This document is classified as OFFICIAL in accordance with the IPCC s protective marking scheme

Size: px
Start display at page:

Download "This document is classified as OFFICIAL in accordance with the IPCC s protective marking scheme"

Transcription

1 Case 4 Bulletin 23 Man with a head injury who was also intoxicated Published 26 March 2015 For archived bulletins, learning reports and related background documents please visit This document is classified as OFFICIAL in accordance with the IPCC s protective marking scheme Man with head injury who was also intoxicated Handling of a man with a head injury, raising issues about: deciding whether a person is intoxicated or drunk, under the influence of alcohol, or has a head injury providing information from the arrest onto the custody sergeant to inform the risk assessment completion of risk assessments recognising whether a detainee needs to be checked and roused carrying out cell checks and recording information on the custody record recognising the symptoms of a brain injury training on force policy and national guidance clarifying the role and responsibilities of the whiteboard sergeant Overview of incident Mr A left a public house at around 12.15am. There were some reported sightings of him postincident between 12.30am and 1.50am in the local area, acting strangely, walking up and down, and stopping and talking to people. At times he was spotted in the middle of the road trying to stop cars. A number of cars stopped including a passing police car but then continued on their way. Around 1.50am Mr A got into a taxi and went initially to one area but was then taken by the taxi driver to the town centre as the taxi driver was unclear which exact address he wanted to be dropped off at. The taxi driver later reported that Mr A was talking nonsense; at times he appeared to be talking to himself and was also speaking from time to time in a Liverpool accent. Several times during the journey the taxi driver stated that Mr A rolled his eyes back into his head briefly, before refocusing. When the taxi arrived in the town centre the taxi driver beckoned over Police Constable B and asked for help. Following a conversation between the man and officers, the man left the taxi. Police Constable B arrested Mr A for being drunk and disorderly. Police Constable B took hold of one of Mr A s arms and Special Constable F took the other. Independent Police Complaints Commission. All Rights Reserved. Page 1 of 6

2 Mr A was described as struggling and twisting his body as if he was trying to get away. The officers tried to get Mr A in an arm lock to try and control him, but he continued to shout and move his head around violently. Mr A kicked out at an officer. Other officers and a door supervisor became involved. Mr A was taken to the ground by a number of officers and the door supervisor, and Mr A may have hit his head on the pavement. Officers reported later that they heard a noise that may have been Mr A hitting his head, and initially thought he had hit his head. Mr A was handcuffed and he was placed in Violent Person Restraint straps (VIPER). Mr A was then carried to the police van by four officers. Police Constable B and Police Constable C remained in the van during transportation to custody. On arrival at custody five officers carried Mr A into the custody suite. Mr A was taken into a cell and was placed on the floor on a mattress with his head nearest the door. Officers conducted a cell exit routine, removing handcuffs and the restraints. During this time CAPTOR spray was discharged by the custody officer at Mr A as he was threatening to bite and spit at officers. None of the expected aftercare was given following the use of CAPTOR spray. Furthermore, a written risk assessment was not carried out on Mr A. No information was passed to the custody officer about Mr A possibly hitting his head while he was arrested. This was not followed up by any other officer on duty at the time which meant that Mr A was not properly assessed for over seven and a half hours. There was confusion and a lack of team work among the custody officers who were on duty at the same time about the local practice of allocating a whiteboard sergeant who had responsibility for the care of detainees while in custody. Initially Mr A moved around the cell and eventually appeared to fall asleep. He remained asleep until just after 5am when he started tossing and turning on the bench. Thirty minute non-rousing checks were carried out throughout Mr A s time in custody. These checks were of a very poor standard and staff failed to recognise Mr A was in a coma. Staff also made an assessment that snoring meant the man was sleeping when in fact he was in a coma. During one visit to Mr A his arm was shaking as a result of his brain injury which the custody assistant determined as Mr A being awake. On one occasion Mr A tried to lay down on the bench, but slid to the floor. He tried to get up, but was unable to do so, and remained lying on the floor with his right arm over his eyes and holding his head. His left arm remained at his side, bent towards his body. Mr A remained in this position until approximately 9.30am when he stopped moving completely. At around 11am Police Sergeant E entered the cell and checked Mr A. He then put Mr A into the recovery position before leaving the cell to get help. An ambulance was called and Mr A was transferred to hospital where he was found to have a serious head injury. Type of investigation Independent Police Complaints Commission. All Rights Reserved. Page 2 of 6

3 IPCC independent investigation Findings and recommendations National recommendations Finding 1 1. The interpretation of PACE Codes of Conduct Code C, paragraph 9.3 on whether someone is intoxicated was an important issue in this case. The custody sergeant who booked in the man described his behaviour as that of someone drunk or under the influence of alcohol, not intoxicated and therefore not falling into the category requiring rousing. The reviewing inspector and the other custody sergeants on duty shared this view when asked about what circumstances would trigger a mandatory rousing regime under paragraph Ambiguity exists and the practice applied in this case suggests that staff do not set rousing checks unless they consider the state of the person in front of them is such that their intoxication borders on incapability. National recommendation 1 3. Custody staff should interpret intoxicated in the ordinary sense ie. under the influence no matter what degree of either drink (alcohol) or drugs or both has been taken. In that way, the possibility of missing a more serious underlying medical condition, such as a head injury, would be minimised. The Home Office should consider re-drafting paragraph 9.3 of PACE Code C to more explicitly define intoxication. Such a measure could help prevent future cases of death or serious injury in custody. Local recommendations Finding 1 1. The custody officer did not complete a written risk assessment on the man when he was booked into custody and he and other custody officers on duty failed to follow this up leaving the risk assessment uncompleted while he was in custody. He was not properly assessed for over seven and a half hours at which point he was found unconscious in the cell. Local recommendation 1 Refresher training on risk assessment 2. It was recommended that custody staff receive refresher training on risk assessments. Finding 2 3. The standard of care demonstrated by privately contracted custody staff and custody officers over that seven and a half hours was inadequate. Their collective failure to realise something was wrong contributed to the man remaining in a coma longer than he should. Independent Police Complaints Commission. All Rights Reserved. Page 3 of 6

4 Local recommendation 2 - Refresher training on cell checking and custody record entries 4. It was recommended that staff receive refresher training on cell checking, custody record entries and how to recognise and act on risk factors. Finding 3 5. There was a collective absence of understanding of how to recognise the signs of alcohol intoxication and how alcohol, snoring and heightened sexual drive can either mask or be direct signs of someone suffering from a brain injury. Local recommendation 3 Refresher training 6. It was recommended that custody staff receive refresher training on these issues. Finding 4 7. There was a collective lack of appreciation of the content and importance of following force policy and the Safer Detention Guidance, in particular amongst the private contractor staff and custody officers. Local recommendation 4 Local force policy training 8. It was recommended that staff receive refresher training on local force custody policies and Safer Detention Guidance. Finding 5 9. The local procedure of one custody officer being allocated the role of whiteboard sergeant led to confusion and an avoidance of responsibility amongst the custody sergeants on duty. There was a distinct lack of team work amongst all the custody staff that systematically failed to provide the man with an adequate level of care. 10. In conclusion, the investigation found that the force failed the man in that the combined actions and inactions of custody sergeants and privately contracted staff in the custody centre contributed to a systematic failure to adequately look after the man while he was in their care. Local recommendation 5 Roles and responsibilities 11. It was recommended that the force review the whiteboard sergeant system and introduce a written policy and procedure to clearly set out the role and responsibilities. The force should consider assessing any best practice from other forces that run large custody centres. Force response National recommendations National recommendation 1 1. Para 9.3 of PACE code C was amended to state: Independent Police Complaints Commission. All Rights Reserved. Page 4 of 6

5 Those suspected of being under the influence of drink or drugs or both or of having swallowed drugs, or whose level of consciousness causes concern must, subject to any clinical directions given by the appropriate healthcare professional: be visited and roused at least every half hour have their condition assessed as in Annex H and clinical treatment arranged if appropriate Note 9C of PACE code C also states the following: A detainee who appears drunk or behaves abnormally may be suffering from illness, the effects of drugs or may have sustained injury, particularly a head injury which is not apparent. A detainee needing or dependent on certain drugs, including alcohol, may experience harmful effects within a short time of being deprived of their supply. In these circumstances, when there is any doubt, police should always act urgently to call an appropriate healthcare professional or an ambulance. Paragraph 9.5 does not apply to minor ailments or injuries which do not need attention. However, all such ailments or injuries must be recorded in the custody record and any doubt must be resolved in favour of calling the appropriate healthcare professional. The Authorised Professional Practice detention and custody was also amended and provides the following guidance on drunk and incapable: a drunk and incapable person is someone who has consumed alcohol to the point that: they cannot walk or stand unaided, or they are unaware of their own actions, or they are unable to fully understand what is said to them. It also states in the under the influence section that: All detainees should be risk assessed on arrival in custody and throughout their detention. Where a risk assessment shows that the person is not drunk and incapable but that they have a degree of impairment from alcohol or drugs to the extent that any of the following apply, they should be considered as being under the influence and treated accordingly: close proximity (level 4) monitoring constant observation (level 3) monitoring the requirements for PACE Code C Annex H rousing checks. Local recommendations Local recommendation 1 Refresher training on risk assessment 2. Since this incident the force has assured itself that custody officers are aware of keeping the medical care of detainees at the forefront of the mind of custody officers. The force has given refresher training to custody officers through work booklets and authorised professional practice packages, as well as new training on the initial custody officer course. The custody computer system has also been updated to ask more specific questions about detainee care to enable the correct risk assessment to take place. Independent Police Complaints Commission. All Rights Reserved. Page 5 of 6

6 Local recommendation 2 - Refresher training on cell checking and custody record 3. This case and others nationally highlighted the need for joint training between the police and the custody service provider carrying out detainee welfare checks. A full training programme was conducted involving all custody officers and staff from the contracted company to carry out in-cell detainee welfare training. This training was carried out with stooges in cells who acted out different welfare and medical needs and the response of custody officers and custody staff was viewed and feedback given as appropriate. The training was well received by custody officers and custody staff. This training also reminded staff of the need to record as much information as possible on the custody record and to communicate medical needs amongst the team on duty. Local recommendation 3 - Refresher training 4. This issue was also covered in the refresher training as detailed in response to recommendations 1 and 2. Further to this, first aid training given to all police officers and custody staff covers recognising and responding to head injuries. Local recommendation 4 - Local force policy training 5. Joint refresher training and joint working practice between the force and the contractor has re-emphasised the importance of following guidance. The force has introduced a principal custody policy to support custody staff in the decisions that they make particularly with regard to getting the support they need when dealing with difficult medical issues. 6. Training was achieved through the online Authorised Professional Practice packages and also through the custody officer refresher booklets. Un-announced inspections also took place where the head of custody and the custody policy officer would attend custody centres and review the knowledge of the custody staff on duty and the custody inspectors. Local recommendation 5 - Roles and responsibilities 7. Visits of other custody facilities took place across the force and best practice was observed. All the custody facilities in the force area now operate a dedicated principal custody officer role and this person takes primary responsibility for detainee care. Outcomes for officers and staff 1. Three officers received formal advice following this investigation. 2. Three custody sergeants received formal advice for failing to properly look after Mr A during his time in custody. 3. Police Constable B and Police Constable C were provided with advice from their supervisors in relation to their failure to pass on information to the custody officer about what happened to Mr A when he was detained in the street. If you need more information about this case, please Independent Police Complaints Commission. All Rights Reserved. Page 6 of 6

Mr A Head injury sustained prior to detention in custody

Mr A Head injury sustained prior to detention in custody Head injury sustained prior to detention in custody Independent Investigation Final Report IPCC Reference: 2012/016073 Contents Introduction... Error! Bookmark not defined. Terms Introduction of reference...

More information

Mr Lloyd Edward Butler (Deceased)

Mr Lloyd Edward Butler (Deceased) Mr Lloyd Edward Butler (Deceased) Investigation into the circumstances of Mr Butler s death on 4 August 2010 whilst in custody of West Midlands Police Independent Investigation Final Report Introduction...

More information

Advice to Custody Staff on when to call for healthcare assessment

Advice to Custody Staff on when to call for healthcare assessment Method Statement Advice to Custody Staff on when to call for healthcare assessment January 2011 1 Definitions In this Method Statement the following definitions will apply: Forensic Physician (FP) a doctor

More information

Independent Advisory Panel on Non-Compliance Management (IAPNCM): comments from the Prisons and Probation Ombudsman

Independent Advisory Panel on Non-Compliance Management (IAPNCM): comments from the Prisons and Probation Ombudsman Stephen Shaw CBE Chair, Independent Advisory Panel on Non-Compliance Management c/o Emma Ross Home Office 2 nd Floor, Bedford Point 35 Dingwall Road Croydon CR9 2EF 31 May 2013 Dear Stephen, Independent

More information

1. Tell the police if you want a solicitor to help you while you are at the police station. It is free.

1. Tell the police if you want a solicitor to help you while you are at the police station. It is free. The following rights and entitlements are guaranteed to you under the law in England and Wales and comply with the European Convention on Human Rights. Remember your rights 1. Tell the police if you want

More information

CSCOFM303A Respond to offenders influenced by drugs or alcohol

CSCOFM303A Respond to offenders influenced by drugs or alcohol CSCOFM303A Respond to offenders influenced by drugs or alcohol Revision Number: 2 CSCOFM303A Respond to offenders influenced by drugs or alcohol Modification History CSCOFM303A Release 2: Layout adjusted.

More information

Preventing Deaths in Police Care

Preventing Deaths in Police Care 1 INDEPENDENT POLICE COMPLAINTS COMMISSION Preventing Deaths in Police Care Speech to Criminal Justice Management Conference 2015 Commissioner Carl Gumsley Criminal Justice Management Conference 2015.

More information

Report of a Complaint Handling Review in relation to Strathclyde Police

Report of a Complaint Handling Review in relation to Strathclyde Police Case reference: PIRC/00007/13/SP February 2014 Report of a Complaint Handling Review in relation to Strathclyde Police under section 35(1) of the Police Public Order and Criminal Justice (Scotland) Act

More information

Investigation into the death of Mr George Joseph, a prisoner at HMP Belmarsh, in April 2015

Investigation into the death of Mr George Joseph, a prisoner at HMP Belmarsh, in April 2015 Investigation into the death of Mr George Joseph, a prisoner at HMP Belmarsh, in April 2015 Crown copyright 2015 This publication is licensed under the terms of the Open Government Licence v3.0 except

More information

Telephone: 0845 000 5463 Email: soc@npia.pnn.police.uk

Telephone: 0845 000 5463 Email: soc@npia.pnn.police.uk Guidance on THE SAFER DETENTION AND HANDLING OF PERSONS IN POLICE CUSTODY Second Edition This has been published as an interim product due to the development of Authorised Professional Practice (APP) and

More information

Report of a Complaint Handling Review in relation to Northern Constabulary

Report of a Complaint Handling Review in relation to Northern Constabulary Case reference: PCCS/00658/PF- NC June 2010 Report of a Complaint Handling Review in relation to Northern Constabulary under section 35(1) of the Police Public Order and Criminal Justice (Scotland) Act

More information

PROTECTIVE CUSTODY I. GENERAL CONSIDERATIONS AND GUIDELINES

PROTECTIVE CUSTODY I. GENERAL CONSIDERATIONS AND GUIDELINES Policy Number: REFERENCE: Effective Date: Revised Date: Accreditation Standards: None Mass. Gen. Law: 1 M.G.L. c. 111B, 1 M.G.L. c. 111B, s. 8, 1 Com. v. O'Connor, 406 Mass. 112, 546 N.E.2d 336 (1989),

More information

Determining Deprivation of Liberty : Risk Matrix (1)

Determining Deprivation of Liberty : Risk Matrix (1) Determining Deprivation of Liberty : Risk Matrix (1) The Matrix Definitions and Considerations of Risk Assessment: Consider the person against the following factors. If the physical location and type of

More information

PROCEDURE Street Bail. Number: E 0205 Date Published: 13 July 2011

PROCEDURE Street Bail. Number: E 0205 Date Published: 13 July 2011 1.0 About this Procedure This procedure details the process officers must follow concerning the use of the provisions contained within 30A to 30D of Police and Criminal Evidence Act 1984 in relation to

More information

Loss of. focus. Report from our investigation into the care and treatment of Ms Z

Loss of. focus. Report from our investigation into the care and treatment of Ms Z A Loss of focus Report from our investigation into the care and treatment of Ms Z Contents Who we are 1 What we do 1 Introduction 1 How we conducted the investigation 3 Summary of Ms Z s Circumstances

More information

Independent Custody Visiting Scheme Annual Report 2012/13

Independent Custody Visiting Scheme Annual Report 2012/13 Independent Custody Visiting Scheme Annual Report 2012/13 Suffolk Independent Custody Visiting Scheme Annual Report Introduction by Tim Passmore, Police and Crime Comissioner for Suffolk Organisation of

More information

CANNOCK CHASE COUNCIL MINUTES OF THE MEETING OF THE LICENSING AND PUBLIC PROTECTION COMMITTEE 10.00 A.M., TUESDAY 29 JUNE, 2010

CANNOCK CHASE COUNCIL MINUTES OF THE MEETING OF THE LICENSING AND PUBLIC PROTECTION COMMITTEE 10.00 A.M., TUESDAY 29 JUNE, 2010 PRESENT: Councillors 1. Apologies CANNOCK CHASE COUNCIL MINUTES OF THE MEETING OF THE LICENSING AND PUBLIC PROTECTION COMMITTEE 10.00 A.M., TUESDAY 29 JUNE, 2010 IN THE CIVIC CENTRE, BEECROFT ROAD, CANNOCK

More information

Report of a Complaint Handling Review in relation to Tayside Police

Report of a Complaint Handling Review in relation to Tayside Police Case reference: PCCS/00038/12/PF TP October 2012 Report of a Complaint Handling Review in relation to Tayside Police under section 35(1) of the Police Public Order and Criminal Justice (Scotland) Act 2006

More information

PROCEDURE Death or Serious Injury (DSi) Involving Police Contact. Number: C 3013 Date Published: 10 June 2014

PROCEDURE Death or Serious Injury (DSi) Involving Police Contact. Number: C 3013 Date Published: 10 June 2014 1.0 Summary of Changes This procedure has taken the place of C 3010 Procedure Death Following Police Contact, and should be read by all police officers and police staff. 2.0 What this Procedure is about

More information

Rights and Entitlements

Rights and Entitlements Rights and Entitlements How you should be treated if you are taken in by the police. Please keep this information and read it as soon as possible. It will help you to make choices while you are at the

More information

Persons with Mental and/or Substance Abuse Disorders I. PURPOSE

Persons with Mental and/or Substance Abuse Disorders I. PURPOSE KANSAS CITY, MO. POLICE PARTMENT DATE OF ISSUE EFFECTIVE DATE NO. Subject PROCEDURAL INSTRUCTION 06-23-09 07-07-09 09-4 AMENDS Persons with Mental and/or Substance Abuse Disorders REFERENCE RSMo 631.120

More information

Managing the Risk of Work-related Violence and Aggression in Healthcare

Managing the Risk of Work-related Violence and Aggression in Healthcare Managing the Risk of Work-related Violence and Aggression in Healthcare Information Sheet November, 2014 The purpose of this information sheet is to provide information and guidance on managing the risk

More information

U.C. Riverside Police Department Policy Manual Use of Force

U.C. Riverside Police Department Policy Manual Use of Force 300.1 PURPOSE AND SCOPE This policy provides guidelines on the reasonable use of force. While there is no way to specify the exact amount or type of reasonable force to be applied in any situation, every

More information

Derbyshire Constabulary STREET BAIL GUIDANCE POLICY REFERENCE 05/005. This guidance is suitable for Public Disclosure

Derbyshire Constabulary STREET BAIL GUIDANCE POLICY REFERENCE 05/005. This guidance is suitable for Public Disclosure Derbyshire Constabulary STREET BAIL GUIDANCE POLICY REFERENCE 05/005 This guidance is suitable for Public Disclosure Owner of Doc: Head of Department, Corporate Services Date Approved: December 2005 Review

More information

Alcohol and drugs. Introduction. The legal position

Alcohol and drugs. Introduction. The legal position Alcohol and drugs Introduction There are no reliable figures for the misuse of drugs and alcohol by NHS staff but a survey in 2001 by Alcohol Concern and Drugscope suggested that 60 per cent of employers

More information

Street Bail. Head of Custody. OBSU Policy Unit

Street Bail. Head of Custody. OBSU Policy Unit PD 524 Type of Document: Street Bail Procedure Version: 1.4 Registered Owner: Author: Head of Custody OBSU Policy Unit Effective Date: July 2014 Review Date: July 2016 Replaces document (if applicable)

More information

Protocol for requesting ambulance support to admit a person to hospital or residential care under the Mental Capacity Act 2005

Protocol for requesting ambulance support to admit a person to hospital or residential care under the Mental Capacity Act 2005 Protocol for requesting ambulance support to admit a person to hospital or residential care under the Mental Capacity Act 2005 1 Contents Purpose of the Protocol Page 3 Checklist for requesting the assistance

More information

THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA ) ) ) ) ) ) ) ) ) )

THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA ) ) ) ) ) ) ) ) ) ) Case :-cv-00-loa Document Filed 0// Page of 0 Bradley Jardis, vs. Keith M. Knowlton, L.L.C. SBN 0 S. Rural Road, Suite 0, PMB# Tempe, Arizona -00 (0 -; FAX (0 - Keith M. Knowlton - SBN 0 Attorney for Plaintiff

More information

MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY

MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY Medical Director MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY Reference: MDP024 Version: 1.3 This version issued: 09/03/12 Result of last review: Reissued without

More information

***************************************** OPCC VOLUNTEER APPROPRIATE ADULT SCHEME PROTOCOL

***************************************** OPCC VOLUNTEER APPROPRIATE ADULT SCHEME PROTOCOL Protocols of Practice Provision of an Appropriate Adult Service for Young People and/or Vulnerable Adults under the Police and Criminal Evidence Act 1984 for Greater Manchester This agreement is between:

More information

Police community support officer powers

Police community support officer powers Police community support officer powers LIST OF STANDARD POWERS Power Power to issue fixed penalty notices for cycling on a footpath: Power of a constable in uniform to give a person a fixed penalty notice

More information

asist The Mental Health Act and You advocacy services in staffordshire asist making advocacy a right not a privilege

asist The Mental Health Act and You advocacy services in staffordshire asist making advocacy a right not a privilege asist advocacy services in staffordshire The Mental Health Act and You asist making advocacy a right not a privilege Contents 2 2 The Mental Health Act and you The Mental Health Act What you have a right

More information

Transition to Community Nursing Practice

Transition to Community Nursing Practice Transition to Community Nursing Practice Contents Section A - Thinking about working in the community Chapter 1 - What is community nursing Chapter 2 - Making the transition Section B - Working in the

More information

BOURNEMOUTH & POOLE SAFEGUARDING ADULT BOARD

BOURNEMOUTH & POOLE SAFEGUARDING ADULT BOARD BOURNEMOUTH & POOLE SAFEGUARDING ADULT BOARD EXECUTIVE SUMMARY Regarding the Serious Case Review In respect of Mrs. A Author: Elizabeth Whatley Date: 4 November 2010 1. INTRODUCTION 1 1.1 MRS. A was an

More information

Operational guidance for police officers and staff responding to incidents involving someone with a mental illness Branch / OCU

Operational guidance for police officers and staff responding to incidents involving someone with a mental illness Branch / OCU Freedom of Information Act Publication Scheme Protective Marking Not Protectively Marked Publication Scheme Yes X No Y/N Title Policing Mental Health Version Version 4 Summary Operational guidance for

More information

Detention under the Mental Health Act

Detention under the Mental Health Act Detention under the Mental Health Act This factsheet gives information about detention under the Mental Health Act. This is also known as being sectioned. It explains what the Mental Health Act is, why

More information

REPORT TO THE UNITED KINGDOM BORDER AGENCY ON OUTSOURCING ABUSE BARONESS NUALA O LOAN DBE MARCH 2010

REPORT TO THE UNITED KINGDOM BORDER AGENCY ON OUTSOURCING ABUSE BARONESS NUALA O LOAN DBE MARCH 2010 REPORT TO THE UNITED KINGDOM BORDER AGENCY ON OUTSOURCING ABUSE by BARONESS NUALA O LOAN DBE MARCH 2010 FOREWORD At various stages in 2007-2008 the Agency faced criticism in some elements of the press

More information

Effectiveness, efficiency and equity principle- this refers to the most appropriate use of resources to meet the needs of patients.

Effectiveness, efficiency and equity principle- this refers to the most appropriate use of resources to meet the needs of patients. Introduction Where medicine meets the law, there is a fascinating and often complex interaction. One the one hand, as a doctor you are expected to work with your patient to help them to make informed choices

More information

The Complainant submits this complaint to the Court and states that there is probable cause to believe Defendant committed the following offense(s):

The Complainant submits this complaint to the Court and states that there is probable cause to believe Defendant committed the following offense(s): State of Minnesota County of Hennepin State of Minnesota, vs. Plaintiff, PEIJAN LAMONT HODGES DOB: 08/06/1992 HOMELESS MINNEAPOLIS, MN 55411 Defendant. District Court 4th Judicial District Prosecutor File

More information

Torts Copyright July, 2006 State Bar of California

Torts Copyright July, 2006 State Bar of California Torts Copyright July, 2006 State Bar of California After paying for his gasoline at Delta Gas, Paul decided to buy two 75-cent candy bars. The Delta Gas store clerk, Clerk, was talking on the telephone,

More information

PUBLIC REPORT OF THE CHIEF CIVILIAN DIRECTOR

PUBLIC REPORT OF THE CHIEF CIVILIAN DIRECTOR PUBLIC REPORT OF THE CHIEF CIVILIAN DIRECTOR Regarding the injury to an adult female on July 6, 2013 by an officer of the West Vancouver Police Department in the city of West Vancouver, British Columbia

More information

MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY

MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY Directorate of Performance Assurance MENTAL CAPACITY ACT (MCA) 2005 & MCA DEPRIVATION OF LIBERTY SAFEGUARDS (DOLS) POLICY Reference: DCP098 Version: 1.4 This version issued: 21/04/15 Result of last review:

More information

A safer place to be. Findings from our survey of health-based places of safety for people detained under section 136 of the Mental Health Act

A safer place to be. Findings from our survey of health-based places of safety for people detained under section 136 of the Mental Health Act A safer place to be Findings from our survey of health-based places of safety for people detained under section 136 of the Mental Health Act A SAFER PLACE TO BE Care Quality Commission 2014 Published October

More information

Personal safety training (PST)

Personal safety training (PST) Page 1 of 39 Guidance Personal safety training (PST) version 3.0 Valid from 26 March 2014 This guidance is for criminal and financial investigation (CFI) staff. It gives you advice on the personal safety

More information

DRINKING AND DRIVING OFFENCE

DRINKING AND DRIVING OFFENCE What to do if you are charged with a DRINKING AND DRIVING OFFENCE This booklet is not about provincial Motor Vehicle Act penalties for drinking and driving. This guide explains what normally happens when

More information

TAFE SA Student Alcohol and Other Drug Policy Under the umbrella of Drugs and Alcohol Policy (DFEEST OHS&IM 026)

TAFE SA Student Alcohol and Other Drug Policy Under the umbrella of Drugs and Alcohol Policy (DFEEST OHS&IM 026) TAFE SA Student Alcohol and Other Drug Policy Under the umbrella of Drugs and Alcohol Policy (DFEEST OHS&IM 026) 1. Purpose of the policy The purpose of the Student Alcohol and Other Drug Policy is to

More information

The welfare of vulnerable people in police custody

The welfare of vulnerable people in police custody The welfare of vulnerable people in police custody March 2015 HMIC 2015 ISBN: 978-1-78246-781-6 www.justiceinspectorates.gov.uk/hmic Contents Glossary... 5 Executive summary... 16 Introduction... 16 Inspection

More information

SECOND READING SPEECH

SECOND READING SPEECH SECOND READING SPEECH Ambulance Service Amendment Bill 2013 Mr Speaker The purpose of this Bill is to amend the Ambulance Service Act 1982 to better reflect contemporary ambulance practice and to provide

More information

MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY. of Prisoners

MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY. of Prisoners MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY SUBJECT: Searching and Transportation of Prisoners EFFECTIVE DATE: 1 January 1999 PAGE 1 OF 10 REVIEW DATE: 30 November 2015 APPROVED: CHANGE

More information

Health and Safety Policy

Health and Safety Policy Health and Safety Policy Section 1 - Statement of Policy It is the policy of British Weight Lifting (BWL) to ensure so far as is reasonably practicable, the safety health and welfare of: Its employees

More information

How To Avoid Drowsy Driving

How To Avoid Drowsy Driving How To Avoid Drowsy Driving AAA Foundation for Traffic Safety Sleepiness and Driving Don t Mix Feeling sleepy is especially dangerous when you are driving. Sleepiness slows your reaction time, decreases

More information

Independent investigation into the care and treatment of Ms M. Case 13. Commissioned by NHS London

Independent investigation into the care and treatment of Ms M. Case 13. Commissioned by NHS London Independent investigation into the care and treatment of Ms M Case 13 Commissioned by NHS London Contents Page No 1. Introduction to the Incident 3 2. Condolences 3 3. Trust Internal Investigation 3 4.

More information

Legislating for Violence against Children. With a focus on the juvenile justice system

Legislating for Violence against Children. With a focus on the juvenile justice system Legislating for Violence against Children With a focus on the juvenile justice system Juvenile Justice is multi sectoral One of the challenges to juvenile justice is that it is multi-sectoral This means

More information

Imam Bozkurt v Thames Magistrates Court [2001] EWHC Admin 400

Imam Bozkurt v Thames Magistrates Court [2001] EWHC Admin 400 JUDGMENT : LORD WOOLF LCJ : Administrative Court. Monday 14 May 2001 1. This is an application for judicial review of a decision of Deputy District Judge Shrimpton at the Thames Magistrates╩╣ Court on 6

More information

TRANSPORTATION POLICY

TRANSPORTATION POLICY TRANSPORTATION POLICY Contents 1 NQS... 2 2 National Regulations... 2 3 Aim... 2 4 Related Policies... 2 5 Implementation... 2 6 General Transport Guidelines... 4 7 Guidelines for Seatbelts and Restraints...

More information

PROCEDURE Use of Translators and Interpreters. Number: E 0115 Date Published: 1 July 2015

PROCEDURE Use of Translators and Interpreters. Number: E 0115 Date Published: 1 July 2015 1.0 Summary of Changes This procedure has been amended to replace reference to Language Line with ALS (Capital Translation and Interpreting). 2.0 What this Procedure is about This procedure guides officers

More information

Mental Health Act 2007

Mental Health Act 2007 Mental Health Act 2007 CHAPTER 12 Explanatory Notes have been produced to assist in the understanding of this Act and are available separately Mental Health Act 2007 CHAPTER 12 CONTENTS PART 1 AMENDMENTS

More information

IN RE: : CITY OF PHILADELPHIA. WILLIAM DeSILVIS : POLICE ADVISORY COMMISSION O P I N I O N

IN RE: : CITY OF PHILADELPHIA. WILLIAM DeSILVIS : POLICE ADVISORY COMMISSION O P I N I O N ------------------------------------------------------- IN RE: : CITY OF PHILADELPHIA WILLIAM DeSILVIS : POLICE ADVISORY COMMISSION ------------------------------------------------------- Before: P.Uyehara,

More information

Psychotic Disorders. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com mhff0101 Last reviewed: 01/10/2013 1

Psychotic Disorders. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com mhff0101 Last reviewed: 01/10/2013 1 Psychotic Disorders Introduction Psychotic disorders are severe mental disorders that cause abnormal thinking and perceptions. These disorders cause people to lose touch with reality. As a result, people

More information

Deaths during or. following police. contact: Statistics for England and Wales 2013/14. Deaths during or. following police contact:

Deaths during or. following police. contact: Statistics for England and Wales 2013/14. Deaths during or. following police contact: Deaths during or following police Deaths during or contact: following police contact: Statistics for England and Wales 2015/16 Statistics for England and Wales 2013/14 IPCC Research and Statistics Series:

More information

Journeys through the Criminal Justice System for Suspects, Accused and Offenders with Learning Disabilities. A Graphic Representation

Journeys through the Criminal Justice System for Suspects, Accused and Offenders with Learning Disabilities. A Graphic Representation Journeys through the Criminal Justice System for Suspects, Accused and Offenders with Learning Disabilities A Graphic Representation 0 Contents Introduction page 2 Methodology page 4 Stage One Getting

More information

Six steps to Occupational Health and Safety

Six steps to Occupational Health and Safety Six steps to Occupational Health and Safety This booklet gives basic guidelines for workplace health and safety systems to help industry in NSW comply with the "duty of care" principle outlined in the

More information

Keeping children safe and well.

Keeping children safe and well. Keeping children safe and well. About Oasis Oasis Partnership is a local charity offering a range of support services to anyone whose life is affected by their own or someone else s substance use. This

More information

6Would Happen When. If you ve decided to carry a firearm for self-defense, THINGS YOU DIDN T KNOW. The Police Arrive

6Would Happen When. If you ve decided to carry a firearm for self-defense, THINGS YOU DIDN T KNOW. The Police Arrive THINGS YOU DIDN T KNOW 6Would Happen When The Police Arrive If you ve decided to carry a firearm for self-defense, you ve undoubtedly thought about the reality of having to use it. You ve thought about

More information

Emergency Procedures. Emergency Phone Numbers. Unisafe (Security) (07) 838 4444 or extension 4444 Police, Fire Service or Ambulance 1-111

Emergency Procedures. Emergency Phone Numbers. Unisafe (Security) (07) 838 4444 or extension 4444 Police, Fire Service or Ambulance 1-111 Facilities Management Emergency Procedures Unisafe Guidelines for managing emergency situations Unisafe (Security) (07) 838 4444 or extension 4444 Police, Fire Service or Ambulance 1-111 Emergency Phone

More information

02508 PROCEDURE HOSPITAL PROCEDURE: UNCONSCIOUS SUSPECTS. 2. Risk Assessments / Health & Safety Considerations

02508 PROCEDURE HOSPITAL PROCEDURE: UNCONSCIOUS SUSPECTS. 2. Risk Assessments / Health & Safety Considerations Version: 3.2 Last Updated: 13/08/12 Review Date: 28/11/14 ECHR Potential Equality Impact Assessment: High 1. About This Procedure 1.1. This document explains the procedure that is followed by Hampshire

More information

Policy Summary. Inside you ll find a summary of your Value car insurance. tescobank.com

Policy Summary. Inside you ll find a summary of your Value car insurance. tescobank.com Policy Summary Inside you ll find a summary of your Value car insurance tescobank.com Tesco Bank Value Car Insurance Policy Summary This is a summary of cover available under Tesco Bank Value Car Insurance.

More information

To reduce drink driving re-offending. Target group: Recidivist drink drivers

To reduce drink driving re-offending. Target group: Recidivist drink drivers To reduce drink driving re-offending Target group: Recidivist drink drivers Provide a community based combined education and therapy group. That encourages clients to engage in meaningful discussion that

More information

IN RE: : CITY OF PHILADELPHIA CALVIN BUTLER, JR. : POLICE ADVISORY COMMISSION. : No. 95-0192 PANEL REPORT AND RECOMMENDATION

IN RE: : CITY OF PHILADELPHIA CALVIN BUTLER, JR. : POLICE ADVISORY COMMISSION. : No. 95-0192 PANEL REPORT AND RECOMMENDATION IN RE: : CITY OF PHILADELPHIA CALVIN BUTLER, JR. : POLICE ADVISORY COMMISSION : No. 95-0192 Before: Uyehara, Ray and Savitt, Commissioners PANEL REPORT AND RECOMMENDATION I. INTRODUCTION Calvin Butler,

More information

Submission to the Health Select Committee on the Substance Addiction (Compulsory Assessment and Treatment) Bill

Submission to the Health Select Committee on the Substance Addiction (Compulsory Assessment and Treatment) Bill Submission to the Health Select Committee on the Substance Addiction (Compulsory Assessment and Treatment) Bill 26 April 2016 Contact Person: Janet Anderson-Bidois Chief Legal Adviser Janetab@hrc.co.nz

More information

[ ] WARRANT [ ] ORDER OF DETENTION v. [ ] AMENDED COMPLAINT

[ ] WARRANT [ ] ORDER OF DETENTION v. [ ] AMENDED COMPLAINT STATE OF MINNESOTA COUNTY OF DAKOTA DISTRICT COURT FIRST JUDICIAL DISTRICT COURT FILE NO. COUNTY ATTORNEY FILE NO. CA-09-0024 CONTROLLING AGENCY: MN0191000 CONTROL NUMBER: 08008756 State of Minnesota,

More information

Managing the Behaviour of Children and Young People in the Secure Estate

Managing the Behaviour of Children and Young People in the Secure Estate Youth Justice Board Managing the Behaviour of Children and Young People in the Secure Estate Code of Practice Contents Introduction 3 Background 3 Context: the secure estate for children and young people

More information

Accident and Incident Reporting and Investigation

Accident and Incident Reporting and Investigation Accident and Incident Reporting and Investigation Children s and Adult Services www.southwark.gov.uk October 2012 Scope This procedure describes the arrangements for reporting and investigating accidents

More information

Accident/Incident Policy & Reporting and Investigation Procedure

Accident/Incident Policy & Reporting and Investigation Procedure Accident/Incident Policy & Reporting and Investigation Procedure Policy name Accident/Incident Reporting Approved by and Investigation Category Occupational Safety & Health Approval date January 2014 Version

More information

STRESS POLICY. Stress Policy. Head of Valuation Services. Review History

STRESS POLICY. Stress Policy. Head of Valuation Services. Review History STRESS POLICY Title Who should use this Author Stress Policy All Staff SAC Approved by Management Team Approved by Joint Board Reviewer Head of Valuation Services Review Date 2018 REVIEW NO. DETAILS Review

More information

Borderline personality disorder

Borderline personality disorder Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases

More information

About the Trust. What you can expect: Single sex accommodation

About the Trust. What you can expect: Single sex accommodation About the Trust The Royal Berkshire NHS Foundation Trust is one of the largest general hospital trusts in the country. We provide acute medical and surgical services to Reading, Wokingham and West Berkshire

More information

RESPONSIBLE SERVICE OF ALCOHOL POLICY CHRISTCHURCH CASINOS LIMITED

RESPONSIBLE SERVICE OF ALCOHOL POLICY CHRISTCHURCH CASINOS LIMITED RESPONSIBLE SERVICE OF ALCOHOL POLICY CHRISTCHURCH CASINOS LIMITED Contents Contents... 2 Introduction... 3 Six Key Concepts of Host Responsibility... 4 1. Intoxication... 4 2. Responsible Service... 4

More information

CONTENTS. 1. Introduction Page 3. 2. Objects and Principles of Act 4. 3. Key Terms Used in Act 7. 4. Positions and Bodies Established under Act 14

CONTENTS. 1. Introduction Page 3. 2. Objects and Principles of Act 4. 3. Key Terms Used in Act 7. 4. Positions and Bodies Established under Act 14 A GUIDE TO THE MENTAL HEALTH ACT 2016 1 CONTENTS 1. Introduction Page 3 2. Objects and Principles of Act 4 3. Key Terms Used in Act 7 4. Positions and Bodies Established under Act 14 5. Examinations, Assessments

More information

Draft statutory guidance to the police service on achieving best evidence in death or serious injury matters

Draft statutory guidance to the police service on achieving best evidence in death or serious injury matters Draft statutory guidance to the police service on achieving best evidence in death or serious injury matters 1. This statutory guidance is issued under section 22 of the Police Reform Act 2002 and applies

More information

Ohio Officer Groundfight/ Off-Duty MO Officer Kills Four While DUI

Ohio Officer Groundfight/ Off-Duty MO Officer Kills Four While DUI !! Volumes 13 Program 10 Ohio Officer Groundfight/ Off-Duty MO Officer Kills Four While DUI DUTY SHEET and LESSON PLAN IN THE LINE OF DUTY is produced exclusively as an interactive sharing resource for

More information

Manchester Police Department Policy

Manchester Police Department Policy Policy Chapter 9 Policing Protocol Section 12 Mentally Ill or Gravely Disabled Individuals, Crisis Intervention Team (CIT), and REACT Model Effective December 18, 2013 Rescinds April 8, 2011 Issuing Authority

More information

DRUG and ALCOHOL ABUSE

DRUG and ALCOHOL ABUSE M12 DRUG and ALCOHOL ABUSE EMS personnel must be aware that alcohol and drug ingestion can mask the symptoms of injury or illness. In addition, many injuries and illnesses can present as suspected alcohol

More information

Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983

Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983 Guidance for commissioners: service provision for Section 136 of the Mental Health Act 1983 Position Statement PS2/2013 April 2013 London Approved by the multi-agency Mental Health Act group chaired by

More information

Report to the Minister of Justice and Attorney General Public Fatality Inquiry

Report to the Minister of Justice and Attorney General Public Fatality Inquiry CANADA Province of Alberta Report to the Minister of Justice and Attorney General Public Fatality Inquiry Fatality Inquiries Act WHEREAS a Public Inquiry was held at the Court House in the Town of Cardston,

More information

Handbook for Strengthening Harmony Between Immigrant Communities and the Edmonton Police Service

Handbook for Strengthening Harmony Between Immigrant Communities and the Edmonton Police Service Handbook for Strengthening Harmony Between Immigrant Communities and the Edmonton Police Service Handbook for Strengthening Harmony This handbook is intended to help you understand the role of policing

More information

Number 25 of 2010 ROAD TRAFFIC ACT 2010 ARRANGEMENT OF SECTIONS. PART 1 Preliminary and General

Number 25 of 2010 ROAD TRAFFIC ACT 2010 ARRANGEMENT OF SECTIONS. PART 1 Preliminary and General Number 25 of 2010 ROAD TRAFFIC ACT 2010 ARRANGEMENT OF SECTIONS PART 1 Preliminary and General Section 1. Short title, commencement, collective citation and construction. 2. Definitions. 3. Interpretation

More information

PEEL: Police effectiveness 2015 (Vulnerability)

PEEL: Police effectiveness 2015 (Vulnerability) PEEL: Police effectiveness 2015 (Vulnerability) An inspection of Lincolnshire Police December 2015 HMIC 2015 ISBN: 978-1-911194-28-6 www.justiceinspectorates.gov.uk/hmic Contents Vulnerability in numbers...

More information

After a suspected seizure. Information for patients, relatives and carers

After a suspected seizure. Information for patients, relatives and carers After a suspected seizure Information for patients, relatives and carers This booklet has been provided to help answer some of the questions you may have about your suspected seizure. What happened to

More information

Child Protection Policy for African Impact and The Happy Africa Foundation

Child Protection Policy for African Impact and The Happy Africa Foundation Child Protection Policy for African Impact and The Happy Africa Foundation Safeguarding children is the responsibility of everyone. Introduction to our Child Protection Policy Page 2 Policy Statement Page

More information

Statutory duty of candour with criminal sanctions Briefing paper on existing accountability mechanisms

Statutory duty of candour with criminal sanctions Briefing paper on existing accountability mechanisms Statutory duty of candour with criminal sanctions Briefing paper on existing accountability mechanisms Background In calling for the culture of the NHS to become more open and honest, Robert Francis QC,

More information

WHEN SEIZURES DON T LOOK LIKE SEIZURES

WHEN SEIZURES DON T LOOK LIKE SEIZURES WHEN SEIZURES DON T LOOK LIKE SEIZURES About the Epilepsy Foundation The Epilepsy Foundation is the national voluntary agency solely dedicated to the welfare of the more than three million people with

More information

REPORT OF AN INVESTIGATION INTO THE DEATH OF ROBERT NICHOLS WHILE HOUSED AT THE CHITTENDEN REGIONAL CORRECTIONAL FACILITY ON FEBRUARY 5, 2005

REPORT OF AN INVESTIGATION INTO THE DEATH OF ROBERT NICHOLS WHILE HOUSED AT THE CHITTENDEN REGIONAL CORRECTIONAL FACILITY ON FEBRUARY 5, 2005 REPORT OF AN INVESTIGATION INTO THE DEATH OF ROBERT NICHOLS WHILE HOUSED AT THE CHITTENDEN REGIONAL CORRECTIONAL FACILITY ON FEBRUARY 5, 2005 Tina Wood Paralegal/Advocate Ed Paquin Executive Director Ginny

More information

Type of law: CRIMINAL LAW. A 2011 Alberta Guide to the Law IMPAIRED DRIVING. Student Legal Services of Edmonton

Type of law: CRIMINAL LAW. A 2011 Alberta Guide to the Law IMPAIRED DRIVING. Student Legal Services of Edmonton Type of law: CRIMINAL LAW A 2011 Alberta Guide to the Law IMPAIRED DRIVING Student Legal Services of Edmonton COPYRIGHT & DISCLAIMER GENERAL All information is provided for general knowledge purposes only

More information

trust clinical guideline

trust clinical guideline CG23 VERSION 1.0 1/7 Guideline ID CG23 Version 1.0 Title Approved by Transient Loss of Consciousness Clinical Effectiveness Group Date Issued 01/01/2013 Review Date 31/12/2016 Directorate Authorised Staff

More information

Employer Liability for Consequences of Teacher Stress House of Lords Decision

Employer Liability for Consequences of Teacher Stress House of Lords Decision Employer Liability for Consequences of Teacher Stress House of Lords Decision Macrossans Lawyers, Brisbane, Queensland In Barber v. Somerset County Council the House of Lords recently delivered an important

More information

FOI 073-12 Compensation settlements to members of the public 2001-2011

FOI 073-12 Compensation settlements to members of the public 2001-2011 FOI 073-12 Compensation settlements to members of the public 2001-2011 1. The number of compensation settlements paid by your force to members of the public annually from 2001 to 2011. 2. The total sum

More information

MANAGING ATTENDANCE POLICY

MANAGING ATTENDANCE POLICY MANAGING ATTENDANCE POLICY POLICY Purpose 3 Responsibilities 3 Sickness Schemes 3 PROCEDURE Sickness Notification Procedure 4 4.1 General Principals 4 4.2 Reporting of Sickness Absence 4 4.3 Sickness Absence

More information

Alberta Police Cognitive Ability Test (APCAT) Candidate Brochure 1

Alberta Police Cognitive Ability Test (APCAT) Candidate Brochure 1 Alberta Police Cognitive Ability Test (APCAT) Candidate Brochure 1 General Information about the APCAT Q1. What does the APCAT measure? A1. The APCAT test measures one s potential to successfully complete

More information

INJURY NARRATIVE. Construction Worker Falls 14 Feet from a Beam onto Concrete and Suffers Serious Brain Injury. Industry: Framing Contractors

INJURY NARRATIVE. Construction Worker Falls 14 Feet from a Beam onto Concrete and Suffers Serious Brain Injury. Industry: Framing Contractors Construction Worker Falls 14 Feet from a Beam onto Concrete and Suffers Serious Brain Injury Industry: Framing Contractors Task: Installing 2 nd story floor trusses Occupation: Construction Worker Type

More information