Khalid Yousef
This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of psychiatrists in police custody suites
“The L&D police custody suite model has not commissioned psychiatrists”
2. responsibility ambiguity for mentally unwell persons in custody
“Liaison and clarity is needed between Chief Constables and the Trusts providing L&D services on who has responsibility for mentally unwell persons in custody”
3. misunderstanding of L&D role and limitations
“West Midlands Police officers and BSMHFT staff do not sufficiently understand the role and limitations of the L&D police custody suite model”
4. inadequate review of training and supervision
“BSMHFT have not learnt sufficient lessons from the incident and need to review experience, training and supervision of L&D practitioners”
Linked reports
Earlier report
“FOR SEPT:- The admitted lacuna in the SEPT admissions protocol governing the transfer of mentally disordered people from police custody.”
This report
“The L&D police custody suite model has not commissioned psychiatrists.”
Earlier report
“Despite not being informed by the BCPFT liaison and diversion nurse that Mr [name redacted] was in custody the HTT were made aware by his wife that he was in custody on the 28th September 2018.”
This report
“The L&D police custody suite model has not commissioned psychiatrists.”
This report
“West Midlands Police officers and BSMHFT staff do not sufficiently understand the role and limitations of the L&D police custody suite model.”
Later report
“Lack of effective documentation and communication between the Liaison Diversion Service (LDS) and the police within the custody suite.”
Responses
2022-0193-response-form-Birmingham-and-Solihul-Mental-Health-Trust.pdf ↗· Birmingham and Solihull Mental Health
2022-0193-Response-from-Birmingham-and-Solihull-Mental-Health-.pdf ↗· Birmingham and Solihull Mental Health
2022-0193-Response-from-Home-Office.pdf ↗· Home Office and West Midlands Police
2022-0193-Response-from-NHS-England-1.pdf ↗· NHS England
Stated action · 31 December 2022
“the Home Office or the NPCC would be best placed to respond to specific concerns in this case”
2022-0193-Response-from-NHS-England-.pdf ↗· NHS England
Stated action · end of October 2022
“The Trust takes these issues very seriously. The Team Manager is now working on a project which will be completed by the end of October 2022 to review the current induction programme and produce an up to date induction programme which is suited to different team roles and areas of work. This will include an induction pack, shadowing and training package for all new staff and students. As part of the new tender process, the Trust have also planned to have psychologists join the L&D for reflective”
2022-0193-Response-from-NHS-England.pdf ↗· NHS England
Stated action · end of October 2022
“The Trust takes these issues very seriously. The Team Manager is now working on a project which will be completed by the end of October 2022 to review the current induction programme and produce an up to date induction programme which is suited to different team roles and areas of work. This will include an induction pack, shadowing and training package for all new staff and students. As part of the new tender process, the Trust have also planned to have psychologists join the L&D for reflective”
2022-0193-Response-from-West-Midlands-Police-1.pdf ↗· Home Office and West Midlands Police
2022-0193-Response-from-West-Midlands-Police.pdf ↗· Home Office and West Midlands Police