Recipient

Gwent Police

First report 19 Nov 2020•Latest report 12 Feb 2024

Recipient record

Reports, concerns and published responses

Policing · Police force. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 3
Published responses: 33%
Concerns addressed: 1
Stated actions: 4

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

33%published responses found

4stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Gwent Police linked to the concerns in each report. Select any concern, action or position to view the source wording.

12 Feb2024
Gwent
Concerns raised1
1. Failure of officers to speak up about ABD concerns
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 4
1. Action
  Incorporate the Acute Behavioural Disturbance package into mandatory Public and Personal Safety Training and First Aid Training.
  Stated completed
2. Action
  Provide bespoke standalone Acute Behavioural Disturbance training to frontline officers who recently completed mandatory safety and first aid training.
  Stated planned
3. Action
  Review national training for all police officers on Acute Behavioural Disturbance.
  Stated completed
1. Action
  Introduce and publish a new Acute Behavioural Disturbance learning package through the College Learn system for officers and relevant police staff.
  Stated completed
AI-generated summary

Mouayed Mamoun Bashir · 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

Mouayed Mamoun Bashir took an unknown quantity of cocaine and developed symptoms consistent with Acute Behavioural Disturbance (ABD). After police restraint and transfer to an ambulance, he suffered cardiac arrest and died despite CPR and attempts at hospital revival. The report raised concerns about insufficient knowledge of ABD and ambiguity about whether officers recognised or communicated their concerns about it.

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. The report was sent to Gwent Police; that does not assign responsibility.
PFD Monitor interpretation
Failure of officers to speak up about ABD concerns
Wider context from the report
“At the inquest all the police officers who attended MB gave evidence and they all stated under oath that they did not consider that MB was suffering from ABD at the time. However, when completing the Use of Force forms afterwards, all bar one of the officers involved in restraint indicated that ABD had been an impact factor. There is an ambiguity which could not be properly explored at the inquest, largely due to the passage of time. However, this suggests that officers may have thought about ABD but did not mention it to others, which would be contrary to the “Speak Up and Speak Out” principle. This is a principle, the inquest heard, that is critical to ensuing that the voices of junior officers are heard in these difficult and potentially life-threatening situations. ”
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
Incorporate the Acute Behavioural Disturbance package into mandatory Public and Personal Safety Training and First Aid Training.

Verbatim wording from the response
“I have attached the training package consisting of Power Point Presentation and accompanying Training Notes, which you will see is extensive. I confirm that training package this has been incorporated into the mandatory Public and Personal Safety Training programme and First Aid Training. This in effect means that from 14 February 2024 all officers and relevant police staff will have access to important updated training.”

Source location
Response from Heddlu Gwent Police
Page 2 · response
Published 21 February 2024
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 bespoke standalone Acute Behavioural Disturbance training to frontline officers who recently completed mandatory safety and first aid training.

Verbatim wording from the response
“In addition, as from 3 April 2024 onwards, in Gwent Police all frontline police officers who have only recently completed their mandatory Public and Personal Safety Training and First Aid Training will receive bespoke standalone specific ABD training using the College of Policing Power Point.”

Source location
Response from Heddlu Gwent Police
Page 2 · response
Published 21 February 2024
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 national training for all police officers on Acute Behavioural Disturbance.

Verbatim wording from the response
““Confirmation as to whether the training on ABD has been reviewed and the principle of “Speak Up and Speak Out” enshrined therein, reflecting the acknowledged difficulties in identifying ABD even by experienced officers.””

Source location
Response from Heddlu Gwent Police
Page 1 · response
Published 21 February 2024
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 and publish a new Acute Behavioural Disturbance learning package through the College Learn system for officers and relevant police staff.

Verbatim wording from the response
“I confirm that the national training for all police officers on Acute Behavioural Disturbance (ABD) has been reviewed. The College of Policing has introduced a new learning package, specifically on ABD. The training package consists of an ABD PowerPoint which has been uploaded onto the “College Learn” system and made available to police officers and relevant police staff officers from 14 February 2024.”

Source location
Response from Heddlu Gwent Police
Page 1 · response
Published 21 February 2024
Open published response
8 Mar2023
Plymouth, Torbay and South Devon
Concerns raised3
1. Failure to condition firearms licensing delegation on adequate training
2. Absence of a mandatory requirement for role-specific firearms licensing training
3. Lack of nationally accredited training for firearms licensing staff
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Maxine Betty Davison and 4 others · 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

On 12 August 2021, Jake Davison used a lawfully held shotgun to kill his mother, Maxine Davison, and four other people in Keyham, Plymouth. The inquest identified serious failures in firearms licensing, including inadequate training, governance, supervision, scrutiny, information gathering and decisions to grant and return the shotgun certificate. The report expressed particular concern about the continuing lack of nationally accredited and mandatory training for firearms licensing staff and the risk of incorrect licensing decisions and future deaths.

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. The report was sent to Gwent Police; that does not assign responsibility.
PFD Monitor interpretation
Failure to condition firearms licensing delegation on adequate training
Wider context from the report
“I am concerned that there is an urgent need to develop a national accredited training for FELU staff that covers how to apply the relevant Home Office Guidance on firearms licencing including, in particular, training in assessing the suitability of applicants to be granted a licence. The development of such accredited training is vitally important to achieve consistency and drive up standards. I am concerned that there is currently no requirement or guidance that FELU staff should undergo mandatory training. I am also concerned that there is currently no requirement that Chief Officers of Police may only delegate decision making authority regarding issuing firearms licences to a person who has undergone adequate training. Whilst I acknowledged that the current NPCC lead for firearms licencing is now working with the College of Policing and others to develop the required training, I am concerned to ensure that the momentum to effect change after the horrific tragedy in Keyham should not be lost, as it has been in respect of lessons and recommendations over the past 27 years. I am therefore reporting the matters above to: The NPCC lead for firearms licencing and all other Chief Constables in England and Wales So that each Chief Constable is made aware of my concern that, that despite the many recommendations made over the past 27 years, there continues to be a lack of nationally accredited training for their FELU staff. I also report my concern that in the absence of such the training there is a risk that the Statutory Guidance is not being appropriately applied by FELU staff today, and so each Chief Constable may need to take steps to satisfy themselves that (i) adequate local training, of a satisfactory standard has been universally delivered to all their FELU staff and supervisors in applying the Home Office Guidance on Firearms Licencing Law (published in November 2022) and the revised Statutory Guidance for Chief officers of Police (published in February 2023) and (ii) they have only delegated decision making to persons who have undergone adequate training in firearms licencing and in applying that recent Guidance. The College of Policing (CoP) So that the College of Policing is made aware of my concern that (1) despite the repeated recommendations being made over the past 27 years, and the earlier requests made specifically to the College of Policing asking for such training to be developed, no accredited training as yet exists. (2) neither the current CoP APP guidance on firearms nor the proposed update (which I am assured is still under consultation) includes any requirement that FELU staff are trained in firearms licencing generally or trained in conducting suitability assessments in particular. The Home Secretary and The Minister of State for Crime, Policing and Fire So that they may be made aware of my concern that despite the repeated recommendations being made over the past 27 years, beginning with the Cullen report in 1996: (i) successive governments appear to have failed to ensure that any guidance is produced that makes having training in firearms licencing generally (and in conducting suitability assessments in particular) mandatory for all FELU staff; (ii) there appears to be no requirement that Chief Officers of Police should only delegate authority to issue and revoke licences to officers and staff who have completed adequate (and preferably nationally accredited) training. I am concerned that the lack of accredited training combined with the absence of a mandatory requirement for all those making firearms licensing decisions to undertake adequate training for their role increases the risk of incorrect decision making and, consequently, increases the risk of future deaths. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Gwent Police; that does not assign responsibility.
PFD Monitor interpretation
Absence of a mandatory requirement for role-specific firearms licensing training
Wider context from the report
“I am concerned that there is an urgent need to develop a national accredited training for FELU staff that covers how to apply the relevant Home Office Guidance on firearms licencing including, in particular, training in assessing the suitability of applicants to be granted a licence. The development of such accredited training is vitally important to achieve consistency and drive up standards. I am concerned that there is currently no requirement or guidance that FELU staff should undergo mandatory training. I am also concerned that there is currently no requirement that Chief Officers of Police may only delegate decision making authority regarding issuing firearms licences to a person who has undergone adequate training. Whilst I acknowledged that the current NPCC lead for firearms licencing is now working with the College of Policing and others to develop the required training, I am concerned to ensure that the momentum to effect change after the horrific tragedy in Keyham should not be lost, as it has been in respect of lessons and recommendations over the past 27 years. I am therefore reporting the matters above to: The NPCC lead for firearms licencing and all other Chief Constables in England and Wales So that each Chief Constable is made aware of my concern that, that despite the many recommendations made over the past 27 years, there continues to be a lack of nationally accredited training for their FELU staff. I also report my concern that in the absence of such the training there is a risk that the Statutory Guidance is not being appropriately applied by FELU staff today, and so each Chief Constable may need to take steps to satisfy themselves that (i) adequate local training, of a satisfactory standard has been universally delivered to all their FELU staff and supervisors in applying the Home Office Guidance on Firearms Licencing Law (published in November 2022) and the revised Statutory Guidance for Chief officers of Police (published in February 2023) and (ii) they have only delegated decision making to persons who have undergone adequate training in firearms licencing and in applying that recent Guidance. The College of Policing (CoP) So that the College of Policing is made aware of my concern that (1) despite the repeated recommendations being made over the past 27 years, and the earlier requests made specifically to the College of Policing asking for such training to be developed, no accredited training as yet exists. (2) neither the current CoP APP guidance on firearms nor the proposed update (which I am assured is still under consultation) includes any requirement that FELU staff are trained in firearms licencing generally or trained in conducting suitability assessments in particular. The Home Secretary and The Minister of State for Crime, Policing and Fire So that they may be made aware of my concern that despite the repeated recommendations being made over the past 27 years, beginning with the Cullen report in 1996: (i) successive governments appear to have failed to ensure that any guidance is produced that makes having training in firearms licencing generally (and in conducting suitability assessments in particular) mandatory for all FELU staff; (ii) there appears to be no requirement that Chief Officers of Police should only delegate authority to issue and revoke licences to officers and staff who have completed adequate (and preferably nationally accredited) training. I am concerned that the lack of accredited training combined with the absence of a mandatory requirement for all those making firearms licensing decisions to undertake adequate training for their role increases the risk of incorrect decision making and, consequently, increases the risk of future deaths. ”
Open source report
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Gwent Police; that does not assign responsibility.
PFD Monitor interpretation
Lack of nationally accredited training for firearms licensing staff
Wider context from the report
“I am concerned that there is an urgent need to develop a national accredited training for FELU staff that covers how to apply the relevant Home Office Guidance on firearms licencing including, in particular, training in assessing the suitability of applicants to be granted a licence. The development of such accredited training is vitally important to achieve consistency and drive up standards. I am concerned that there is currently no requirement or guidance that FELU staff should undergo mandatory training. I am also concerned that there is currently no requirement that Chief Officers of Police may only delegate decision making authority regarding issuing firearms licences to a person who has undergone adequate training. Whilst I acknowledged that the current NPCC lead for firearms licencing is now working with the College of Policing and others to develop the required training, I am concerned to ensure that the momentum to effect change after the horrific tragedy in Keyham should not be lost, as it has been in respect of lessons and recommendations over the past 27 years. I am therefore reporting the matters above to: The NPCC lead for firearms licencing and all other Chief Constables in England and Wales So that each Chief Constable is made aware of my concern that, that despite the many recommendations made over the past 27 years, there continues to be a lack of nationally accredited training for their FELU staff. I also report my concern that in the absence of such the training there is a risk that the Statutory Guidance is not being appropriately applied by FELU staff today, and so each Chief Constable may need to take steps to satisfy themselves that (i) adequate local training, of a satisfactory standard has been universally delivered to all their FELU staff and supervisors in applying the Home Office Guidance on Firearms Licencing Law (published in November 2022) and the revised Statutory Guidance for Chief officers of Police (published in February 2023) and (ii) they have only delegated decision making to persons who have undergone adequate training in firearms licencing and in applying that recent Guidance. The College of Policing (CoP) So that the College of Policing is made aware of my concern that (1) despite the repeated recommendations being made over the past 27 years, and the earlier requests made specifically to the College of Policing asking for such training to be developed, no accredited training as yet exists. (2) neither the current CoP APP guidance on firearms nor the proposed update (which I am assured is still under consultation) includes any requirement that FELU staff are trained in firearms licencing generally or trained in conducting suitability assessments in particular. The Home Secretary and The Minister of State for Crime, Policing and Fire So that they may be made aware of my concern that despite the repeated recommendations being made over the past 27 years, beginning with the Cullen report in 1996: (i) successive governments appear to have failed to ensure that any guidance is produced that makes having training in firearms licencing generally (and in conducting suitability assessments in particular) mandatory for all FELU staff; (ii) there appears to be no requirement that Chief Officers of Police should only delegate authority to issue and revoke licences to officers and staff who have completed adequate (and preferably nationally accredited) training. I am concerned that the lack of accredited training combined with the absence of a mandatory requirement for all those making firearms licensing decisions to undertake adequate training for their role increases the risk of incorrect decision making and, consequently, increases the risk of future deaths. ”
Open source report
19 Nov2020
Gwent
Concerns raised1
1. Uncertainty about the nature and extent of basic life support and first aid training for police staff
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

John Allan TUCKER · 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

John Allan Tucker had significant coronary artery disease, underwent four-vessel coronary artery bypass grafting in 2018, and later died from congestive cardiac failure associated with cardiomegaly, ischaemic heart disease, coronary artery disease, and reported drugs and alcohol intake. Concerns were raised about the nature and extent of basic life support and first aid training provided to Gwent Police staff who may encounter people with respiratory problems.

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. The report was sent to Gwent Police; that does not assign responsibility.
PFD Monitor interpretation
Uncertainty about the nature and extent of basic life support and first aid training for police staff
Wider context from the report
“The information from ████████ of the MOSOVO team and DS ████████ ████████ raised some concerns about the nature and extent of basic life support and first aid training provided to the different staff employed by Gwent police who of course may be in regular contact with people who are unwell or injured giving rise to respiratory problems. ”
Open source report

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026

Reports, concerns and published responses

Reports over time

Concerns raised1

Failure of officers to speak up about ABD concerns

Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised.4

Concerns raised3

Failure to condition firearms licensing delegation on adequate training

Absence of a mandatory requirement for role-specific firearms licensing training

Lack of nationally accredited training for firearms licensing staff

Concerns raised1

Uncertainty about the nature and extent of basic life support and first aid training for police staff

Actions described in response 4