should make sure they have plans in place to ensure PPDA allegations are investigated (both in terms of the criminal investigation and misconduct response) by someone with no prior connection to any of those involved in the allegations. …
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Chief constables should submit explanations via the NPCC to the College of Policing, IOPC and HMICFRS within six months detailing how their force has improved the response to PPDA allegations, covering: handling as police complaints/conduct matters; compliance with APP guidance; …
Recommendation
Police perpetrated domestic abuse: Report on the Centre for Women's Justice super-complaint
Chief constables should ensure that both live PPDA cases and those closed within the last 12 months are audited. Appropriate action should be taken where they find cases were not treated appropriately as complaint and conduct matters and investigated accordingly.
Recommendation
The police response to burglary, robbery and other acquisitive crime: Finding time …
Ensure crime scene management practices adhere to APP on managing investigation for serious acquisitive crime
Recommendation
Police response to violence against women and girls: Final inspection report
All chief constables should immediately review and ensure that there are consistently high standards in their forces' responses to violence against women and girls and should be supported in doing so by national standards and data.
Recommendation
Police response to violence against women and girls: Final inspection report
The relentless pursuit and disruption of adult perpetrators should be a national priority for the police, resourced with the appropriate level of capability and capacity.
Recommendation
Evidence led domestic abuse prosecutions: A joint inspection
At outset of case, consider how to prosecute if victim were to withdraw support, leading to more detailed evidence gathering
Recommendation
Report on the Suzy Lamplugh Trust's super-complaint: The police response to stalking
By 27 March 2025, chief constables should take steps to make sure that force strategies, structures and processes are in place so that police consider a Stalking Protection Order (SPO) in every stalking case, and apply for an SPO where …
Recommendation
Police response to violence against women and girls: Final inspection report
Immediate review of use of outcomes 15 and 16 in violence against women and girls offences.
Recommendation
A duty to protect: Police use of protective measures in cases involving …
Review mechanism for informing police of NMOs and propose remedies for improvement
Recommendation
Disproportionate use of police powers: A spotlight on stop and search and …
By July 2021, ensure effective internal monitoring processes and external scrutiny on use of force
Recommendation
Neurodiversity in the criminal justice system: A review of evidence
Increase awareness and understanding among police, prison and probation staff
Recommendation
Neurodiversity in the criminal justice system: A review of evidence
Implement consistent neurodiversity screening protocols across the CJS
Recommendation
Neurodiversity in the criminal justice system: A review of evidence
Set a course for needed action on neurodiversity support across the criminal justice system
Recommendation
Disproportionate use of police powers: A spotlight on stop and search and …
By July 2022, ensure effective communication skills training in line with National Policing Guidelines on Conflict Management
Recommendation
ICIBI immigration recommendations(1)
PPO death in custody recommendations(10)
The Governor of HMP Sudbury
The Governor should commission a disciplinary investigation into the actions of the staff involved in the initial response after they discovered Mr Day unresponsive in the toilet area.
The Governor
The Governor should initiate an investigation into the allegations made by prisoners about the behaviour of prison officers who were on the wing on the evening and night of 29 April 2020 with a view to considering whether disciplinary action …
The AP manager
The AP manager should ensure that all electronic evidence requested by the PPO, or the police is appropriately secured and retained to assist with investigations.
The Governor
The Governor should commission an investigation into the actions of staff involved in the use of force incident on 4 July and inform the Ombudsman of the outcome.
The Prison Group Director for Avon and South Dorset
The Prison Group Director for Avon and South Dorset should commence a disciplinary investigation into the actions of CM A and his decision to close the ACCT on 8 November.
The Governor
The Governor should ensure that incidents of violence, bullying or intimidation are investigated and dealt with in line with local and national policies.
The Governor
The Governor should ensure that incidents of violence, bullying or intimidation are taken seriously, investigated, and dealt with in line with local and national policies, and victims are supported and protected.
The Governor
The Governor should commission a disciplinary investigation into the actions of segregation unit staff on the morning of 5 July 2021.
The Operational Security Group Director for HMPPS
The Operational Security Group Director for HMPPS should monitor compliance with policy on the use of restraints during hospital escorts (for inpatient admissions and outpatient appointments), including at HMP Oakwood, and discuss the findings with the Ombudsman.
The Governor
The Governor should commission the National Incident Management Unit to review the use of force on 25 October 2021, and implement any recommendations they make.
IOPC learning recommendations(223)— showing 50 strongest matches
Recommendation - Greater Manchester Police, February 2026
The IOPC recommends that Greater Manchester Police (GMP) should take steps to ensure that accounts given during Post Incident Procedures (PIP) are given in accordance with the College of Policing’s Authorised Professional Practice (APP) guidance and the IOPC’s ‘Statutory guidance …
Police investigation into how a child sustained injuries – Cleveland Police, February …
The IOPC recommends that Cleveland Police should review the systems in place for supervisory entries onto Occurrence Enquiry Logs (OEL’s) to ensure that in future criminal investigation cases it is not possible for one person to be both the Officer …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should ensure that all domestic violence crimes are being investigated by suitably trained officers and at an area commend level and investigated by CID teams and using a combination of PIP 1 and PIP …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should ensure that when investigating domestic violence incident they undertake a holistic approach rather than dealing with incidents in isolation, in order to proactively identify any previous intelligence, domestic violence history, bail conditions for …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should take positive steps to change the culture of closing cases without victim support, which seems to be a cultural and widespread issue around closing cases without victim support or a victim statement. This …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that that when closing domestic violence cases Northumbria Police should put in place a system of supervisory oversight in line with the HMICFRS VAWG Report Recommendation update dated 13 June 2023. This will allow supervisory oversight and …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that when investigating domestic violence Northumbria Police should use the investigative allocation framework (IAF) using the four point assessment on severity, complexity, solvability and vulnerability and that all decision rationale is clearly documented. This follows an IOPC …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should remind staff of their responsibility to identify and respond appropriately to vulnerable victims and that supervision of incidents concerning vulnerable victims is robust and effective and that all available evidence/intelligence is imputed onto …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should remind all investigative staff to pursue all lines of enquiry and that officers attending incidents document all intelligence received and upload it to policing intelligence systems. And that they are fully aware of …
Failure to investigate indecent exposure – Metropolitan Police Service, February 2021
The IOPC recommends that the Metropolitan Police Service (MPS) issues an accessible guidance document to Emergency Response Team (ERT) Officers outlining the expectations and processes involved when handing a case over to the My Investigation Support Team (MIST). This should …
Investigation into police pursuit and subsequent road traffic incident - Metropolitan Police …
The IOPC recommends the Metropolitan Police Service should ensure that police drivers are aware of their responsibilities under relevant policy and guidance in relation to the level of speed and drive in accordance with driver training at all times, in …
Investigation into police pursuit and subsequent road traffic incident - Metropolitan Police …
The IOPC recommends that the Metropolitan Police Service ensure that all police drivers are aware that drivers of an MPS vehicle cannot use a handheld airwave radio legally unless the handsfree option is being used and that training covers this …
Recommendation - Greater Manchester Police, September 2022
The IOPC recommends that Greater Manchester Police (GMP) implement call handling systems or processes which ensure that where a name can be spelt in different ways, records in relation to that person are still identified. This follows an IOPC review …
National recommendations relating to 'Wayne Couzens failures' - National Police Chiefs' Council …
The IOPC recommends that the College of Policing explores opportunities to develop an accessible resource in the form of a readable guidance document to support police officers gathering evidence as part of volume or low-level crime investigations. The guidance should …
National recommendations relating to 'Wayne Couzens failures' - National Police Chiefs' Council …
The IOPC recommends that the College of Policing reflects on the learning coming from this investigation, and in consultation with relevant practitioners and experts, considers whether any changes to existing Authorised Professional Practice, other guidance, or training, are needed to …
Recommendations - Hampshire Police, June 2023
The IOPC recommends that Hampshire & IOW Constabulary re-visit the procedures currently in place for the regular review of the retention of animals held by the force, to ensure their retention is still justified. This should include consideration of whether …
Recommendations - Hampshire Police, June 2023
The IOPC recommends that Hampshire & IOW Constabulary should review the training provided to officers to ensure they clearly understand their powers of seizure under the Animal Welfare Act 2006, including the procedures that should be followed when exercising such …
Recommendations - Hampshire Police, June 2023
The IOPC recommends that the Hampshire & IOW Constabulary develop clear guidance concerning the seizure of animals and the investigation of offences under the Animal Welfare Act 2006. This guidance should: (a) identify whether this is a matter that should …
Road traffic collision shortly after police pursuit – Metropolitan Police Service, March …
The IOPC recommends the Metropolitan Police Service should ensure that police drivers are aware of their responsibilities under relevant policy and guidance in relation to the level of speed and drive in accordance with driver training at all times, in …
Road traffic collision shortly after police pursuit – Metropolitan Police Service, March …
The IOPC recommends that the Metropolitan Police Service ensure that all police drivers are aware that drivers of an MPS vehicle cannot use a handheld airwave radio legally unless the handsfree option is being used and that training covers this …
Recommendations - Norfolk and Suffolk Constabularies, October 2024
The IOPC recommends that Suffolk Constabulary ensure the 'downlink' function in the control room is working as expected to enable the transmission of data during a police pursuit. This follows a police pursuit which took place in a large field …
Recommendations - Norfolk and Suffolk Constabularies, October 2024
The IOPC recommends that Norfolk and Suffolk Constabularies review and update, where relevant, their force guidance and training on the role of the National Police Air Service (NPAS) during pursuits to ensure it is aligned with national guidance. The training …
Recommendations - Cambridgeshire Constabulary, October 2024
The IOPC recommends that Cambridgeshire Constabulary work towards obtaining incident data recorders (IDR)/Driver and vehicle data management systems (DVDMS) for their vehicles. Roads Policing APP states: “The accuracy and inherent independence of information automatically recorded by retrofit, dedicated IDRs or …
Recommendations - Cambridgeshire Constabulary, October 2024
The IOPC recommends that Cambridgeshire Constabulary review its Standard Operating Procedures (SOPs) relating to attendance at spontaneous ‘Hare Coursing’ incidents. Cambridgeshire Constabulary SOPs for ‘Hare Coursing’ states: “on receiving contact indicating hare coursing is occurring or that hare coursers have …
Man dies on way to custody - Thames Valley Police, November 2017
Evidence in this case suggests that all officers could have benefited from more comprehensive and clear advice regarding conferring and the use of body-worn videos. The IOPC recommends that Thames Valley Police (TVP) considers how it can ensure that first …
Man dies on way to custody - Thames Valley Police, November 2017
Officers in this case were not separated and were permitted to turn off their body-worn video (BWV) for the journey to the police station for the post incident procedure. This means that there is no record of any discussion that …
Man dies on way to custody - Thames Valley Police, November 2017
Information about a previous drug-related incident involved the same individual as this case had not been put on his Police National Computer (PNC) record. While it did not materially affect this case, awareness of this information could potentially have affected …
Recommendations - West Midlands Police, July 2020
The IOPC recommends that West Midlands Police ensure the Force Control Room be formally notified and a log be created, with key details e.g. address, in advance of any firearms operations. Should additional resources or medical assistance be required, this …
National recommendations - National Police Chiefs Council, September 2020
The IOPC recommends that national guidance be amended/updated to state that prior to firearms operations, where timing allows (e.g. pre-planned operations) and where doing so would not present any issues regarding safety and security, an incident log should be created …
Recommendations - Nottinghamshire Police, February 2026
The IOPC recommends that Nottinghamshire Police introduce a process and standard document for its Internet Child Exploitation (ICE) team for conducting risk assessments on those subject to an enforcement visit, before the visit takes place and before the suspect is …
Recommendations - Nottinghamshire Police, February 2026
The IOPC recommends that Nottinghamshire Police Internet Child Exploitation (ICE) team should always wear body worn video (BWV) on every enforcement visit. This follows an IOPC investigation where Nottinghamshire Police's ICE team attended the address of a man following a …
Police contact with woman prior to her death - Metropolitan Police Service, …
The IOPC recommends that the MPS domestic abuse policy is updated to reflect the national College of Policing APP guidance which suggests when investigating a domestic incident where counter allegations are made risk assessments should be conducted for both parties. …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police remind officers that when completing a DASH risk assessment form, if the category ‘other’ is chosen, a full explanation must be provided in the free text field. In addition, routine audits should be …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
It is recommended that West Yorkshire Police remind Sergeants that DASH risk assessments and any supporting statements should be reviewed to endorse the risk level attributed to a victim. This recommendation follows an IOPC investigation where a probationary officer failed …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police review their domestic abuse policies and training to ensure that officers are clear on their responsibilities and the procedures that should be followed when dealing with domestic abuse incidents. This recommendation follows an …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police should ensure that all probationary officers that are deployed have appropriate support in place to review and supervise their work. This follows an IOPC Investigation where a probationary WYP officer dealt with a …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that a system is put in place to track domestic abuse cases that are returned to officers because the minimum standards of investigation were not met. This system should ensure that cases are progressed with appropriate supervision …
Police contact with woman before being murdered by ex-partner – West Yorkshire …
The IOPC recommends that West Yorkshire Police reminds all officers and police staff that intelligence gained from incident reports should be uploaded to individual Niche intelligence profiles at the earliest opportunity. An IOPC investigation identified that significant intelligence relating to …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should ensure that all staff involved in an investigation effectively document all policy decisions, investigative plans and lines of enquiry, ongoing progress, case reviews, and victim contact as part of the record of investigation. …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police should continue to adhere to their dip sampling policy of domestic violence cases in order to identify any improvement opportunities and put in place a clear and robust and documented plan for remedial action …
Recommendation - Northumbria Police, April 2026
The IOPC recommends that Northumbria Police should conduct a review of their policy and practice in relation to post-arrest management and bail decisions in cases involving domestic abuse or violence against women and girls. The review should pay particular regard …
Operation Hotton recommendations - Metropolitan Police Service, September 2021
The IOPC recommends that the MPS should review how it deals with internal reports of sexual harassment, including how the Directorate of Professional Standards (DPS) should engage with victims, seeking their views about designating them as persons entitled to information …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police remind OIC’s of their responsibility to consider Clare’s Law when dealing with domestic violence cases at all stages and whenever a domestic violence case is reviewed in order to safeguard potential victims. They should …
Recommendation - Metropolitan Police Service, June 2021
The IOPC recommends that the Metropolitan Police Service (MPS) should ensure that expiration dates of protective orders; including restraining and non-molestation orders are flagged and accessible to officers attending domestic violence incidents to enable consideration of this key information into …
Failure to investigate indecent exposure – Metropolitan Police Service, February 2021
The IOPC recommends that the Metropolitan Police Service (MPS) ensures that its call handlers are aware that they have discretion when assigning the length of time slots for police officers to attend car appointments for allegations of sexual offences. This …
Recommendation - Thames Valley Police, February 2026
The IOPC recommends that Thames Valley Police (TVP) take steps to satisfy themselves that complaint handlers and investigating officers outside the Professional Standards Department (PSD) are being properly supported in their role. In doing so, TVP should review what training, …
Recommendations - West Midlands Police, July 2020
The IOPC recommends that West Midlands Police introduce a policy/practice which ensures an officer of designated rank (the IOPC suggests Inspector or above) has overall responsibility for identifying Next of Kin and ensuring appropriate delivery of the death message, in …
Recommendations - West Midlands Police, July 2020
The IOPC recommends that West Midlands Police ensure adequate arrangements / contingencies are in place to ensure medical treatment is available in the event immediate medical assistance is required during pre-planned firearms operations. In this particular instance, immediate ambulance assistance …
National recommendations - National Police Chiefs Council, September 2020
The IOPC recommends that the NPCC lead for complaints and misconduct works with all forces to ensure that requirements around delivering the message about a police-related death are clear and understood. This includes the requirement that the senior officer on …
Recommendation - West Midlands Police, August 2020
The IOPC recommends that managing officers at Stechford police station conduct an audit to establish whether additional approved methods of entry kits are required and to formally consider whether such equipment is being suitably located and managed. This recommendation was …
IMB annual reports(8)
Forest Bank (2021)
HMP Forest Bank, a Category B male prison, faced a challenging year (Nov 2020-Oct 2021) marked by the Covid-19 pandemic, staff shortages, and a transition to a reception prison. Despite these challenges, the Board noted significant improvements in safety, accommodation, and security, driven by a new management team and a proactive approach to Covid containment. Key positive developments include a new employment hub for resettlement and exceptional catering, while concerns remain regarding property handling, organised crime group activity due to the new reception status, and the long-term sustainability of improvements given staff shortages.
PRISON
Key concerns
Haverigg (2021)
HMP Haverigg, a Category D open prison for men convicted of sexual offences, has navigated the reporting year effectively, despite the ongoing pandemic. The Board found the prison to be a safe and humane environment, with low levels of self-harm and violence, and commended staff for managing Covid-19 and supporting resettlement. However, significant concerns persist regarding the inhumane treatment and progression of IPP prisoners, the recurring issue of property loss on transfer, and the impact of staff vacancies on key services.
PRISON
Key concerns
Dovegate (2021)
HMP Dovegate, a Category B training prison, maintained a generally calm environment with positive staff-resident relationships despite the challenges of the Covid-19 pandemic. The Board welcomed improvements in facilities, the rollout of body-worn cameras, and innovative staff recruitment. However, significant concerns remain regarding unresolved property transfer issues, the lack of progress for IPP prisoners, and the inadequacy of the healthcare inpatient unit, alongside a dramatic rise in healthcare waiting times due to pandemic restrictions.
PRISON
Key concerns
Drake Hall (2021)
HMP/YOI Drake Hall provides a safe and humane environment, with staff and prisoners showing commendable resilience during the pandemic. However, significant structural issues with accommodation, particularly Richmond and Plymouth houses, persist despite repeated concerns. The Board also highlights challenges with prisoner property transfers, inadequate mental health therapeutic space, and issues affecting resettlement such as late transfers and banking restrictions. Healthcare provision is generally good, managing Covid-19 outbreaks effectively, but specialist support gaps exist for complex needs. The restricted regime impacted rehabilitation, yet efforts were made to maintain activities and contact.
PRISON
Key concerns
Charter Flight Monitoring Team (CFMT) (2021)
The IMB Charter Flight Monitoring Team (CFMT) report for 2021 found that while many returnees were treated with respect and efforts were made for infection control, significant concerns persisted regarding the fairness and humanity of the removal process. Key issues included prolonged in-vehicle confinement for returnees, inconsistent use of restraints, and communication gaps due to a lack of interpreters. The report also highlighted deficiencies in the provision of welfare items and information, especially for vulnerable individuals, and repeated recommendations on issues like distant airports and privacy on flights.
PRISON
Key concerns
Feltham (2021)
HMP & YOI Feltham faced continued challenges during the reporting year, particularly regarding its dilapidated estate which limited purposeful activity. While Covid-19 restrictions led to a safer environment with reduced violence and self-harm, access to mental health support and effective resettlement planning remained areas of concern. Staff dedication was highly commended amidst these difficulties, but the Board noted significant issues with property handling and the collapse of the Listener scheme.
PRISON
Key concerns
Gatwick IRC (2021)
The 2021 report covers the first year of the combined Gatwick IRC (Brook House and Tinsley House) under merged IMB oversight and Serco management, with the year dominated by Covid-19 restrictions, unprecedented Channel crossing arrivals through Tinsley House, and ongoing Home Office case management failures leading to prolonged and often unnecessary detention. While Serco staff generally treated detained men with respect and compassion, systemic failings in mental health support, access to legal advice, property management, and Home Office communication remained serious and in many cases repeated concerns.
IRC
Key concerns
Frankland (2021)
HMP Frankland maintained a safe and humane environment during the pandemic, despite a restricted regime. The report highlights successes in staff dedication and reduced self-harm incidents, but raises significant concerns about healthcare provision, especially dental waiting times and the unsuitable physical environment. Staffing shortages in the OMU and inconsistencies in the key worker scheme impacted prisoner progression, alongside issues with property transfers and workshop conditions.
PRISON
Key concerns
IMB individual recommendations(18)
Thameside (2020)
The Director should overhaul investigations into prisoner allegations against staff, ensuring they are timely, reach meaningful conclusions, and provide valid responses to prisoners.
Governor / Director
In Progress
South and West short term holding facilities (2025)
Provide use of force statistics as part of the monthly data return to the Board.
Other
Rejected
Derwentside (2022)
To ensure all staff are trained and fully confident and competent in the governance, techniques and reporting requirements around use of force and rules 40 and 42.
Governor / Director
Long Lartin (2020)
The Board would like to see a more formal process for reviewing incidents and prisoner movements involving the use of force.
Governor / Director
Oakwood (2024)
Although the use of body worn video cameras is very high during UoF incidents, how can the Director encourage officers to take advantage of the benefits of turning on their cameras early enough to capture the lead up to a UoF.
Governor / Director
Maidstone (2024)
Increase the number of officers trained to quality assure use of force incidents to avoid delaying the scrutiny of incidents.
Governor / Director
Isis (2020)
ensure that initiatives to reduce violence are focused on the increasing number of young adults, and acknowledge the incidence of bullying (see section 4.4)
Governor / Director
Deerbolt (2020)
The Prison Service should implement arrangements to identify gang issues immediately after sentencing, so that prisoners can be dispersed in a way that could avoid gang culture having an impact on prisons like Deerbolt.
HMPPS
In Progress
Dartmoor (2020)
What further measures can be taken to ensure that body-worn cameras (BWCs) record all use of force incidents within the prison, and that any lessons are taken from the recordings?
Governor / Director
Feltham (2021)
Following the lifting of the urgent notification and the easing of Covid restrictions, the roll on Feltham A is expected to rise. What mechanisms are in place to ensure that the reduction in violence seen over the past two years is maintained?
Governor / Director
Hull (2024)
Continue to undertake trend analysis and proactive work to reduce self-harm and violent incidents (prisoner on prisoner and assaults on staff).
Governor / Director
In Progress
Holme House (2024)
Can the Governor comment on the increase in Use of Force and whether it is at proportionate levels to similar prisons?
Governor / Director
Stocken (2025)
The Board is concerned that certain prisoners held in the CSU on suspicion that they are involved in illicit activities within the prison are not sufficiently briefed by the security department about the reasons why they are under investigation.
Governor / Director
Scotland and Northern Ireland short-term holding facilities (STHF) (2025)
There is an unwarranted variation in practice when Mitie Care and Custody staff use body-worn video but other staff do not. Similarly, interviews are not consistently audio-recorded, despite this having been standard practice in the police for many years. How will you ensure all appropriate staff make consistent use of body-worn video and audio-record interviews?
Home Office
Coldingley (2025)
The Governor should ensure that far more moments of potential conflict and all incidents of the use of force are recorded on camera.
Governor / Director
Noted
Forest Bank (2021)
Concerns have been expressed by several sources around the prison regarding the transfer in status to reception prison. This is being managed well internally, but there continue to be problems, as prisoners who would previously have been sent to HMP Manchester are now coming into Forest Bank, raising significant issues regarding the ongoing activity of organised crime groups. What are …
HMPPS
In Progress
Foston Hall (2023)
There have been increased levels of use of force and a disproportionate use of force towards young adults. How can this be reduced?
Governor / Director
Stocken (2024)
When Board members observe R45 reviews for prisoners held on security intelligence, the Duty Governor has little information to pass on to the prisoner and it often appears to take a long time for the security department to visit the prisoner. There was talk of the prisoner being sent a ‘holding’ letter, but we have seen no evidence of this …
Governor / Director
Health investigations(37)
Independent investigation: Katie Kazmi, Reading (1999) — Rec 12
The Home Office should ensure that the chief constable’s letter contains a summary of the index offence (c.f. the social supervisor’s) and a précis of other convictions, and direct that: the information is copied to both the police national computer and local force intelligence; such information should only be inputted …
south_east
Independent investigation: Thelma Allum, Maidenhead, Berks (1997) — Rec 7
that the police or the Crown Prosecution Service should record their reasons for not charging an arrested person who is removed to hospital without charge, given that the absence of a caution or conviction may be important, including to the victim. The police should then communicate this information to the …
south_east
Independent investigation: Thelma Allum, Maidenhead, Berks (1997) — Rec 6
that the named duty police officer (see recommendation 3) will consult the patient’s consultant about the advisability of prosecuting a person in such circumstances, and that the outcome of that discussion will be recorded in the patient’s notes.
south_east
Independent investigation: Thelma Allum, Maidenhead, Berks (1997) — Rec 3
that each police station should, at all times, have a named duty officer who is to act as the primary point of contact with mental health professionals regarding police investigations of violent offences alleged to have been committed by in-patients and out-patients.
south_east
Independent investigation: Stephen O’Brien, Crewe (2016) — Rec 9
NHS England should engage with the National Police Chiefs’ Council to complete their review of the 2006 Memorandum of Understanding and provide interim guidance to the NHS in order to facilitate the early investigation of serious incidents in health care.
north_west
Independent investigation: Prodip Debnath, Mile End (2010) — Rec Thirteen
It is recommended that any future incidents of this type and subsequent police investigation should be conducted under the auspices of the National Memorandum of Understanding and that the Trust ensures that the National Memorandum of Understanding is attached as a standard Appendix to their Serious Incident Policy and included …
london
Independent investigation: Prodip Debnath, Mile End (2010) — Rec Twelve
It is recommended that the Trust and their local police force should agree the criteria and level of service that can be provided to the Trust in terms of on-call and out of hours support to Trust members of staff when an assault on either another patient or member of …
london
Independent investigation: Odessa Carey, Washington (2019) — Rec 10
Northumbria Police The Domestic Abuse, Stalking and Harassment (DASH) risk assessments conducted by Northumbria Police in relation to domestic violence should: a) Be completed fully with officers ensuring that additional context is added to the comments section where ‘yes’ has been indicated. The Home Office and College of Policing are …
north_east_yorkshire
Independent investigation: Lorna Thomas, Milton Keynes (1995) — Rec 35
The Thames Valley Police Authority should review the systems and the links in place between the Family Protection Unit and the rest of the Police service. Information sharing should extend not just to inter-agency but also intra-agency in circumstances such as Lorna's case.
south_east
Independent investigation: Annette Sturt, Dover (2012) — Rec 2
Kent Police should consider whether to record this complaint as a crime and if so whether to open an investigation. If the decision is not to do so, a clear rationale for this should be recorded.
south_east
*Mental health homicide investigation legacy report into the care and … — Rec 5
Police Liaison Policies, Procedures and staff compliance to be reviewed.
south_east
An independent inquiry into the care and treatment of Ms … — Rec 6
The review recommends reviewing the standardised approach for dealing with warrants secured under the Mental Health Act. Such an approach would include documentary notification of the warrant to the TVP Control room, including a copy of the warrant and a risk assessment completed by the agency securing the warrant with …
south_east
An independent inquiry into the care and treatment of Ms … — Rec 4
The review recommends a reminder be sent to officers concerning the importance of appropriate use of warning markers within PNC and of the importance of creating a record within the Command and Control of any attempts to execute a warrant.
south_east
An independent inquiry into the care and treatment of Ms … — Rec 3
The review recommends that further work is conducted by the TVP Mental Health lead to reinforce the importance of managing mental health assessment alongside a criminal investigation.
south_east
A joint Domestic Homicide Review and Independent Investigation into the … — Rec 6
That Merseyside Police reports in writing to Sefton Safer Communities Partnership what action it has taken to ensure that its policies and practices for circulating wanted people are appropriate and followed.
Sefton Safer Communities Partnership and Mersey Care NHS Foundation Trust
north_west
Accepted
A Joint Domestic Homicide Review and independent mental health homicide … — Rec 10
Northumbria Police The Domestic Abuse, Stalking and Harassment (DASH) risk assessments conducted by Northumbria Police in relation to domestic violence should: a) Be completed fully with officers ensuring that additional context is added to the comments section where ‘yes’ has been indicated. The Home Office and College of Policing are …
Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
north_east_yorkshire
Independent investigation: Jonathan Palgrave, Preston (2018) — Rec 4
NHS England and Improvement (NHSE&I) should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in healthcare settings. In the meantime, the Trust and the local …
north_west
Independent investigation: Chloe Fahey, Manchester (2003) — Rec O.4
It is recommended that should there be a visit to the family of the detained person, that the officers should exercise due sensitivity and thoroughness in their dealings with the family, such that the family views are elicited and recorded as to the potential return home of the detained person …
north_west
Independent review of the care and treatment received by JW … — Rec R9
The local police should ensure that the risk management process for persons under MAPPA is conducted at the earliest opportunity in order to identify the risks to the public, staff and the nominal themselves.
south_west
Independent review of the care and treatment received by JW … — Rec R10
The local police should encourage and support the use of the dynamic ARMS risk assessment, particularly where mental health issues, violence and escalating behaviours are identified.
south_west
An independent investigation into the care and treatment of Mr … — Rec 4
NHS England and Improvement (NHSE&I) should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in healthcare settings. In the meantime, the Trust and the local …
Mr H. At the time of the incident Mr H was receiving care from Lancashire and South Cumbria NHS Foundation Trust
north_west
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, … — Rec 14
The MPS and partner agencies should undertake a system review of how MERLIN Adult Come to Notice (ACN) reports are managed and responded to. The MPS should undertake a programme of regular review of MERLIN ACN reports to ensure they are being completed in line with MPS policy.
london
Accepted
Independent external quality assurance review following the independent investigation into … — Rec 20
West Midland’s Police should formalise the involvement of family and carers within their policies and protocols, relating to information sharing.
midlands
Accepted
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994) — Rec B
Police Forces nation-wide should commit themselves to adopting the training and policies for dealing with mentally ill people, as currently practised within the Metropolitan Police.
east_of_england
Independent investigation: Trevor Spencer, Dagenham — Rec R3
The trust should explain to the Metropolitan Police immediately following an incident what contact they want to have with the perpetrator and victim (if appropriate) and their families so as to discharge the trust’s responsibilities and obligations. They should challenge any unnecessary restrictions imposed by the police under the terms …
london
Independent investigation: Thelma Allum, Maidenhead, Berks (1997) — Rec 1
that simple arrangements are developed which ensure that mental health professionals who conduct police station assessments of persons arrested for assault, and those conducting risk assessments following admission and prior to discharge, possess detailed information about the suspected assault. The primary duty should be on the police to furnish this …
south_east
Independent investigation: Stephen O’Brien, Crewe (2016) — Rec 7
The Trust should, in the event of any future serious incident, take active steps to identify learning at an early stage. There should also be more formal and regular communication with other agencies, including the police, to ensure that all parties are aware of progress in relation to the management …
north_west
Independent investigation: Anita Bawtree, Southampton (2011) — Rec 6
Force policies and procedures are amended to provide police officers with more guidance when dealing with suspects who have mental health issues.
south_east
Independent investigation: Alan Creasey, Lancing (2017) — Rec 3
The Trust and CCG need to ensure that all sources of evidence (i.e. clinical care records, General Practitioners and the police) have been checked when investigators report an absence of family members for perpetrators and/or victims of serious incidents or homicides.
south_east
Independent review of the care and treatment received by JW … — Rec R7
Where local police are acting as the lead agency for a MAPPA subject, they should ensure that police offender managers understand the need proactively to take reasonable steps to seek relevant information from known agencies to inform the risk assessment process and subsequent risk management plan.
south_west
Assurance review — Rec 4b
In the meantime, the Trust and the local Constabulary should agree a local memorandum of understanding to inform the management of health care incidents that are also subject to criminal investigation.
north_west
Assurance Review — Rec 4b
In the meantime, the Trust and the local Constabulary should agree a local memorandum of understanding to inform the management of health care incidents that are also subject to criminal investigation.
north_west
Assurance Review — Rec 4a
NHS England and Improvement should work with the Department of Health and Social Care (DHSC) to agree and ‘sign off’ the revised ‘Memorandum of Understanding’ with the National Police Chiefs’ Council (NPCC) to support investigations into serious incidents in healthcare settings.
north_west
An independent investigation into the care and treatment of MN: … — Rec Recommendation 9
NHS England should engage with the National Police Chiefs’ Council to complete their review of the 2006 Memorandum of Understanding and provide interim guidance to the NHS in order to facilitate the early investigation of serious incidents in health care.
MN. MN was convicted of manslaughter in August 2017. At the time of the homicide MN was receiving care and treatment from Cheshire and Wirral Partnership NHS Foundation Trust
north_west
Independent investigation into the care and treatment of Patient R: … — Rec 2
The Trust should ensure that any reports from service users about violent behaviour are fully logged in the patient’s notes and reported in detail to the police.
5 Boroughs Partnership NHS Foundation Trust
north_west
Independent investigation into the care and treatment of Mr H — Rec 4
The Trust should build awareness of risks and gang culture in the catchment area, and develop appropriate links with Police to ensure that they are connected to local established networks for raising awareness, information sharing and action about those at risk from or engaged in gang activity.
london
Accepted
Independent external quality assurance review following the independent investigation into … — Rec 6
Before the decision is made by the police to remove safety and alert equipment from a victim of domestic violence West Midlands Police should ensure that a full risk assessment is undertaken to inform this decision. All relevant agencies and the victim should be involved in this assessment and decision.
midlands
Accepted
Scottish Fatal Accident Inquiries(2)
Gordon Stewart Lennon
[58] Because of that, I agree with the submission on behalf of the family that a recommendation be made that the police and Procurator Fiscal should review their policy on the investigation of vehicle collisions which do not occur on the public highway.
Feb 2012
Catherine Wingate
I consider that the matter should be looked by Strathclyde Police.
May 2012
Article 2 learning points(14)
— LP 2
We recommend that the prison takes note of the problems that occurred in this case and ensures that where the police are investigating an incident in the prison, clear arrangements are made for a single point of contact in the prison and for another staff member to deputise if they …
HMPPS
— LP 8
HMPPS should ensure that liaison between Article 2 investigators and prisons is improved by ensuring that the member of staff in an establishment appointed to liaise: a) understands the nature of the Article 2 process, and b) is of sufficient seniority to direct staff and resources to facilitate the investigation.
HMPPS
Accepted
— LP 4
If it has not already done so, NOMS should consider the requirement to review, at both national and local levels, protocols and procedures for referring crimes that take place within prisons to the Police, so that all organisations are clear around what is expected of them and the service that …
NOMS
Accepted
— LP 6
If it has not already done so, NOMS may wish to consider reviewing its policies and procedures relating to the seizure, recording, retention and continuity of seized items, particularly in respect of critical incidents or where items are likely to be used as evidence in subsequent criminal proceedings.
NOMS
Accepted
— LP 3
If it has not already done so, NOMS should consider the requirement, and benefits to be gained, by reviewing how it responds to managing serious prisoner on prisoner assaults or indeed other critical incidents. Whilst not necessarily exclusive, this review should consider including issues such as command structure, scene and …
NOMS
Accepted
— LP 1
If it has not already done so, HMP Whitemoor may wish to consider the benefits to be obtained from reviewing internal procedures and guidance for the management, recording and investigation under PSOs 1300, 2700 and 2750 of both prisoner on prisoner assaults and unexplained injuries. It may also be considered …
HMP Whitemoor
Accepted
— LP 6
We draw to the attention of the Governor of HMP Chelmsford deficiencies in the collection, recording and preservation of evidence that we have found in this case.
The Governor
Accepted
— LP 7
HMPPS takes steps to reduce the time between incidents and the commission of Article 2 Investigations.
HMPPS
Accepted
— LP 5
As a considerable time may pass before an Article 2 investigation is commissioned, HMPPS should clarify whether the prison is responsible for completing a full investigation where serious harm to an individual has been sustained.
HMPPS
Accepted
— LP 3
HMP Featherstone should comply with the mandatory action contained in Prison Service Order 1300 – ‘Investigations’ that a formal investigation is completed when there is serious harm to any person.
HMP Featherstone
Accepted
— LP 18
The list of documents to be retained as set out in PSI 15/2014 Investigations and learning following incidents of serious self-harm or serious assaults where an independent investigation will be necessary should mirror that in PSI 64/2011, Management of Prisoners at risk of harm to self, to others and from …
HMPPS
Accepted
— LP 17
All relevant documentation relating to a prisoner following an incident that may result in an investigation under Article 2 should be promptly secured.
HMPPS
Accepted
— LP 3
As a considerable time may pass before an Article 2 investigation is commissioned, HMPPS should clarify whether the prison is responsible for completing a full investigation where serious harm to an individual has been sustained.
HMPPS
Accepted
— LP 1
HMPPS should update PSI 15/2014 (which has an expiry date of 02 April 2018). Consideration should be given to: • requiring governors to complete any simple investigation within three months of the incident, or provide an update on the progress of the investigation at three monthly intervals • facilitating the …
HMPPS
Detention investigations(8)
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 77
IND, jointly with the Prison Service, works with the police and the CPS to establish a national protocol for the conduct of inquiries into serious events where there is the possibility of criminal charges.
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R50
The SMT must ensure regular and timely review of all use-of-force incidents by appropriately trained staff and that regular meetings take place, involving the SMT, dedicated to considering matters arising from use-of-force incidents and to ensuring that any concerns are addressed. (To be completed as a matter of urgency)
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 73
if the allegation that a detainee was assaulted by staff is not being pursued through the courts, GSL carries out a full investigation.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 6
the police and the Prison Service pursue on a national basis arrangements for Prison Service Tornado units and the police to work together and for a training protocol.
Immigration Detention
Investigation into the Disturbance and Fire at Yarl's Wood Removal … — Rec 4
the Home Office enters into discussion with the Association of Chief Police Officers to agree and distribute clear advice to all police forces on the issue of police powers in respect of disturbances in closed institutions.
Immigration Detention
Independent Investigation into Concerns about Brook House Immigration Removal Centre — Rec R46
The SMT and safeguarding team should ensure that all incidents of violence and bullying at Brook House are investigated in a timely way. (To be completed as a matter of urgency)
Immigration Detention
Investigation into Allegations of Racism and Mistreatment of Detainees at … — Rec 51
I recommend that contract monitors be instructed personally to investigate all allegations against members of staff.
Immigration Detention
Investigation into Allegations of Racism and Mistreatment of Detainees at … — Rec 47
I recommend that IND considers the advantages and practicality of contract monitors carrying out investigations into allegations against staff in other centres.
Immigration Detention
Independent reviews(50)
Fisher Review (Part 2) — Rec 20
The Law Commission recommendation 8, from its report Search Warrants (2020), should be implemented. Namely that the Insolvency Service be empowered to execute search warrants obtained under the Police and Criminal Evidence Act 1984 (Department of Trade and Industry Investigations) Order 2002, without the need to accompany a constable. This …
Justice & Legal
Fisher Review (Part 1) — Rec 29
Add wording to the Consolidated Guidance reminding investigators and prosecutors to apply the disclosure test to any material showing that a financial matter has impacted a decision to prosecute.
Justice & Legal
Rejected
Fisher Review (Part 1) — Rec 28
Ensure officers, presenting material as part of a summary only magistrates' court case, are supported in their consideration of what material should be scheduled by the increased use of the MG6C or other template. This may include suggested categories of material or examples of the types of material typically disclosed …
Justice & Legal
Fisher Review (Part 1) — Rec 20
The Consolidated Guidance should set out an expectation that investigators and prosecutors, on complex cases or cases with large volumes of digital material, should meet at least quarterly to discuss disclosure approach.
Justice & Legal
Fisher Review (Part 1) — Rec 19
The Consolidated Guidance should include an expectation for an investigator to speak with a prosecutor at the pre-charge stage, and to agree on a disclosure strategy and reasonable lines of inquiry, in every case (excluding motoring offences).
Justice & Legal
Fisher Review (Part 1) — Rec 13
Consideration should be given to whether CPIA and Code of Practice obligations should apply to anyone undertaking a criminal investigation.
Justice & Legal
Fisher Review (Part 1) — Rec 10
In circumstances when a defendant has indicated that he/she is likely to plead guilty to an indictable only or either way offence unlikely to remain in the magistrates' court, the investigator, with the agreement of the designated prosecutor, should not have to produce a full schedule of unused material before …
Justice & Legal
Fisher Review (Part 1) — Rec 9
Section 6(b) of the Code of Practice should be updated to allow the appropriate use of 'metadata schedules', in conjunction with descriptive schedules and block listing.
Justice & Legal
Accepted
Fisher Review (Part 1) — Rec 8
Section 6 of the Code of Practice should make provision for the use of technology to assist in the creation of modern, resource-efficient schedules.
Justice & Legal
Fisher Review (Part 1) — Rec 7
Regarding the identification of relevant and disclosable material, that the following changes be made: a. Identifying Relevant Material — Amend the Code of Practice, creating a new section, 'Reviewing Material', to make clear that technology can be used to identify material which may be relevant to an investigation (as defined …
Justice & Legal
Accepted
Fisher Review (Part 1) — Rec 6
Make clear in Consolidated Guidance that the section 3 CPIA test is an objective assessment.
Justice & Legal
Accepted
Fisher Review (Part 1) — Rec 5
Undertake a review of law enforcement and local police force access to secure platforms for the sharing of sensitive material.
Justice & Legal
Accepted
Fisher Review (Part 1) — Rec 4
That a new governance model for digital forensics be created to streamline decision-making and standardise access to digital forensic capabilities in all investigations.
Justice & Legal
Accepted
Pickles Electoral Fraud Review — Rec R49
A protocol for reporting within a local authority on issues relating to electoral fraud should be developed and guidance given by the Electoral Commission in conjunction with the National Police Chiefs Council and other relevant bodies.
Other
Pickles Electoral Fraud Review — Rec R46
The Government could consider how the National Crime Agency, which has a remit to look at organised, economic and cyber-crime, might play a greater role in investigating and co-ordinating complex cases of electoral fraud, especially where it interacts with other financial or benefit fraud.
Other
Pickles Electoral Fraud Review — Rec R45
Work should be undertaken by Government to link with the Association of Police and Crime Commissioners, the College of Policing, the National Police Chiefs' Council and the National Crime Agency to ensure that electoral fraud is seen as a significant issue, and that there is a consistency of approach / …
Other
Williams GNM Review — Rec 3.2
Building on the work of the Homicide Working Group, police forces across England should consolidate their expertise on gross negligence manslaughter by a healthcare professional through the creation of a virtual specialist unit. This unit would support senior investigating officers by making available the experience of previous gross negligence manslaughter …
Health & Social Care
Chapman Police Disciplinary Review — Rec 11
Investigations for chief officers must be carried out by an independent body such as the IPCC.
Policing & Security
Laming Review (Baby P) — Rec 36
The Home Office should take national action to ensure that police child protection teams are well resourced and have specialist training to support them in their important responsibilities.
Other
Narey Review of Children's Residential Care — Rec 17
The Home Office counting rules – quite properly designed so that crime is not under recorded - allow the police very little flexibility in dealing with crimes committed in homes. This is in contrast to schools where police discretion exists and is frequently used. I recommend that the Home Office …
Other
IOPC Review — Rec 34
The IOPC should consider what can only be done by the centre and what can be best delivered regionally. It should consider the feasibility of moving to a national operating model across its key operations, whilst preserving effective regional outreach. It should consider the place of the Metropolitan Police in …
Policing & Security
IOPC Review — Rec 18
The IOPC should develop a centralised strategic operational planning function with responsibility for horizon-scanning and projecting future demand for IOPC work.
Policing & Security
IOPC Review — Rec 15
IOPC investigators and any new Proceedings Support Units should prioritise: early engagement with CPS, police forces and coroners during investigations; maintaining high file quality; and prompt and thorough 'revelation' of materials to these parties as needed.
Policing & Security
IOPC Review — Rec 10
The IOPC should review how it manages and mitigates risks in high-profile and large-scale investigations and ensure arrangements are in place to mitigate 'single points of failure' risks in its delegation framework.
Policing & Security
IOPC Review — Rec 7
The IOPC should consider embedding the following as core investigation principles: investigators should speak – or, even better, meet – with any complainant or bereaved family members at the outset of an investigation to understand what they want from the investigation; investigation terms of reference should not be drawn so …
Policing & Security
IOPC Review — Rec 6
The IOPC should consider internally, as part of a review of its operating model, whether and how the investigations' timeliness and quality might improve from introducing: specialised investigation teams. Examples might include: adverse incident or deaths in custody team; fatal uses of force team (firearms, taser, physical restraint); or a …
Policing & Security
IOPC Review — Rec 2
The IOPC should discontinue the use of themes as a criterion in its decisions about which cases it will investigate independently. It does not have the requisite buy-in to justify their continued use in this way. It might be able to address this in part by more clearly explaining how …
Policing & Security
Calvert-Smith SFO Review — Rec 8
The SFO should work with the AGO to consider the requirements set out in the AG disclosure guidelines (reporting within six months of this Report) and, in particular, whether there should be a change in the current approach to the management of disclosure following the receipt of a section 8 …
Justice & Legal
Calvert-Smith SFO Review — Rec 7
The Heads of Division, with oversight from General Counsel and the COO, should ensure that all cases have regular and effective disclosure strategy and management documents (in line with the requirements of the CPIA and in line with the SFO Operational Handbook). The Case Controller for each case should produce …
Justice & Legal
Calvert-Smith SFO Review — Rec 6
The SFO must emphasise and communicate to all members of staff the requirement to comply with all the casework assurance processes set out in the Handbook, with a specific focus on CPIA disclosure obligations. All current case assurance systems should be complied with within three months of the publication of …
Justice & Legal
Calvert-Smith SFO Review — Rec 5
Any record of direct contact with the DSFO concerning any current investigation or prosecution should immediately be passed to the case team or Head of Division with responsibility for the case, or a senior management team member as determined by DSFO or General Counsel. The DSFO’s Private Office should ensure …
Justice & Legal
Calvert-Smith SFO Review — Rec 4
The SFO must immediately communicate – to investigators within guidance and to all staff – that in the event of any information concerning an ongoing investigation or prosecution coming to them from a defendant or suspect, or any representative of either, it must be fully recorded and shared with the …
Justice & Legal
Calvert-Smith SFO Review — Rec 2
The SFO and AGO should urgently develop a revised process to enable the superintendence of sensitive and high-risk cases. This should include: a. A case list with sufficient detail to enable such superintendence – the list always to include the cases which may require or have already received the Attorney …
Justice & Legal
Kerslake Review — Rec 45
The Home Office and National Police Chiefs’ Council (NPCC) should actively review and enhance the interoperability of Automatic Resource Location Systems between force areas, with precedence being given to improving the nationwide geo-location of Operational Firearms and Counter Terrorism assets
Policing & Security
Accepted
Kerslake Review — Rec 43
In order to achieve consistency in the service provided, where Family Liaison Officers from different police forces have been allocated to families directly affected by a mass fatality incident, they must all operate strictly in accordance with the strategy and associated procedures specified by the lead Family Liaison Coordinator
Policing & Security
Accepted
Leveson Criminal Courts Review — Rec 13
I accept that the statutory threshold for the Independent Office for Police Conduct (IOPC) investigation where an officer has made a decision regarding bail should remain, but I recommend that the Home Office and IOPC guidance should be amended to make it clear that, in the context of bail, only …
Justice & Legal
Leveson Criminal Courts Review — Rec 12
I recommend that the police and CPS must consistently follow established guidance to guarantee accurate and fair charging decisions. To do so, I would encourage the police and CPS to establish better communication channels to facilitate collaborative decision-making and improvement of their decision-making process.
Justice & Legal
Leveson Criminal Courts Review — Rec 11
I recommend that the College of Policing makes clear that Release under Investigation (RUI) is no longer appropriate and that the only mechanism for releasing a suspect from the police station while an investigation continues should be bail (unconditional or subject to conditions). Alternatively, the Policing and Crime Act 2017 …
Justice & Legal
Leveson Criminal Courts Review — Rec 10
I recommend that the Crown Prosecution Service and Ministry of Justice agree eligible offences and criteria for Out of Court Resolutions in consultation with the National Police Chiefs’ Council.
Justice & Legal
Leveson Criminal Courts Review — Rec 5
I endorse the decision of the Home Office to amend Outcome 22 (police counting tool for Out of Court Resolutions) so that Out of Court Resolutions are recognised in the same way as other outcomes.
Justice & Legal
Leveson Criminal Courts Review — Rec 3
I recommend that the police and Crown Prosecution Service be encouraged to review appropriate cases in the open caseload to identify whether any of those cases could be suitable for the use of an Out of Court Resolution.
Justice & Legal
Leveson Criminal Courts Review — Rec 2
I recommend that there be a standard approach to ensure better administration of Out of Court Resolutions with the standard set for training through the College of Policing and the Law Society. Better administration could be in the form of a scrutiny panel conducted by Local Criminal Justice Boards overseen …
Justice & Legal
Leveson Criminal Courts Review — Rec 1
I recommend that in all appropriate cases, when making a charging decision, police forces and the Crown Prosecution Service consider whether an Out of Court Resolution should be offered, including cautions, conditional cautions and other mechanisms for disposal.
Justice & Legal
Modern Slavery Act Review — Rec 70
Law enforcement bodies and prosecutors should make provision to conduct thorough investigations and gather sufficient evidence to demonstrate whether an individual is a victim [of modern slavery] or not [in cases where the statutory defence has been raised].
Justice & Legal
Accepted
Modern Slavery Act Review — Rec 65
Law enforcement needs to make better use of the powers provided to it, in freezing suspects’ assets early on in modern slavery investigations, including before arrest where that is appropriate. This will help to prevent perpetrators dissipating assets and ensure that there could be funds available post-conviction to make Reparation …
Justice & Legal
Accepted
Modern Slavery Act Review — Rec 64
It is essential there is a swift and thorough financial investigation in every modern slavery investigation. Government needs to ensure the appropriate priority is placed on resourcing financial investigations.
Justice & Legal
Accepted
Angiolini Review — Rec 71
There should be a formal meeting between the CPS, HSE, and IPCC within 14 days of a death or serious incident. This meeting should be chaired by the IPCC to discuss the emerging evidence, the probability and/or possibility of criminal charges and the nature of these charges, and be a …
Policing & Security
Accepted
Angiolini Review — Rec 68
Where an individual dies during or following restraint involving both police and health personnel, a joint independent investigation by both the IPCC and the proposed independent investigatory body for the NHS should be closely aligned and coordinated in order to investigate the full circumstances of the death, including the conduct …
Policing & Security
Accepted
Angiolini Review — Rec 66
The IPCC should make clear in its guidance that minor discrepancies in statements given by police officers or any other witnesses to fact, are natural and are not presumed to be the outcome of dishonesty or incompetence.
Policing & Security
Accepted
Angiolini Review — Rec 65
There should be a duty for police officers to provide a full and candid statement at the earliest opportunity and within the specified timeframe unless they are formal suspects.
Policing & Security
Accepted
LGO / SPSO decisions(46)
24-021-097 — Police & Crime Commissioner for the Metropolitan Police
Summary: We cannot investigate this complaint because the law says we cannot investigate the actions of the police in connection with the investigation or prevention of crime.
LGO (Local Government & …
Other Categories
Mar 2025
25-006-058 — St Albans City Council
Summary: We will not investigate this complaint about the conduct of a Council Parking Enforcement Officer. This is because key matters in the complaint relate to an ongoing police investigation.
LGO (Local Government & …
Other Categories
Sep 2025
25-011-026 — Mayor's Office for Policing and Crime
Summary: We cannot investigate Mrs X’s complaint about the Authority’s investigation into the actions of the local police because the issues complained about relate to the investigation of a reported crime, and the law says we cannot investigate.
LGO (Local Government & …
Children S Care Services
Jan 2026
21-013-642 — Basildon Borough Council
Summary: We will not investigate this complaint about the actions of the Council in relation to a boundary dispute. This is because we will not be able to achieve the outcomes requested by the complainants.
LGO (Local Government & …
Environment And Regulation
Feb 2022
20-010-677 — Wiltshire Council
Summary: The Ombudsman found fault by the Council on Mr Y’s complaint about its failure to investigate his reports of his neighbours’ antisocial behaviour. It failed to show evidence of its antisocial behaviour officer’s involvement, whether it considered if any of their behaviour might be actionable, and whether it considered …
LGO (Local Government & …
Environment And Regulation
Upheld
Mar 2022
23-019-742 — Office of the Police & Crime Commissioner for …
Summary: We will not investigate this complaint about a Police arrest. That is because we have no jurisdiction to investigate complaints about action taken by the Police in connection to the investigation or prevention of crime.
LGO (Local Government & …
Other Categories
Apr 2024
23-015-362 — Cumberland Council
Summary: We will not investigate Ms X’s complaint that she was illegally detained by the Police in 2017. We have no jurisdiction to investigate the actions of the Police. We will also not investigate Ms X’s complaint that a Council officer is stalking her. This is a criminal matter and …
LGO (Local Government & …
Adult Care Services
Jun 2024
24-003-826 — Hart District Council
Summary: We cannot investigate this complaint about the a decision not to seek a criminal prosecution against alleged perpetrators of anti-social behaviour. This is because the issues complained about concern actions taken by the police in connection with the investigation or prevention of crime. We have no jurisdiction to investigate …
LGO (Local Government & …
Other Categories
Jul 2024
24-003-438 — London Borough of Southwark
Summary: We cannot investigate this complaint the Council did not take steps to address noise nuisance caused by poor sound insulation. We have no jurisdiction to investigate the Council where it is acting as a social landlord.
LGO (Local Government & …
Environment And Regulation
Sep 2024
24-008-322 — London Borough of Newham
Summary: We will not investigate this complaint about the Council’s failure to take enforcement action against reports of breaches of planning control and property licensing. We have not seen enough evidence of fault in the Council’s actions to justify our involvement.
LGO (Local Government & …
Planning
Nov 2024
24-011-199 — South Hams District Council
Summary: We will not investigate Mr X’s complaint about the Council’s handling of his report of dangerous driving by a licensed taxi driver. This is because there is not enough evidence of fault by the Council or to show its actions caused Mr X significant injustice. It is also unlikely …
LGO (Local Government & …
Environment And Regulation
Nov 2024
21-013-159 — Cornwall Council
Summary: We will not investigate this complaint about alleged criminal actions by Council officers. The main issues raised in the complaint are best dealt with by the police.
LGO (Local Government & …
Other Categories
Jan 2022
21-005-629 — Royal Borough of Kensington & Chelsea
Summary: The Council’s failure to follow its Community Trigger process in response to Ms X’s request was fault. The Council has already taken satisfactory action to remedy the injustice caused.
LGO (Local Government & …
Environment And Regulation
Upheld
Mar 2022
21-015-735 — Dorset Council
Summary: Ms X complains about the Council’s handling of anti-social behaviour issues relating to her and her neighbour. We will not investigate the complaint because it is unlikely we can add to the investigation already carried out by the Council and an investigation is unlikely to lead to a different …
LGO (Local Government & …
Environment And Regulation
Mar 2022
21-005-720 — London Borough of Lambeth
Summary: Mr X complains the Council did not cancel parking charge notices for his stolen car. This led to unnecessary enforcement action. Mr X also complains about the enforcement officers behaviour which caused significant distress. The Ombudsman finds fault with the Council for not cancelling the notice which resulted in …
LGO (Local Government & …
Transport And Highways
Upheld
Mar 2022
21-018-128 — City of York Council
Summary: Mr X complains about the Council’s handling of matters relating to the clean-up of paint and graffiti which had been targeted towards his home. We will not investigate the complaint because an investigation is unlikely to add to the Council’s own investigation or lead to a different outcome.
LGO (Local Government & …
Environment And Regulation
May 2022
21-010-559 — London Borough of Bexley
Summary: We will not investigate this complaint about how the Council has dealt with reports of antisocial behaviour because there is insufficient evidence of fault. We cannot investigate matters relating to enforcement action that the Council took against the complainant, because this has been subject to court proceedings, and because …
LGO (Local Government & …
Environment And Regulation
May 2022
22-005-743 — Cherwell District Council
Summary: We will not investigate this complaint about a bike theft from a Council car park. This is because we cannot investigate allegations of crime and the complainant would need to seek compensation through insurers or the courts.
LGO (Local Government & …
Environment And Regulation
Aug 2022
22-006-880 — Sussex Police & Crime Commissioner
Summary: We cannot investigate this complaint about the Police and Crime Commissioner. This is because the complaint relates to the investigation or prevention of a crime.
LGO (Local Government & …
Other Categories
Sep 2022
22-005-222 — Northamptonshire Police & Crime Commissioner
Summary: We cannot investigate Miss X’s complaints about how the Police and Crime Commissioner dealt with complaints she made about police action relating to various issues. This is because we cannot investigate matters relating to the prevention and detection of crime.
LGO (Local Government & …
Other Categories
Sep 2022
24-000-968 — West Midlands Police & Crime Commissioner
Summary: We will not investigate Mr X’s complaint the police and other bodies have carried out illegal, non-consensual human experimentation on him and other family members in various ways. We cannot investigate illegal activities.
LGO (Local Government & …
Other Categories
May 2024
23-017-200 — London Borough of Croydon
Summary: The Council has already accepted fault for delay investigating Mr X’s reports of anti-social behaviour and delay dealing with his complaint. The remedy it offered in response to the complaint, an apology and symbolic payment, is suitable to remedy the injustice caused. There was no fault in the Council’s …
LGO (Local Government & …
Environment And Regulation
Upheld
Sep 2024
24-001-170 — London Borough of Hounslow
Summary: We will not investigate Mr X’s complaint about the actions of a council officer in connection with his appeal against a penalty charge notice. This is because Mr X alleges the officer committed an offence and this is a matter for the police. The injustice Mr X claims stems …
LGO (Local Government & …
Transport And Highways
Sep 2024
24-017-143 — Trafford Council
Summary: We will not investigate Ms X’s complaint about noise nuisance from a neighbour. There is insufficient evidence of fault to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Mar 2025
23-017-198 — London Borough of Barnet
Summary: We will not investigate this complaint about how the Council dealt with reports of anti-social behaviour. The complaint is late.
LGO (Local Government & …
Environment And Regulation
Mar 2025
24-021-636 — Bristol City Council
Summary: We cannot investigate this complaint about the Council’s response to a complaint about anti-social behaviour. We have no remit to consider the Council’s action in connection with its management of its social housing.
LGO (Local Government & …
Environment And Regulation
May 2025
25-000-572 — Birmingham City Council
Summary: We will not investigate this complaint about how the Council dealt with reports of anti-social behaviour. There is not enough evidence of fault to justify our involvement.
LGO (Local Government & …
Environment And Regulation
Jul 2025
24-017-004 — London Borough of Harrow
Summary: We will not investigate Mr X’s complaint about antisocial behaviour and environmental concerns in his area. Part of the complaint is late. There is insufficient evidence of fault in the Council’s recent actions to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Aug 2025
25-003-581 — Crawley Borough Council
Summary: We will not investigate this complaint the Council taking insufficient enforcement action against her neighbour’s anti-social behaviour. This is because we are unlikely to find evidence of fault.
LGO (Local Government & …
Environment And Regulation
Aug 2025
25-002-682 — South Tyneside Metropolitan Borough Council
Summary: We will not investigate Mr X’s complaint about the Council’s complaints handling or a data breach by an officer because further investigation would not lead to a different outcome.
LGO (Local Government & …
Environment And Regulation
Aug 2025
24-017-126 — South Gloucestershire Council
Summary: Mr X complained the Council failed to take appropriate action to remove abandoned vehicles from the development on which he lives. We have found fault by the Council, causing injustice, in failing to properly consider its duty to remove abandoned vehicles. The Council has agreed to remedy this injustice …
LGO (Local Government & …
Environment And Regulation
Upheld
Sep 2025
24-022-546 — London Borough of Barking & Dagenham
Summary: We will not investigate Mr X’s complaint about the Council’s decision not to reinstate a sign to prevent children from playing ball games in the green space near his home. This is because it would not lead to a different outcome and the injustice is not significant enough to …
LGO (Local Government & …
Environment And Regulation
Oct 2025
25-001-786 — Torridge District Council
Summary: We will not investigate this complaint about the Council’s failure to take enforcement action against Mr X’s neighbour for feeding wild birds in his garden. This is because an investigation is unlikely to find fault, and it is unlikely we could add to the response provided by the Council’s …
LGO (Local Government & …
Environment And Regulation
Oct 2025
23-017-997 — Swindon Borough Council
Summary: We will not investigate this complaint about the Council’s handling of Mr X’s reports of noise and antisocial behaviour he has experienced. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Oct 2024
22-002-772 — London Borough of Lambeth
Summary: We will not investigate this complaint about a Penalty Charge Notice. This is because it is reasonable to expect Miss Y to appeal to the London Tribunals. Further, the Council has offered a satisfactory remedy to the complaint and it is unlikely we would find fault.
LGO (Local Government & …
Transport And Highways
Jun 2022
22-002-940 — East Suffolk Council
Summary: We will not investigate Mr B’s complaint that the Council wrongly issued him with a Penalty Charge Notice for an alleged parking contravention. This is because it was reasonable for Mr B to appeal to the Traffic Penalty Tribunal.
LGO (Local Government & …
Transport And Highways
Jun 2022
22-003-081 — London Borough of Tower Hamlets
Summary: We will not investigate this complaint about the Council’s enforcement of a penalty charge notice as Mr X has a remedy via the courts which he can reasonably use.
LGO (Local Government & …
Transport And Highways
Jun 2022
22-010-895 — Trafford Council
Summary: We will not investigate this complaint about the Council’s enforcement investigation. This is because the complainant has not been caused significant injustice.
LGO (Local Government & …
Planning
Nov 2022
23-018-114 — Birmingham City Council
Summary: We will not investigate this complaint about the Council’s actions in issuing Ms X with a Community Protection Warning. This is because we are unlikely to find evidence of fault by the Council.
LGO (Local Government & …
Environment And Regulation
Apr 2024
22-014-496 — Nottingham City Council
Summary: Mr X complained about the Council’s decision not to take enforcement action for an overgrown hedge and delays in complaint handling. We find fault which caused Mr X avoidable uncertainty and frustration. The Council should review its decision, apologise to Mr X and make a symbolic payment for injustice …
LGO (Local Government & …
Environment And Regulation
Upheld
May 2024
25-007-719 — Leicester City Council
Summary: We cannot investigate Mr X’s complaint about the Council’s decision to house a tenant. The law says we cannot investigate a Council’s actions when it is acting as a social housing provider. We will not investigate the Council’s handling of anti-social behaviour concerns, because there is not enough evidence …
LGO (Local Government & …
Environment And Regulation
Nov 2025
24-010-405 — London Borough of Barnet
Summary: We will not investigate this complaint about the Council’s handling of environmental protection issues involving Ms X. This is because past events fall outside our jurisdiction due to the passage of time and it is open to Ms X to engage with the Council if she wishes it to …
LGO (Local Government & …
Environment And Regulation
Nov 2024
24-011-426 — Barnsley Metropolitan Borough Council
Summary: We will not exercise discretion to investigate this complaint about the Council’s failure to take action against a social housing tenant for anti-social behaviour over a 5-year period. this complaint which was received outside the normal 12-month period for investigating complaints. There is no evidence to suggest that Miss …
LGO (Local Government & …
Environment And Regulation
Dec 2024
201302427 — Crown Office and Procurator Fiscal Service
Mr C’s wife (Mrs C) died in April 2011, and the Procurator Fiscal (PF) investigated her death. They decided that they needed to retain some of Mrs C's organs for tests to establish the cause of her death, and told Mr C this by letter. Mr C did not wish …
SPSO (Scottish Public Se…
Scottish Government and Devolved Administration
Partly Upheld
Jun 2015
25-009-596 — Blackburn with Darwen Council
Summary: We cannot investigate this complaint about the Council’s decision to issue Mr X with a Community Protection Notice (“CPN”). This is because Mr X has used his right of appeal to court.
LGO (Local Government & …
Environment And Regulation
Dec 2025
23-018-618 — Sandwell Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s handling of Ms X’s complaints about her neighbours. This is because we are unlikely to find evidence of fault by the Council sufficient to warrant an investigation.
LGO (Local Government & …
Environment And Regulation
Apr 2024
Domestic Homicide Reviews(743)— showing 50 strongest matches
Tewkesbury — recommendation 17.9.8
Evidence-led prosecutions must be a consideration for all Domestic Abuse allegations.
Gloucestershire Constabulary
Gloucestershire Constabulary
Tewkesbury — recommendation 17.9.7
Gloucestershire Constabulary considers using Body Worn Video devices in an operational capacity.
Gloucestershire Constabulary
Gloucestershire Constabulary
Tewkesbury — recommendation 17.9.4
In consultation with the Crown Prosecution Service, officers in the case are expected to ensure that applications for Restraining Orders are made in appropriate cases.
Gloucestershire Constabulary | Crown Prosecution Service
Gloucestershire Constabulary
Tewkesbury — recommendation 17.9.2
Force Control Room Managers should ensure that all relevant information pertaining to the threat and risk of harm to and from the perpetrator is captured through careful management of the initial call and the record of that information is made available to the attending officers at the time.
Gloucestershire Constabulary
Gloucestershire Constabulary
Tewkesbury — recommendation 17.9.1
Analysis of intelligence is required regularly, in order to feed into the Constabulary's intelligence (NIM) processes so as to identify those most at risk of causing harm.
Gloucestershire Constabulary
Gloucestershire Constabulary
Tewkesbury — recommendation 17.3.2
A senior National Probation Service (NPS) manager will write to HM Courts and Tribunal service in Gloucestershire to advise Magistrates and Judges of the benefits to risk management, of always adding a supervision requirement for offenders with a background of domestic abuse where a stand-alone unpaid work requirement is being …
National Probation Service
National Probation Service
Tewkesbury — recommendation 17.3.1
A reminder should be given to probation staff to continue to advise the courts that the probation service provides a comprehensive service to the courts including written reports as well as oral advice in regard to sentencing options. Probation staff are on hand to provide this. The courts are not …
Bristol, Gloucestershire, Somerset and Wiltshire Community …
Rotherham — recommendation 17.14
South Yorkshire Police should review their assessment process and provide further training and/or awareness for staff.
South Yorkshire Police
South Yorkshire Police
Bromley — recommendation 4.3.2b
Supervisors must ensure that they provide intrusive, timely and effective supervision, detailing clear action plans and direction to investigating officers. These actions and directions must be documented and checked for completion.
Metropolitan Police
Metropolitan Police Service
Bromley — recommendation 4.3.2a
Officers should be reminded to review the investigation as a whole, ensuring sufficient enquiries are undertaken to identify any existing or potential witnesses.
Metropolitan Police
Metropolitan Police Service
Kingston upon Hull — recommendation 13
Supervising officers need to ensure that all additional requested license conditions are applied to the actual release license; and take prompt action in those cases where conditions are missing. This will ensure that ensure that prompt enforcement action can be taken in cases of non-compliance.
Humberside, Lincolnshire and North Yorkshire Community …
Kingston upon Hull — recommendation 12
In cases that are subject to additional Orders such as Restraining Orders, sentence plan objectives should be set to further encourage compliance with those identified conditions / prohibitions.
Humberside, Lincolnshire and North Yorkshire Community …
Kingston upon Hull — recommendation 11
Consideration needs to be given to the imposition of additional license conditions in all cases that are subject to other Orders such as Restraining Orders in order to reinforce those conditions and further protect the victim.
Humberside, Lincolnshire and North Yorkshire Community …
Lambeth — recommendation 4.9.2
The need for managers to ensure all checks need to be completed and police intelligence needs to be confirmed / explored prior to a decision to close a case and recording the rationale if not completed.
Lambeth Council Children & Young People’s …
London Borough of Lambeth
Portsmouth — recommendation 6
Hampshire Constabulary's crime data integrity scrutiny panel regularly check that reports of domestic abuse include reference to any counter-allegations. Hampshire Constabulary agreed to feedback provide regular evidence from the DA scrutiny panel to the CSP in relation to Portsmouth specific DVA data.
Hampshire Constabulary
Hampshire and Isle of …
Portsmouth — recommendation 5
Hampshire Constabulary to ensure clear internal comms are repeated after the review to ensure officers are clear of the force policy with regards to mandating a timeframe for what constitutes a non- current domestic abuse report and remind officers the arrest/positive action policy is applicable in a non- current domestic …
Hampshire Constabulary
Hampshire and Isle of …
Doncaster — recommendation 3
That South Yorkshire and Lincolnshire Police provide assurances and evidence to Safer Stronger Doncaster Partnership of their processes to consider utilising a DVPO/DVPN to safeguard victims of domestic abuse.
South Yorkshire Police | Lincolnshire Police
South Yorkshire Police
Doncaster — recommendation 1
That South Yorkshire and Lincolnshire Police provide assurances and evidence to Safer Stronger Doncaster Partnership that all available evidence is gathered and considered during investigations into cases of domestic abuse.
South Yorkshire Police | Lincolnshire Police
South Yorkshire Police
Manchester — recommendation GMP 3
Officers from GMP attended one particular incident and spoke to the partner. It transpired that the victim and the partner had engaged in an argument and the partner said it was a verbal argument and denied assaulting the victim. A referral was sent to MARAC for this incident. A crime …
Greater Manchester Police
Greater Manchester Police
Gloucester — recommendation 9
Ensure that supervising police officers review the quality of VISTs and request improvements/re-completion prior to sign off. Police to also consider how the Daily DA meeting can be utilised to provide feedback on VIST quality as a second review to ensure consistent quality of VIST completion across the force.
Gloucestershire Constabulary
Gloucestershire Constabulary
Gloucester — recommendation 7
Where intelligence is received relating to a live suspect on a crime, FIB to update the crime report to advise the Officer in Charge to review intelligence for information.
Gloucestershire Constabulary
Gloucestershire Constabulary
Gloucester — recommendation 6
Ensure full review of intelligence systems to be completed upon receipt of intelligence linked to domestic abuse to identify opportunities to prosecute/safeguard and task appropriately.
Gloucestershire Constabulary
Gloucestershire Constabulary
Gloucester — recommendation 4
Ensure information regarding potential breaches of bail/licence conditions are added to an individual’s nominal record on Unifi.
Gloucestershire Constabulary
Gloucestershire Constabulary
Gloucester — recommendation 2
Ensure relevant domestic abuse and/or child protection records are copied onto Storm incident to assist attending Officers’ decision-making process when dealing with a domestic abuse incident.
Gloucestershire Constabulary
Gloucestershire Constabulary
Gloucester — recommendation 1
Ensure effective handover of serious crime investigations between OICs and Supervisors with a clear investigation strategy which is endorsed on the crime report.
Gloucestershire Constabulary
Gloucestershire Constabulary
Portsmouth — recommendation 6
Operation Amberstone Lead may wish to audit investigation times to ensure investigations are being conducted diligently and expeditiously.
Hampshire & Isle of Wight Constabulary
Hampshire and Isle of …
Swindon — recommendation 33
Wiltshire Police should consider the viability of conducting a criminal investigation into offences committed against the victim by her husband.
Wiltshire Police
Wiltshire Police
Swindon — recommendation 32
Wiltshire Police should review victimless prosecutions to ensure 3rd party material is utilised effectively in the absence of victim testimony.
Wiltshire Police
Wiltshire Police
Swindon — recommendation 31
DA offence investigations to only be closed on the written authority of an inspector if the suspect has not been interviewed or arrested.
Wiltshire Police
Wiltshire Police
Milton Keynes — recommendation 15
All reports to Thames Valley Police, relating to domestic abuse, should be subject to thorough research, including PNC, PND and local databases
Thames Valley Police
Thames Valley Police
Plymouth — recommendation 8
Devon and Cornwall Police to remind all officers and appropriate staff of the need to inform victims of the purpose of the DASH risk assessment and its relevance in terms of risk to their situation at each recorded incident.
Devon and Cornwall Police
Devon and Cornwall Police
Plymouth — recommendation 7
Devon and Cornwall Police to review the current mobile data technology to ensure frontline officers access to research subjects on their devices and to ensure a timely upload of DASH information onto force systems.
Devon and Cornwall Police
Devon and Cornwall Police
Warrington — recommendation 19.24
Cheshire Constabulary to consider making use of the current legislation around the harassment and intimidation of witnesses when a remand is sought for the perpetrator of domestic abuse. (Para 17.9)
Cheshire Constabulary
Cheshire Constabulary
Warrington — recommendation 19.23
Cheshire Constabulary to raise awareness amongst officers of the importance of submitting a VPA in cases of breaches of bail when the bail conditions have been imposed as a result of a domestic incident.
Cheshire Constabulary
Cheshire Constabulary
Kent — recommendation 4
A strategic review should be undertaken in respect of the role and responsibilities undertaken by the Information Management Unit, Force Control Room and Central Referral Unit in domestic abuse incidents. This should take due regard to the recommendations made by HMICFRS following their recent inspection and their view that a …
Kent Police
Kent Police
St Helens — recommendation A6
Make more use of completing MeRIT forms to determine whether referral to MARAC is needed.
St Helens Clinical Commissioning Group
St Helens Clinical Commissioning …
Swindon — recommendation 15
Supervisors reviewing PPD1’s will be expected to make reference within the PPD1 to the decision taken not to arrest as part of their oversight into such matters, cognisant of the decision making process from the attending officer and the risks known at that time.
Wiltshire Police
Wiltshire Police
Swindon — recommendation 14
Where a victim discloses recent or non-recent domestic abuse attending officers should take positive action. If the Suspect is not arrested for an offence for which there is a power of arrest the officer must record their rationale in their pocket note book and on the PPD1.
Wiltshire Police
Wiltshire Police
Swindon — recommendation 13
That where a victim of domestic abuse discloses criminal offences a record is made of their preferred outcome.
Wiltshire Police
Wiltshire Police
Oxford — recommendation 13
Thames Valley Police’s Crime Strategy Unit to review and determine how rolling arrest attempts should be recorded, including any specific instructions such as searching for evidence, rationale for arrest resourcing decisions and results of any arrests attempts. These are decisions relating to an investigation and must be recorded in the …
Thames Valley Police
Thames Valley Police
Oxford — recommendation 5
Thames Valley Police to ensure that all front line staff abide by their duty to record and investigate any disclosures of serious crime, e.g. rape, serious assault, made by a victim in any circumstance. This should include an input to Supervisors.
Thames Valley Police
Thames Valley Police
Hillingdon — recommendation 4.6.3b
Metropolitan and Thames Valley Police to review the arrangements for ensuring that all relevant information is gathered before conducting arrest attempts in relation to domestic violence in another forces area. This should be subject to dip sampling to ensure compliance.
Metropolitan Police | Thames Valley Police
Metropolitan Police Service
Hillingdon — recommendation 4.6.3a
Metropolitan and Thames Valley Police to audit compliance with investigative expectations and supervision of allegations of domestic abuse.
Metropolitan Police | Thames Valley Police
Metropolitan Police Service
Hillingdon — recommendation 4.6.2c
Metropolitan Police to dip sample compliance with the Victim’s Charter to ensure that victims of domestic abuse are regularly updated on progress.
Metropolitan Police
Metropolitan Police Service
Hillingdon — recommendation 4.6.2b
Metropolitan Police to audit the effectiveness of arrangements for increasing the number of prosecutions using evidence based prosecutions.
Metropolitan Police
Metropolitan Police Service
Hillingdon — recommendation 4.6.2a
Metropolitan Police to audit the effectiveness of mechanisms in place to prioritise and actively pursue outstanding offenders of domestic abuse.
Metropolitan Police
Metropolitan Police Service
Hillingdon — recommendation 4.5.3
SHP to review the partnership approach to perpetrators of domestic abuse and produce recommendations for change based on the learning from the two recent DHRs.
Safer Hillingdon Partnership (SHP)
South Tyneside — recommendation AP17
The Role of the Duty Supervisor: All supervisors for officers and staff responding to and investigating domestic abuse are to be reminded that it is the duty of the front line supervisor to ensure that the DASH form and domestic abuse screens are fully completed before the officer terminates their …
Northumbria Police
Northumbria Police
South Tyneside — recommendation AP15
All officers and staff responding to and investigating domestic abuse are to be reminded that the Northumbria Police Procedure for Investigating Domestic Abuse clearly states that enquiries should be intrusive and tenacious in establishing the true facts.
Northumbria Police
Northumbria Police
South Tyneside — recommendation AP14
All officers and staff responding to, and investigating, domestic abuse are to be reminded that ‘Proportionate Investigation does not apply to reports of domestic abuse. All reports of domestic abuse are to be thoroughly and robustly investigated’ as clearly stated in current force policy on crime investigation.
Northumbria Police
Northumbria Police
CJINI inspection reports(31)
Report on Scientific Support Services in the Police Service of Northern Ireland
Policing, Police Scientific Support
Dec 2005
Handling Volume Crime and the Use of Police Bail
Policing and the Community, Policing
Dec 2006
Hate Crime in Northern Ireland. A thematic inspection of the management of hate crime by the criminal justice system in Northern Ireland
Hate Crime, Crime
Jan 2007
An inspection on how the Criminal Justice System deals with Serious and Organised Crime in Northern Ireland
Crime, Other Crimes
Nov 2014
An inspection of the quality and timeliness of police files (incorporating disclosure) submitted to the PPS
Avoidable Delay, The Criminal Justice System
Nov 2015
Hate Crime an Inspection of the Criminal Justice System’s response to Hate Crime in N.I.
Hate Crime, Crime
Dec 2017
Investigation of offences and criminal case prosecution by Departments and other bodies
Inspections and prosecutions by Departments and other bodie…
Jun 2025
An Inspection of Airport and Harbour Policing in Northern Ireland
Policing, Policing and the Community, Harbour and Airport P…
Oct 2025
The Police Service of Northern Ireland’s use of Community Resolution Notices
Policing, Policing and the Community
Oct 2025
Handling Volume Crime and the Use of Police Bail: A Follow-up Review
Policing, Policing and the Community
Jul 2009
An Inspection of how the criminal justice system deals with business crime in Northern Ireland
Business Crime, Crime
Oct 2017
Without Witness: A Thematic Inspection of the Handling of Sexual Violence and Abuse Cases by the Criminal Justice System in Northern Ireland
Domestic and Sexual Abuse, Crime
Nov 2018
Child Sexual Exploitation in Northern Ireland: An Inspection of the Criminal Justice System Response
Abuse and Exploitation, Children and Young People
Jun 2020
Modern Slavery and Human Trafficking: An inspection of how the Criminal Justice System deals with Modern Slavery and Human Trafficking in Northern Ireland
Modern Slavery and Human Trafficking, Crime
Oct 2020
A Follow-up review of how the Criminal Justice System deals with Business Crime in N.I.
Business Crime, Crime
Nov 2020
A Follow-Up Review of the Without Witness Sexual Violence and Abuse inspection
Domestic and Sexual Abuse, Crime
Mar 2021
Police Service of Northern Ireland Customer Service Report
Policing, Police Internal Operations
May 2011
Securing Attendance at Court: A Follow-Up Review of inspection recommendations
Prosecution and the Courts, Court Operations
Mar 2014
The approach of the criminal justice system to investigating and prosecuting crimes against vulnerable adults
Probation and Public Safety, Safeguarding
Sep 2015
Answering the Call – A follow-up Review
Policing, Police Internal Operations
Sep 2015
Anti Social Behaviour – A Follow-up Review
Other Crimes, Crime
Jun 2016
Driving Change: Enforcement of road traffic legislation in Northern Ireland
Policing, Policing and the Community
Sep 2016
An inspection of the arrangements in place in the PSNI to manage and disclose information in support of the Coronial process in Northern Ireland
Policing, Police Internal Operations
Dec 2016
An Inspection of how the Criminal Justice System deals with Cyber Crime in Northern Ireland
Cyber Crime, Crime
Jun 2017
DARD fraud investigations & enforcement activities
Inspections and prosecutions by Departments and other bodie…
Aug 2017
Review of PPS response to the review of related Sexual Abuse and Terrorism Cases (The Starmer Review)
Public Prosecution Service for Northern Ireland (PPS), Pros…
Oct 2017
No Excuse: A thematic inspection of the handling of domestic violence and abuse cases by the Criminal Justice System in Northern Ireland
Domestic and Sexual Abuse, Crime
Jun 2019
Police use of Discretion incorporating Penalty Notices: A Follow-Up Review
Policing, Policing and the Community
Feb 2021
A Follow-Up Review of the No Excuse Domestic Violence and Abuse inspection
Domestic and Sexual Abuse, Crime
Apr 2021
Community Safety and Local Policing Arrangements in Northern Ireland
Policing, Policing and the Community, Policing and Communit…
Mar 2024
Police Use of Discretion Incorporating Penalty Notices
Policing, Policing and the Community
Jan 2015
ISC reports(2)
Report on the intelligence relating to the murder of Fusilier Lee Rigby
Inquiry into the intelligence agencies' handling of the two individuals responsible for the murder of Fusilier Lee Rigby in 2013.
Special Report
Nov 2014
The 2017 Attacks: what needs to change?
Inquiry into the five terrorist attacks in the UK in 2017 and the lessons for the intelligence agencies and police.
Special Report
Nov 2018