Kesia Leatherbarrow

1. 1. 17 year olds denied accommodation when refused bail

   “recent changes to legislation means that whilst in custody 17 year olds are now treated as children for the purposes of the Police and Criminal Evidence Act (PACE). However the failure to make legislative changes to the supporting legislation means that for 17 year olds there is an anomaly in the system particularly around the provision of accommodation for a 17 year old who is refused bail”

2. 2. lack of accommodation for children under 17

   “across Greater Manchester it is estimated that, until recently, in only 10% of cases where the police requested such a service from a local authority a bed was available”

3. 3. absence of exit risk assessments for self-harm cases

   “Greater Manchester Police have implemented a system to try and ensure that this situation does not happen again. 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”

4. 4. communication breakdown between youth offending teams

   “There was a failure by Lancashire to note her move which led to a delay in her case being transferred, but in addition there was a failure in the communications with Tameside for each team to understand what was being requested and to have oversight of the situation”

5. 5. failure to record safeguarding intelligence

   “No intelligence was placed on [the deceased]'s nominal profile despite a number of concerning contacts with her by officers”

6. 6. lack of safeguarding protocol for non-criminal concerns

   “The Inquest heard a great deal of evidence from officers as to their understanding and actions. No intelligence was placed on [the deceased]'s nominal profile despite a number of concerning contacts with her by officers. It is a core function of the police to submit such intelligence”

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