Themes | Police Conduct & Accountability | The Accountability Index

Police investigation urgency

Clear absence of urgency and a culture of non-cooperation from some police forces involved in investigations.

147 items 14 sources 3 inquiries
Source spread

Where this theme appears

This theme appears across 14 independent accountability sources, so the source mix matters as much as the headline total.

3 inquiry recs 32 PFD reports 13 committee recs 4 HMICFRS recs 1 PPO rec 16 IOPC recs 3 IMB recs 1 Article 2 learning point 40 DHR recs 23 LGO/SPSO decisions 3 CJINI reports

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.

14 sources
Inquiry recommendations(3)
Prevention of Future Deaths reports(32)
Stephen Ward
29 May 2014 · London Inner (North)
Concerns: The crisis team did not follow up with police after requesting a welfare check when police did not call back, and there was no clear protocol for such situations.
Responded
Michael Thorley
07 Jul 2015 · Manchester (South)
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
07 Jul 2015 · Manchester (South)
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
08 Jul 2015 · Manchester (South)
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
William Nute
24 Jun 2016 · Cornwall
Concerns: The coroner noted concerns regarding delays in Mr Nute's ambulance attendance and transfer, inappropriate 999 call triage, and insufficient communication to police about a road traffic accident, leading to poor scene management.
Response (South Western Ambulance Service NHS Trust): • The Trust acknowledged that police should have been notified once a road traffic collision was confirmed, in accordance with its Standard Operating Procedure. • An investigation and audit of … (AI summary)
Overdue
Mark Berry
11 Jul 2017 · Hampshire (Central)
Concerns: Hospital staff delayed police notification of a potentially suspicious death due to confusion over procedures. Concerns were also raised about insufficient basic incident details, such as the address, in ambulance service handovers, particularly from private providers.
Overdue
Keiron Bould
13 Jun 2018 · Birmingham and Solihull
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
Jason Gregory
21 Feb 2019 · Southampton and New Forest
Concerns: The coroner noted that Southampton Citywatch staff are not timely in relaying emergency situations to Hampshire Police, leading to delays in police attendance. There are also unclear protocols for licensed security staff seeking urgent police assistance.
Overdue
Kay Martin
27 Aug 2019 · Sunderland
Concerns: The coroner identified a lack of protection for a victim of domestic abuse when the perpetrator, though under police investigation, had no bail conditions or restrictions. The report requests a review of procedures and resources to protect victims and prevent future deaths.
Response (Home Office): • The Home Office is working with criminal justice partners to implement further mitigations and enhance oversight of pre-charge bail in high harm cases. • The National Police Chiefs’ Council … (AI summary)
Responded
Karen Burns
12 Aug 2019 · Birmingham and Solihull
Concerns: The coroner noted that a call was incorrectly graded, and even if correct, insufficient West Midlands Police resources meant it and most other lower priority calls would not have been answered due to the volume of higher priority calls that night.
Response (West MIdlands Police): • West Midlands Police confirmed the call was incorrectly graded, addressed this with staff through management action, and stated that further training for control room staff is ongoing. • The … (AI summary)
Response (Home Office): • Home Office officials will contact West Midlands Police to identify if remedial or additional measures are needed for call handling. • The police funding settlement for 2019/20 provided up … (AI summary)
Response (West MIdlands Police and Crime Commissioner): • West Midlands Police accepted that the call was incorrectly graded due to human error and discussed this with the staff member involved. • West Midlands Police introduced processes for … (AI summary)
Responded
Katrina O’Hara
03 Mar 2020 · Dorset
Concerns: The coroner raised concerns regarding 999 call handling for domestic abuse, the initial lack of policy explicitly linking perpetrator suicide risk to victim risk, and not supplying a replacement phone to a victim whose device was seized for evidence.
Response (National Police Chiefs Council): • The National Contact Management Strategy underwent a major refresh, approved in January 2019. • A comprehensive review of the Principles and Practice for Contact Management was undertaken, with revised … (AI summary)
Response (Crime Policing and Fire Service): • The Domestic Abuse Bill is currently before Parliament to strengthen protections for victims and tackle perpetrators. • The Home Office is working with police forces and the College of … (AI summary)
Responded
Sarah Young
10 Feb 2020 · Bedfordshire and Luton Coroner Service
Concerns: The coroner noted a lack of medical team review despite referral and conflicting views on responsibility between medical and ITU teams. There was a significant delay in obtaining a neurological opinion, which hindered early diagnosis, and issues with the standard neurology referral system.
Overdue
Hannah Beardshaw
13 Apr 2022 · Manchester West
Concerns: The coroner noted a delay in escalating the incident, resulting in a four-hour response delay. There were also concerns about the availability of method of entry kits and the need for improved document management.
Response (Greater Manchester Police): • Greater Manchester Police implemented a new Graded Response Policy on 1 February 2022, with associated training for Force Contact Centre staff. • Learning from the incident will be incorporated … (AI summary)
Response (Independent Office for Police Conduct): • The Independent Office for Police Conduct (IOPC) conducted an independent investigation into the death of Miss Hannah Beardshaw. • The IOPC identified four systemic issues requiring changes to policy, … (AI summary)
Responded
Christopher Boughton
29 Jul 2022 · Surrey
Concerns: The coroner noted a lack of requirement for direct telephone communication between police forces when tasking or transferring investigations, potentially leading to lost information and delays in effective action.
Response (National Police Chiefs' Council): • A Task and Finishing Group has been initiated to address issues related to cross-border investigations. • Draft NPCC advice on 'Requesting Missing Person Enquiries in Another Force and Transfers … (AI summary)
Responded
Angeline Phillips
21 Dec 2022 · Manchester West
Concerns: The Greater Manchester Police Incident Response Policy lacks specific guidance preventing the referral of incidents to third parties without police attendance, potentially leading to police not responding within required timescales.
Response (Greater Manchester Police): • Greater Manchester Police implemented a new Incident Response Policy (IRP) incorporating the THRIVE risk assessment approach on 1 February 2022. • Force-wide training on the IRP was provided to … (AI summary)
Responded
Sean Duignan
16 Jan 2023 · Bedfordshire and Luton
Concerns: The coroner identified serious failures in the management and monitoring of the South Base Armoury access system, which repeatedly malfunctioned and permitted incorrect single access to an officer. The override key PIN being common knowledge also enabled potentially unfettered access.
Response (HMICFRS): • HMICFRS will ensure the College of Policing and the National Police Chiefs’ Council issue a national circular to all forces by 31 March 2023, including lessons learned and a … (AI summary)
Response (Bedfordshire Police): • Bedfordshire Police rectified incorrect armoury access levels, restricted single access to specific roles, and implemented monthly reviews of these restrictions. • A process was introduced to notify officers with … (AI summary)
Response (HMICFRS): • Bedfordshire Police reduced single access to the armoury to five specific roles and removed access from national firearms instructors. • The force implemented new systems and procedures for restricting … (AI summary)
Responded
Stevyn Carr
15 Apr 2024 · Gateshead and South Tyneside
Concerns: The coroner identified issues with the grading of the police response, significant delays in attendance, and incident oversight due to resource limitations. The report also questioned the comprehensive demonstration of improvements in police response timeliness and incident management across the force area.
Response (Northumbria Police): • Northumbria Police reported improvements in 999 call answer times by 44 seconds and 101 non-emergency call answer times by 8 minutes. • The force implemented an enhanced process for … (AI summary)
Responded
Jonathan Shaw
25 Apr 2024 · Manchester North
Concerns: UK Border Force lacks legal powers to seize certain consignments for ending life, with holding limited to 30 days. There is no national guidance or joint protocols for police and Border Force on managing these, or for alerting local police.
Response (Home Office): • The Home Office is exploring legislative and policy options for the control of substances, working with other government departments. • Border Force is developing national guidance for managing suspicious … (AI summary)
Overdue
Neil Woodley
23 Jul 2024 · South London
Concerns: The coroner noted a delay in a welfare check due to confusion between Surrey Police and the Metropolitan Police, raising concerns that such communication failures could result in avoidable fatalities in future cases.
Response (Metropolitan Police Service): • The Metropolitan Police Service stated it would deliver learning to staff and officers on strict location sharing. • The training will highlight compliance with standard operating procedures to prevent … (AI summary)
Response (Surrey Police): • Surrey Police undertook a review of its records concerning calls received on 4 and 5 January 2024. • The review concluded that calls were handled correctly and policies for … (AI summary)
Responded
Michael Crane
25 Oct 2024 · Inner North London
Concerns: The coroner noted the absence of Metropolitan Police Service (MPS) guidance for frontline officers regarding their powers under Section 136 of the Mental Health Act, particularly concerning individuals likely to be missing but not yet formally reported.
Response (Metropolitan Police Service): • The Metropolitan Police Service provides mandatory Public and Personal Safety Training (PPST) for all operational officers, which includes input on mental health, tactical communication, and the Vulnerability Assessment Framework. … (AI summary)
Response (Prime Life): • The organisation stated that its policies and procedures have undergone a full review. • The missing person policy has been reviewed since the incident. • Additional training has been … (AI summary)
Responded
Sebastian ‘Benji’ Oliver
30 Oct 2024 · Birmingham and Solihull
Concerns: The coroner noted shortcomings in West Midlands Police training and communication protocols, specifically regarding reliance on outdated capacity assessments and not seeking clarification from paramedics when individuals with fluctuating capacity abscond.
Response (West Midlands Police): • West Midlands Police implemented the Right Care, Right Person (RCRP) operational model, including mandatory training for call handlers and front-line officers. • A Vulnerability Desk was established within Force … (AI summary)
Responded
Oladeji Omishore
25 Mar 2025 · Inner West London
Concerns: Concerns were raised about the inadequate recording and transmission of information regarding Mr Omishore's mental state from police call handlers to responding officers. This prevented officers from considering this critical information before arriving at the scene.
Response (Metropolitan Police Service): • The MetCC Academy is reviewing and updating training content and lesson plans for First Contact and Despatch courses to ensure mental health information is recorded and relayed effectively. • … (AI summary)
Overdue
Barry Spooner
01 Jul 2025 · Nottingham and Nottinghamshire
Concerns: The coroner noted insufficient information sharing from Nottinghamshire Police to Adult Social Care, specifically that previous Public Protection Notices (PPNs) are not always shared when a current PPN is referred, potentially leading to incomplete information for decision-making.
Response (Nottinghamshire Police): • Nottinghamshire Police discussed the concerns with partner agencies. • The force stated it would amend information sharing processes to include prior Public Protection Notices with referrals to adult social … (AI summary)
Responded
Kaine Fletcher
17 Jul 2025 · Nottinghamshire
Concerns: The coroner noted a lack of shared understanding between police and the ambulance service regarding the applicable local policy and working standards for managing s.136 detentions, posing a risk to vulnerable individuals.
Response (Nottingham and Nottinghamshire Police): • Nottinghamshire Police introduced robust internal governance arrangements to monitor all s.136 conveyance and committed to supporting the development of a new regional policy led by EMAS. • The force … (AI summary)
Response (East Midlands Ambulance Service): • East Midlands Ambulance Service (EMAS) initiated a retrospective audit of operational Memoranda of Understanding to verify implementation and identify inconsistencies. • EMAS will initiate a joint fact-finding exercise with … (AI summary)
Responded
Marie Theobald
18 Jul 2025 · East London
Concerns: The coroner raises concerns about delays in a criminal investigation, which mean an identified suspect is not subject to conditional bail, driving disqualification, or remand. This absence of measures is identified as creating a risk of further fatal harm.
Response (Metropolitan Police Service): • The suspect was disqualified from driving for six months following a charge under the Road Traffic Act and remains disqualified until September 2026. • The officer in the case's … (AI summary)
Responded
Kaine Fletcher
25 Jul 2025 · Nottinghamshire
Concerns: The coroner identified a lack of joint agency policy and cross-sector working on Acute Behavioural Disorder/Disturbance among front-line services. There was also an absence of a consistently agreed joint policy between EMAS and the police concerning s.136 Mental Health Act 1983 detentions.
Response (Nottinghamshire Healthcare NHS Foundation Trust): • Training on Acute Behavioural Disorder (ABD) has been arranged for acute-facing mental health staff, and a quick reference guide has been developed. • A review of Street Triage Team … (AI summary)
Response (College of Policing): • The College of Policing stated that its National Police Chiefs’ Council (NPCC) clinical panel is reviewing existing guidance on Acute Behavioural Disturbance (ABD) to ensure first aid training remains … (AI summary)
Response (Department for Health and Social Care): • NHS England supports multi-agency initiatives and new training launched in 2024 regarding Acute Behavioural Disorder. • The National Partnership Agreement on Right Care, Right Person was published in July … (AI summary)
Responded
Muhammad Qasim
25 Jun 2025 · Birmingham and Solihull
Concerns: The coroner identified differing interpretations and training among police forces regarding 'spontaneous pursuits' guidance. Concerns were also raised about the absence of a full forensic collision investigation report during a conduct investigation by the IOPC into a fatal incident.
Response (the IOPC): • Lead investigators will establish early contact with the Coroner to determine whether a full forensic collision investigation report is required. • Internal guidance for lead investigators will be updated … (AI summary)
Response (the College of Policing): • The College of Policing consulted with the NPCC National Lead for Police Pursuits and reviewed the Police Pursuit APP guidance. • The College of Policing will amend the Police … (AI summary)
Responded
Khalif Mohammed
04 Sep 2025 · Birmingham and Solihull
Concerns: West Midlands Police had insufficient resources to allocate officers to priority cases, resulting in significant delays. This raises a risk of future deaths if resource levels are not sufficient to manage daily case numbers.
Response (Home Office): • The Government announced a real terms increase in police spending power, with a £19.6 billion funding settlement for 2025-26 for policing in England and Wales. • West Midlands Police … (AI summary)
Responded
Jake Girton
29 Sep 2025 · East London
Concerns: The coroner noted a lack of communication from the Metropolitan Police to the psychiatric trust regarding Jake's release from custody. Furthermore, the police review did not identify any performance shortcomings or evidence of subsequent remediation.
Response (Metropolitan Police Service): • The Metropolitan Police Service (MPS) is reviewing its General Investigations policy to include a section clarifying the responsibility to provide updates to representatives of businesses and other enterprises. • … (AI summary)
Responded
Georgia Barter
02 Oct 2025 · East London
Concerns: Frontline police officers experience difficulty accessing the Police National Database to check for a history of domestic abuse in other force areas, which limits proactive responses to domestic violence.
Response (Home Office): • The Home Office and National Police Chiefs’ Council engage with police forces to manage Police National Database (PND) licence allocation and provide access to key operational areas. • The … (AI summary)
Responded
Brian Davies
17 Sep 2025 · Swansea Neath & Port Talbot
Concerns: The coroner expressed concern that crucial evidence for determining the cause of a domestic explosion was not preserved, due to a lack of understanding by police and the absence of a protocol between police and the HSE on evidence security during search and rescue operations.
Response (Health and Safety Executive): • HSE will raise the concerns at the WRDP National Liaison Committee (NLC) and recommend refresher communications for signatory organisations regarding WRDP requirements. • HSE will update the NLC on … (AI summary)
Response (South Wales Police): • South Wales Police confirmed that the National Work Related Death Liaison Committee has committed to reviewing and updating the Work-Related Death Protocols. • South Wales Police stated it would … (AI summary)
Responded
Heidi Williams
13 Jan 2026 · Northamptonshire
Concerns: The coroner noted that Essex Police refused to investigate the supply of tablets to the deceased, despite a request from Northamptonshire Police regarding a suspect identified through the deceased's mobile phone.
Response (Essex Police): • Essex Police has commenced an investigation into the alleged drug supply, led by its Serious Violence Unit. • The investigation involves developing international enquiries and working with partner agencies. … (AI summary)
Responded
Select committee recommendations(13)
#19 — Unsatisfactory blame-shifting and lack of officer cooperation impede effective investigations.
Home Affairs Committee
Recommendation: It is unsatisfactory and unedifying to hear policing organisations blame the IOPC for delay while the IOPC suggests officers may drag their heels in cooperating with investigations. Nor is it wholly sufficient for Chief Constable Guildford to suggest Police Conduct …
Response attribution not verified
#16 — Some police forces demonstrate an absence of urgency and non-cooperation in investigations.
Home Affairs Committee
Recommendation: There is a clear absence of urgency and a culture of non-co-operation from some police forces involved in investigations. Appropriate sanctions must follow for any officer served with disciplinary proceedings, whether serving or retired. We welcome the legislation that exists …
Response attribution not verified
#196 — Effective collaboration requires consistent intelligence sharing to disrupt OCG drone operations
Justice Committee
Recommendation: Collaboration between HMPPS and law enforcement agencies, such as the National Crime Agency and local police, is critical in identifying and disrupting the OCGs behind drone operations. We are pleased to hear that HMPPS have developed good working relationships with …
Response attribution not verified
#190 — Employ dedicated intelligence-sharing protocols and joint task forces against organised drone and phone gangs
Justice Committee
Recommendation: While current partnerships with police and the National Crime Agency aimed at tackling drone incursions are positive, they are not sufficient. The MoJ and HMPPS must employ dedicated intelligence-sharing protocols and joint task forces to specifically target the organised criminal …
Response attribution not verified
#21 — IOPC and police forces must strengthen efforts to minimise delays and ensure accountability.
Home Affairs Committee
Recommendation: The IOPC must use its powers effectively to minimise delays to investigations at an early stage of the process. It should proactively call to account those responsible for delays or who refuse to co-operate with investigations. Police forces, individual officers …
Gov response: The Government notes that the IOPC has made good progress in minimising delays to investigations but agrees that there is more that the IOPC can do to ensure their powers are used most effectively. The …
Accepted
#18 — IOPC must expedite investigations and use reinvestigation powers sparingly and judiciously.
Home Affairs Committee
Recommendation: The example of its taking seven years to clear one police officer of misconduct is exceptional, but demonstrates why the IOPC must focus its efforts on concluding investigations as quickly as possible. Quite aside from the effect on an individual’s …
Response attribution not verified
#50 — Modern slavery prosecution and conviction rates remain unacceptably low despite legislation.
Home Affairs Committee
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
#33 — Police prioritisation of human trafficking and modern slavery offences remains unclear.
Home Affairs Committee
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.
Home Affairs Committee
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
#20 —
Financial Services Regulation Committee
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 …
#22 — Require Government to ensure timely IOPC investigations and consider stronger guidance.
Home Affairs Committee
Recommendation: The progress the IOPC has made in clearing 91% of its core investigations within 12 months is welcome and must be maintained. While there are risks in setting time targets for investigations (not least the incentive for those under investigation …
Response attribution not verified
#17 — The statutory and regulatory frameworks require full utilisation for fair officer sanctions.
Home Affairs Committee
Recommendation: The available statutory and regulatory frameworks must be used by forces and the IOPC to obtain fair, transparent and appropriate sanctions against officers. (Paragraph 98) The IOPC complaints system
Response attribution not verified
#47 — Commit funding for more financial investigators in local Trading Standards and police forces.
Business, Innovation, Science and Trade Committee
Recommendation: The Government must recognise the rising presence of organised crime groups and serious criminality on the UK’s high streets and commit to funding more financial investigators in local Trading Standards services and police forces. (Recommendation, Paragraph 167)
Response status not verified
HMICFRS recommendations(4)
PPO death in custody recommendations(1)
IOPC learning recommendations(16)
Teenager took his own life after calling police for assistance – Kent …
​The IOPC recommends that Kent Police provide clarity within their policies and guidance in relation to the grading of and dispatch to incidents where a ‘threat to life’ has been received by the control room, but no exact location is …
Recommendation - Thames Valley Police, June 2020
The IOPC recommends that Thames Valley Police consider what measures can be taken to improve Contact Management Centre resilience and increase support to staff; with particular regard to the practice of “patching together” Local Policing Area desks. This follows a …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends that Gloucestershire Constabulary should ensure that opportunities to detect and disrupt crime should be taken without delay, and that where appropriate, substantive matters should be subject to charge at the earliest opportunity notwithstanding that other matters in …
Investigation into police contact before a death - Northumbria Police, January 2022
The IOPC recommend that Northumbria Police review training for Call Centre staff with regard to risk grading and that domestic violence incidents graded 1 or 2 receive a prompt response. This should be done by continuous dip sampling to check …
Teenager took his own life after calling police for assistance – Kent …
​The IOPC recommends that Kent Police should add 'consider sending the concern for safety text message’ if one has not be sent by the call taker' to the list of 'dispatcher actions ' on the PAGES guidance 'Concern'. If a …
Teenager took his own life after calling police for assistance – Kent …
The IOPC recommends that Kent Police should add 'consider sending the suicide text' to the list of actions for the dispatcher on the PAGES guidance 'Suicide - Threats or Attempts to commit'. The suicide text is a text message which …
Operation Linden recommendations - South Yorkshire Police and College of Policing, November …
The IOPC recommends that South Yorkshire Police continues to improve processes that enable SYP and partner agencies to better collaborate so that information that should be available and considered by everyone is effectively shared, understood and acted upon in a …
Excessive force alleged during son's arrest - Devon and Cornwall Constabulary, March …
The IOPC recommends that Devon and Cornwall Police should take steps to ensure Exeter officers are aware of their duty of cooperation during IOPC investigations. This follows an investigation in which IOPC investigators were met with delays in obtaining statements …
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 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 …
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 …
Recommendations - West Midlands Police, June 2021
The IOPC recommends that West Midlands Police create a detailed question set for call handlers responding to requests from external agencies to conduct welfare checks. The prompts should help call handlers to elicit key information to help inform decision making …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends that Gloucestershire Constabulary should implement a new process by which requested intelligence markers are processed and become active. A presumption should exist that reported intelligence markers are required to be visible urgently, and therefore a system to …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends the following to Gloucestershire Constabulary in respect of the Neighbourhood Policing Team (NPT): - A review of NPT resource is undertaken to ensure that it is sufficient, including sufficient oversight, to meet demand in relation to ongoing …
Recommendations - Gloucestershire Constabulary, March 2025
The IOPC recommends that Gloucestershire Constabulary should create a standard operating procedure which outlines how response officers and the Neighbourhood Policing Team (NPT) work together in circumstances when a deployment occurs to an incident which is in the context of …
Police contact with woman prior to her death - Metropolitan Police Service, …
1) The IOPC recommends the Metropolitan Police reminds officers of the following crime reporting requirements, importance, and responsibilities to: (i) record allegations of crime reported directly to them (ii) record counter allegations on separate crime reports. This follows an IOPC …
IMB individual recommendations(3)
Health investigations(3)
Article 2 learning points(1)
Independent reviews(2)
LGO / SPSO decisions(23)
25-012-172 — Dacorum Borough Council
Summary: We will not investigate this complaint about the Council’s response to reports of anti-social behaviour. This is because there is not enough evidence of fault to justify our involvement.
LGO (Local Government & … Environment And Regulation Jan 2026
22-001-413 — East Suffolk Council
Summary: We will not investigate Ms X’s complaint that a neighbour has for many years blocked a shared drive with a vehicle which prevents her from using the drive. The Council’s offer of mediation is a reasonable way forward. Ms X complains late about earlier years.
LGO (Local Government & … Environment And Regulation May 2022
25-011-840 — London Borough of Merton
We will not investigate Mrs X’s complaint about antisocial behaviour. There is insufficient evidence of fault by the Council to justify investigating.
LGO (Local Government & … Environment And Regulation Feb 2026
PSOW-202207992 — Cardiff Council
Ms C complained that Cardiff Council failed to explain why it felt it was appropriate to house a convicted sex offender across the hall from her as a single mother with a young daughter. The Ombudsman found that it was South Wales Police who assessed the property and deemed it …
PSOW (Public Services Om… Local Government Apr 2023
21-007-007 — Ashfield District Council
Summary: There is no fault in the Council’s handling of Mrs Y’s reports about nuisance and anti-social behaviour from a nearby football club. The Council has investigated the reports before making a professional judgement that they do not reach the threshold for formal notices. We cannot interfere with the merits …
LGO (Local Government & … Environment And Regulation Not Upheld Feb 2022
22-001-902 — Hastings Borough Council
Summary: Mr X complained the Council refused to carry out enforcement action against his neighbour for their high hedge. The Council was at fault for failing to record its decision to prioritise which planning and enforcement cases it considers and for failing to update its website to alert residents to …
LGO (Local Government & … Environment And Regulation Upheld Sep 2022
22-010-141 — Wigan Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s handling of reports of neighbour anti-social behaviour (ASB). This is because an investigation is unlikely to add to that already carried out by the Council or lead to a different outcome.
LGO (Local Government & … Environment And Regulation Nov 2022
22-004-658 — London Borough of Croydon
Summary: Miss X complained the Council failed to follow proper process in considering her request for a Community Trigger. There were failings in the Community Trigger process which amount to fault. This fault has caused Miss X an injustice.
LGO (Local Government & … Environment And Regulation Upheld Nov 2022
23-020-323 — Three Rivers District Council
Summary: We will not investigate Mr X’s complaint about the Council’s decision to serve a legal notice requiring him to reduce the height of a hedge. He can appeal the notice to the Planning Inspectorate.
LGO (Local Government & … Environment And Regulation May 2024
23-020-271 — East Suffolk Council
Summary: We will not investigate this complaint about how the Council dealt with noise from a neighbour. This is because there is insufficient evidence of fault by the Council and because the complaint is made late.
LGO (Local Government & … Environment And Regulation May 2024
24-000-560 — Herefordshire Council
Summary: We will not investigate this complaint about the Council’s actions in sending Ms X a letter advising her it had received a complaint about noise nuisance from dog barking. 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 Jun 2024
24-015-169 — Torbay Council
Summary: We will not investigate Mr X’s complaint about an unauthorised encampment. This is there is not enough evidence of fault to justify investigating and any injustice is not significant enough to justify our involvement.
LGO (Local Government & … Environment And Regulation Apr 2025
24-008-857 — Teignbridge District Council
Summary: We will not investigate Ms X’s complaint that the Council failed to act on her reports of anti-social behaviour because there is insufficient evidence of fault.
LGO (Local Government & … Environment And Regulation Apr 2025
25-005-494 — Charnwood Borough Council
Summary: We will not investigate Mr X’s complaint about events around the Council issuing a community protection warning. This is mainly because any injustice is unlikely to be significant enough to justify our involvement.
LGO (Local Government & … Environment And Regulation Aug 2025
25-004-143 — Stratford-on-Avon District Council
Summary: We will not investigate this complaint about comments made by a Council officer about Mr X’s request for an anti-social behaviour case review. This is because an investigation would be unlikely to find fault with the Council’s actions.
LGO (Local Government & … Environment And Regulation Aug 2025
25-004-506 — Walsall Metropolitan Borough Council
Summary: We will not investigate Miss X’s complaint about suffering light pollution. This is because it is unlikely we would find fault.
LGO (Local Government & … Environment And Regulation Sep 2025
24-010-988 — London Borough of Redbridge
Summary: We will not investigate Mr X’s complaint about how the Council dealt with his reports of a noise nuisance at a nearby school. This is because there is insufficient evidence of fault.
LGO (Local Government & … Environment And Regulation Oct 2025
25-000-852 — Knowsley Metropolitan Borough Council
Summary: We will not investigate this complaint about the Council’s failure to take sufficient action over noise nuisance from a barking dog. There is insufficient evidence of fault which would warrant an investigation.
LGO (Local Government & … Environment And Regulation Jul 2025
24-023-213 — Barnsley Metropolitan Borough Council
Summary: We will not investigate Mrs X’s complaint the Council failed to take appropriate action to investigate her reports of anti-social behaviour from her neighbours. This is because there is insufficient evidence of fault.
LGO (Local Government & … Environment And Regulation Jul 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
24-001-777 — Burnley Borough Council
Summary: We will not investigate this complaint about the Council’s handling of Ms X’s complaint about anti-social behaviour by a neighbour. This is because an investigation is unlikely to add to that already carried out by the Council or lead to a different outcome.
LGO (Local Government & … Environment And Regulation Jun 2024
23-021-351 — Birmingham City Council
Summary: We will not investigate this complaint about how the Council responded to reports of light nuisance. Further investigation would not lead to a different outcome.
LGO (Local Government & … Environment And Regulation Jun 2024
Domestic Homicide Reviews(40)
Cheltenham — recommendation 1D
In circumstances of relationship harm (criminal abuse or assault) among young people the Police should take a robust enforcement approach. That would normally mean seeking the arrest of the perpetrator
Police Police Services
Nuneaton and Bedworth — recommendation 15
Warwickshire police ensure that they take positive action to: a. Arrest perpetrators of all alleged crimes relating to domestic violence when the opportunity arises b. Collect all available evidence including at initial call-out to increase chance of prosecution (always assume the victim will not support the prosecution.)
Warwickshire Police Warwickshire Police
Nuneaton and Bedworth — recommendation 6
The Chair of the Safer Warwickshire Partnership Board raises with the CPS the following national concern: that the CPS explores whether there are opportunities to speed up the process for progressing charges to reduce the risks of withdrawal or retraction
Safer Warwickshire Partnership Board
Kent — recommendation 1
The Chief Constable should review this case and ensure Kent Police understand the issues behind why officers could not deploy to an ‘Immediate Response’ call in the required timeframes. The Chief Constable to provide the outcome of this review to the Police and Crime Commissioner and report on whether resourcing …
Kent Police Kent Police
Bedford — recommendation 9
Bedfordshire Police to audit the timeframes for referrals made at periods of peak demands and identify mitigating actions to ensure prompt onward referral to partner agencies.
Bedfordshire Police Bedfordshire Police
Lambeth — recommendation 7
The MPS to identify the root cause of the delay in the response to Mia’s report and ensure that this is addressed in its IT ‘Changes Project’ in order that such excessive delays cannot occur in the future.
MPS Metropolitan Police Service
Newcastle-Under-Lyme — recommendation d
Operational Communications Department managers review the failure rate of attendance at priority incidents to establish if this can be improved upon and also to ensure that the current gradings are appropriate given the outcome of this particular case.
Staffordshire Police Staffordshire Police
Durham — recommendation 2b
Any perpetrator of violent crime (GBH) should, as a matter of course, be subject to targeted bail checks in order to reduce or minimise the risk to the victim(s). This should be based on the potential risks presented to the victim and witnesses. Information sharing with agencies is critical to …
Durham Constabulary Durham Constabulary
Southend-on-Sea — recommendation 13
In cases where a 999-call reporting domestic abuse to the police is terminated prematurely, incidents should not be downgraded until contact has been re-established with the caller. This should be reflected in Essex Police Policy Guidelines.
Essex Police Essex Police
Southend-on-Sea — recommendation 12
Essex Police should reinforce to relevant staff within the Force Control Room, the need to fully record within the THRIVE assessment their rationale for downgrading STORM Incident Response Priorities. In particular, the assessment should fully reflect the change in circumstances leading to the Priority regrading.
Essex Police Essex Police
Cannock Chase — recommendation 10
NPS and police to discuss whether WWOB warrants can have a priority rating to ensure that those taken out on high risk of harm serious offenders are executed swiftly.
National Probation Service | Staffordshire Police National Probation Service
Stoke-on-Trent — recommendation IPCC_R1
That in conjunction with upgrades to their IT system, Staffordshire Police considers operating a process in the Control Room to proactively audit un-resourced incidents and to demonstrate that, where a response has been delayed beyond the target time limit, the incident has been regularly reviewed by a supervisor.
Staffordshire Police Staffordshire Police
Rochdale — recommendation 3
Awareness of powers of entry/search and arrest should be raised amongst Officers attending to welfare/Bail/DVPO checks with respect to high-risk cases of domestic violence. These should be undertaken on a joint agency basis where appropriate.
Greater Manchester Police Greater Manchester Police
Dudley — recommendation 1
Dudley Safe and Sound to seek from West Midlands Police and Crime Commissioner an analysis of West Midlands Police response times for domestic abuse incidents.
Dudley Safe and Sound | West …
Swindon — recommendation 36
When the police receives a call from a person with critical mental health issues which may indicate a risk of serious harm or death, in addition to referring the caller to the in-house mental health Street Triage Team the call should be treated as a Grade 1 call requiring an …
Wiltshire Police Wiltshire 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
South Tyneside — recommendation 18.2.5
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 the current Force policy on crime investigation. This can …
Northumbria Police Northumbria Police
Chiltern — recommendation TVP Recommendation 2
Thames Valley Police to ensure compliance with the SOP requirement for DAIU DI’s to review high risk domestic abuse cases within 72 hours.
D/Supt – Crime and PVPSU (TVP) …
Kent — recommendation 1.
In cases that have been referred to MARAC, where there is information that the victim is too frightened to report domestic abuse to them, Kent Police must actively seek to engage with the victim.
Kent Police Kent Police
South Gloucestershire — recommendation 35
Adherence to agreed time scales for actions and feedback, avoidance of drift
South Gloucestershire Council: Children, Adults and …
Rochdale — recommendation 10
Shorter times frames to be put into place regarding contact with DV victims
Victim Support
Nuneaton and Bedworth — recommendation 6
The Chair of the Safer Warwickshire Partnership Board raises with the CPS the following national concern: that the CPS explores whether there are opportunities to speed up the process for progressing charges to reduce the risks of withdrawal or retraction
Safer Warwickshire Partnership Board
Lincoln — recommendation 10.8.3
The force needs to ensure that all officers and staff involved in the investigation of offences involving domestic abuse give the case the appropriate level of priority and care, all aspects are investigated thoroughly and every effort is made to bring about a positive and satisfactory conclusion for the victim.
Lincolnshire Police Lincolnshire Police
Manchester — recommendation 2
That Manchester Community Safety Partnership seek assurance from GMP that the policy of escalating incidents where the unavailability of resources would have the most detrimental effect is now fully embedded in practice.
Manchester Community Safety Partnership | Greater … Greater Manchester Police
Bournemouth — recommendation R7
Dorset Police to reinforce the requirement by officer to respond positively to breaches of bail conditions in cases of domestic abuse, with a view to prosecution. To assist decision making, officers should seek advice from the experienced domestic abuse officers.
Dorset Police Dorset Police
Central Bedfordshire — recommendation 9
Bedfordshire Police to audit the timeframes for referrals made at periods of peak demands and identify mitigating actions to ensure prompt onward referral to partner agencies.
Bedfordshire Police Bedfordshire Police
Middlesbrough — recommendation 17.1
Cleveland Police should provide assurance to Middlesbrough Community Safety Partnership with regard to contemporary crime recording and investigation practice.
Cleveland Police Cleveland Police
Colchester — recommendation Recommendation Four
The use of the THRIVE assessment model should form part of future CPD for control room Call takers and Dispatchers, to assist them in completing the assessment process, including identifying the precise nature of the Threat, Harm and Risk and enabling them to utilise THRIVE to determine the incident Header …
Essex Police Essex Police
Somerset — recommendation 18.8
Review the Call Handling Grading and Deployment Operational Procedure to try and identify those messages that present the greatest risk and require a prompt attendance.
Improvement and Assurance Officer for Domestic …
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
Kent — recommendation 7
Current policy regarding the management of a breach of bail conditions/harassment orders should be reviewed. Specific measures should be introduced that ensure any breaches are actioned in a timely manner.
Kent Police Kent Police
St Helens — recommendation 9
If a complaint is made by a person involved in domestic conflict with another, that a knife or other deadly weapon was in the possession of, or used by that other, whether current or historical, then a VPRF 1 must be completed and an assessment of the risk to those …
Merseyside Police Merseyside Police
Kent — recommendation 6
When training staff in how to deal with DANs, KSCS should clarify that being a first notification should not in itself be a reason for taking no further action.
KSCS
Gateshead — recommendation 5
Home Office to review the effectiveness of 101 single non-emergency contact number and implement measures to reduce call waiting times and abandoned calls;
Home Office Home Office
Leicester — recommendation Probation - 4
Where the whereabouts of a domestic abuse perpetrator are unknown and there is no allocated Victim Liaison Officer the Probation Practitioner, to liaise with the Police in the absence of any other identified professionals or personal contact of identified victims to ascertain their safety or any concerns.
Probation Service Probation Service
Leicester — recommendation Sunflower Centre - 4
A timescale should be agreed for when and how to escalate a lack of contact from Northamptonshire police when visits need to be undertaken to victims or upon waiting for actions to be updated. IDVAs should be more proactive in questioning the reasoning why a joint visit cannot be undertaken.
Sunflower Centre
Fenland — recommendation 5
The Fenland Community Safety Partnership should seek assurance from Cambridgeshire Constabulary that the recording and investigation of domestic abuse offences is appropriate to be able to support and sustain a prosecution and will not be limited by statutory limitations, as was the case with the December 2017 assault and that …
Fenland Community Safety Partnership
Peterborough — recommendation 6
All agencies involved in the prevention or investigation of domestic abuse must ensure that practitioners have an opportunity to learn the lessons from this review and especially that: • Threats to kill must be treated seriously and shared with the police • Information is sought about previous incidents of domestic …
Safer Peterborough Partnership
Kingston upon Thames — recommendation 1
The Home Office are requested to provide instruction and guidance about how to proceed with DHRs where the perpetrator has fled the country resulting in long delays in coming to trial, to assist the DHR Panel in proceeding without compromising criminal proceedings or delaying dissemination of learning from the Review.
Home Office Home Office
Northumberland — recommendation 26
A protocol should be developed by Adult Social Care for joint visits to be undertaken with Police in cases where an adult is or may be at risk of abuse and/or neglect and Adult Social Care staff have been unable to gain entry.
Northumberland County Council Northumberland County Council
CJINI inspection reports(3)
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