Prevention of Future Deaths reports · 2026
Regulation 28 report to prevent future deaths, reference 2026-0252, written 4 Mar 2026. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 4 Mar 2026 |
|---|---|
| Reference | 2026-0252 |
| Deceased | Rebekah Arter |
| Coroner | Andrew Harris |
| Coroner area | South London |
| Source | judiciary.uk record |
| Responses published | 3 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
Confidential
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:
1. Home Secretary, RT Hon.
2. Lord Chancellor and Secretary of State for Justice, Rt Hon.
MP
MP
3. Independent Office for Police Complaints
4. Metropolitan Police Service (Directorate of Professional Standards
Organisational Learning Hub)
CORONER
I am Professor Andrew Harris, assistant coroner for the coroner area of South
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
On 14 August 2024, an investigation was commenced into the death of Mrs
Rebekah Arter, aged 47, on 28 June 2024 in Barbados. The inquest concluded
on 27 August 2025.
The medical cause of death was unascertained. The conclusion of the inquest
was OPEN, likely involving intoxication. Unlawful Killing could not be excluded.
4 CIRCUMSTANCES OF THE DEATH
Rebekah was a hair stylist and teacher and lived with a police officer from 2006.
Initially she alone used recreational cocaine, but by the time they married in
2016, he was a regular user of drugs, had developed hypersexualised
behaviour, and increasingly exerted coercive control over Rebekah. He was
dismissed from the police in 2023, and there was wide publicity about
investigations into his conduct that had been pursued since 2016. Incidents of
joint use of cocaine and GHB were witnessed, about which Rebekah was
secretive with her wider family. She flew to Barbados with her husband for a
holiday on 19 June 2024. Her death in his presence in their hotel room was
reported to police on 28th June. He took an overdose and was admitted to
hospital in Barbados. His accounts of the circumstances were inconsistent and
unreliable; he died in prison in the UK shortly after. He sent an image of her,
apparently heavily intoxicated, at 23.15 on 27 June and another of her body
after death. His behaviour seemed to others to be inappropriate.
Confidential
In March 2024, the IOPC received a report from a known witness of further
sexual offences by him and reported the allegations to the MPS for police
investigation. The MPS received and recorded the allegations. However, due to
errors relating to the use of the flagging tool on a complex new computer
software programme used by the MPS called Connect, the allegations were not
brought to the attention of a relevant police unit for investigation and other
required action. It was not until 3 July 2024 that it was identified by the MPS that
the report by the IOPC of criminal offences had not been actioned. Had this
error not occurred it is likely that Rebekah’s husband would have been arrested
and remanded.
The police also became aware at this time of evidence of his domestic abuse
and control and voyeurism of Rebekah. If he had been bailed, he would likely
have had a condition of non-contact with his wife.
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 MATTER OF CONCERN is as follows. –
That there may have been missed opportunities for the IOPC and Metropolitan
Police Service from their investigations to identify that Rebekah was a victim of
domestic abuse and coercive control, which would have enabled her to be
protected. This is illustrated by these facts:
• That Rebekah had met her husband initially as a victim of a crime.
• That police investigations uncovered a large number of women with
whom he had inappropriate relationships and that he misused his police
powers.
• That he was dismissed from the police for drug offences in May 2023,
but the risk to Rebekah was not apparently considered at that time.
• A witness has alleged that a video was sent by him of Rebekah
which
the family allege was used to shame and enforce control over her,
allegedly in 2023.
• A history of her having unexplained repeated bruises and injuries was
available in 2024 to anyone who enquired about the risk of domestic
abuse.
•
• That in retrospect it is recognised by a Detective Chief Inspector that he
was an exceptionally persistent and damaging offender against women,
but no charges in relation to that had ever been brought.
Confidential
The coroner did not accept submissions from the family that the inquest
engaged Article 2 of the European Convention on Human Rights and ruled that
details of the seven years of conduct investigations were beyond the scope of
the inquest.
6 ACTION SHOULD BE TAKEN
It is recognised that the MPS will have taken a number of steps to improve
investigations since 2016. The public will want to know of these. The issue of the
abuse of police powers threatening the safety and lives of women has been a
matter of considerable public interest. In my opinion this is a national issue of
concern and that ministers should be informed of these matters to consider if
any further investigation is needed to prevent future deaths and/or for the public
to be reassured.
7 YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this
report, namely by 14 November 2025 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 family
members, who are Interested Persons:
I have also sent a copy to the charity, Refuge, who I believe may find it useful or
of interest, and may also send them a copy of your response.
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.
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.
Confidential
You may make representations to me, the coroner, at the time of your response,
about the release or the publication of your response.
9 Revised following High Court hearing 4th March 2026
19 September 2025 Andrew Harris
3 responses 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.
Professor Andrew Harris Assistant Coroner for South London Minister of State for Policing and Crime 2 Marsham Street London SW1P 4DF www.gov.uk/home-office 15 December 2025 Dear Professor Harris, Thank you for sharing the Prevention of Future Deaths (PFD) report concerning the tragic death of Rebekah Arter. I am responding as the Minister responsible for crime and policing. I would like to express my sincere condolences to Rebekah’s loved ones. I was deeply saddened to read the details in your report and cannot imagine the significant impact that her death and the awful experiences she endured leading up to it will have had on those close to her. I am very sorry to hear about the experiences Rebekah went through as a victim of domestic and sexual abuse, as noted in your report. I recognise the devastating impact these awful crimes can have on their victims. I would like to reassure you that this Government is committed to tackling all forms of violence against women and girls (VAWG), including domestic and sexual abuse. We have set out an unprecedented mission to halve VAWG in a decade. Improving policing practice is a key part of this, and we have provided £13.1m this year to establish a new National Centre for VAWG and Public Protection which will help drive consistency nationally, including through the development of specialist training on VAWG to ensure that officers are well equipped to manage offences and provide consistent support to victims. Our full programme of work to tackle VAWG will be published in our upcoming cross- Government VAWG Strategy. The Strategy will set out concrete actions to prevent violence and abuse, pursue perpetrators, and provide the support to victims that they deserve. Your report also highlights multiple issues related to Rebekah’s then husband, a former police officer, abusing his position. I echo the concerns you raise and am clear that all officers should be held to the highest standards. All members of the public should feel confident in reporting crimes or raising complaints and know that they will be taken seriously and treated with respect when they do. It is crucial that allegations against police officers, including of VAWG, are handled robustly. Your report notes that Rebekah met her husband as a victim of crime whilst he was a police officer. A police officer abusing their position for a sexual purpose or for the purpose of pursuing an improper emotional relationship is, rightly, a very serious conduct matter. By law, if a force becomes aware of such allegations, they must refer them to the Independent Office for Police Conduct (IOPC) for consideration. The College of Policing’s Guidance on Outcomes in Police Misconduct Proceedings, which was updated in 2022, is also clear that misconduct involving VAWG is unacceptable and sets an expectation as to the seriousness with which it should be treated. I take these issues extremely seriously, and this Government is implementing a range of reforms in the police misconduct and vetting systems to help ensure that those who commit heinous crimes such as domestic abuse and sexual offences have no place in policing. In spring this year we introduced a set of reforms, including a route to remove those officers who fail to maintain their vetting, and a presumption of dismissal for any officer found to have committed gross misconduct. We are currently working to place vetting standards on a statutory footing and strengthen requirements on forces to suspend officers under investigation for domestic abuse or sexual offences. You may be aware that the independent Angiolini Inquiry is examining a range of issues in policing and the safety of women so that women, and the wider public, can have confidence that the police are there to protect them. The first report of Part 2 of the Inquiry examined the prevention of sexually motivated crimes against women in public spaces and was published on 2 December 2025. It can be found here: The Angiolini Inquiry Part 2 First Report: Prevention of sexually motivated crimes against women in public – The Angiolini Inquiry. The Government is now carefully considering its findings and recommendations. The Inquiry will produce a second report under Part 2 next year which will examine a number of other issues relevant to your report. These include the adequacy of measures to identify and manage the risk of VAWG-related misconduct as well as aspects of police culture. I hope this letter reassures you that there is work taking place at a national level to improve the response to police-perpetrated VAWG. My thoughts remain with Rebekah’s family. Ver best wishes Minister of State for Policing and Crime MP
OFFICIAL Professor Andrew Harris HM Coroner South London 14 November 2025 Dear Sir, Inquest touching on the death of Rebekah Arter Prevention of future death report I write on behalf of the Director General of the IOPC matters of concern raised in your Prevention of Future Death report arising from the inquest into the death of Ms Arter, which concluded on 29 August 2025. This letter is the IOPC’s formal response to your report in accordance with Regulation 29 of the Coroners (Investigations) Regulations 2013. with regards to the Matter of concern: missed opportunities for the IOPC and Metropolitan Police Service from their investigations to identify that Rebekah was a victim of domestic abuse and coercive control, which would have enabled her to be protected Your report identified the following matters as illustrative of the potential missed opportunities: • That Rebekah had met her husband initially as a victim of a crime. • That police investigations uncovered a large number of women with whom he had inappropriate relationships and that he misused his police powers. • That he was dismissed from the police for drug offences in May 2023, but the risk to Rebekah was not apparently considered at that time. • A witness has alleged that a video was sent by him of Rebekah shame and enforce control over her, allegedly in 2023. • A history of her having unexplained repeated bruises and injuries was available in 2024 to anyone who enquired about the risk of domestic abuse. , which the family allege was used to OFFICIAL SENSITIVE OFFICIAL • • That in retrospect it is recognised by a Detective Chief Inspector that he was an exceptionally persistent and damaging offender against women, but no charges in relation to that had ever been brought. Background context: Before responding to the matter of concern, it may assist to set out the relevant duties and responsibilities of the IOPC, and to summarise the investigations into DI history of which was outside the scope of the inquest. the full Relevant IOPC duties and responsibilities: Police Reform Act 2002 (as in force at the time of Op Venta) (1) Duties to provide information: (a) The IOPC must provide information about its investigations and outcomes to complainants and interested persons (sections 20 and 21 Police Reform Act 2002). For matters which do not concern a death or serious injury caused as a result of police action, the IOPC has a discretion to recognise someone as having interested person status where they have sufficient interest to make it appropriate to receive information about the investigation, provided the person consents to receive it. (b) At the time of Op Venta, the requirements in the legislation were to provide information on the progress of the investigation and any provisional findings, the outcome of the investigation and the outcome of any related disciplinary proceedings.1 (c) These entitlements are subject to exceptions set out in Regulation 13 of the Police (Complaints and Misconduct) Regulations 2012. Among other matters these exceptions provide for information to be withheld where is a real risk of a significant adverse effect, including in relation to criminal and disciplinary proceedings. (d) For witnesses who do not have interested person status there is no statutory requirement to provide information about the investigation or regular updates. 1 Paragraph 23(9) Schedule 3 Police Reform Act 2002 (prior to amendments made by the Policing and Crime Act 2017), and Regulation 12 of the Police (Complaints and Misconduct) Regulations 2012 OFFICIAL OFFICIAL (2) Decision making process: (a) At the time of Op Venta, the process at the end of an investigation was as follows: (i) The IOPC makes a decision whether to refer the report to the CPS to consider any criminal charges; (ii) (iii) The Appropriate Authority [AA] (the chief officer under whose direction and control the officer was at the time of the conduct in issue – here, the MPS) makes a determination whether the officer has a case to answer for misconduct or gross misconduct and whether to bring disciplinary proceedings; The IOPC decides whether the AA’s determination on these matters is appropriate. If it disagrees, the IOPC can recommend and ultimately direct the AA to give effect to its recommendation. (iv) Proceedings are then brought by the AA, following the process in the Police (Conduct) Regulations 2012. The disciplinary case is presented by the AA and the IOPC will not necessarily have any formal role in proceedings. However, the IOPC will assist by providing disclosure and will often continue engagement with witnesses, particularly if witnesses are vulnerable, to provide continuity of contact as far as possible. (3) IOPC jurisdiction: (a) Under section 12 Police Reform Act 2002 the IOPC has jurisdiction to investigate persons serving with police. (b) The IOPC can investigate persons who have ceased serving with the police since the time of the conduct in question, the conduct of concern must have taken place while the person was serving with police. (c) Once a police officer has ceased serving, they are no longer subject to the Standards of Professional Behaviour so their actions subsequent to leaving the force cannot amount to a disciplinary matter. (d) Any criminal conduct committed after the person ceased serving would fall to be investigated by a police force as would be the case for any other member of the public. Investigations into DI The MPS commenced an investigation into alleged misconduct by DI became an IOPC independent investigation in 2017 and developed in scale and complexity, eventually being split into 3 separate matters named Operation Venta 1, 2 and 3. Operation Venta 1 concerned allegations of potential abuse of position for sexual in 2016. This OFFICIAL OFFICIAL purposes (“APSP”), Operation Venta 2 concerned misuse of police systems and inappropriate involvement by DI victim, and Operation Venta 3 concerned allegations of illegal drug use by DI assist with understanding the key dates and developments in the investigation, we have compiled a timeline which we enclose as Annex A. in a criminal investigation for which he was the . To Operation Venta 1 identified 7 potential victims of APSP behaviour, one of whom was Rebekah Arter. Mrs Arter was pseudonymised in the investigation as ‘Ms G’. The allegations concerning Ms G related to the circumstances in which the consensual relationship between DI via an anonymous report to Crimestoppers in January 2016. At no point did Rebekah Arter come forward to either the MPS or the IOPC to make any kind of allegation about DI either in relation to the commencement of their relationship or anything occurring subsequently. and Ms G commenced. These allegations had been made that he first met Rebekah Arter in February 2006, when It was not disputed by DI acting as a police officer to investigate criminal matters which she had reported as a victim of crime. DI 2006, when he met her again on a night out when not on duty, after any professional involvement on her case had ceased. maintained that their relationship only started in late April or early May In 2017 when the investigation become independent, the IOPC investigator made a policy decision that Rebekah Arter would not be made an interested person in the investigation. As outlined above, interested persons are entitled to specific information about the investigation, subject to a harm test, and must receive regular updates. It was considered that as Rebekah Arter was now married to DI allegation herself, that it would not be appropriate to share information with her about the investigation especially as it was considered she was likely to be loyal to her husband. and had not come forward with any home address. Mrs Arter declined to provide a statement but her remarks Rebekah Arter was spoken to by the IOPC in 2018 when a search warrant was carried out at DI were recorded in a statement by an IOPC staff member. She corroborated her husband’s account that their relationship only started two months after DI crime report. No other allegation was raised by Mrs Arter at the time. A statement was also provided by her son Rebekah Arter’s phone, as well as DI While the IOPC phone analysis used parameters pertinent to the terms of reference of Operation Venta, and was not looking for any evidence of any domestic abuse behaviour as no such allegation had been made by or about DI the material reviewed by the IOPC did not disclose any cause for concern in respect of domestic abuse. . This did not make any allegations in relation to DI , was seized under the warrant, and analysed. and Rebekah Arter at that time, had dealt with her OFFICIAL OFFICIAL The investigations concluded in 2020 and resulted in referrals to the CPS to consider criminal charges and referral to gross misconduct disciplinary proceedings. The CPS confirmed no charges would be brought in relation to either referral in 2020. received cancer treatment, Operation Venta 3, which concerned After delay while DI allegations of illegal drug use, resulted in DI Notwithstanding that DI law enforcement for at least 5 years) as a result, the MPS (with whom the IOPC agreed) considered there remained a public interest in holding a further gross misconduct hearing in relation to the outstanding allegations concerning APSP behaviour. This was to include allegations concerning how DI relationship with Rebekah commenced, which was to proceed on the basis of documentary evidence alone. was placed on the barred list (preventing him from working in dismissal in May 2023. Following confirmation of this decision in November 2023, the IOPC’s Proceedings Support Unit planned engagement with the potential witnesses for the APSP allegations. In respect of Rebekah Arter, the PSU noted that she had not provided a statement to the investigation, and decided she would not be contacted until there was confirmation that DI had been informed the hearing would go ahead. In December 2023, the PSU made contact with Ms B in respect of the proposed hearing. In an email exchange a family member of Ms B’s made reference to the fact that Mr was still contacting Ms B, but no detail of the content of the messages was provided (it is not known whether the family member was aware of the nature of the messages). It was agreed that Ms B should be advised not to contact Mr received from him. Arrangements were made for a meeting on 15 March 2024 to discuss potential special measures should Ms B be prepared to give evidence at the gross misconduct hearing. and to save any messages It was during this meeting, attended by (IOPC Survivor Engagement Manager) that Ms B described the content and of the messages that she had received. Ms B stated she had deleted the messages so the IOPC were unable to view these. Th IOPC’s then prepared a report detailing the description of the messages Ms B had provided, which the IOPC then reported to MPS by 25 March 2024. (IOPC Proceedings Support Unit) At the time the messages were sent to Ms B, December 2023, Mr dismissed from the MPS. Therefore at the time these potential offences appear to have been committed, he was an ordinary civilian and not a person serving with police. As a result, the IOPC had no jurisdiction to investigate Ms B’s disclosures itself. The only proper had already been OFFICIAL OFFICIAL action open to the IOPC in the circumstance was to report the potential offences to the MPS, which it duly did – at the latest by 25 March 2024. As you will be aware from the evidence provided at the inquest, the IOPC reported the potential offences to the MPS’s Directorate of Professional Standards, with whom the IOPC had been liaising in respect of the outstanding gross misconduct matters. The DPS endeavoured to transfer the report to the appropriate team within the MPS to investigate the matter and this was when the delays with the MPS’s internal Connect system occurred. For clarity, the IOPC has no direct access to the Connect system and all issues with this system were internal to the MPS. Once the IOPC had reported the matter to the MPS to take action, there was nothing further the IOPC could properly do in relation to it, given that it did not concern an alleged crime committed by a person while they were serving with police. In the course of the MPS investigation, Ms B made further allegations in relation to Mr These allegations had not previously been made to either the IOPC or the MPS. The IOPC maintained regular contact with Ms B throughout its investigation to ascertain whether she wished to provide a statement or attend an ABE interview, however Ms B never provided a formal account during the IOPC investigation. Matter of concern Your report has raised a concern whether there were opportunities missed to recognise the risk to Rebekah posed by Mr Our purpose in setting out the IOPC’s investigations in detail as above is to set out exactly what was known by the IOPC and when, and the rationale for our decisions in respect of our contact with Rebekah Arter. conduct in this regard was , a number of potential victims / witnesses of APSP In relation to the risk posed by Mr behaviour were identified in the investigation. Mr considered sufficiently serious to warrant a referral to the CPS to consider a potential offence of Misconduct in a Public Office, and the intention had been to bring gross misconduct disciplinary proceedings against Mr for these allegations notwithstanding that he had already been placed on the barred list. This was on the basis that there was a public interest in a police misconduct panel making findings of fact on these allegations, so that this could be taken into account when deciding whether he should ever be permitted to work in law enforcement again. However, prior to July 2024, no allegation had been made of sexual assault. Prior to Rebekah’s death, the IOPC was not on notice of any allegations of controlling or coercive behaviour or any other domestic abuse allegation in respect of Mr When in OFFICIAL OFFICIAL 2018 the IOPC had direct contact with Rebekah, and her son, no concerns of this kind were raised and downloads of devices seized at that time similarly did not disclose indications of this behaviour (from the material examined which fell within the parameters for the IOPC investigation). The IOPC had no cause to seek further evidence after 2018. During the visit with Ms B in 2024, it was not possible for the IOPC to have identified the as Rebekah, as Ms B had deleted the images. The IOPC victim of the assumes that these were subsequently recovered on forensic examination of the device. While we do not think a specific risk to Rebekah was apparent from the information available to the IOPC, we wish to reassure you that the IOPC has robust safeguarding procedures in place, which were updated and strengthened in 2024. We will take this opportunity to review whether any additional content to this guidance would be appropriate in respect of risk assessments for spouses and intimate partners. Conclusion I express my sincere condolences to the family of Rebekah Arter. I am grateful to you for raising this issue with the IOPC and trust this response provides reassurance that I have considered the matter of concern raised in your report. Please do not hesitate to contact me if you have any queries arising from this letter. Yours sincerely, Deputy Director of Investigations For the Director General OFFICIAL ANNEX A Date 27 January 2016 April 2016 6 December 2016 13 December 2016 16 December 2016 04 April 2017 7 April 2017 29 June 2017 OFFICIAL Event Crimestoppers anonymous report alleging DI Arter has had inappropriate sexual relations with a number of women encountered as victims of crime in his professional role MPS commences local investigation into conduct of DI Arter MPS arrest of DI Arter, phones/computers seized Conduct referral from MPS. Allegation re inappropriate contact and relationship with victim in investigation he was supervising (not Ms Arter) MPS arrested DI Arter IOPC decide conduct matter should be investigated by MPS (local investigation) MPS re-refer conduct matter to IOPC due to developments in the case IOPC redetermine MOI to independent Policy decision that Rebekah Arter (pseudonymised as ‘Ms G’) is a potential witness only at this stage. Notes “appears Ms G may have experienced inappropriate behaviour by DI Arter and that they are now married. We are not making contact with her at this time due to her marriage to the subject and I do not consider it appropriate to keep her updated on the investigation especially considering her probably[sic] loyalty to her husband”. Countersigned by case supervisor 17 July 2017 4 January 2018 Further referral following evidence obtained in IOPC 1 June 2018 investigation suggesting drug use and supply by DI Arter (Op Venta 3) Further referral to MPS re misuse of police systems (Op Venta 2) IOPC execute warrant at DI Arter’s address. Rebekah Arter is spoken to and statement obtained from her son Analysis of downloads from Rebekah Arter’s phone completed Op Venta 2 report and provisional opinions sent to MPS 26 October 2018 29 January 2019 7 June 2019 22 August 2019 Op Venta 1 Final report completed 18 February 2020 17 January 2020 IOPC decision to refer Op Venta 1 to CPS for charging decision Reviewable copy of downloads from DI Arter’s devices seized 26 October 2018 available and collected from forensic supplier, review commenced 17 Jan 2020 and completed 18 Mar 2020 IOPC decision maker’s provisional opinions on case to answer for Op Venta 1 MPS provides statutory determinations on Op Venta 1 & 2, finding case to answer for gross misconduct for allegations concerning Rebekah Arter 5 March 2020 1 May 2020 OFFICIAL 7 May 2020 17 June 2020 June 2020 7 July 2020 16 July 2020 July 2020 8 September 2020 Jan 2021 23 May 2023 6 Nov 2023 18 Dec 2023 28 Dec 23 4 Jan 24 OFFICIAL IOPC letter to MPS agreeing with determinations including that allegations concerning Rebekah Arter should be taken forward to gross misconduct hearing Final report in Op Venta 3 approved IOPC refer Op Venta 3 allegations to CPS MPS provides case to answer determinations on Op Venta 3 IOPC response to AA on Op Venta 3. Agreement that allegations, including of supply of drugs to Ms G, should be taken to GM hearing CPS decision to take no further action in relation Op Venta 1 referral CPS decision to to take no further action in relation Op Venta 3 referral MPS propose splitting conduct hearing into two parts and dealing with Op Venta 3 allegations first. Hearing delayed due to ill health of DI Arter. DI Arter dismissed in absentia at gross misconduct hearing re Op Venta 3 allegations & placed on barred list MPS confirm public interest in Op Venta 1 allegations proceeding to gross misconduct hearing. IOPC tasked with re- establishing contact with witnesses to assess if willing to engage with hearing IOPC proceedings support unit note in relation to contacting Rebekah Arter: “Miss G is Arter’s wife. She did not provide a statement to the investigation. She has not been contacted to date, pending the MPS confirming that a hearing will go ahead. This is to avoid alerting Arter of a hearing in the event that it doesn’t take place. My understanding is that he is suffering with ill-health. The MPS know more about his health from Op Venta 3 hearing.” Email from to IOPC from a family member of a potential victim of abuse of position for sexual purposes in Op Venta 1, known as ‘Ms B’. The context is a discussion in relation to arranging a meeting with IOPC/Ms B in the new year to discuss special measures for the misconduct hearing. The message includes the following: “I would also like to make you aware that Warren is still contacting [Ms B] via whatsapp. I have told [Ms B] to ignore all contact but screenshot and save anything he sends” Email from IOPC to Ms B’s family member explaining who will be point of contact going forward who will meet with Ms B re special measures. Acknowledges information given in 28 Dec message: “Thank you for bringing to my attention that Warren is messaging [Ms B] on WhatsApp – something I would have been unaware about. I think the right approach is your own suggestion, that she saves any messages she receives from OFFICIAL OFFICIAL him.” 15 Mar 24 25 Mar 24 Meeting IOPC and Ms B. Disclosures made re nature of messages received from former DI Arter, including upskirt photo of sleeping female. IOPC makes report to MPS DPS (PC Shane O’Neill and t/CI Jamie Newman) of disclosures made by Ms B OFFICIAL
Professor Andrew Harris
HM Assistant Coroner
Croydon Coroners Court and Offices New Scotland Yard
2 Robert St Croydon Victoria Embankment
London
CR0 1QQ SW1A 2JL
Deputy Assistant Commissioner
Metropolitan Police Service
London
Friday 12th December 2025
Dear Professor Harris,
On behalf of the Commissioner of Police of the Metropolis, I write to provide the
response to the matters of concern addressed to the Metropolitan Police Service
(MPS) in your Report to Prevent Future Deaths dated 19th September 2025 following
the inquest into the tragic death of Mrs Rebekah Arter.
On behalf of the MPS, may I first express my sincere condolences to the family and
friends of Mrs Arter, our thoughts and sympathies are very much with them.
The MPS has acknowledged and reviewed all the matters of concern raised in your
Regulation 28 Report and responds as follows:
The Coroner’s “Matters of Concern” and the MPS’ Responses
Matter of Concern
“That there may have been missed opportunities for the IOPC and Metropolitan Police
Service from their investigations to identify that Rebekah was a victim of domestic
abuse and coercive control, which would have enabled her to be protected. This is
illustrated by these facts:
• That Rebekah had met her husband initially as a victim of a crime.
• That police investigations uncovered a large number of women with whom he
had inappropriate relationships and that he misused his police powers.
• That he was dismissed from the police for drug offences in May 2023, but the
risk to Rebekah was not apparently considered at that time.
• A witness has alleged that a video was sent by him of Rebekah
which the family allege was
used to shame and enforce control over her, allegedly in 2023.
• A history of her having unexplained repeated bruises and injuries was available
in 2024 to anyone who enquired about the risk of domestic abuse.
•
• That in retrospect it is recognised by a Detective Chief Inspector that he was
an exceptionally persistent and damaging offender against women, but no
charges in relation to that had ever been brought.
It is recognised that the MPS will have taken a number of steps to improve
investigations since 2016. The public will want to know of these. The issue of the abuse
of police powers threatening the safety and lives of women has been a matter of
considerable public interest. In my opinion this is a national issue of concern and that
ministers should be informed of these matters to consider if any further investigation
is needed to prevent future deaths and/or for the public to be reassured.”
MPS Response
In addressing the coroner’s concerns, this response will set out the improvements the
MPS has made since 2016 to address these concerns, including in response to the
Baroness Casey review on culture and standards in the Metropolitan Police Service,
the Angiolini Inquiry Part 1 and His Majesty’s Inspectorate of Constabulary and Fire &
Rescue Services (HMICFRS) concerns on vetting, misconduct and misogyny in the
police service.
We will highlight the changes to MPS policy and practice in relation to Vetting and
address the work that has been undertaken in relation to the public concern regarding
the abuse of police powers and its impact on the safety of women. This includes the
creation of the Domestic Abuse and Sexual Offences Investigation Unit (DASO) and
the new mandatory training on Abuse of Position for Sexual Purpose (APSP). We will
also address the work that the MPS has undertaken in the last three years to tackle
violence against women and girls.
Lastly, we will reference the Angiolini Inquiry which is scrutinising the issue of safety
of women and girls in Part 2.
Vetting
As part of our New Met for London plan, we are reforming the way we vet officers and
staff. We have changed our approach and are confident that, following our reforms,
only those who meet the highest standards will be granted vetting clearance and able
to join the Met. Our policy and practice on screening out individuals, via vetting, who
have misogynistic and/or predatory attitudes and behaviours is strong and robust –
and believe it is one of the strongest positions taken by any police force in the UK.
Today, the presumption is an individual who has been previously arrested for rape and
applies to join the Met, will not receive vetting clearance, unless there are exceptional
circumstances. And in line with national guidance, applications for a position as a
police officer, special constable or member of police staff are rejected in all cases
where the applicant is, or has been, a registered sex offender. Applicants with
convictions/cautions for offences where vulnerable people were targeted or the
offences were of domestic abuse should also be rejected.
The MPS’ new Force Vetting Policy was launched in June 2024 and includes a
Statement of Vetting Tolerances and Vetting Decision-Making Framework
(VDMF). The Statement of Vetting Tolerances provides direction on the level of
tolerable risk for vetting clearances, applied for or held by personnel and contractors.
It states that the organisation has a low tolerance to any person holding a vetting
clearance who, amongst other things:
• Has been cautioned or convicted of domestic abuse, coercive or controlling
behaviour or stalking and harassment.
• Has been cautioned or convicted of sexual offences.
• Has been cautioned or convicted of offences against vulnerable people.
• Been the subject of a non-molestation order or Domestic Violence
Prevention Order.
Since the policy was introduced in June 2024, we do not believe anyone who has a
caution or conviction for any sexual offence or offences involving domestic abuse,
stalking or controlling and coercive behaviour has joined the force. While our
strengthened processes have seen refusal rates move from 5.4 per cent in 2020-21
to 11.4 per cent in 2023-24.
In addition, the MPS has also lobbied for, and worked with the Home Office on, new
vetting legislation to give police chiefs greater ability to dismiss officers who are
unsuitable tohold vetting clearance after serious incidents or where intelligence points
to a pattern of behaviour that deems an officer unsuitable to continue in their role.
Domestic Abuse and Sexual Offences Investigation Unit (DASO)
The MPS acknowledges the public concern regarding the abuse of police powers and
its impact on the safety of women. Since 2016, the MPS has undertaken significant
reforms
to strengthen
investigations,
improve safeguarding, and ensure
accountability.
DASO – this was created in early 2022 in response to the cases relating to former
Police Constables
and
, a unique reactive department
committed to investigating Police-Perpetrated Domestic Abuse (PPDA) and Sexual
Offending (SO). DASO comprises of four investigation teams and a separate Victim
Support Unit (VSU), part of the Professionalism Command.
DASO is made up of specialist officers with safeguarding experience and the requisite
skill set. DASO is responsible for investigating all PPDA SO gross misconduct cases
however, they also take primacy for the parallel criminal investigation when offences
are committed ‘on duty.’
In addition to its core business, DASO is committed to raising awareness of PPDA and
SO by visiting Basic Command Units (BCUs) and Operational Command Units
(OCUs)to present a DASO input, providing anonymised case studies highlighting
common themes and reinforcing the reporting of wrongdoing.
Victim Support Unit (VSU) – this is a team of trained Sexual Offences Investigation
Technique Officers (SOITs) who are victim focused to support victims through the
misconduct hearing process when a case to answer in gross misconduct has been
determined. At present the team are currently supporting in the region of 180 victims.
The VSU also support victims through the trial process, particularly if the criminal
investigation was held by one of the DASO investigation teams. The VSU are also
involved in DASO roadshows, providing bespoke support to BCU/OCU’s (Operational
Command Units) when required, supporting officers and police staff. Most recently
following the BBC Panorama documentary support was provided to officers and staff
at Central West BCU (including Charing Cross Police Station). The VSU work closely
with external partners such as Hestia (an organisation that supports adults and
children in times of crisis) to further support victim-survivors.
Operation Assure was created in 2023. It was a programme of prioritised vetting
reviews for serving officers and staff where the MPS held significant adverse
information that necessitated a review of that individual’s vetting clearance. The trigger
for this process could come from various circumstances, including at the conclusion
of a criminal investigation, following a misconduct hearing where a written warning,
final written warning or a reduction in rank had been issued, or when adverse
information about an individual came to the notice of the Directorate of Professional
Standards (DPS). Once a review was triggered, it would be carried out by a senior
vetting officer and could lead to the individual retaining their current vetting status, or
a decision to revoke the individual’s minimum vetting status. If revoked, the individual
would have been unable to access police premises and systems, which could then
trigger a process under the performance regulations which could lead to dismissal.
This process ceased following judicial review in February 2025.
However, from 1st September 2025, the MPS operationalised the Police Vetting
Regulations (2025). The regulations, which were laid by the Home Office in April and
took effect in May, provide police chiefs the ability to dismiss officers who cannot hold
vetting clearance.
The main changes for policing are:
• The ability to hold and maintain vetting will become a legal requirement
for all serving officers, including senior officers and special constables.
• Forces will have the ability to dismiss officers who aren’t able to maintain/hold
vetting.
• The regulations also set out how appeals against withdrawal of vetting should
be held, including the inclusion of an independent panel member.
Through a parallel change in MPS policy, police staff will now be required to maintain
vetting clearance in order to be employed by the MPS. The MPS priority is to affect
the regulations in a fair and transparent way, initially working through cases for those
officers and staff who were in the Operation Assure process before it closed.
Abuse of Position for Sexual Purpose (APSP)
It is critical that all officers and staff know the signs and symptoms of abuse of position,
how it may begin with professional contact and then quickly progress. Through training
and internal communications channels, MPS officers and staff are reminded of the
need to be willing to and know how to speak up with any concerns they might have
regarding colleagues.
As part of a recent inspection by HMICFRS, the MPS reviewed HMICFRS Standard
6.1.3, specifically looking at how we seek to raise awareness of Abuse of Position for
Sexual Purpose, both internally and externally. As a result, this summer the MPS
introduced a mandatory training package for all officers and staff on the subject of
APSP.
In the training, we highlight a likely offender profile, and the potential indicators of
sexual misconduct. Alongside we raise awareness of the potential “red flags” to look
out for such as misogynistic or extreme sexual comments often being dismissed as
‘banter’ being an indicator of potentially dangerous behaviour. The training also
highlights and raises awareness of the likely characteristics of those that could be
targeted, most often being vulnerable females.
Lastly, we seek to make clear how to get help both internally and externally, through
MPS and external reporting mechanisms, aiming to eliminate any barrier that
individuals may face when reporting concerns of the behaviour of a member of the
organisation or the service they have received. This seeks to instil confidence in those
reporting that their complaints will be taken seriously and dealt with appropriately.
These principles are now embedded in MPS training and shared with external
agencies and organisations across London that support vulnerable people, to ensure
those inside of the MPS and those outside are able to identify warning signs of APSP
within policing and safeguard potential vulnerable victims and take the appropriate
next steps.
DASO also participates in the national APSP working group, seeking best practice
from other forces.
Wider training
Additionally, the MPS has mandated that officers and staff complete training on sexual
harassment in the workplace of which compliance for this is also tracked.
We have delivered training to our whole workforce – that is around 40,000 officers and
staff - that underlines our standards, values and provided tools to assist officers and
staff to stand up to inappropriate behaviour. We have also rolled out five days of
specific leadership training on culture and values.
In conjunction with the mandatory training, DASO and the VSU work alongside the
DPS Prevention and Engagement Team presenting the DASO awareness sessions
as well as DASO/ Guardian roadshows. The roadshows bring together a combination
of support from DASO, VSU, Helping Employees Affected or Living with domestic
abuse (H.E.A.L DA), Hestia, Stalking Threat Assessment Centre (STAC), Network of
Women (NoW) and Human Resources (HR) as appropriate. The primary aim is to
encourage staff to report wrongdoing, ensuring them that they will be supported if they
come forward. Topics covered include how to report wrongdoing or unethical
behaviour, sexual harassment in the workplace, what protection and support are
available, confidential reporting channels and practical advice with a Q & A session.
Integrity Assurance Unit
The Integrity Assurance Unit (IAU) manages officers or staff who are the subject of an
Adverse Judicial Finding (AJF), evidentially tainted by virtue of a criminal or
misconduct outcome or in respect of whom adverse information is held. The IAU will
ensure that such officers or staff are risk assessed and handled fairly to protect both
the individual, the public and the organisation. This is achieved by holistically reviewing
all known information and, where applicable convening a management meeting to
decide on whether Risk Management Measures need to be imposed to manage the
risk presented by the taint, AJF or adverse information. The IAU oversees disclosure
requirements associated with taint and maintains confidential records. The unit also
liaises with legal and professional standards’ teams, monitors fairness and
compliance, and makes referrals to the Disclosure and Barring Service where
necessary. Its overall purpose is to uphold integrity, reduce risk, and maintain public
confidence in the police service.
Workforce
Almost 1,500 officers and staff have been exited from the MPS in the last three years
– this is the biggest shake up on police standards in 50 years.
We have invested in 200 more professional standards’ officers (working in the MPS’s
Directorate of Professional Standards), who proactively seek out wrongdoing, and
almost doubled the number of annual criminal conduct investigations to nearly 500 in
the year 2023/2024.
Our legacy review of historic domestic and sexual allegations against 1,636 officers
and staff – Operation Onyx – has resulted in 378 leaving the MPS through retirement,
resignation or dismissal.
Whistleblowing
Alongside strengthened vetting, we have introduced a range of measures to root out
those who should not serve in the MPS. They include a dedicated DASO team with
victim care specialists. We have enhanced proactive work under our Anti-Corruption
and Abuse Command and we have a dedicated team to support ‘whistle-blowers’.
Internal reports have trebled from 405 in 2021/22 to 1,389 in 2024/25.
We take reports seriously, and support those who make them. In November 2022, we
were the first force to partner with Crimestoppers and launched an anti-corruption
hotline for the public to report wrongdoing including police perpetrated abuse. This has
been rolled out nationally.
In 2024, 137 officers and staff were arrested for sexual or domestic abuse offences
compared with 89 in 2022. This demonstrates a stronger confidence in the MPS by
victims to report this type of offending, and we have seen an increase in allegations
made year on year. For sexual matters, 86 per cent of cases result in a formal
disciplinary outcome.
Angiolini Inquiry
In addition to the work being done in the MPS to address the safety of women and
girls, the issue is being scrutinised as part of the ongoing Angiolini Inquiry.
On 22 November 2021,
was commissioned to conduct an
independent inquiry as to how off-duty Metropolitan Police officer,
,
had the ability to kidnap, rape, and murder
, a member of the public.
The inquiry has been divided into 3 Parts with the final report for Part 1 (regarding
), having been published on 29 February 2024.
On 11 May 2023, the Home Secretary announced the Terms of Reference for Part 2
of the Inquiry. The terms of reference are available publicly, and include:
1. The extent to which systems, policies and processes for the recruitment, vetting
and transfer of police officers are fit for purpose and help to identify those who
display misogynistic and/or predatory attitudes and behaviours
2. The extent to which aspects of police culture observed across police forces
enable misogynistic and/or predatory attitudes and behaviours, and what the
role of standards is.
3. The extent to which existing measures prevent sexually motivated crimes
against women in public spaces.
The latter is the subject of the recently published second report of
(Part
2(iii) report).
Whilst the Part 2(iii) report is focused on its review of the safety of women and girls in
public spaces only, it should be noted that the issues outlined in the coroner’s PFD
concerns are being explored in significant detail across all of Part 2 of the Angiolini
Inquiry.
The Inquiry will draw upon evidence from relevant reports to inform its work, including
the recent HMICFRS report and Baroness
reports. The Inquiry will take into
account the views of those most affected by these issues which will include those who
work in policing and those who have been the victim of relevant crimes.
The MPS are continuing to actively support this Inquiry and address recommendations
arising from the reports accordingly.
Please do not hesitate to contact me should you require further information from the
MPS.
Yours sincerely
Deputy Assistant Commissioner
Metropolitan Police Service
Professionalism
See every Prevention of Future Deaths report matching Andrew Harris, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.
These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.