Choking risk from detainee substance in mouth
National Police Chiefs' Council received 3 coroners' reports about this hazard between 1 Mar 2017 and 4 Mar 2025.
They came from 3 different coroners in 3 coroner areas. A similar concern was raised again 2 times after the first warning.
A published response was found for 1 of the 2 earlier reports, stating 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“There appears to be an apparent lacuna or, at least, confusion in respect of training for Police in relation to situations where a detained person puts a potentially harmful substance or item in their mouth.”
Original on judiciary.uk ↗ No published response from National Police Chiefs' Council was found for this report.
- 1 year 8 months laterIdentical hazardConfidence 0.90 · higha different coroner
“The evidence however | disclosed a complete lack of knowledge of the risks of choking when suspects were either arrested or in the process of being detained.”
Original on judiciary.uk ↗ National Police Chiefs' Council responded.Response (PDF) ↗
- 6 years 4 months laterClosely relatedConfidence 0.85 · higha different coroner
“The court heard that College of Policing Guidance for Custody Officers and Detention Officers provides that "...If officers know or suspect that a detainee has swallowed or packed drugs...they must treat the person as being in need of urgent medical attention and transfer then straight to hospital"”
Original on judiciary.uk ↗ Repeated from the earlier report:Officersswallowed
National Police Chiefs' Council responded.Response (PDF) ↗Response (PDF) ↗
- All reports to National Police Chiefs' Council
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2017 → 2018Karl Brunner1 year 8 months after Darran Hunt · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports highlight a lack of police training concerning the risk of choking when a detainee has an object or substance in their mouth. They identify the same hazard—potential airway obstruction—and note that current guidance is insufficient.
Darran Hunt · 1 Mar 2017
“There appears to be an apparent lacuna or, at least, confusion in respect of training for Police in relation to situations where a detained person puts a potentially harmful substance or item in their mouth.”
Original on judiciary.uk ↗ Karl Brunner · 29 Oct 2018
“The evidence however | disclosed a complete lack of knowledge of the risks of choking when suspects were either arrested or in the process of being detained.”
Original on judiciary.uk ↗ 2018 → 2025Robert Evans6 years 4 months after Karl Brunner · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports concern the risk to individuals who have swallowed or packed drugs and the need for appropriate police response and medical attention. They differ in focus: the earlier highlights insufficient training on choking risks during arrest/detention, while the later points out missing guidance for non‑arrest detainees undergoing drug searches.
Karl Brunner · 29 Oct 2018
“The evidence before me showed that police officers were trained to deal | with suspects who had swallowed drugs. The evidence however | disclosed a complete lack of knowledge of the risks of choking when suspects were either arrested or in the process of being detained”
Original on judiciary.uk ↗ Robert Evans · 4 Mar 2025
“The court heard that College of Policing Guidance for Custody Officers and Detention Officers provides that "...If officers know or suspect that a detainee has swallowed or packed drugs...they must treat the person as being in need of urgent medical attention and transfer then straight to hospital"”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“Since August 2016, all officers are now issued with a personal Pocket Face Mask and instructed on its correct use in mouth to mouth resuscitation.”
No published response from National Police Chiefs' Council was found for this report.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to National Police Chiefs' Council at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2017 → 2018 | 0.77 | 0.07 | Identical · 0.90 | different |
| 2018 → 2025 | 0.77 | 0.14 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.