Prevention of Future Deaths reports · 2025

Oladeji Omishore

Regulation 28 report to prevent future deaths, reference 2025-0160, written 25 Mar 2025. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report25 Mar 2025
Reference2025-0160
DeceasedOladeji Omishore
CoronerFiona J Wilcox
Coroner areaLondon Inner (West)
CategoryPolice related deaths · Mental Health 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:  REPORT TO PREVENT FUTURE DEATHS  

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

, 

Commissioner of the Police of the Metropolis. 
(via email to his legal representative) 

, 
Chief Executive Officer of the College of Policing 
(via 

 ) 

1 

CORONER 

I am Professor Fiona J Wilcox, HM Senior Coroner, for the Coroner Area of Inner West 
London 

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 

From 3rd March to 24th March 2025, evidence was heard before a jury touching the 
death of Mr Oladeji Adeyemi Omishore. He had died on the 4th June 2022, aged 41 
years, in ITU at St Thomas’s Hospital. He had died following an incident involving  police 
officers on Chelsea Bridge during which he was tasered a number of times and then 
jumped into the River Thames. 

Medical Cause of Death 

1 a. Complications arising from drowning 

How, when, where and in what circumstances the deceased came by his death; 
and conclusions as recorded by the jury [in this case by combining boxes 3 and 4 
of the Record of Inquest] : 

on 4th June 2022, Mr Omishore was suffering with a relapse of schizoaffective 
disorder/psychosis. In October 2019 he had suffered his first episode of schizoaffective 
disorder/psychosis based on medical evidence we have heard and accepted. He 
continued to receive care and deemed stable by the health care team in March 2022. 
Recent cannabis use likely caused or contributed to this relapse of his illness. We have 
considered and noted his previous behaviour when psychiatrically unwell. 
Mr Omishore left his home on the morning of 4th June 2022 shouting in the middle of the 
road and waving what is now known to be a firelighter. This prompted a number of 999 
calls from members of the public. Amongst other things, the public raised shouting 
religious remarks, a perceived weapon, aggressive behaviour and that he seemed 
mentally unwell. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 The call handlers determined critical information and passed to dispatchers which 
included location, weapon and description, with all calls being graded I grade (immediate 
response). Responding police officers were told by dispatchers the location, suspicious 
circumstances, weapons and a brief description via the airwaves. Mental health (MH) 
was not passed over the airwaves. We note from witnesses this should and could have 
been passed over the airwaves. 
The call was accepted by the responding officers at 09:03:54. It was accepted 20 
seconds after it was put over the airwaves. 
The response officers understood they were responding to an I grade call on Chelsea 
Bridge Road, which they were aware had at least 3 I grades. 
When the response officers arrived, Mr Omishore was in the middle of the road on the 
North side of Chelsea Bridge when the officers first saw him. The officers perceived him 
to be holding a screwdriver. 
The taser trained officer gave evidence to say he did not initially consider possible MH 
issues. The non-taser trained officer gave evidence he did consider MH issues during 
the incident. The response officers gave evidence that they believed this was a genuine 
threat and took a risk assessment in line with NDM. 
The response officers arrived at 09:05:43 and the taser officer got out the car with taser 
drawn and shouted commands to identify himself as a police officer and to draw 
attention to the taser. Following lack of compliance to drop the object, the taser officer 
fired the first taser at 09:06:15, in response to non-compliance and movement in the 
direction of the ono-taser officer. Mr Omishore dropped to the ground and dropped the 
object. Following the first taser, Mr Omishore was rolling around on the ground and was 
not under control. The non-taser officer kicked the object away from reach. Mr Omishore 
attempted to get up and swiped towards the non taser officer and there was a second 
discharge. The second taser did not allow control of Mr Omishore. Following the third 
taser discharge, Mr Omishore got up and jumped over the pedestrian barrier. The non-
taser officer followed. 
Mr Omishore swung his hand towards the non-taser officer and knocked the handcuffs 
out of his hand. 
The taser officer deployed the second and final cartridge to stop Mr Omishore. Mr 
Omishore jumped off Chelsea Bridge and into the River Thames at 09:06:53-55. 
He was rescued at 09:18 and was given CPR and taken to St Thomas’s Hospital.  
He was recognised as life extinct on ITU at St Thomas’s Hospital at 20:29 on 4th June 
2022. 

Matters that we find possibly caused or contributed to the death. 

Despite the response officers having all required training, the use of the taser did not 
achieve full NMI. Had the officers been able to achieve full NMI, there is a possibility 
they could have gained control of Mr Omishore and therefore the inability to achieve full 
NMI and gain control of Mr Omishore possibly contributed to his death. 

Information from members of the public (that in their opinion Mr Omishore was suffering 
from a mental health crisis) was not passed to responding officers before they arrived at 
the scene. 
We have heard evidence that such information should and could have been passed on. 
We have also heard evidence from the responding officers that such information would 
not have changed their approach. 

The majority of the jury find that, had mental health concerns been passed over the 
airwaves, it is possible this may have had an impact on the sequence of events that may 
have contributed to Mr Omishore’s death. 

Probable Causes  

Mr Omishore had suffered a relapse of schizoaffective disorder/psychosis and was 
severely unwell. This illness affected his understanding and was the likely cause of his 
actions on Chelsea Bridge Road and Chelsea Bridge prior to and after the arrival of the 

 
 
 
 
 
 
 police. It is likely that he was frightened by what he was seeing and what he thought he 
was seeing and lacked insight. 

Whilst the body worn and phone footage show him running away from police after he 
had been tasered for the third time, it cannot be concluded that the actions of the police 
probably caused his death. 

4 

Evidence relevant to the matters of concern. 

Extensive evidence was taken and exhibited and some potential regulation 28 matters 
explored.  Please see the detailed findings of the jury laid out above. Of relevance to this 
report: 

1.  Mr Omishore had been observed by multiple members of the public on Chelsea 
Bridge Road and then on Chelsea Bridge, in the minutes leading up to the 
incident behaving in a manner that suggested he was mentally unwell. There 
were 7 calls by members of the public to the Metropolitan Police to report 
concerns and in 3 out of 7 of these calls the member of the public told the call 
handlers/first responders that Mr Omishore appeared mentally unwell. This was 
only recorded by one call handler on the CHS system and passed to the CAD 
and thus dispatchers in “remarks.” This information was never transmitted over 
the airwaves to the responding officers and so could not have been considered 
in their NDMs prior to their arrival at the scene. The responding officers had no 
access to CADs to undertake their own assessment prior to arriving at the 
incident due to a combination of lack of time to start their computer tablet and to 
load and search CADs due to the immediacy of their arrival and the IVMA was 
not working. They were thus reliant on the information passed to them over the 
radio. Only one radio channel was used in this incident. 

2.  Extensive evidence was taken in relation to this matter. In summary: call 

handlers stated that given the main threat was that Mr Omishore had been 
reported as carrying a weapon, either knife or screwdriver, they regarded mental 
health as a secondary matter and did not put the information in the “golden line”, 
and indeed two did not record it all. Neither was the information recorded in the 
NICL codes. The main reasons given for this was that in their views, the NICL 
codes  should list the main risk factors, only three are available and if a mental 
health NICL code was recorded then it would need a further code qualifying it as 
“believed” as the information was unconfirmed as reported by a member of the 
public rather than a health care professional, or relative with first-hand 
knowledge of the subject. There was also mention of the officers’ duties to 
consider such matters once they have arrived at the scene of an incident. 

3.  Several witnesses stated that a code “mental health believed” would be of 

assistance as then there would likely have been enough NICL codes available 
for it to be used. There was some inconsistency therefore between whether it 
should be recorded at all, and if so where it should have been recorded. 

4.  To be clear it was accepted in the evidence that mental health should have been 
recorded and passed out over the airwaves to responding officers as it would 
have assisted those officers in their NDM considerations.  

 
 
 
 
 
 
 
 
 
 
 5.  The evidence from dispatchers based at AWS, was that the information in 
relation to possible mental health matters should have been recorded and 
passed to them to put out. It was clear from the evidence that the information 
that was passed to dispatchers was not put out in error- it was simply missed. 

6.  These dispatchers described how they relied on information in the “golden line” 
and NICL codes to get information out onto the radio asap, and so it could be 
inferred that had information in relation to mental health issues been recorded 
either in the “golden line” or NICL codes it would have been likely to have been 
transmitted by them. 

7.  Analysis of various CADs as part of the evidence also showed that several units 
(up to 6, it was difficult to understand) had been allocated to respond to this 
incident in addition to three units heard to respond over the airwave radio. None 
of this potentially important information was passed over the airwaves, and 
again therefore could not have been considered by responding officers and thus 
feed into their NDMs.  

8.  The incident was being monitored in dispatch AWS by a controller performing 

multiple tasks who had also missed the remarks in relation to mental health and 
not passed on information over the airwaves in relation to units assigned by 
CAD from another geographic dispatch pod (AWC) over the airwave radio. 

9.  Evidence was also taken in relation to the increased use of taser in black men 
and those persons with mental health needs and the training given to staff and 
officers in relation to these matters. 

10.  Evidence was taken in relation to THRIVE . 

11.  In relation to the response of the officers, the taser armed officer deployed with 
his taser drawn and pointed at Mr Omishore and did not consider mental health 
as a possible cause for Mr Omishore’s actions until after the first use of the 

taser. However, had he been provided with information that Mr Omishore 
appeared to be suffered with mental ill health prior to his arrival at the scene, 
this could have fed into his NDM and may have affected the manner of his 
deployment. This may have reduced the risk of escalation arsing not only from 
sight of the taser but also the training requirement to use clear and commanding 
language to a subject once a taser has been deployed. Such language is 
different in tone and style to that taught to officers to use when attempting to de-
escalate a situation where the subject is suffering mental distress. These 
matters could not be found to have likely affected the outcome in this case. 

5 

Matters of Concern 

1.  That there is an inconsistancy of approach between call handlers/first 

responders in the recording of information passed to them by members of 
the public that may represent a training issue; in this case the mental health 
matters reported to them. 

 
 
 
 
 
 
 
 
 
 2.  That the call handlers/ first responders may have a training issue in relation 

to the importance of recording this information in manner which is likely to 
be passed on to responding officers by dispatchers, for example in the NICL 
codes and/ or “golden line”. 

3.  That the above concern of potential training need is highlighted by the 
increased use of taser in black men and those suffering mental health 
issues and so the real need for this information to be recorded and passed 
on in the most effective form. Whilst training for first responders appears to 
include advice as how to communicate with persons suffering with mental 
health issues, it does not appear to contain any advice in relation to the 
importance of such information to be recorded especially in relation to black 
men. 

4.  That the limitation of 3 NICL codes makes it difficult to record mental health 
as a qualifier in incidents such as this where the main risk factor is the 
weapon. 

5.  That call handlers/first responders may need training as to where to record 
such information i.e. in the “golden line” or NCIL code, as long as of course 
it is reported to them before the “golden line” and NICL code has gone out. 

6.  That use of THRIVE usually requires time that is not available in I grade 

calls and does not mitigate the need to circulate promptly information as to 
mental health issues, in the format most likely to digested and passed on by 
dispatchers that is “golden line” or NICL codes. 

7.  That the lack of NICL code “mental health believed” compounds this. 

8.  That dispatchers may require training in relation to the importance of 
passing on possible mental health concerns for the subject over the 
airwaves given the increased use of taser in black men and those suffering 
with mental ill health. 

9.  That dispatchers may require training in relation to what to pass out more 
generally given the confusion in the evidence about other units being 
assigned by CAD, which dispatchers themselves did not seen to appreciate 
and understand let alone pass such information out to responding officers. 

10.  That there are apparent system failure issues in dispatcher pods if due to 
pressure of work, important issues such as mental health concerns for the 
subject are being missed and the number of units on the way are not being 
passed over the airwaves, given the potential importance of these matters 
to responding officers when applying their NDMs, and the reliance of 
responding officers on the information that they receive over the radio on 
their way to an I grade call. 

11.  That training for response officers may require review in relation to tactical 
options used to de-escalate prior to taser deployment, in appropriate 
circumstances, given the increased use of taser in black men with mental 
health issues; and in particular, training in relation to deploying with taser 

 
 
 
 
 
 
 
 
 
 
 drawn and pointed with accompanying commanding language where the 
subject may be suffering with mental ill-health. 

6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 
[AND/OR your organisation] have the power to take such action. It is for each addressee 
to respond to matters relevant to them. 

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this report. 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 following Interested 
Persons: 

Parents of Oladeji Adeyemi Omishore 
(via their legal representatives) 

Officers 
(via their legal representatives) 

 and 

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 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. 

9 

25th March 2025 

Professor Fiona J Wilcox 

HM Senior Coroner Inner West London 

Westminster Coroner’s Court 
65, Horseferry Road 
London 
SW1P 2ED   

Inner West London Coroner’s Court, 
33, Tachbrook Street, 
London. 
SW1V 2JR 
Telephone:0207 641 8789.

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)
Professor Fiona J Wilcox 
HM Senior Coroner 
Westminster Coroners Court   
65 Horseferry Road 
London 
SW1P 2ED 

Correspondence by email 

Dear 

Deputy Assistant Commissioner  
New Scotland Yard 
Victoria Embankment 
London 
SW1A 2JL 

Friday, 30th May 2025 

Report to Prevent Future Deaths: Mr Oladeji Adeyemi Omishore 

On behalf of the Commissioner of Police of the Metropolis, I write to provide a response to the 
matters  of  concern  addressed  to  the  Metropolitan  Police  Service  (MPS)  in  your  Report  to 
Prevent Future Deaths dated 25th March 2025 following the inquest into the tragic death of Mr 
Oladeji Adeyemi Omishore. 

On  behalf  of  the  MPS,  may  I  first  of  all  express  my  sincere  condolences  to the  family  and 
friends of Mr Omishore and those affected by his death. 

I can confirm that the matters of concern you set out within your Regulation 28  report have 
been carefully considered by senior leaders and practitioners within the MPS and I would now 
like to formally respond to as follows. 

Please note that the MPS response to Matters of Concern 1, 2 5 and 6 is the same. 

Matter of Concern 1 

“That there is an inconsistency [sic] of approach between call handlers/first responders in the 
recording  of  information  passed  to  them  by  members  of  the  public  that  may  represent  a 
training issue; in this case the mental health matters reported to them”. 

MPS Response 

The MetCC Academy is currently reviewing the relevant content for First Contact training and 
will  be  updating  lesson  plans  to  ensure  where  Mental  Health  is  believed  or  indicated,  the 
operator will ensure this information is included in the remarks at the earliest opportunity. 

1 

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 The  MetCC  Senior  Leadership  Team  are  reviewing  whether  an  amendment  should  be 
considered to include this within the “golden line”.  A risk assessment will be undertaken before 
any guidance is implemented. 

The  MetCC  Academy  will  advise  that  the  National  Incident  Category  List  (NICL)  code  for 
Mental Health can be used where concerns are raised but not yet confirmed.  The changes 
introduced  will  focus  on  reinforcing  the  importance  of  including  Mental  Health  indicators  in 
both remarks and NICL codes.  This will be implemented in May 2025 for the First Contact 
Training Course. 

Matter of Concern 2 

“That the call handlers/ first responders may have a training issue in relation to the importance 
of recording this information in manner which is likely to be passed on to responding officers 
by dispatchers, for example in the NICL codes and/ or “golden line”. 

MPS Response 

See response to Matter of Concern 1. 

Matter of Concern 3 

“That the above concern of potential training need is highlighted by the increased use of taser 
in black men and those suffering mental health issues and so the real need for this information 
to be recorded and passed on in the most effective form. Whilst training for first responders 
appears to include advice as how to communicate with persons suffering with mental health 
issues,  it  does  not  appear  to  contain  any  advice  in  relation  to  the  importance  of  such 
information to be recorded especially in relation to black men”. 

MPS Response 

The mental health NICL code is sufficient and has a definition attached it, the operator records 
on both the Computer Aided Despatch (CAD) and Contact Handling System (CHS) along with 
the ethnicity of the individual as this is a normal practice by our operators, CAD is passed to 
despatch and forms part of the information relayed to officers. 

The  MetCC  Academy  are  in  the  process  of  reviewing  their  Mental  Health  training  content, 
additionally  operators  will  be  briefed  on  their  Professional  Development  Days  around  the 
importance  of  the  Golden  line  and  specific  questioning  when  dealing  with  Mental  Health 
related calls and ensuring all information is captured and passed to officers.  

However, please note that it is more for officers on the frontline to be appraised and aware 
around use of force against black men with mental health issues than communication officers, 
who  follow  a  Standard  Operating  Procedure  when  dealing  with  calls,  irrespective  of 
race/gender. 

‘In addition to this, the MPS Specialist Firearms Command collate data on Taser activations 
from the mandatory completion of Use of Force Forms when a Taser is drawn or discharged 
and therefore  a person has  force  exerted  on  them.  This,  therefore,  includes when a Taser 
officer does one of the following:  

•  Red dot 
•  Drawn 
•  Arcing 
•  Drive stun 

2 

 
 
 
 
 
 
 
 
 
 
 
 •  Firing 
•  Aimed 
•  Angle drive stun 

The form includes details of the ethnicity of the subject, their gender and whether the subject 
appears to have a mental health condition.  This information is reviewed and the Taser analyst 
and the Performance and Taser Engagement Team monitor trends which are then fed back 
into training.’   

Matter of Concern 4 

“That the limitation of 3 NICL codes makes it difficult to record mental health as a qualifier in 
incidents such as this where the main risk factor is the weapon”. 

MPS Response 

The use of three NICL codes is sufficient to record Mental Health in an incident such as this, 
using the National Standard for Incident Recording (NSIR) Code for Mental Health (O612).  
This qualifier can be used to endorse an incident involving a person who has or appears to be 
suffering from a mental health disorder or mental impairment including learning difficulties. 

The  use  of  the  qualifier  above  negates  the  need  to  use  O625  (Believed  Mental  Health)  in 
conjunction with O612 (Mental Health) as this is covered by “appears to be suffering”.  Any 
additional information surrounding mental health can be added to the remarks. 

Adding an additional ‘Opening Code’ field to the Command and Control (C&C) system is a 
technical piece of work involving multiple platforms.  We are in contact with our C&C IT Support 
Unit and are scoping out the project to determine if this can be applied to our system.   

The 2011 NSIR document and the new proposed NSIRA is still under review by the National 
Police Chiefs’ Council (NPCC) and describes the qualifier for Mental Health. 

Matter of Concern 5 

“That call handlers/first responders may need training as to where to record such information 
i.e. in the “golden line” or NCIL code, as long as of course it is reported to them before the 
“golden line” and NICL code has gone out”. 

MPS Response 

See response to Matter of Concern 1. 

Matter of Concern 6 

“That use of THRIVE usually requires time that is not available in I grade calls and does not 
mitigate the need to circulate promptly information as to mental health issues, in the format 
most likely to digested and passed on by dispatchers that is “golden line” or NICL codes”. 

MPS Response 

See response to Matter of Concern 1. 

Matter of Concern 7 

3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 “That the lack of NICL code “mental health believed” compounds this”. 

MPS Response 

The  NSIR  2011  document  and  the  new  proposed  NSIRA  (National  Standard  of  Incident 
Reporting and Assessment) document are still under review by the NPCC and describes the 
qualifier for Mental Health as follows: 

“Mental Health qualifier – this Qualifier can be used to endorse an incident involving a person 
who has, appears to be suffering from a mental health disorder or mental health impairment 
including learning difficulties”. 

The use of the qualifier negates the need to use O625 (Believed) in conjunction with O612 
(Mental  Health)  as  this  is  covered  by  “appears  to  be  suffering”  and  any  additional 
information/justification  for  using  this  code  can  be  added  to  the  ‘remarks’.    There  is  no 
requirement to introduce a new code for “Mental Health Believed”. 

Matter of Concern 8 

“That  dispatchers  may  require  training  in  relation  to  the  importance  of  passing  on  possible 
mental health concerns for the subject over the airwaves given the increased use of taser in 
black men and those suffering with mental ill health”. 

MPS Response 

We  acknowledge  the  importance  of  despatchers  being  fully  aware  of  and  training  in 
recognising  and  relaying  possible  mental  health  concerns.    Lesson  plans  for  the  MetCC 
Academy Despatch Course will be updated to explicitly emphasise the importance of passing 
on  such  information  over  the  airwaves,  particularly  in  light  of  the  increased  use  of  Taser 
involving black men and individuals suffering from mental ill health. 

This  will  include  ensuring  that  despatchers  are  trained  to  pass  on  mental  health  concerns 
(believed or otherwise) to officers at the earliest opportunity.  Training leads will be instructed 
to make the relevant updates to course materials, and copies of lesson plans and change logs 
will be provided to all parties once finalised. 

MetCC  Academy  will  work  alongside  our  Operational  Support  Teams  to  support  the 
development of a briefing pack to roll out to staff.  This will be implemented in May 2025 which 
is the start of the Despatch Course. 

Matter of Concern 9 

“That dispatchers may require training in relation to what to pass out more generally given the 
confusion  in  the  evidence  about  other  units  being  assigned  by  CAD,  which  dispatchers 
themselves did not seen to appreciate and understand let alone pass such information out to 
responding officers”. 

MPS Response 

We recognise the need for greater clarity and understanding among despatchers regarding 
what  information  needs to  be  communicated more generally.   Training  will  be  enhanced  to 
address the confusion identified in the evidence, specifically in relation to other units being 
assigned  via  Computer  Aided  Despatch  (CAD)  and  the  necessity  for  despatchers  to  fully 
understand  and  communicate  this  to  responding  officers.    Lesson  plans  will  be  updated 
accordingly. 

4 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 The Despatch Course Leads met in April 2025 to review and discuss the incorporation of this 
content  into the  new  Academy  Despatch  Course.   This  included  ensuring that  despatchers 
are trained to pass on mental health concerns (believed or otherwise) to officers at the earliest 
opportunity. 

We have amended our internal Despatch Policy to state that despatchers should circulate over 
the radio the call signs of off-Basic Command Units (BCUs) assigned to calls.  This is to ensure 
units assigned from the BCU where the incident originated, are aware of off-BCU units having 
been assigned as they will have been despatched via a different radio channel. 

Training leads will be instructed to make the relevant updates to course materials, and copies 
of lesson plans and change logs will be provided to all parties once finalised. 

MetCC Academy will be working alongside Operation Support to support the development of 
a  briefing  pack  for  current  staff,  and  will  explore  the  possibility  of  including  this  within 
Professional  Development  Days.    This  will  be  implemented  in May 2025 at  the  start  of  the 
Despatch Course. 

Matter of Concern 10 

“That there are apparent system failure issues in dispatcher pods if due to pressure of work, 
important  issues  such  as mental  health  concerns  for  the  subject  are  being  missed  and the 
number  of  units  on  the  way  are  not  being  passed  over  the  airwaves,  given  the  potential 
importance of these matters to responding officers when applying their NDMs, and the reliance 
of responding officers on the information that they receive over the radio on their way to an I 
grade call”. 

MPS Response 

We note the concerns regarding the potential systemic failures within the individual pods within 
despatch.    Training  will  be  updated  to  ensure  despatchers  are  equipped  to  pass  on  key 
information,  including  mental  health  concerns  and  the  number  of  units  en  route,  given  the 
importance of this information in informing officers’ application of the National Decision Model.  
This will also be incorporated into revised lesson plans. 

Training leads will be instructed to make the relevant updates to course materials, and copies 
of lesson plans and change logs will be provided to all parties once finalised. 

MetCC  Academy  will  work  alongside  our  Operational  Support  Teams  to  support  the 
development of a briefing pack to roll out to staff, as the start of the Despatch Course in May 
2025. 

Matter of Concern 11 

“That training for response officers may require review in relation to tactical options used to 
de-escalate prior to taser deployment, in appropriate circumstances, given the increased use 
of  taser  in  black  men  with  mental  health  issues;  and  in  particular,  training  in  relation  to 
deploying with taser drawn and pointed with accompanying commanding language where the 
subject may be suffering with mental ill-health”. 

MPS Response 

The  Metropolitan  Police  Service  acknowledges  the  concerns  raised  regarding  the  tactical 
options employed by response officers, particularly with respect to the deployment of Tasers 
in circumstances involving black men with mental health issues. We appreciate the opportunity 

5 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 to address the matters relating to officer training and the measures taken to ensure the de-
escalation of situations prior to Taser deployment. 

Personal & Public Safety Training (PPST) 

The foundation of all officer training begins with the Personal & Public Safety Training (PPST), 
which equips officers with essential skills in the use of force, their powers under the law, and 
de-escalation  techniques.  These  are  delivered  comprehensively  during  an  officer’s  initial 
training and are reinforced annually through mandatory refresher sessions.  

Within Module 6 of the Personal Safety Manual (PSM) officers are taught possible indicators 
of  mental  ill  health  and  strategies  for  de-escalation  as  a  key  element  in  resolving  conflicts 
peacefully. They are taught the ICRC model (Intervention, Calm, Rapport & Control) and are 
assessed on their ability to apply these techniques in various scenarios. 

Taser Training as an additional tactical option 

The training for Taser deployment builds upon the existing framework provided through PPST. 
Officers are required to successfully complete the foundational training before applying and 
being considered to be a Specially Trained Officer (aka Taser equipped officer).  

This ensures that the principles of de-escalation are firmly embedded prior to their introduction 
to Taser  as  an  additional  tactical  option.  Taser  training  emphasizes  that Tasers  are  one  of 
many tools available and not as a panacea for conflicts.   

The application process to become a Taser trained officer includes being supported by first 
and second  line  managers  and  finally  approval from  their  Chief  Superintendent  (or  deputy) 
before they can attempt to complete the training. 

Enhanced Focus on De-escalation Techniques 

In recent years, significant enhancements have been made to the Taser curriculum to further 
emphasise de-escalation and conflict management. These efforts align with guidance outlined 
by the College of Policing, as detailed on their Conflict Management Skills page.  

The  Taser  training  incorporates  these  principles,  including  the  mnemonic  BUGEE,  which 
encourages officers to: 

•  Be prepared to back off 

•  Use of effective cover 

•  Give space and time if possible 

•  Early negotiation 

•  Evacuate immediate area 

Officers are thoroughly trained to apply BUGEE as part of their decision-making process, and 
as additional training to support and reaffirm what they are taught in their PPST 

Findings from the TASERD Study 

The TASERD paper, commissioned by the National Police Chiefs’ Council (NPCC) in 2019 
and  conducted  by  Keele  University,  highlighted  the  importance  of  enhancing  de-escalation 
training  for  all  officers,  not  solely  those  qualified  in  Taser  deployment.  The  study 
recommended that additional de-escalation training would be a benefit for all officers across 
the service and not just Taser equipped officers. 

Integration of PPST and Taser Training 

6 

 
 The suggestion to rebrand Taser training as "PPST Part 2" has been positively received by 
the working party examining improvements in Taser training. This approach underscores the 
continuity  of  officer  education  and  reinforces  the  concept  that  de-escalation  remains  a 
cornerstone of all tactical decision-making.  

By  positioning  Taser  training  as  an  extension  of  PPST,  officers  are  reminded  of  their 
fundamental duty to seek peaceful resolutions wherever possible. It also highlights to external 
partners  that  Taser  training  is  not  stand-alone  training;  it  is  one  part  of  a  range  of  training 
delivered  to  police  officers  around  dealing  with  persons  with  mental  ill  health,  conflict 
management skills and use of forces powers. 

Ongoing Curriculum Development 

The College of Policing is actively pursuing a comprehensive review of the Taser curriculum. 
The  latest  iteration,  Version  7,  which  commenced  in  the  MPS  on  31st  March  2025,  places 
additional emphasis on de-escalation techniques. Scenario-based assessments now include 
specific criteria for dealing with individuals in Emotional or Mental Distress (EMD) or vulnerable 
persons. Officers are evaluated on their ability to use BUGEE and other conflict management 
skills to de-escalate situations effectively. This ensures that officers are not only trained but 
rigorously assessed in their capability to handle sensitive and challenging circumstances. 

Commitment to Continuous Improvement 

The  Metropolitan  Police  Service  remains  committed  to  ensuring  the  highest  standards  in 
officer training. We recognize the importance of adapting to emerging challenges and societal 
concerns, and we are continuously refining our training programs to meet these needs. Our 
collaboration with the College of Policing and adherence to evidence-based research, such 
as the TASERD study, demonstrates our dedication to embedding de-escalation techniques 
in all aspects of officer training. 

In 2024 the MPS launched a Taser specific Community Scrutiny Panel to allow Taser incidents 
and use to be viewed by a panel from the community and feed back into training. This has led 
towards the MPS being more transparency and accountable. The views of the panel are fed 
back to the officer. This is particularly powerful feedback as it informs the officer as to how a 
jury  may  perceive  their  actions  and  use,  particularly  when  the  justification  has  not  been 
properly explained. 

The  MPS  also  have  a  comprehensive  Taser  use  review  system  where  a  dedicated  team 
review every Taser activation, any Taser use on under 18’s, at height, subjects running away, 
in  custody,  and  over  65years.  In  addition  to  this  the  team  review  all  uses  on  the  Basic 
Command Units (BCU) each month (meaning each BCU has all their Taser use reviewed once 
a year).   

Where Taser use falls outside of training not accounted for, not justifiable or not appropriate 
then officers (list is not exhaustive) then the incident is flagged and can be dealt with in a range 
of ways from a learning debrief to referral to the DPS. 

The MPS acknowledge the vital importance of ensuring that tactical decisions made by our 
officers  prioritise  safety  and  fairness  for  all  individuals,  particularly  those  from  vulnerable 
communities or those experiencing mental health crises. By enhancing de-escalation training 
and embedding these principles into both PPST and Taser training, we aim to reduce the need 
for Taser deployment and build greater trust within the communities we serve. 

I hope this correspondence addresses the concerns set out within your report and please do 
not hesitate to contact me should you require further information from the MPS. 

In closing, please may I extend, once again, my deepest sympathies to the family and friends 
of Mr Omishore. 

7 

 
 Yours sincerely, 

Deputy Assistant Commissioner 
Professionalism 

8

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