Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0052, written 15 Feb 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 15 Feb 2016 |
|---|---|
| Reference | 2016-0052 |
| Deceased | James Barrett |
| Coroner | David Horsley |
| Coroner area | Portsmouth and South East Hampshire |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Police Crime Commissioner for Hampshire St George's Chambers St George's Street Winchester $023 8AJ 2. The Chief Constable Hampshire Constabulary Police Headquarters West Hill Romsey Road Winchester SO22 5DB 1 | CORONER | am David Clark Horsley, senior Coroner, for the Coroner area of Portsmouth and South East Hampshire. 2 | CORONER’S LEGAL POWERS | make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. 3 | INVESTIGATION and INQUEST On 18" August 2015 | commenced an investigation into the death of James David Barrett, age 66. The investigation concluded at the end of the inquest on 5h February 2016. The conclusion of the inquest was: - Medical cause of death: 1a) Severe Ketoacidosis and Hypothermia 2) Alzheimer's Dementia and Diabetes Mellitus - Coroner's conclusion as to the death: Death due to an Accident. 4 | CIRCUMSTANCES OF THE DEATH On7" August 2015 James David Barrett, who suffered from Alzheimer's Dementia, went missing from his home. Despite a missing person search having been instituted by the emergency services on gh August 2015, he was not found until 13" August 2015. He was pronounced deceased at the scene of his discovery by an attending police officer at 15.10 hours that day. 5 | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. — The matters that concern me relate to issues raised in a report given to me at the Inquest by Sergeant 2637 Turner of Hampshire Constabulary. | attach a copy of his report upon which | have highlighted these issues. If the mapping of the search for Mr Barrett had been completed on one mapping system, | believe the search for him could have been conducted more quickly and effectively. This could be done in future if the police search advisers had available to them a stand- alone mapping system rather than relying on a volunteer organisation to map out searches. | was told that a bid for such a mapping system by the police search team has been turned down by Hampshire Constabulary and | would ask that this decision be reviewed in the light of the circumstances of Mr Barrett's death. | was also told that the search for Mr Barrett could have been more effective if searchers had been equipped with tracking devices which would allow search organisers to see precisely where searchers had looked for him. | should be grateful if Hampshire Police could consider obtaining there devices for use in missing persons searches. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe your organisation have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 11 *" April 2016. I, the Coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. COPIES and PUBLICATION | have sent a copy of my report to the Chief Coroner and to Mr Barrett's family. lam also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. Monday, 15" February 2016 SIGNED BY CORONER ce vid Clark Horsley
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
RECEIVED 08 APR 2016 | THAMES VALLEY Andy Houghton . POLICE Superintendent Operations BY H.M CORONER} Joint Operations Unit Hampshire Constabulary & Thames Valley Police Southern Support Headquarters Hamble Lane Hamble Hants $02314TS David C Horsley LLB, Solicitor Tel: 02380 47870 Mob: 07766 441367 HM Coroner The Coroners Court 1 Guildhall Square www.hampshire. police.uk www.thamesvalley.police.uk PORTSMOUTH Hants Our Ref: AH016/2016 PO1 2GJ 6" April 2016 Dear Sir, Many thanks for your letter dated the15th February but not received by Police Headquarters until the 20th March, 2016. You have stated a duty to respond by the 11th April, 2016. | can confirm that a business case has been submitted by Sergeant Turner proposing the purchase of a MAPYEX system at £51,000 along with detail of how the system will be used to reach maximum benefits. On the 22nd March, 2016 | recommended the purchase for ratification to Assistant Chief Constable Scott Chilton. He requested information from Procurement Services in order to identify a timeline for purchase, training requirements and subsequent go-live. Due to Easter leave the information is still awaited. With your authority may | request an extension to the 25th April, 2016 when | am confident full details will be provided. Yours faithfully | Andy Houghton SY O9A - Joint Ops Unit Letterhead (02/2012) Ny at Winchester, Hampshire SO23 8AJ : vING | Telephone 01962 871595 SERVING HAMPSHIRE & ISLE OF WIGHT E-mail: opcc@hampshire.pnn.police.uk www. hampshire-pcc.gov.uk || 276) LI C E & C R | M E St George's Chambers, St George’s Street, David C. Horsley LLB Solicitor Date: 8 April 2016 Her Majesty’s Coroner for Portsmouth and South East Hampshire Enquiries to: RECEIVED The Coroner's Court Direct line: 11 APR 2016 1 Guildhall Square Portsmouth q Our reference: BY H.M CORONER} PO1 2G6J Your reference: Dear Mr Horsley Thank you for sending a copy of the report dated 15 February 2016 regarding the death of Mr James Barrett. 1! welcome your consideration of the circumstances surrounding Mr Barrett's death and your subsequent recommendations. | am able to report that Hampshire Constabulary is currently considering a bid to purchase the software recommended, or an equivalent, and would like to offer my assurance that | will revisit this matter to ensure that this does occur. Yours sincerely Simon Hayes Police and Crime Commissioner Office of the Police and Crime Commissioner tor Hampshire St George's Chambers, St George's Street, Winchester, Hampshire, S023 8AJ 01962 871 595 / opcc@hampshire.pnn.police.uk / www.hampshire-pcc.gov.uk Protecting People & Places |
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