Tyrone Lock
11 Oct 2016 · Coroner John Ellery · Shropshire, Telford and Wrekin
The coroner's concerns
1. Tyrone classified as suspect not vulnerable
“The jury concluded that [the deceased] should have been assessed differently from the first male and should have been classified as a vulnerable person and not as a suspect that was absconding”
2. Second helicopter request not made
“The jury believed that a second request for a helicopter should have been issued and that it would have been deployed and that in this case there would have been a chance to find [the deceased] in a survivable state”
3. Information not acted upon
“Collectively there was information available to the police from the OIS logs, what was said to them by the night manager and from their own observations that [the deceased]'s departure could be described as "hallucinating, foaming/frothing at the mouth, spaced out on drugs, sweating, that he had ran out of the hotel wearing boxer shorts and socks only. It was very cold, 4 degrees, it was windy and he ran out into open ground with water courses with somebody out to get him and on the police log according”
4. Assumption of futility
“Contrary to the NPAS evidence the police officers concerned believed that, regardless of [the deceased]'s status, a second call to NPAS would have met with the same result and there would be no point in making such a request”
5. Lack of understanding between forces
“As NPAS serves all police forces in England and Wales they are included in this report so that: a. They may liaise with West Mercia Police as to any lack of understanding as to what one may expect of the other. b. To review whether any other police force may also have a similar lack of understanding”