25 Mar 2026 Name not published · Prevention of Future Deaths report Inner West London
View report summary
Concerns raised 7 Failure to routinely seize feeding bottles and equipment pending toxicology results View source Insufficient police consideration of poisoning in unexpected child deaths View source Warning information for chlorpheniramine-containing products omitting their association with sudden unexpected death in children View source Perfunctory scene examinations in child death investigations View source Police training and guidelines requiring updating View source A person who illicitly administered chlorpheniramine to a child continuing to work as a nanny View source Absence of a national regulation system for nannies View source See 4 more concerns
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Name not published · 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
A baby died unexpectedly at home on 15 January 2024, after being found unresponsive in a bassinet; chlorpheniramine was present in his blood and had probably been administered by the night nanny. The coroner reached an open conclusion, with expert evidence that the drug could possibly have caused or contributed to the death. Concerns included an inadequate scene examination, failure to seize feeding equipment or search relevant property, insufficient consideration of poisoning, and the lack of specific nanny regulation and guidance about chlorpheniramine.
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× 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to routinely seize feeding bottles and equipment pending toxicology results
Wider context from the report “2. That feeding bottles and equipment are not routinely seized pending toxicology results .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Insufficient police consideration of poisoning in unexpected child deaths
Wider context from the report “3. That insufficient consideration is given the potential role of poisoning in such deaths by the police .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Warning information for chlorpheniramine-containing products omitting their association with sudden unexpected death in children
Wider context from the report “9. That the warning information on products containing chlorpheniramine, such as piriton may need to be updated to include the association between administration of the substance and sudden unexpected death in children .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Perfunctory scene examinations in child death investigations
Wider context from the report “1. That child death investigation teams are too easily reassured when they attend deaths and find a well-presented home environment with no overt signs of neglect or injury to the deceased child, such that the scene examination becomes perfunctory and forensic opportunities are lost .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Police training and guidelines requiring updating
Wider context from the report “4. That police training and guidelines may need to be updated .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation A person who illicitly administered chlorpheniramine to a child continuing to work as a nanny
Wider context from the report “7. That a person whom the court found administered chlorpheniramine illicitly to a child and that administration possibly contributed to that child’s death is still working as a nanny .
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Absence of a national regulation system for nannies
Wider context from the report “8. That there is no national regulation system for nannies .
” Open source report
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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 Search Op Marshall for unexpected child deaths involving chlorpheniramine and compile relevant results into an operational report for the NPCC Homicide Working Group.
Verbatim wording from the response “In light of the Coroner’s concern, FMAT will endeavour to assist the NPCC Homicide Working Group by conducting a keyword search of Op Marshall to identify any records involving unexpected child deaths where chlorpheniramine has been administered, and combine any relevant results into an operational report for the HWG.” Source location Response from NCA
Open published response
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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 Responsibility for leading a national review may more appropriately rest with the NPCC Homicide Working Group’s Child Deaths Sub-Group.
Verbatim wording from the response “The NCA respectfully submits that the responsibility for leading a review may more appropriately rest with the NPCC Homicide Working Group (Child Deaths Sub-Group). This group (led by ████████ Nottinghamshire Police, for the NPCC) leads national guidance on child death investigations and is a multi-agency group which includes the NCA who, via FMAT, feed data from Op Marshall into the group. FMAT forwarded the Prevention of Death’s report to the group’s chair on the 21st April and if the Coroner wishes to make any enquiries of this group, it can be contacted at ████████” Source location Response from NCA
Open published response
Concerns raised 2 Online facilitation of UK home delivery of equipment for ending life View source Public availability of step-by-step online instructions for ending life View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Guy Douglas Scotcheford · 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
Guy Scotcheford had a long history of mental health problems and chronic suicidal ideation. He was found deceased at home in a bath on 1 July 2023, and the cause of death was recorded as asphyxiation, with the conclusion of suicide. The report raised concern that an active website provided practical instructions for ending life, including a link to a company supplying relevant equipment for home delivery.
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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Online facilitation of UK home delivery of equipment for ending life
Wider context from the report “It was clear from the evidence of the investigating officer that the website (████████) is still active and from this website a████████████████████████████████" can be downloaded. This document gives a direct link to a company from which ████████ can be purchased in the UK and home delivered. The police investigation determined that this named company did receive and supply that order. The downloaded document provides step by step instruction on how to end your life with specific advice and direction on the use of certain equipment.
The investigating officer made a recent internet search of this website which states that it provides practical DIY information to enable readers to take control over their own life and death. This website is available to anyone to access online.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Public availability of step-by-step online instructions for ending life
Wider context from the report “It was clear from the evidence of the investigating officer that the website (████████) is still active and from this website a████████████████████████████████" can be downloaded. This document gives a direct link to a company from which ████████ can be purchased in the UK and home delivered. The police investigation determined that this named company did receive and supply that order. The downloaded document provides step by step instruction on how to end your life with specific advice and direction on the use of certain equipment.
The investigating officer made a recent internet search of this website which states that it provides practical DIY information to enable readers to take control over their own life and death. This website is available to anyone to access online.
” Open source report
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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 sale of nitrogen and other inert gases is not prohibited because they have many legitimate industrial and commercial uses.
Verbatim wording from the response “The NCA recognise that the sale of nitrogen and other inert gasses is not in itself prohibited due to their many uses, primarily in industry, which include within hydraulic systems, cooling applications, creation of various beverages, and food packaging. The Health and Safety Executive sets out and enforces regulations in respect of the safety standards of gas canisters but this does not extend to who can purchase the canisters.” Source location Response from National Crime Agency
Open published response
28 Dec 2023 Adrian Brendan GALLAGHER · Prevention of Future Deaths report Cheshire
View report summary
Concerns raised 3 Availability of suicide-assistance material online View source Failure to conduct age and identity checks before purchase View source Online sale of drugs for ending life View source
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Adrian Brendan GALLAGHER · 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
Adrian Gallagher was found deceased in bed on 10 November 2017 after being admitted to Hollins Park Hospital and receiving periods of unsupervised leave. His death was due to an intentional overdose and the inquest concluded that it was suicide. Concerns included the online availability of materials and drugs that could assist suicide, limited age and identity checks, and access by vulnerable mental health patients.
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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Availability of suicide-assistance material online
Wider context from the report “████████ is available to anyone to purchase online, directly from the company. The company appears to have some link to the UK as there is a UK helpline number. The ████████ appears to provide step by step instruction on how to end your life using certain methods, including how to make the death appear to be due to natural causes and therefore avoid referral to the coroner. Whilst the introduction suggests it is aimed at those who are elderly and long-term suffering, there is also reference to suicide for other reasons within the book and is likely to appear to vulnerable mental health patients.
According to the evidence of the police officer, you can also buy drugs to end your life through this website.
The only check on age and ID appears to be after a purchase, to allow you access to online forums where you can get further advice on best methods.
The ████████ has been banned in Australia (and possibly other countries) as it is deemed to encourage/ assist in suicide.
The ████████, in some format, is also available on Amazon (and I am writing to Amazon directly to flag this).
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to conduct age and identity checks before purchase
Wider context from the report “████████ is available to anyone to purchase online, directly from the company. The company appears to have some link to the UK as there is a UK helpline number. The ████████ appears to provide step by step instruction on how to end your life using certain methods, including how to make the death appear to be due to natural causes and therefore avoid referral to the coroner. Whilst the introduction suggests it is aimed at those who are elderly and long-term suffering, there is also reference to suicide for other reasons within the book and is likely to appear to vulnerable mental health patients.
According to the evidence of the police officer, you can also buy drugs to end your life through this website.
The only check on age and ID appears to be after a purchase , to allow you access to online forums where you can get further advice on best methods .
The ████████ has been banned in Australia (and possibly other countries) as it is deemed to encourage/ assist in suicide.
The ████████, in some format, is also available on Amazon (and I am writing to Amazon directly to flag this).
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Online sale of drugs for ending life
Wider context from the report “████████ is available to anyone to purchase online, directly from the company. The company appears to have some link to the UK as there is a UK helpline number. The ████████ appears to provide step by step instruction on how to end your life using certain methods, including how to make the death appear to be due to natural causes and therefore avoid referral to the coroner. Whilst the introduction suggests it is aimed at those who are elderly and long-term suffering, there is also reference to suicide for other reasons within the book and is likely to appear to vulnerable mental health patients.
According to the evidence of the police officer, you can also buy drugs to end your life through this website.
The only check on age and ID appears to be after a purchase, to allow you access to online forums where you can get further advice on best methods.
The ████████ has been banned in Australia (and possibly other countries) as it is deemed to encourage/ assist in suicide.
The ████████, in some format, is also available on Amazon (and I am writing to Amazon directly to flag this).
” Open source report
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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 Ofcom and regulated online services are responsible for enforcing and meeting legal duties concerning illegal suicide content online.
Verbatim wording from the response “As a result of your letter we have been engaging with Ofcom, the online safety regulator under the Online Safety Act, to scope out how we can work effectively together, within our respective roles, to combat illegal suicide content online. The NCA understands that Ofcom is in the process of consulting on its draft codes of practice and guidance that will explain the steps regulated online services will need to take to meet their legal duties under the Act to protect their users in the UK from this sort of content.” Source location Response from National Crime Agency
Open published response
29 May 2014 Mark Duggan · Prevention of Future Deaths report London (North)
View report summary
Concerns raised 10 Lack of fully independent control over fatal shooting scenes during investigation View source Failure to video record fatal police shooting scenes View source Failure to consider pursuing a planned weapons-seizure operation after a fatal shooting View source Failure to record armed police operations after State Red View source Lack of access to all relevant intelligence for fatal-operation investigations View source Failure to review operational strategy in response to developing events View source Failure to devise a coordinated strategy capable of seizing guns before collection View source Failure to develop and share operational intelligence between the MPS and SOCA View source Failure to obtain prompt comprehensive statements from all police witnesses to fatal shootings View source Lack of an agreed protocol between the IPCC, coronial and prosecution bodies View source See 7 more concerns
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
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AI-generated summary
Mark Duggan · 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 4 August 2011, Mark Duggan was shot by an armed police officer during an enforced vehicle stop in London and was pronounced dead at the scene. The report raises concerns about intelligence sharing and operational decisions before the shooting, the investigation and preservation of evidence at the scene, the recording of the operation, and the coordination and access to intelligence during the investigation and inquest.
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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Lack of fully independent control over fatal shooting scenes during investigation
Wider context from the report “Concern 3: The IPCC had primacy at the scene but did not have the resources to conduct all relevant activities there
I am concerned that no scene of a fatal shooting should be the subject of any confusion about the purpose of the investigation, or about what should be done to further that investigation. There is a tension, in a case such as this, between the duty of the MPS to obtain and secure evidence at the scene, its position as being under investigation, and the IPCC’s obligation to investigate independently. The pragmatic approach adopted of the MPS consulting the IPCC about what should happen may not always resolve that tension. My primary concern is whether that position should persist. If it does then I am concerned that the police service has the practical control of many aspects of the scene and what happens there despite being under investigation , without the public realising that the investigation does not have full independence which the IPCC’s role appears to safeguard . This concern is addressed to the IPCC, the Home Secretary and the MPS.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to video record fatal police shooting scenes
Wider context from the report “Concern 4: The scene of the fatal police shooting was not video recorded
I believe that it is important to minimise distrust in the police in connection with fatal shootings, as that distrust can then permeate the entire investigation which follows and may mean that civilian witnesses will not come forward. That plainly has the capacity to prevent lessons being learned which could prevent deaths in the future. This concern is addressed to the MPS, the IPCC and ACPO.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to consider pursuing a planned weapons-seizure operation after a fatal shooting
Wider context from the report “Concern 5: The planned operation to seize weapons was not pursued after the fatal shot was fired
My concern is that no consideration appears to have been given to the prospect . A starting point should have been that one of the Trident officers saw the minicab turn into Burchell Road for the handover, and that was a short cul-de-sac. This concern is addressed to the MPS, the IPCC and ACPO.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to record armed police operations after State Red
Wider context from the report “Concern 6: The armed police operation was not recorded after State Red was called
I am therefore concerned that the cars involved in stopping the minicab containing Mr Duggan had data available to be downloaded or that the technology was not as effective in 2011 as it was in 2005. I expect to be told the actual position. In the circumstances I address these concerns to the MPS and ACPO.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Lack of access to all relevant intelligence for fatal-operation investigations
Wider context from the report “Concern 8: The IPCC and Counsel to an inquest do not have access to all intelligence
These limitations not only give rise to understandable suspicions in the minds of those not party to the intelligence but also plainly create a risk that an intelligence-led operation which results in death will not be fully investigated so that lessons may be learned. This concern is addressed to the Home Secretary.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to review operational strategy in response to developing events
Wider context from the report “Concern 1: The MPS and SOCA could have reacted better to developing events and used their joint intelligence resources better.
I am therefore concerned that there may have been the opportunity for better liaison between the MPS and SOCA, and for more focus on intelligence about Mr Hutchinson-Foster, with a view to locating the guns prior to Mr Duggan collecting one. I am left with the clear concern that SOCA did no more than pass on the intelligence it received and did not develop it or suggest ways in which the MPS could do so, in order to get guns from the girlfriend’s address in Burchell Road. The MPS did not react to the unfolding situation so as to review their strategy of waiting for Mark Duggan to obtain a gun before stopping him . The MPS and SOCA did not devise a strategy which focussed on Mr Hutchinson-Foster and the guns and which was capable of leading to them being seized before one was collected by Mark Duggan. This concern is directed to the MPS and NCA.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to devise a coordinated strategy capable of seizing guns before collection
Wider context from the report “Concern 1: The MPS and SOCA could have reacted better to developing events and used their joint intelligence resources better.
I am therefore concerned that there may have been the opportunity for better liaison between the MPS and SOCA, and for more focus on intelligence about Mr Hutchinson-Foster, with a view to locating the guns prior to Mr Duggan collecting one. I am left with the clear concern that SOCA did no more than pass on the intelligence it received and did not develop it or suggest ways in which the MPS could do so, in order to get guns from the girlfriend’s address in Burchell Road. The MPS did not react to the unfolding situation so as to review their strategy of waiting for Mark Duggan to obtain a gun before stopping him. The MPS and SOCA did not devise a strategy which focussed on Mr Hutchinson-Foster and the guns and which was capable of leading to them being seized before one was collected by Mark Duggan . This concern is directed to the MPS and NCA.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to develop and share operational intelligence between the MPS and SOCA
Wider context from the report “Concern 1: The MPS and SOCA could have reacted better to developing events and used their joint intelligence resources better.
I am therefore concerned that there may have been the opportunity for better liaison between the MPS and SOCA , and for more focus on intelligence about Mr Hutchinson-Foster, with a view to locating the guns prior to Mr Duggan collecting one. I am left with the clear concern that SOCA did no more than pass on the intelligence it received and did not develop it or suggest ways in which the MPS could do so , in order to get guns from the girlfriend’s address in Burchell Road. The MPS did not react to the unfolding situation so as to review their strategy of waiting for Mark Duggan to obtain a gun before stopping him. The MPS and SOCA did not devise a strategy which focussed on Mr Hutchinson-Foster and the guns and which was capable of leading to them being seized before one was collected by Mark Duggan. This concern is directed to the MPS and NCA.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Failure to obtain prompt comprehensive statements from all police witnesses to fatal shootings
Wider context from the report “Concern 2: Comprehensive accounts were not taken from police witnesses at the first possible opportunity
I am concerned that fatal police shootings are not as rigorously examined as they could be and that doubts about the accuracy of police accounts are not minimised. Lessons learned after a death should be as complete as possible. My concern is that not all witnesses to a fatal shooting are asked to give full statements as soon as possible after the event, giving a detailed account of what they saw . I am also concerned about whether there is any purpose in seeking to distinguish between “principal officers” and other police officers save that, where there is any reason to caution an officer, then of course that must be done. I am concerned that witnesses who perceived a threat from the person who was shot did not set that out in their statements . I therefore invite ACPO and the MPS to deal with what I have said when they respond to the IPCC consultation.
” 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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Lack of an agreed protocol between the IPCC, coronial and prosecution bodies
Wider context from the report “Concern 7: The IPCC does not have a protocol agreed with the Chief Coroner, ACP and the CPS
With a view to coroners holding effective inquests as soon as practicable I address this concern to the IPCC and ask it to consider approaching the Crown Prosecution Service, the Association of Chief Police Officers, the Chief Coroner and the Coroner’s Society with a view to integrating its memorandum with theirs.
” Open source report
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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 Complete an internal review of procedures for gathering, developing and disseminating intelligence.
Verbatim wording from the response “The National Crime Agency has undertaken a thorough internal review of its operating procedures in relation to how intelligence is gathered, how it is developed and subsequently disseminated. In the light of this review, the Agency does not consider that any more could realistically have been done to avoid this tragic incident.” Source location 2014-0182-Response-by-National-Crime-Agency
Open published response
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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 After reviewing intelligence-gathering, development and dissemination procedures, no further action could realistically have been taken to avoid the incident.
Verbatim wording from the response “The National Crime Agency has undertaken a thorough internal review of its operating procedures in relation to how intelligence is gathered, how it is developed and subsequently disseminated. In the light of this review, the Agency does not consider that any more could realistically have been done to avoid this tragic incident.” Source location 2014-0182-Response-by-National-Crime-Agency
Open published response
9 Dec 2013 Antony HUGHES · Prevention of Future Deaths report Liverpool
View report summary
Concerns raised 1 Lack of consistent police training on awareness of excited delirium View source
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.
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AI-generated summary
Antony HUGHES · 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
Antony Hughes died on 28 February 2012 after consuming cocaine, alcohol and non-prescribed valium and becoming paranoid and highly agitated. He suffered a cardiac arrest while being treated by police and ambulance personnel, and the inquest concluded that the death was due to cocaine toxicity with excited delirium. The principal concern was that police officers were unaware of excited delirium at the time, prompting consideration of whether related awareness training was standard across police forces.
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 National Crime Agency; that does not assign responsibility.
PFD Monitor interpretation Lack of consistent police training on awareness of excited delirium
Wider context from the report “During the course of this inquest, though there is no criticism of the action of police officers (or paramedics), it was apparent that police officers were unaware of the term excited delirium at the time of the incident . Coincidentally it was found that the officers acted in an appropriate manner given the presentation before them. However, in different circumstances training with regard to awareness of excited delirium might make a difference . I have now received evidence from Merseyside Police from DCI ████████ that there was involvement via an online training package (Breeze Package) a new Personal Safety Training package which includes awareness slides on excited delirium. All officers must present a knowledge check certificate when attending annual personal safety training. This package was based upon a similar package already available to South Wales Police Officers. It is appreciated that Chief Constables independently run their own forces to the requirements of the police Commissioner's however I would be grateful to hear whether this awareness training in excited delirium is now standard across England and Wales Constabularies .
” Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations