Untrained police control room staff lack recognition of acute behaviour
College of Policing received 2 coroners' reports about this hazard between 24 Oct 2019 and 3 Jul 2023.
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 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“College of Policing issued a training package at the end of 2016 to all Police Forces on ABD.”
Original on judiciary.uk ↗ College of Policing responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“the College will work with police stakeholders through the NPCC First Aid Forum and the national clinical governance panel to reflect this learning outcome in Module 2, the refresher training module for front line staff. This will ensure that this training is given to all front line officers. This amendment will be made as part of the wider scheduled review of the FALP following the release of updated guidance by the UK Resuscitation Council in 2020.”
Stated timescale: 2020
Web search (Tavily): Evidence found that the action was carried out
Updated first aid training for officers | College of Policing ↗“providing additional Continuous Professional Development training around Acute Behavioural Disturbance”
- 3 years 8 months laterIdentical hazardConfidence 0.90 · higha different coroner
“During the course of the Inquest, evidence was heard about the understanding and training in relation to Acute Behaviour Disturbance (ABD). All of the officers who had received their College of Policing Personal Safety Training had been trained on the ABD module within that package.”
Original on judiciary.uk ↗ Repeated from the earlier report:trainingCollegePolicingpackage
College of Policing responded.Response (PDF) ↗Response (PDF) ↗
- All reports to College of Policing
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.
2019 → 2023Andre Moura3 years 8 months after Douglas Oak · different coronerIdentical hazardConfidence 0.90 · high
Identical hazardConfidence 0.90 · highBoth reports concern the College of Policing's training on Acute Behavioural Disturbance (ABD) and its effectiveness in enabling officers to recognise ABD in practice.
Douglas Oak · 24 Oct 2019
“College of Policing issued a training package at the end of 2016 to all Police Forces on ABD.”
Original on judiciary.uk ↗ Andre Moura · 3 Jul 2023
“During the course of the Inquest, evidence was heard about the understanding and training in relation to Acute Behaviour Disturbance (ABD). All of the officers who had received their College of Policing Personal Safety Training had been trained on the ABD module within that package.”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“the College will work with police stakeholders through the NPCC First Aid Forum and the national clinical governance panel to reflect this learning outcome in Module 2, the refresher training module for front line staff. This will ensure that this training is given to all front line officers. This amendment will be made as part of the wider scheduled review of the FALP following the release of updated guidance by the UK Resuscitation Council in 2020.”
Stated action · timescale: 2020
“the College will work with police stakeholders through the NPCC First Aid Forum and the national clinical governance panel to reflect this learning outcome in Module 2, the refresher training module for front line staff. This will ensure that this training is given to all front line officers. This amendment will be made as part of the wider scheduled review of the FALP following the release of updated guidance by the UK Resuscitation Council in 2020.”
What happened next: Evidence found that the action was carried out
The College of Policing confirmed that the updated First Aid Learning Programme (FALP) will be implemented by the end of April 2025, incorporating recommendations from the Manchester Arena Inquiry and updated guidance from the UK Resuscitation Council.
“The updated first aid learning programme (FALP) will mean that officers now receive at least 12 hours of first aid training and a refresher course each year. Using the NHS's 10-second triage will bring policing into line with other emergency services. Alongside these additions, the curriculum still includes training on dealing with stab wounds, acid attacks and giving cardiopulmonary resuscitation (CPR).”
“Learning and recommendations following the Manchester Arena Inquiry are in the new First Aid Learning Programme. This includes the management of catastrophic bleeding and the ability to assess the seriousness of a person's injuries within 10 seconds so the officer can help those most seriously ill first. Using the NHS's ten second triage will bring policing into line with other emergency services.”
Stated action
“providing additional Continuous Professional Development training around Acute Behavioural Disturbance”
What happened next: No evidence found either way
The organisation's website lists resources related to acute severe behavioural disturbance but does not mention any specific training provision or commitment to deliver additional CPD in this area.
“The **purpose** of this guide is to provide fellows and CPD Program participants with information, suggestions and resourcing support specific to each of the programs activities”
No evidence found does not mean the action did not happen.
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 College of Policing 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 |
|---|---|---|---|---|
| 2019 → 2023 | 0.83 | 0.29 | Identical · 0.90 | 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.