Prevention of Future Deaths reports · 2016

Henry Hicks

Regulation 28 report to prevent future deaths, reference 2016-0244, written 4 Jul 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report4 Jul 2016
Reference2016-0244
DeceasedHenry Hicks
CoronerMary Hassell
Coroner areaInner North London
CategoryPolice related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Regulation 28:  Prevention of Future Deaths report 

Henry David HICKS (died 19.12.16) 

THIS REPORT IS BEING SENT TO: 

1.  Deputy Assistant Commissioner Fiona Taylor 

Metropolitan Police Service 
Room 918 
New Scotland Yard 
Broadway 
London  SW1H 0BG 

1 

CORONER 

I am:   Coroner ME Hassell 
           Senior Coroner  
           Inner North London 
           St Pancras Coroner’s Court 
           Camley Street 
           London  N1C 4PP 

2 

CORONER’S LEGAL POWERS 

I make this report under the Coroners and Justice Act 2009,  
paragraph 7, Schedule 5, and  
The Coroners (Investigations) Regulations 2013, 
regulations 28 and 29. 

3 

INVESTIGATION and INQUEST 

On  24  December  2014,  I  commenced  an  investigation  into  the  death  of 
Henry  David  Hicks,  aged  18  years.  The  investigation  concluded  at  the 
end  of  the  inquest  on  28  June  2016.  The  jury  made  a  narrative 
determination, a copy of which I attach to this letter. 

4 

CIRCUMSTANCES OF THE DEATH 

Henry  Hicks  died  as  a  consequence  of  a  road  traffic  collision  that 
occurred on Friday, 19 December 2014.   

He lost control of the moped he was riding at 53mph in a 20mph limit on 
Wheelwright  Street  in  Islington  (adjacent  to  HM  Prison  Pentonville), 
clipped a taxi and came off, landing in front of an oncoming vehicle.   

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Two unmarked police cars had been following the moped up Caledonian 
Road, suspecting the vehicle was a ringer and the rider was drug dealing.  
Both  cars  activated 
into 
their  warning  equipment. 
Wheelwright  Street  after  the  moped,  and  the  other  carried  on  up 
Caledonian Road. 

turned 

  One 

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  driver  and  operator  of  police  car  1  and  the  driver  and  operator  of 
police  car  2  (Officers  A,  B,  C  &  D)  all  gave  evidence  in  court  that  they 
were  never in  a position  to  signal to  the  rider of the moped to pull over, 
though this was what they wanted to happen.   

All four gave evidence that they believed at the time of the collision, and 
that  they  still  believed  at  the  time  of  the  inquest,  that  the  rider  was 
unaware of police behind him wanting him to stop.   

For  these  reasons  the  officers said, they  did  not  consider themselves  to 
be in pursuit and therefore did not seek authorisation to continue. 

The jury made a determination that Henry Hicks was aware of the police 
behind  him  and  that  this  was  a  police  pursuit  within  the  definition  of  the 
Metropolitan Police Service standard operating procedure.  The jury also 
made  a  determination  that  Henry’s  attempt  to  avoid  the  police  was  a 
contributory factor in the collision. 

Whilst I appreciate that we do not know whether, if the police officers had 
sought  authorisation,  this  would  have  been  granted,  and  so  whether,  if 
they had treated this as a pursuit, the outcome would have been different, 
it seems to me that this is a matter I must bring to your attention.  All four 
officers  gave  a  proper  understanding  of  the  MPS  relevant  standard 
operating procedure.  However, by implication, the jury did not accept that 
this SOP was complied with on 19 December 2014. 

6 

ACTION SHOULD BE TAKEN 

In  my  opinion,  action  should  be  taken  to  prevent  future  deaths  and  I 
believe that you have the power to take such action.  

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date 
of this report, namely by 5 September 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. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the following. 

  HHJ Peter Thornton QC, the Chief Coroner of England & Wales  
 

 Henry Hicks’ parents 

I  am  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 
interest.  You  may  make 
representations to me, the Senior Coroner, at the time of your response, 
about  the  release  or  the  publication  of  your  response  by  the  Chief 
Coroner. 

it  useful  or  of 

find 

9 

DATE                                                   SIGNED BY SENIOR CORONER 

4 July 2016 

3

Responses

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.

Response from Metropolitan Police (PDF)
cdc TOTAL POLICING

DIRECTORATE OF PROFESSIONALISM

Coroner ME Hassell
Senior Coroner

Deputy Assistant Commissioner

Inner North London Room 918

St Pancras Coroner's New Scotland Yard
Court Broadway

Camley Street London

London N1C 4PP SW1H OBG

Date: 24th August 2016

Dear Ms Hassell,

| write on behalf of the Metropolitan Police Service in response to your Regulation 28 report to
prevent future deaths, dated 4° July 2016. This follows the inquest concluded before you and a
jury on 28" June 2016 at St. Pancras Coroners Court into the circumstances of the death on
Friday 19" December 2014 of Henry Hicks, in a road traffic collision. You will recall that the jury
gave a narrative verdict, in which they declared that, despite opinions to the contrary given in
evidence by the officers involved, in the jury's view, Mr Hicks:

“... was aware that plain clothes police officers were in unmarked vehicle(s) driving at
whatever distance behind him and wanting him to stop. This was a police pursuit as
defined by the Metropolitan Police Service standard operating procedure (SOP).”

You raised this as a matter of concern:

“The jury made a determination that Henry Hicks was aware of the police behind him and
that this was a police pursuit within the definition of the Metropolitan Police Service
standard operating procedure. The jury also made a determination that Henry's attempt
to avoid the police was a contributory factor in the collision. Whilst | appreciate that we do
not know whether, if the police officers had sought authorisation, this would have been
granted, and so whether, if they had treated this as a pursuit, the outcome would have
been different, it seems to me that this is a matter | must bring to your attention. All four
officers gave a proper understanding of the MPS relevant standard operating procedure.
However, by implication, the jury did not accept that this SOP was complied with on 19
December 2014.”

MPS Response - Preface

In drafting a response to these points the following subject area experts —
Commander, Territorial Policing EEE Detective Chief Superintenden

Roads & Transport Policing Command (RTPC); and Sergeant Metropolitan Police
Driving School. | have not had sight of transcripts of any oral evidence from the inquest itself, so
in the event of any variance between these reported facts and evidence you know to have been
presented during the inquest itself, | of course defer to your greater knowledge.

Response Concern #1: The position of the officers involved in the incident.

At the time of writing the four principal officers are subject to gross misconduct proceedings, the
process for which is governed by conduct Regulations. If the officers were subsequently held to
be at fault, this could lead to a number of outcomes, up to and including dismissal from the
service. The Directorate of Professional Standards are currently reviewing materials in the case,
a process which may take some time. At present it is anticipated that the hearing will take place
in 2017, at a date is yet to be confirmed.

We submit therefore that the decision to refer the officers to the Gross Misconduct hearing is a
complete response to your expressed matter of concern.

However, we are also mindful that as an organisation we should always consider tragic incidents
such as Mr Hicks’ death as moments to reflect upon whether there is anything further we can do
to minimise the chances of similar events happening again. Our experts on our internal driving
policies, national best practice, and the training of our police drivers were thus asked to review
the circumstances of this case, in order to confirm whether there were any wider systemic
issues.

We note that you did not identify any systemic concerns in your Prevention Of Future Deaths
report, and indeed went so far as to observe without further comment that the four officers
involved in the incident all had “...a proper understanding of the MPS relevant standard
operating procedure.”

Our experts were of like mind, finding nothing, following review, in our wider practices and
protocols which were called into question by the particular facts of the current case.

We did nevertheless feel that that the circumstances of Mr Hicks’ death reinforced the
importance of acknowledging the particular risks and necessary safeguards which should be
involved in any engagement by our officers with individuals on motorcycles. To this end, we
intend to issue as soon as possible a general reminder to all our frontline staff, via a prominent
item on the internal MPS intranet, where it may be viewed by every officer and member of staff.

The text of this reminder has already been prepared by Commander comoms however it has not
yet been circulated, as he rightly observes that it would be inappropriate to comment specifically
on matters which might touch on aspects of Mr Hicks’ death or our response to it, whilst the
officers involved remain under internal investigation.

In the prepared text, he describes the difficult balance the MPS must maintain between the
public’s concerns over rising levels of motorcycle assisted crime, and the enhanced risks any
pursuit of a motorcycle necessarily presents. To this end, he points out that in recent months
new tactics have been developed to enable suitably trained officers to resolve motorcycle
pursuits swiftly and more safely. This includes enhanced tactical training for many of our drivers;
and for the first time, the approval of the use of tyre deflation systems for use against
motorcycles. During the testing phase of this system, it was ascertained that the device can be
deployed to bring motorcycles to a halt safely even when they are travelling at speeds of up to
100 miles an hour.

Such measures have been given an additional urgency by the recent rise of motorcycle-enabled
robbery, a ‘priority crime’ within the definition of acquisitive crime in the Home Office Strategy for
tackling Serious and Organised Crime, which also meets the definition of Serious or Organised
Crime in the MPS Pursuit Policy.

Commands! amg eran officers that regardless of the actions taken, or tactics adopted, our
officers remain, always and rightly, subject to public scrutiny for all the decisions they make. This
is vital for maintaining public confidence. For this reason, he states:

“Officers need to comply with guidance issued within the MPS Standard Operating
Procedure, and should only deviate from the SOP where they can justify their decision,

and it is a proportionate response to a policing problem. Each case needs to be judged
on its merits...”

And adds:

“I can say we remain confident in our policy, training and tactics, which are kept under
constant review and revision. We reviewed our guidance as a matter of course...
following the findings of the recent inquest touching the death of Henry Hicks, the result
of which was that the existing policy remains unchanged. ../f any officer is unsure of the
pursuit policy, they should consult their local Safer Driver Manager.”

In conclusion

Without prejudice to the particular facts surrounding Mr Hicks’ death, and the still on-going
investigation into the actions of the officers involved in the incident, | trust you will find some
reassurance that the criticism voiced at inquest will now have a further opportunity to be fully
explored in the context of a formal disciplinary process for the officers involved.

We are however in agreement with your own position regarding the wider organisational context,
in that there appears to be no specific lessons regarding our existing training regime or
management of pursuits which can be drawn from this case. Nevertheless, | trust you will take
some reassurance from the evidence presented in Commander {J statement that we are
not complacent about our response to the challenge of policing motorcycle users effectively. On
YY, as we have set out above, we continue to re-evaluate and evolve our tactical

light of changing criminal threats, and in the aftermath of any death.

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