Greater Manchester Police
Coroner Michael Pemberton · Manchester West
No published response from this organisation found.
Coroner Tanyka Rawden · South Yorkshire West
No published response from this organisation found.
Coroner Chris Morris · Manchester South
No published response from this organisation found.
Coroner Timothy Brennand · Manchester West · in 2 recurrence links
Response · 1 stated action
2025-0342-Response-from-North-West-Ambulance-Service-NHS-Trust.pdf ↗“NWAS, in partnership with Greater Manchester Police (GMP), has identified a recurring thematic issue involving calls being passed from GMP to NWAS that do not meet the agreed threshold for Concern for Welfare as outlined in the Right Care, Right Person stakeholder meetings. These concerns have been formally escalated to Senior Leaders within GMP and to the Deputy Mayor for further consideration and action.”
Coroner Chris Morris · Manchester South
No published response from this organisation found.
Coroner Christopher Murray · Manchester South · in 1 recurrence link
Response · 1 stated action
2024-0524-Response-from-DHSC.pdf ↗“the Mental Health Bill, which was introduced to Parliament on 6 November 2024, there will be new statutory duties placed on the patient's responsible clinician that aim to ensure that, when someone is detained under the Act, their carer is involved in care, treatment and planning decisions”
Response · 1 stated action
2024-0524-Response-from-NWAS.pdf ↗“I will therefore provide some further information on the work NWAS is undertaking with its partner agencies who are also often called upon to assist mental health patients.”
Response · 1 stated action
2024-0524-Response-from-GMP.pdf ↗“The Training Manager for GMP's Force Contact Crime and Operations Branch (FCCO) has confirmed that the Mental Health induction input for their staff is 3.5 hours long. This is included in all new recruit training into Call Handling and Dispatch.”
Response · 1 stated action
2024-0524-Response-from-NHSE.pdf ↗“England will review and consider carefully the other responses in due course.”
Response · 1 stated action
2024-0524-Response-from-CQC.pdf ↗“We have introduced six new evidence categories to organise information under the statements; these are 'Feedback from people', 'Feedback from staff and leaders', 'Feedback from partners', 'Our observations', 'Processes' and 'Outcomes'. This approach will allow CQC to use a range of information to assess providers flexibly and frequently, collect evidence on an ongoing basis and update ratings at any time; tailor our assessment to different types of providers and services; score evidence to make”
Coroner Alison Mutch · Manchester South · in 2 recurrence links
Response · 1 stated action
2024-0288-Response-from-DHSC.pdf ↗“The Trust recognises that, at the time of the incident the College did not have a clear written protocol in place to manage risk. As an educational establishment the College did not have plans or processes in place to communicate effectively with other teams within the Trust such as the clinical teams or externally to organisations such as the Probation Service about the risk of harm occurring to others. The College is bound by Trust policies in relation to safeguarding and the College team did”
Response · 1 stated action
2024-0288-Response-from-GMP.pdf ↗“the Head of Public Protection at Greater Manchester Police and the Head of Public Protection at Greater Manchester Probation service commenced monthly meetings in 2023.”
Response · 1 stated action
2024-0288-Response-from-HMPPS.pdf ↗“Steps have been taken to recruit and train further probation officers which provides some assistance but means that overall, a significant number of probation officers are young in service and experience”
Coroner Zak Golombeck · Manchester City
No published response from this organisation found.
Coroner Anna Morris · Manchester South · in 1 recurrence link
Response · 1 stated action
2024-0089-Response-from-Greater-Manchester-Police.pdf ↗“the Force Contact, Crime and Operations Branch will further reinforce the requirements on call handlers to call an ambulance when faced with a scenario such as that which presented in the case of Mr [name redacted]. This will be achieved by way of an email being sent to all call handlers and by including an item on each call handling team's briefing site.”
Coroner Adrian Farrow · Manchester South
No published response from this organisation found.
Coroner Alison Mutch · Manchester South
Response · 1 stated action
2023-0154-Response-from-Greater-Manchester-Police-.pdf ↗“GMP want to ensure that its staff and officers understand the terminology used by mental health services for voluntary mental health patients and for those who have unescorted leave. To address this, I have asked the Organisational Learning Development Group (OLDG) to produce a seven-minute briefing.”
Coroner Alan Walsh · Manchester West · in 1 recurrence link
Response · 1 stated action
2022-0412-Response-from-Greater-Manchester-Police.pdf ↗“Greater Manchester Police (GMP) carried out a thorough review of the Incident Response Policy (IRP) following His Majesty's Inspectorate of Constabulary and Fire & Rescue Services issuing a formal cause of concern in September 2021, where it was identified that GMP was not responding appropriately to victims of crime and safeguarding vulnerable members of our communities. As a result, on 1st February 2022, GMP implemented the current IRP which incorporates the nationally recognised risk assessm”
Coroner Jason Wells · Manchester South
No published response from this organisation found.
- Zeyna Partington27 May 2021
Coroner Joanne Kearsley · Manchester North
No published response from this organisation found.
- Robert Hardy11 Feb 2021
Coroner Alison Mutch · Greater Manchester South
No published response from this organisation found.
- Alfie Gildea18 Nov 2020
Coroner Alison Mutch · Greater Manchester South · in 2 recurrence links
Response · 1 stated action
2020-0242-Response-from-Childrens-Services-Trafford-Council-Redacted.pdf ↗“the Council has made significant improvements to its policies and procedures since 2018”
Response · 1 stated action
2020-0242-Response-from-CPS-Redacted.pdf ↗“CPS Direct have also trained all prosecutors on 'Domestic Abuse Evidence Led Prosecutions'. This built on the Case Analysis and Strategy training focussing on the importance of case-building DA cases from the very start, where possible strengthening the case to ensure that it could proceed without the victim. It also gave refresher guidance on the available legislation and gateways for the admission of evidence without calling the victim, stressing the need to ensure scrupulous policy compliance”
- Jason Pendlebury12 Mar 2020
Coroner Matthew Cox · Manchester North
Response · 1 stated action
2020-0069-Response-from-North-West-Ambulance-Service_Redacted-1.pdf ↗“The Trust should be grateful if you would allow us to provide an update following that meeting and within six months of the date of this letter to report the work that has been undertaken to better meet the needs of individuals such as Mr [name redacted] and those in mental health crisis in the community.”
- Michael Hoolickin29 Aug 2019
Coroner Joanne Kearsley · Manchester (North)
Response · 1 stated action
2019-0292-Response-from-Greater-Manchester-Police-Redacted.pdf ↗“It is accepted that there may be missed opportunities to learn from incidents where an offender subject of multi-agency management causes death or serious injury and a multi-agency review does not take place. At present there is no national police guidance in relation to the internal reviews of incidents where an offender, subject of supervision by the integrated offender management (IOM) team, is involved in a further serious offence such as homicide.”
- Adam Harris23 Jul 2019
Coroner Alison Mutch · Manchester (South) · in 1 recurrence link
Response · 6 stated actions
2019-0247-Response-from-Greater-Manchester-Police.pdf ↗“With regard to the waiting time in the van dock - detainee cell space is allocated presently by a centralised GMP”
“An arresting officer may not be the same person as the transporting officer. The arresting officer will consider detainee risk to help determine the correct type of transport and whether handcuffs are required.”
“the escorting officer is responsible for the safety, welfare, supervision and monitoring of a detainee. The role requires that a detainee is not left unsupervised in any Police vehicle.”
“All detained persons arriving in the custody van dock area must remain under the direct control of at least one police officer; that requirement does not end until the detainee is accepted into the control of the custody staff.”
“From August 2019 the contents of the revised”
“Greater Manchester Police are currently working with Greater Manchester Combined Authority and are exploring the introduction of a formal pre-detention medical assessment carried out by a Health Care Professional where a detainee remains in a Police vehicle in a van dock for a period in excess of 30 minutes”
- Alfred Sykes18 Jun 2019
Coroner Andrew Bridgman · Manchester (South)
Response · 1 stated action
2019-0201-Response-from-Greater-Manchester-Police-Redacted.pdf ↗“The fields located off Woodsmoor Lane should have formed part of the search area and as such search trained police officers or members of the Mountain Rescue Team with the appropriate experience and training should have been deployed into the playing fields.”
- Dane Pearson14 Jan 2019
Coroner Alison Mutch · Manchester (South) · in 1 recurrence link
Response · 2 stated actions
2019-0056-Responses.pdf ↗“The College is about to release updated APP on issuing CAWNs and this will reflect the need to carry outa risk assessment. There”
“contained in College Investigations APP will be updated to reflect the requirement to keep both victims and suspects updated on progress of cases, including informing a suspect when an investigation about them has been concluded.”
- Gregory Rewkowski28 Dec 2018
Coroner Joanne Kearsley · Manchester (North)
Response · 1 stated action
2018-0411-Response-by-Greater-Manchester-Police.pdf ↗“GMP will give further consideration to how information as to its powers, obligations and restrictions may be better disseminated to other agencies as part of its joint working initiatives, so as to minimise the opportunities for confusion in future.”
Response · 1 stated action
2018-0411-Response-by-GMCA.pdf ↗“We identified eight issues which required attention, and specified that relevant task and finish groups would be convened to address them. These eight themes were: - A common understanding of the duties, powers and training of staff in the respective agencies in their response to demands for service from people with mental ill-health. - Improved information sharing processes through the development of the multi-agency 'Mental Health Control Room Triage' pilot service, jointly funded by NHS”
- Thomas Gallagher11 Aug 2016
Coroner L Hashmi · Greater Manchester (North) · in 1 recurrence link
Response · 6 stated actions
Thomas-Gallagher-Response.pdf ↗“The OCB has set minimum staffing levels with regard to Command & Control.”
“The OCB Branch Commander and Superintendent have completed one to one meetings with all Supervisors to offer absolute clarity over their role in identifying and managing an effective response to all reports of vulnerability.”
“A Quality Assurance 'audit' process has been introduced to review incident management by individual staff, enabling a feedback mechanism, post assessment, highlighting good and poor performance.”
“The reviewed policy was prepared in June 2016 with a formal launch across Force in August 2016.”
“GMP is developing a business case to have two mental health professionals posted to the OCB during key demand times to professionalise the Police response to mental health calls”
“The specific officers identified from the IPCC investigation into the death of [the deceased], have received detailed development plans of which mental health is a key provision.”
- Christopher Fields18 May 2016
Coroner John Pollard · Manchester South · in 6 recurrence links
- Adele Blakeman15 Apr 2016
Coroner Joanne Kearsley · Manchester South · in 1 recurrence link
Response · 1 stated action
2016-0145-Response-by-Greater-Manchester-Police.pdf ↗“GMP is investing significantly in the replacement of technology through the IS Transformation Programme to replace existing separate command and control, custody, intelligence, work allocation, and property systems with one user experience and a more intelligence information management process that enables partner agency information sharing (iOPS). The programme will also improve integration of components outside of these core systems, replace ageing data warehouse capabilities and moving to a data”