Prevention of Future Deaths reports · 2024

Matthew Terrill

Regulation 28 report to prevent future deaths, reference 2024-0176, written 27 Mar 2024. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report27 Mar 2024
Reference2024-0176
DeceasedMatthew Terrill
CoronerAlexandra Poutney
Coroner areaSouth Yorkshire (West)
CategoryAlcohol, drug and medication 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.

ANNEX A 

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS (1) 

NOTE: This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1.  The Chief Constable, South Yorkshire Police Headquarters, 
Carbrook House, 5 Carbrook Hall Road, Sheffield, S9 2EH 

1  CORONER 

I am Alexandra Pountney, Assistant Coroner, for the coroner area of South 
Yorkshire (West District) 

2  CORONER’S LEGAL POWERS 

I 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 30 April 2020 an investigation was commenced into the death of Matthew 
Terrill. An inquest started on 19 February 2024 and concluded on 8 March 2024.  

The cause of death was: 

1(a) Cardiorespiratory arrest.  
1(b) Hypoxic ischemic brain injury.  
1(c)  Cocaine, 
  (synthetic 
cannabinoids), heroin, pregabalin, gabapentin and dihydrocodeine toxicity (with 
associated acute agitation), and ischemic heart disease. 

4  CIRCUMSTANCES OF THE DEATH 

On 22 April 2020, Matthew Terrill was taken into custody at Shepcote Lane 
Custody Suite, Sheffield by officers from South Yorkshire Police who had 
arrested him in the community.  

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 At the time of his arrest, Matthew was intoxicated by drugs (including, 
Cocaine, 
 (synthetic 
cannabinoids), heroin, pregabalin, gabapentin and dihydrocodeine).  

An ambulance was called by officers in the community at 11.27am and 
cancelled at 11.43am. Matthew arrived at Shepcote Custody Suite at 11.56am. 
There is an attempted booking in procedure for Matthew between 
approximately 11.57am and 12.05pm, during which time Matthew was 
exhibiting behaviour of drug intoxication, possibly combined with acute 
mental health symptoms, and ultimately required restraint by officers. 
Matthew was restrained and escorted to a cell before he was assessed by 
healthcare professionals stationed at Shepcote Lane, of which there were two 
on shift and available. Healthcare professionals were unable to assess Matthew 
in his cell during the restraint by officers, which lasted for approximately 11 
minutes. Matthew was then put on level 4 constant observations with two 
police officers (including the arresting officer) assigned to him. This period of 
observation lasted roughly between 12.16pm and 13.28pm, when it was noted 
that Matthew was no longer breathing. No further medical assessment was 
carried out during the period of observation. The evidence before the Court 
was that the officers assigned to constant observations had limited experience 
of carrying out the task and had not been briefed by the custody sergeant.  

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 could occur unless 
action is taken. In the circumstances it is my statutory duty to report to you. 

The MATTERS OF CONCERN are as follows.  –  

1.  Lack  of  training  in  the  First  Aid  or  Personal  Safety  courses  for 
police officers in relation to recognising the signs and symptoms of 
drug intoxication. Specifically, how to recognise a drug overdose or 
the ill-effects of drug intoxication, and when it is appropriate for a 
detainee to be taken to hospital.  

I  have  been  told  that  officers  routinely  come  across  persons  who  are 
intoxicated through drugs, and that officers are routinely expected to risk 
assess  these  persons  and  decide  whether  to  transport  to  hospital  or 
custody.  Without  proper  guidance  in  place  for  the  officers,  I  am 
concerned about the risk of future death to persons who are intoxicated 
by drugs and requiring hospital treatment.  

I note the circulation of the ‘Patient or Prisoner’ cards, but these do not 
include reference to intoxication by drugs.  

I note also that some training is given to trainee officers, but this does 
not  specifically  cover  intoxication  by  drugs  and,  even  if  it  did,  I  am 
concerned that training an officer once, at the beginning of their career, 

2 

 
 
 
 
 
 
 
  
 
 
 leaves  the  door  open  to  the  development  of  bad  practice  and  the 
fallibility of human memory. 

2.  Lack of training in First Aid or Personal Safety courses for police 
officers in relation to recognising the signs and symptoms of mental 
health conditions and acute mental health crisis. Specifically, when 
this  may be impacting upon the behaviour  of the  detained  person 
and whether they require medical assistance from a hospital.  

I have been told that officers are trained in methods of communication 
with persons who are suffering from mental health episodes, but not how 
to  recognise  the  symptoms.  There  is  training  on  ABD,  and  I  am  not 
concerned about the officers’ ability to respond to persons with suicidal 
ideation. Accepting that police officers are not medical professionals, I 
am concerned that there is no guidance on recognition of symptoms of 
mental health conditions falling short of crisis (in particular the way in 
which  this  may  affect  behaviour)  and  appropriate  management,  then 
detained  persons  suffering  from  a  mental  health  episode,  or  with  pre-
existing mental health conditions, may be at risk of future death.  

3.  Lack of training in First Aid or Personal Safety courses for police 
officers in relation to the heightened risk of positional asphyxia and 
intoxication.  

I  have  seen  guidance  from  the  College  of  Policing  that  there  is  a 
heightened risk of positional asphyxia in persons who are intoxicated. I 
am concerned that without some guidance and training, police officers 
will be unable to take steps to reduce the risk of positional asphyxia in 
intoxicated persons which may cause a risk of future death.  

4.  Lack of refresher or mandatory annual training for police officers 

in relation to constant observations.  

I am told that there is no specific mandatory training for police officers 
on constant observations, but that trainee police officers are now given 
training  on  constant  supervision  as  part  of  their  introduction  to  the 
custody  suite.  I  have  been  told  that  there  is  an  optional  CPD  module 
available  to  officers  on  constant  observation  training.  I  am  concerned 
that  police  officers  are  being  regularly  asked  to  perform  constant 
observations  on  detainees  of  the  highest  risk  levels  without  any 
mandatory  training  or  refresher  training  on  the  subject.  Whilst  the 
Custody Sergeant is tasked with providing a briefing to officers who are 
tasked  with  constant  observations,  I  am  concerned  that  there  is  no 
evidence of consistency in this task being completed to an appropriate 
standard or at all. There is a risk that in a busy custody suite, this briefing 
will be overlooked or omitted (and in fact that was the evidence in this 
case).  There  is  no  evidence  to  reassure  me  that  this  was  a  one-off 
incident, rather the evidence before me suggested that it was not. This 
gives rise to a risk of future death for detained persons on level 4 constant 
observation.  

3 

 
  
  
  
  
   
  
 5.  Lack of refresher or mandatory annual training for police officers 
in relation to information to be passed to the custody officers during 
the booking in procedure.  

I am told that there is no specific mandatory training for police officers 
on the information expected of them at the custody suite desk during the 
booking  in  procedure,  but  that  trainee  police  officers  are  now  given 
training  on  constant  supervision  as  part  of  their  introduction  to  the 
custody suite. I am concerned that police officers are regularly handing 
over  to  custody  officers  without  any  mandatory  training  or  refresher 
training on the subject, which leaves the information that they decide to 
pass over open to discretion. Training an officer once, at the beginning 
of their career, leaves the door open to the development of bad practice 
and the fallibility of human memory. This gives rise to a risk of future 
death  for  detained  persons  if  pertinent  information  is  omitted,  for 
example health or intoxication information.  

6.  Lack of safety net for custody suit documentation, specifically the 

constant supervision forms.  

I am told that whilst there has been a welcomed change to the format of 
the constant observation forms, there is no safety net for ensuring that 
these  forms  are  handed  over  in  a  timely  manner  or  by  the  custody 
sergeant. I am also told that there is no audit trail in place for checking 
that these forms are being signed by police or custody officers to ensure 
that the envisaged sergeant briefing is being given. I am concerned that 
there  is  a  risk  of  future  death  to  detained  persons  on  level  4  constant 
supervision  in  circumstances  where  the  sitting  officers  may  not  be 
experienced in the task, have not been trained, and are not consistently 
being briefed by the custody officers.  

7.  Jury  concern  –  the  design  and  format  of  the  documentation, 
specifically  the  level  4  supervision  form,  was  unclear  and  poorly 
structured.  

This featured within the jury’s narrative conclusion, and whilst I heard 
some  evidence  that  certain  elements  of  the  form  had  changed.  It  is 
broadly similar in its new format to the copy that the jury were presented 
with.  

6  ACTION SHOULD BE TAKEN 

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

7  YOUR RESPONSE 

4 

 
  
  
  
  
 
 
 
 
 
 
 
 
 You are under a duty to respond to this report within 56 days of the date of this 
report, namely by 22 May 2024. 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 Chief Coroner and to the Interested 
Persons.  

I am also under a duty to send a copy of your response to the Chief Coroner 
and all interested persons who in my opinion should receive it.   

I may also send a copy of your response to any other person who I believe may 
find it useful or of interest. I have sent a copy to the College of Policing.  

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. 

9 

27 March 2024                                                                  Alexandra Pountney   
                                                                                       HM Assistant Coroner   

5

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 South Yorkshire Police and Humberside Police (PDF)
Alexandra Pountney, Assistant Coroner,  
Medico-Legal Centre 
Watery Street 
Sheffield 
S3 7ES 

PRIVATE 

Date: 

17 May 2024 

Chief Constable of South Yorkshire Police 

For the Attention of Ms A Poutney 

Dear Ms Poutney 

Inquest touching the death of Mr Matthew Terrill 

I write in response to the Regulation 28 Report to Prevent Future Deaths dated 27 March 2024. 

Your report raised the following Matters of Concern: 

1.  Lack  of  training  in  the  First  Aid  or  Personal  Safety  courses  for  police  officers  in  relation  to 
recognising  the  signs  and  symptoms  of  drug  intoxication.  Specifically,  how  to  recognise  a  drug 
overdose or the ill-effects of drug intoxication, and when it is appropriate for a detainee to be taken 
to hospital.  

2.  Lack of training in First Aid or Personal Safety courses for police officers in relation to recognising 
the  signs  and  symptoms  of  mental  health  conditions  and  acute  mental  health  crisis.  Specifically, 
when this may be impacting upon the behaviour of the detained person and whether they require 
medical assistance from a hospital.  

3.  Lack  of  training  in  First  Aid  or  Personal  Safety  courses  for  police  officers  in  relation  to  the 

heightened risk of positional asphyxia and intoxication.  

4.  Lack  of  refresher  or  mandatory  annual  training  for  police  officers  in  relation  to  constant 

observations.  

5.  Lack  of  refresher  or  mandatory  annual  training  for  police  officers  in  relation  to  information  to  be 

passed to the custody officers during the booking in procedure.  

6.  Lack of safety net for custody suit documentation, specifically the constant supervision forms.  

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
 7.  Jury  concern  –  the  design  and  format  of  the  documentation,  specifically  the  level  4  supervision 

form, was unclear and poorly structured.  

PRIVATE 

Response to Matters of Concern 

1.  Lack  of  training  in  the  First  Aid  or  Personal  Safety  courses  for  police  officers  in  relation  to 
recognising  the  signs  and  symptoms  of  drug  intoxication.  Specifically,  how  to  recognise  a  drug 
overdose or the ill-effects of drug intoxication, and when it is appropriate for a detainee to be taken 
to hospital.  

Where we are now 

South  Yorkshire  Police  officers  receive  a  2-day  initial  First  Aid  course  (MOD  2  initial)  as  part  of  their 
initial  training  and  thereafter  an  annual  4  hour  First  Aid  (Mod2  refresher)  course.  The  MOD  2  initial  is 
covered again over a 3-year cycle.  

The MOD 2 module is equivalent to the HSE ‘Emergency First Aider at Work’ (EFAW) standard which is 
delivered  throughout  different  organisations.  The  EFAW  or  College  of  Policing  (CoP)  does  not  cover 
managing a casualty who has been poisoned. The learning structure addresses emergency First Aid in 
the workplace and deals with a wide range of medical situations that personnel may be expected to deal 
with including, basic life support, trauma and other medical conditions and topics. 

As the module is equivalent to the EFAW, the delivery in terms of poisons only covers generic workplace 
toxins such as aspirin, alcohol, acids, and bleaches. Within the training a poison is described, looking at 
the ways it gets into the body and looking at certain aspects such as toxins, bleaches and alcohol. The 
training  also  looks  at  causes,  signs  and  symptoms  which  vary  widely  and  can  differ  dependant  on  the 
individual, and the treatment. 

The main objective of this course is the 3 P’s: Preserving life, Preventing injury from getting worse, and 
Promoting recovery. 

The key message throughout the first aid session is if there is any doubt at all in relation to a casualty’s 
condition they should be taken to A and E. 

Officers also receive a Qualsafe first aid book as part of their initial course which can be used as an aide 
memoir throughout their service. 

Future work 

Following the Manchester Arena incident, the first aid learning program have recognised that the learning 
requirements of delivering first aid in a policing context are significantly different to the application of first 

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 P RI V A T E  

ai d  i n   a  t y pi c al   w or k pl a c e ,  t he  fir st   ai d  l e ar ni n g   pr o gr a m  c o nt e nt  h a s   t h er ef or e  b e e n   m o difi e d  t o   m e et  
t h e s e  c h a n g e s. 

A  c h a n g e  t o t h e Fir st  Ai d  l e ar ni n g  pr o gr a m f or  n e xt  y e ar i ntr o d u c e s  p oi s o n  w hi c h  c o v er s : 

7. 7  H o w t o  m a n a g e  a  c a s u alt y 
w h o  h a s  b e e n  p oi s o n e d.   
W h at it i s  p er m/t
W h at  c a n 
R e c o g ni s e 
s y m pt o m s. 
A n d tr e at m e nt s  g oi n g t o  gi v e.  

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R e c o g ni s e t h e  si g n s  a n d  s y m pt o m s  of  p oi s o ni n g.   

Di s c u s s  a c ut e  al c o h ol i nt o xi c ati o n.   

Di s c u s s i nt e nti o n al  dr u g  o v er d o s e.   

M a n a g e  a  c a s u alt y  wit h  a n a p h yl a xi s.   

A lth o u g h t h e  a b o v e  c o nt e nt i s  p art  of t h e  n e w  fir st  ai d l e ar ni n g  pr o gr a m c urri c ul u m  d u e t o  c o m m e n c e i n 
A pril  2 0 2 5 , th e  a b o v e  p oi s o n  m o d ul e  h a s  b e e n i ntr o d u c e d i n t o m o d ul e  2  y e ar  3  fr o m A pril  2 0 2 4 .  S o ut h 
Y o r k s hire  P oli c e  will  b e  i ntr o d u ci n g t hi s i nt o t h e M O D  2  i niti al al s o  fr om t h e  6  M a y  2 0 2 4.  

S o ut h  Y or k s hir e  P oli c e  ar e  c urr e ntl y  w or ki n g  wit h  ot h er f or c e s  o n  d e pl o yi n g  offi c er s  wit h  N al o x o n e.  T hi s 
i s   a n   a nti- opi oi d   n a s al   s pr a y   w hi c h  r e v er s e s  t h e   eff e ct s   of   dr u g s   o v er d o s e s.   T hi s   o nl y   w or k s   a g ai n st  
o pi at e s.  T hi s i s i n t h e  e arl y  st a g e s  of  d e v el o p m e nt i n  o ur f or c e  a s  w e l o o k t o  u n d er st a n d  w h at tr ai ni n g 
will  b e r e q uir e d .  Furt h er  c o n s ult ati o n  wit h  p art n er s  a n d r el e v a nt  u ni o n s  ar e  c urr e ntl y  u n d er w a y . 

W h at i s  n ot  p

l a n n e d  a n d  wh y ?  

Offi c er s  r e c ei v e  a 4- h o ur  tr ai ni n g refr e s h er  c o ur s e  a n n u all y . Fr o m  1  A pril  2 0 2 5 t h e  n e w  c urri c ul u m  will  b e 
6  h o ur s  c o nt a ct ti m e .  It w o ul d  b e  e xtr e m el y  c h all e n gi n g  f or  tr ai ni n g t o i n cl u d e  all  dr u g s  gi v e n t h e e v er 
e v ol vi n g   a n d  c h a n gi n g   n at ur e   of  t h e s e   s u b st a n c e s .  Offi c er s   ar e   n ot   m e di c all y   tr ai n ed   a n d   i n di vi d u al s 
u n d er  t h e  i nfl u e n c e   of   dr u g s   c a n   h a v e   di s pl a y  v ar yi n g     s y m pt o m s   a n d   b e h a vi o ur s   d e p e n di n g   o n  t h e  
dr u g s  a n d  q u a ntit y  t h at h a v e  b e e n  t a k e n. 

T h e  m e s s a g e  t o  offi c er s t hr o u g h o ut all  of t h e  fir st  ai d  c o ur s e s i s t h at if t h er e i s a n y  d o u bt   as  t o  w h et h er  a 
d et ai n e d  i n di vi d u al   i s u n d er  t h e  i nfl u e n c e   of   dr u g s   an d   t h er e  ar e   c o n c er n s   ar o u n d  t h e  i m p a ct  t hi s  i s 
h a vi n g  u p o n t h e m,  m e di c al  a d vi c e  s h o ul d  b e  s o u g ht.  

2.  

L a c k  of tr ai ni n g i n  Fir st  Ai d  or  P er s o n al  S af et y  c o ur s e s f or  p oli c e  offi c er s i n r el ati o n  t o r e c o g ni si n g 
t h e   si g n s   a n d  s y m pt o m s  of  m e nt al  h e alt h  c o n diti o n s   a n d  a c ut e   m e nt al  h e alt h   cri si s.  S p e cifi c all y, 
w h e n t hi s  m a y  b e i m p a cti n g  u p o n t h e  b e h a vi o ur  of t h e  d et ai n e d  p er s o n  a n d  w h et h er t h e y r e q uir e 
m e di c al  a s si st a n c e fr o m  a  h o s pit al .  

W h er e  w e  a

r e n o w  

L e g al  S er vi c e s  
S o ut h  Y or k s hir e  P oli c e  H e a d q u art er s  
C ar br o o k  H o u s e  
5  C ar br o o k  H all  R o a d,  
S h effi el d  S 9  2 E H  

D X:  7 0 8 8 7 0  S h effi el d  

T el:  0 1 1 4  2 5 2  3 5 8 8  

F or  S at.  N a vi g a ti o n  u s er s  S 9  2 E G 

L e g al  S er vi c e s  
H u m b er si d e  P oli c e  H e a d q u art er s  
Pri or y  R o a d  
H ull  
H U 5  5 S F  

D X:  7 0 8 8 8 5  H ull  1 8  

T el:  0 1 4 8 2  5 7 8  2 6 6  

E- M ail:  L e g al E n q uiri e s

@ s o ut h y or k s. p n n. p oli c e. u k  

P a g e  3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 PRIVATE 

The  First  Aid  learning  program  curriculum  does  not  provide  content  on  symptoms  of  ‘generic’  mental 
health conditions.  

However, in both Personal Safety Training (PST) and First Aid training since 2014 officers have received 
an input on Acute Behavioural Disturbance (ABD) and on how to recognise signs and symptoms in both 
theory and practice. 

The  College  of  Policing  and  NPCC  developed  a  PowerPoint  presentation  on  ABD  which  describe  the 
behavioural  and  physical  signs  of  ABD  and  makes  clear 
rapid  clinical 
assessment/intervention. This was last updated in 2019 and was delivered as part of the PST input. 

the  need 

for 

Officers are encouraged to dynamically risk assess the situation presented to them in terms of how they 
will control and restrain the individual. 

The  clear  message throughout the  courses  is  if officers think the  individual  is  displaying  signs of  ABD. 
‘ABD means A & E.’ 

Student  officers  receive  an  input  on  ABD  as  part  of  their  PST  input.  Prior  to  starting  their  PST  Input 
Students are sent a Learners Guide which directs the students to various links. One of these links is the  
detailed  College  of  Policing  PowerPoint  presentation  on  ABD  which  is  referred  to  above.  The  learning 
from the PowerPoint is assessed via a trainer led session and during their training. 

The students also cover ABD signs, symptoms, and treatment as part of the students MOD 2 First Aid 
Initial course and on their annual First Aid MOD 2 Refresher.  

The  PST  delivery  for  this  year  commencing  in  April  2024  is  all  scenario-based  delivery.  There  are  six 
different scenarios mandated by the College of Policing. One scenario is based on ‘vulnerable person.’ 
The Trainers can introduce ABD by slightly adapting the vulnerable person scenario, to having the role 
player  displaying  some  of  the  signs  and  symptoms  of  ABD,  with  the  trainer  also  providing  input  to  the 
role player to display varying signs and symptoms of ABD such as, the person is hot to touch, incredibly 
strong or sweating heavily etc. From this the student should realise that they are dealing with someone 
who is having an ABD episode and deal with them accordingly.  

As  part  of  the  scenario  training,  the  students  will  be  shown  how  to  try  to  use  control  rather  than  pain 
techniques to deal with someone in ABD. The Trainers will emphasise the risk of positional asphyxia if a 
subject  is  in  ABD  and  positions  to  restrain  on  the  ground  other  than  in  the  prone  position  i.e.,  Supine 
position, rolling them onto their sides, kneeling or seated position.  

The  students  are  also  trained  that  if  a  subject  is  placed  in  handcuffs  and  limb  restraints  they  must  be 
observed by an officer at all times until the limb restraints and handcuffs are removed.  

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 4 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 PRIVATE 

Students  will  also  complete  a  theory  style  questionnaire  (Time  on  Tasks)  to  confirm  their  learning  and 
understanding of ABD. 

We have a policy around the management and transportations of casualties, whilst this does not solely 
link  to  mental  health.  This  policy  covers  decision  making  and  steps  to  following  when  managing 
casualties, including handovers to medical professionals. This does not cover mental health but covers 
physical symptoms. 

Mental Health training was rolled out to all front line officers via Street Skills in 2018. This was developed 
and  delivered  with  partners  and  individuals  with  lived  experience.  This  gave  officers  guidance  on 
recognising sign and symptoms of mental health issue including those falling short of a crisis.  

South Yorkshire Police delivers a 2 hour input to all new Force Control Room, custody and enquiry desk 
recruits as part of their initial training. There is a great deal of material and presentation around spotting 
the signs and how to deal with various situations which can be found under our mental health resource 
section. 

South Yorkshire Police CPD is currently booked up until December 2024, a further mental health CPD 
event will be considered in CPD training from early 2025 where we will look to deliver this force wide. 

PNC markers can be placed on anyone identified as suffering from mental health conditions who have 
previously been in contact with the police. In custody, further information can be held around their mental 
health  via  Liaison  and  Diversion  and  as  part  of  the  risk  assessment  carried  out  by  the  Custody 
Sergeants which covers aspects of mental health. 

We  have  across  some  districts  Mental  Health  Service  cars  (SMED),  these  are  run  by  mental  health 
practitioners  who  can  support  officers  by  giving  advice  or  attend  incident  reports  of  someone  who  is 
believed to suffering a mental health episode. This to ensure they are assessed and receive the relevant 
support  they  need.  This  is  not  available  across  the  force  due  to  funding  from  our  local  NHS  partners.  
The use of SMED is reducing with the implementation of the Right Care Right Person policy. 

Within  our  custody  suites  we  have  a  medical  practitioner  and  Liaison  and  Diversion.  They  carry  out 
assessments on anyone who is suffering from a medical episode or has any mental health issue. From 
this assessment it will be decided whether they can be managed whilst they are in custody. They may 
decide on occasions that hospital treatment is needed, therefore officers will take them directly to A&E. 
Further support can then be put in place including support within the community. 

Access  to  information  around  an  individual’s  previous/current  mental  health  or  pre-  existing  health 
conditions is not always available.  Officers will make decisions in line with the National Decision Making 
Model, Code of Ethics, and the training received around how they treat and manage the detainee. This 
will  be  dependent  on  the  circumstances,  how  that  person  is  presenting  and  the  risk  they  pose  to 
themselves and members of the public. If they are in any doubt in terms of how a person is presenting 

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South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

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Legal Services 
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Hull 
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Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 5 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 PRIVATE 

and have significant concerns around their mental health then the advice is that medical advice should 
be sought. 

Officers  and  staff  have  access  to  a  custody  internet  resource  page,  this  has  relevant  information  and 
presentations for officers which includes guidance for officers presenting a detainee at the custody suite, 
Patient or Prisoner Cards and other supportive guidance. 

Future Work 

The College of Policing ABD video could be mandated to all officers to complete as part of their CPD. 

CPD is at full capacity until 2025 where mental health will be listed for consideration in early 2025. 

What is not planned and why? 

In  terms  of  first  aid  there  is  no  change  to  curriculum  in  terms  of  introducing  generic  mental  health 
conditions into first aid training. 

No requirement to change PST delivery in view of vulnerable person scenario described as above. 

A one-day mental health awareness course is delivered as part of the leadership academy which covers  
a wide range of mental health conditions. Officers can enrol themselves onto the course as part of their 
CPD.  

3. 

Lack  of  training  in  First  Aid  or  Personal  Safety  courses  for  police  officers  in  relation  to  the 
heightened risk of positional asphyxia and intoxication.  

Where are we now 

Officers receive an input on the risks of positional asphyxia and intoxication as part of their initial course. 
Which is similar to the vulnerable person scenario except it will be set in the custody environment. 

This will be achieved by having the role player displaying some of the signs and symptoms of ABD, with 
the trainer also providing input stating the role player is displaying varying signs and symptoms of ABD 
such as, the person is hot to touch, incredibly strong or sweating heavily etc. From this, students should 
realise that they are dealing with someone who is in ABD and deal with them accordingly.  

As  part  of  the  scenario  training,  the  students  will  be  shown  how  to  try  to  use  control  rather  than  pain 
techniques to deal with someone in ABD. 

The  students  are  also  trained  that  if  a  subject  is  placed  in  handcuffs  and  limb  restraints  they  must  be 
observed by an officer at all times until the limb restraints and handcuffs are removed.  

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 6 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Future work 

PRIVATE 

Posters will be refreshed to offer officers guidance in relation to the risk of positional asphyxia, this will 
also be added to the observation document. 

The observation document will include clear bullet points and guidance to ensure what is required by the 
officer  carrying  out  the  constant  observations  and  will  include  that  no  prisoner  should  be  left  on  their 
front, under intoxicant whilst in handcuffs and leg restraints. 

4. 

Lack of training or mandatory annual training for police officers in relation to constant observations. 

Where are we now 

There  is  currently  no  annual  training  for  officers  around  constant  observations.  We  have  a  constant 
observation document which should be briefed to the officer when carrying out this role. This details and 
documents  the  roles  and  responsibilities  of the officer  and  Sergeant.  This  is  then signed  and  dated  by 
both the officer and the Sergeant following the briefing. 

I have noted the concerns raised by the coroner. 

Future Work 

South Yorkshire Police will review the document given to officers for constant observations. Discussions 
with  other  forces  within  the  coming months  is  intended around this  document,  to  see  if there  are  other 
improved working practices around capturing this task. This will include the role of the Sergeant and the 
person observing the detainee. 

Training/ CPD will be given to all Custody Sergeants following this review setting out clear standards and 
expectations around their role and responsibilities of this document. Dip samples will be carried out by 
the  Custody  Inspectors  to  ensure  compliance,  this  will  include  reviewing  of  CCTV  to  ensure  that  this 
document  is  briefed,  relevant  checks  by  the  Sergeant  are  carried  out  for  anyone  under  constant 
observations.  

The  Custody  lead  for  South  Yorkshire  Police  is  to  have  further  consultation  with  the  Performance  and 
Governance  team  to  look  at  whether  BWV  should  be  activated  when  observing  a  prisoner,  this  could 
then  capture  the  briefing,  roles  and  responsibilities,  action  of  the  officers  and  any  behaviour  of  the 
detainee. 

South  Yorkshire  Police  Professional  Standards  Department  are  delivering  live  custody  table  top 
exercises, this will feature a scenario of a death in police custody. The first one is due to be held in May 
2024.  This  will  include  officers,  staff,  seniors  officers  who  carry  our  cadre  force  responsibilities  so  that 

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 7 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 everyone can understand their role, responsibilities and actions that need to be taken following a death 
in custody. This will also include our partners. These will run annually to ensure everyone is trained.  

PRIVATE 

5. 

Lack  of  refresher  or  mandatory  annual  training  for  police  officers  in  relation  to  information  to  be 
passed to the custody Sgt during in the booking in procedure  

Where are we now 

South  Yorkshire  Police do  not  have  an  annual  training  or  CPD  around officers  presenting  detainees to 
custody officers. Student officers are trained around this during their initial training phase and they carry 
out  practical  scenarios  around  presenting  to  custody  officers  and  the  importance  of  this.  This  is  then 
developed  further  when  a  student  officer  moves  into  their  tutored  phased,  they  will  gain  experience  in 
presenting detainees to Custody Sergeants, under the observation of an experience tutor constable. 

Custody  Sergeants  will  ask  relevant  questions  of  the  officer  should  any  information  be missing  around 
the  booking  in  procedure.  The  Custody  Sergeant  completes  the  relevant  risk  assessment  during  this 
process.  If  anything  has  been  missed,  the  Sergeant  would  ask  further  questions.  This  would  then  be 
debriefed at the end around that vital information missing to ensure the officer learns and develops. 

South Yorkshire Police have a custody resources section which is accessed by the force internet page. 
Within this section are presentations and guidance documentations around all aspects of custody. This 
includes how you should present a detainee to a Custody Sergeant. 

Future work 

South  Yorkshire  Police  will  review  the  booking  in  sheet  that  officers  complete  prior  to  presenting  a 
detainee to the Custody Sergeant This will include relevant reminders around the information they must 
inform  the  Custody  Sergeant  around  such  as  illness,  injuries  and  intoxication.  Posters  will  also  be 
created  and  displayed  in  the  holding  areas,  where  detainees  enter  the  custody  suite  as  a  further 
reminder. 

Force screen savers will be designed by the Custody Lead, incorporating key and additional information 
they must  provide to  a Custody  Sergeant  when  booking  in  a  detained  person  into  custody, this will  be 
supported  by  a  yearly  CPD  package  and  delivered  locally  by  Force  Inspectors/Detective  Inspectors 
again reminding officers around their role and responsibilities. 

Points 6 & 7 are covered in the above sections. 

I hope that this provides you with assurance that the Matters of Concern that were identified are being 
fully addressed by South Yorkshire Police. 

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 8 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Yours sincerely 

PRIVATE 

Chief Constable of South Yorkshire Police 

Legal Services 
South Yorkshire Police Headquarters 
Carbrook House 
5 Carbrook Hall Road, 
Sheffield S9 2EH 

DX: 708870 Sheffield 

Tel: 0114 252 3588 

For Sat. Navigation users S9 2EG 

Legal Services 
Humberside Police Headquarters 
Priory Road 
Hull 
HU5 5SF 

DX: 708885 Hull 18 

Tel: 01482 578 266 

E-Mail: LegalEnquiries@southyorks.pnn.police.uk 

Page 9

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