Inadequate mental health communication during welfare checks
Metropolitan Police received 2 coroners' reports about this hazard between 21 Jul 2015 and 25 Mar 2025.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“(b) an example of how to manage a request for a welfare check concerning the mental health of an individual”
Original on judiciary.uk ↗ Metropolitan Police responded.Response (PDF) ↗
- 9 years 8 months laterClosely relatedConfidence 0.90 · higha different coroner
“dispatchers may require training in relation to the importance of passing on possible mental health concerns for the subject over the airwaves given the increased use of taser in black men and those suffering with mental ill health”
Original on judiciary.uk ↗ Repeated from the earlier report:mentalhealth
Metropolitan Police responded.Response (PDF) ↗
- All reports to Metropolitan Police
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.
2015 → 2025Oladeji Omishore9 years 8 months after Anne Wilson · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight insufficient training or procedures for communicating mental‑health‑related information during police responses. The earlier report focuses on welfare‑check staff lacking guidance, while the later report focuses on dispatchers needing to relay mental‑health concerns over the radio.
Anne Wilson · 21 Jul 2015
“(b) an example of how to manage a request for a welfare check concerning the mental health of an individual”
Original on judiciary.uk ↗ Oladeji Omishore · 25 Mar 2025
“dispatchers may require training in relation to the importance of passing on possible mental health concerns for the subject over the airwaves given the increased use of taser in black men and those suffering with mental ill health”
Original on judiciary.uk ↗
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 Metropolitan Police 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 |
|---|---|---|---|---|
| 2015 → 2025 | 0.64 | 0.04 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for Metropolitan Police
- Delay in obtaining and executing s135 warrants2 reports · 2025–2026
- Insufficient training on recording dispatch transmissions2 reports · 2019–2025
- Missing person investigation lacks safe and well check2 reports · 2019–2024
- Police fail to convey critical health information to ambulance crew2 reports · 2019–2020
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.