30 Apr 2021 Jade Rayner · Prevention of Future Deaths report Manchester South
View report summary
Concerns raised 1
Failure to record a reported sexual allegation as a crime View source
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
Greater Manchester Police NHS Greater Manchester Integrated Care Board
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised. 5
Greater Manchester Police
Implement training methods for officers on National Crime Recording Standards.
View source
Greater Manchester Police
Introduce a central Crime Recording and Resolution Unit to support accurate recording of relevant incidents.
View source
Greater Manchester Police
Provide officers with feedback on crime-recording understanding and knowledge.
View source
Greater Manchester Police
Review district vulnerability-email management and implement arrangements to identify and record crime, assess victim risk, mitigate it, and record actions.
View source
Greater Manchester Police
Introduce streamlined single inboxes for consistent routing of enquiries and concerns.
View source See 2 more actions
×
AI-generated summary
Jade Rayner · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Jade Nicole Rayner was a vulnerable adult with complex mental and physical health needs, including seizures, alcohol use and fluctuating capacity. She was found unresponsive at home on 30 March 2020 and had a fatal level of prescribed antidepressants and alcohol in her system. Concerns included the absence of an effective multi-agency strategy, failures in recording and investigating a reported sexual offence, and alcohol misuse support that could not meet the needs of a complex case involving underlying trauma.
Read the report on judiciary.uk
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to record a reported sexual allegation as a crime
Wider context from the report “1. The inquest was told that her capacity fluctuated and she was vulnerable. Her social worker reported to Greater Manchester Police and to NWAS that it was believed she had been the victim of a sexual offence involving an employee of NWAS who had initially been to her address in a professional capacity. The inquest heard that NWAS dealt with this robustly through their internal disciplinary process. The inquest was told that GMP did not record it as a crime. The officer giving evidence to the inquest initially gave evidence that GMP had 72 hours to decide if GMP should record a sexual allegation as a crime. It was then indicated that it should have been recorded as a crime. The inquest was told it was not investigated and was written off following a strategy meeting. Jade Rayner was not as a consequence offered by GMP the support set out within the Victims Code.
2. Her case was complex, and the evidence was that there was not a clear multi agency strategy to support her particularly to share information and understand the relationship between earlier Domestic abuse and the subsequent use of alcohol.
3. The evidence was that the existing available alcohol misuse support programmes whilst useful could not meet the needs of a complex case such as this where underlying trauma was a key driver.
” Source location Jade Rayner · Prevention of Future Deaths report
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Implement training methods for officers on National Crime Recording Standards.
Verbatim wording from the response “In relation to National Crime Recording Standards, the timescale of 72 hours to record a crime was removed on 31 April 2015. In order to train officers in this area a variety of training methods have been implemented, and since the HMICFRS Victim Services Assessment in November 2020, GMP have introduced a central Crime Recording and Resolution Unit which will help ensure crimes are recorded for all relevant incidents.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce a central Crime Recording and Resolution Unit to support accurate recording of relevant incidents.
Verbatim wording from the response “In relation to National Crime Recording Standards, the timescale of 72 hours to record a crime was removed on 31 April 2015. In order to train officers in this area a variety of training methods have been implemented, and since the HMICFRS Victim Services Assessment in November 2020, GMP have introduced a central Crime Recording and Resolution Unit which will help ensure crimes are recorded for all relevant incidents.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide officers with feedback on crime-recording understanding and knowledge.
Verbatim wording from the response “Sergeant ████████ has been given feedback in relation to his understanding and knowledge of crime recording.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review district vulnerability-email management and implement arrangements to identify and record crime, assess victim risk, mitigate it, and record actions.
Verbatim wording from the response “In relation to Ms Jade Rayner's case, officers did consider recording a crime following the email from social services on the 8 October but it was only after the joint visit, five days later that the offences of Misconduct in Public Office was considered. Additional work has been completed by the Public Protection Governance Unit, who have reviewed the management of district vulnerability e-mail accounts in order to; Identify and address gaps in systems and processes for identifying and recording all reports of crime, and put in place arrangements to make sure that in all investigations the risk to the victims has been appropriately assessed, risk mitigated and actions recorded.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce streamlined single inboxes for consistent routing of enquiries and concerns.
Verbatim wording from the response “Initial work completed also includes a dip-sample of how partner e-mails received by the District Safeguarding Team have been managed, and a streamlined process with single 'in-boxes' has been introduced to ensure consistency, and allow all to easily route enquiries or concerns.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation The remaining concerns fall under Greater Manchester Police’s remit, so Greater Manchester Health and Social Care Partnership will leave them for police response.
Verbatim wording from the response “This letter addresses the issues that fall within the remit of GMHSCP and how we can share the learning from this case. With regard to point 1 of your report I understand that the NWAS Head of Service for Greater Manchester gave evidence at the inquest as to the internal investigation and disciplinary actions taken. The remainder of the concerns raised falls under the remit of Greater Manchester Police and I shall leave it to them for their response.” Source location 2021-0128-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership-Redacted
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation A Force Crime Registrar review concluded that no recordable crime had been committed.
Verbatim wording from the response “Following investigation it has now been established that officers from the Criminal Investigation Department at Stockport visited Jade Rayner on 14 October 2019 and considered whether any offences had been committed. The Force Crime Registrar has also reviewed the matter and concluded no recordable crime has been committed.” Source location 2021-0128-Response-from-Greater-Manchester-Police-Redacted
Open published response
11 Feb 2021 Robert Hardy · Prevention of Future Deaths report Manchester South
View report summary
Concerns raised 1
Failure to record an assault with a weapon as a crime in the crime recording system View source
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
×
AI-generated summary
Robert Hardy · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Robert Stephen Hardy was found at home on 6 August 2020 suspended from a ligature; the inquest concluded that his death was suicide. The principal concern was that an assault involving a weapon was not recorded as a crime promptly, affecting the provision of and signposting to appropriate victim support despite his recognised vulnerabilities.
Read the report on judiciary.uk
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to record an assault with a weapon as a crime in the crime recording system
Wider context from the report “The evidence before the inquest was that GMP had not recorded the assault with a weapon as a crime within the crime recording system . It was accepted that this should have happened . The concern arises in relation to the impact this then had on the provision of and signposting of him to appropriate victim support given his recognised and known vulnerabilities.
” Source location Robert Hardy · Prevention of Future Deaths report
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Establish the central Crime Recording and Resolution Unit to record relevant crimes centrally and complete phased implementation across the Force.
Verbatim wording from the response “The HMICFRS Victim Services Assessment of November 2020 identified organisational under-recording of crime and its findings are driving major improvements into our processes specifically around the crime recording and ensuring that the minimum standards set within the National Crime Recording Standards (NCRS) are met. Pivotal to this improvement is the establishment of a central Crime Recording and Resolution Unit (CRRU), which will help ensure crimes are submitted for all relevant incidents.” Source location 2021-0039-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Deliver a Force-wide training programme to improve compliance with National Crime Recording Standards.
Verbatim wording from the response “Whilst the CRRU is being established, GMP has taken steps to improve performance in the short term. This has included a significant training programme for all officers and a new role for Incident Progression Teams (IPTs) across the Force which are reviewing and ensuring that Grade 1-3 incidents are NCRS compliant. This work is being quality assured by dip sample via the Crime Standards Board which reports to the Deputy Chief Constable.” Source location 2021-0039-Response-from-Greater-Manchester-Police-Redacted
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Introduce Incident Progression Team review of Grade 1–3 incidents for National Crime Recording Standards compliance, with Crime Standards Board dip-sample quality assurance.
Verbatim wording from the response “Whilst the CRRU is being established, GMP has taken steps to improve performance in the short term. This has included a significant training programme for all officers and a new role for Incident Progression Teams (IPTs) across the Force which are reviewing and ensuring that Grade 1-3 incidents are NCRS compliant. This work is being quality assured by dip sample via the Crime Standards Board which reports to the Deputy Chief Constable.” Source location 2021-0039-Response-from-Greater-Manchester-Police-Redacted
Open published response
13 Oct 2014 Arsema Dawit · Prevention of Future Deaths report Inner South London
View report summary
Concerns raised 3
Failure to make a linked crime report View source Failure to record the most serious reported crime as the principal offence View source Failure to correctly classify and reclassify the principal offence View source
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
×
AI-generated summary
Arsema Dawit · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Arsema Dawit, aged 15, died on 2 June 2008 after being stabbed by a former friend who had been stalking her; the inquest jury concluded that the death was unlawful killing. Concerns included the recording and classification of the initial police report, inadequate and untimely investigation, insufficient supervision and communication with the family, gaps in investigative procedures, and reluctance to use interpreting services.
Read the report on judiciary.uk
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to make a linked crime report
Wider context from the report “(2) The court was told that most serious crime reported should be the principal offence, but the threat to kill was not entered as the principle offence, when at some stage it was reviewed by senior supervising officers, nor was a linked crime report made . The entry of the second Inspector was insufficient to properly inform others of his decisions. Two inspectors were involved and that gave false reassurance to more junior officers, who did not question the appropriateness of the principal offence, despite contrary evidence. It was not clear whether this was a series of misunderstandings or a systemic or cultural failure to properly document and ensure flexibility in investigations.
” Source location Arsema Dawit · Prevention of Future Deaths report
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to record the most serious reported crime as the principal offence
Wider context from the report “(2) The court was told that most serious crime reported should be the principal offence, but the threat to kill was not entered as the principle offence , when at some stage it was reviewed by senior supervising officers, nor was a linked crime report made. The entry of the second Inspector was insufficient to properly inform others of his decisions. Two inspectors were involved and that gave false reassurance to more junior officers, who did not question the appropriateness of the principal offence, despite contrary evidence. It was not clear whether this was a series of misunderstandings or a systemic or cultural failure to properly document and ensure flexibility in investigations.
” Source location Arsema Dawit · Prevention of Future Deaths report
Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to correctly classify and reclassify the principal offence
Wider context from the report “(1) The senior reception officer prematurely classified the offence, failed to reclassify it when the full details were known at the end of her interviews and entered a misleading entry on the CRIS that the Inspector whom she had briefly asked a question, had been informed of the incident, which he had not, but others assumed he had been. He was clear that had he known the full account of the incident, he would have required further steps to be taken at the outset. Is the SRO appropriate to complete the CRIS in such a case and is the system of recording and reviewing the entered principal offence now understood by reception officers?
” Source location Arsema Dawit · Prevention of Future Deaths report
Open source report
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate the broadened Public Access Officer role with mandatory specialist training in front-counter reporting, initial investigation, risk recognition, victim care and safeguarding.
Verbatim wording from the response “Response:
A decision was taken by Management Board in 2007 that the Station Reception Officer (SRO) role would cease to exist with effect from 31 July 2008. Initially, those staff recruited to the revised position after this date were called ‘Station Police Community Support Officers’ (‘SPCSOs’), who were part of the Police Community Support Officer family. Patrolling had not formerly been part of the remit of the SRO, and so” Source location 2014-0442-Response-by-Metropolitan-Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide continuously available policing toolkits and a Reception Services Manual with checklists and flowcharts for recording, escalating and investigating threats to life and other relevant risks.
Verbatim wording from the response “In support of such better decision making, a further innovation since 2008 has been the refashioning of our sometimes unwieldy policies and procedures into a series of user-friendly ‘toolkits’, available 24 hours a day, seven days a week, from any MPS computer workstation. These are designed to be clear, concise guides, ‘Frequently Asked Questions’ and checklists which can support any frontline officer or staff member before, during, or after dealing with any situation which they may be unfamiliar with. For example, links to an easy to follow flow chart of necessary actions setting out how a ‘Threat To Life’ should be recorded, reported, and progressed is now included in a bespoke online reference guide, the Reception Services Manual, for use by Public Access staff. This manual contains, inter alia, specific guidance on how to deal with:” Source location 2014-0442-Response-by-Metropolitan-Police
Open published response
×
Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Operate the Crime Assessment Unit as an independent central quality-assurance layer that reviews, confirms and corrects initial crime classifications within defined timescales.
Verbatim wording from the response “significant improvement in our business processes since 2008 has been the introduction in 2012 of a centralised, independent quality assurance layer which assumes responsibility for the confirmation of initial classification for all reported crimes MPS wide. This centralised independence provides an opportunity to correct local errors of the type which occurred in the initial recording of Miss Dawit’s allegation. The supervision is provided by the Crime Assessment Unit (CAU), comprising three teams of experienced detective and uniformed officers and staff, each headed up by an inspector. The CAU run a series of automated searches to ensure that any reports lacking the necessary classification confirmation are undertaken by them are reviewed and progressed appropriately.” Source location 2014-0442-Response-by-Metropolitan-Police
Open published response
×
Source evidence
How this respondent position was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation PAO training and business processes are considered sufficient for accurate crime recording and useful initial investigation.
Verbatim wording from the response “The current PAO training course was designed centrally in conjunction with MPS training command, known as ‘Met Training’ and is delivered by dedicated trainers from Met Training. It takes place over 13 days and is a mandatory requirement before a new staff member can take up a post within the MPS. Attendance and successful completion of the course is monitored by line managers on the trainee's home Borough Operational Command Unit (‘BOCU’). The curriculum of the course covers all aspects of the role of staffing a front office or other public access point. Topics covered most relevant to the Dawit case include:” Source location 2014-0442-Response-by-Metropolitan-Police
Open published response
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.