Recurance · prevention of future deaths reports
Pre-inquest brief
Choking risk from detainee substance in mouth
The earlier warning
Darran Hunt · 1 Mar 2017 · Gareth Lewis, Carmarthenshire and Pembrokeshire
“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.”
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 29 Oct 2018 · Karl Brunner · Martin Oldham · Identical hazard · confidence 0.90 (high)
- 4 Mar 2025 · Robert Evans · David Lewis · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · 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.”
Later · 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.”
What happened next
No web check of the stated actions has been published for this chain.