Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Billy Paul Thomas Salton · 6 Jan 2014 · Joanne Kearsley, Manchester (South)
“Risk assessments carried out whilst in police custody should be recorded when they are done.”
What was promised
Stated action 1 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“The access of Medacs Policies and Procedures to Medacs staff | was also concerned to hear that | was not aware of the Medacs Epilepsy Policy. He said in evidence that he had no specific recollection of the epilepsy policy, but he was aware that the Medacs policies were available in a 'loose leaf binder in most custody suites'. Asa very experienced FME J gave evidence that he had been asked to review most of the policies, but he could not specifically recall this one”
Stated action 2 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“| have an ongoing review of divisional policing entitled 'Transforming Divisional Policing' which looks at all aspects of improving the operational service we provide. | have specifically asked it to look at finding ways of processing detainees with greater efficiency in order to reduce their periods of detention,”
judiciary.uk/…/2014-0002-Response-by-Greater-Manchester-Police.…
Stated action 3 · response to Billy Paul Thomas Salton (6 Jan 2014) · stated timescale: none stated
“Since the death of Mr [name redacted], Custody Branch has significantly upgraded its ICIS computer system. This system prompts Custody Sergeants to undertake further reviews linked to specific/significant events affecting the detainees period of detention, including an exit risk assessment”
judiciary.uk/…/2014-0002-Response-by-Greater-Manchester-Police.…
4 further stated actions are listed on the full chain page.
What recurred
- 16 Apr 2015 · Kesia Leatherbarrow · Joanne Kearsley · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Billy Paul Thomas Salton · 6 Jan 2014
“Risk assessments carried out whilst in police custody should be recorded when they are done.”
Later · Kesia Leatherbarrow · 16 Apr 2015
“It was therefore decided to hold a joint medical and police exit risk assessment when someone who has displayed self- harm ideation or behaviour leaves custody”
What happened next
No web check of the stated actions has been published for this chain.