Recipient

Recipient name withheld

First report 15 Dec 2023•Latest report 15 Dec 2023

Recipient record

Reports, concerns and published responses

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

Reports: 1
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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.

0%published responses found

0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

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

15 Dec2023
South Yorkshire (Eastern)
Concerns raised6
1. Failure to properly complete the pre-release risk assessment
2. Lack of knowledge of Liaison and Diversion information and flagging functionality on the Police Connect system
3. Failure to adequately address potentially vulnerable people with mental health needs at discharge
1. Failure to understand the importance of the release wellbeing question in the pre-release risk assessment
2. Failure to understand processes for involving the Liaison and Diversion team
3. Lack of understanding of triggers for Liaison and Diversion contact during custody and at release
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

Peter Alfred Kelly · 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

Peter Alfred Kelly was released from police custody on the morning of 26 April 2023 and was found hanged at 07:45 the following day, believed to have been dead for some time. The concerns included failures to complete the pre-release risk assessment properly, understand processes for involving the Liaison and Diversion team, and recognise potential mental health vulnerabilities at release.

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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Failure to properly complete the pre-release risk assessment
Wider context from the report
“3. Failure to properly complete the Pre Release risk assessment and failure to understand the importance of the question asking an individual how they are feeling at the point of release. ”
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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Lack of knowledge of Liaison and Diversion information and flagging functionality on the Police Connect system
Wider context from the report
“2. Lack of knowledge regarding the information that is available to the liaison and diversion team on the police connect system and the facility for police officers to enter LND on that system as a flag. ”
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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Failure to adequately address potentially vulnerable people with mental health needs at discharge
Wider context from the report
“5. It appears that there is a training need for those working within the custody suite to understand how the system works with LND and the importance of adequately addressing those who are potentially vulnerable with regard to their mental health at the point of discharge. ”
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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Failure to understand the importance of the release wellbeing question in the pre-release risk assessment
Wider context from the report
“3. Failure to properly complete the Pre Release risk assessment and failure to understand the importance of the question asking an individual how they are feeling at the point of release. ”
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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Failure to understand processes for involving the Liaison and Diversion team
Wider context from the report
“1. Failure of a custody sergeant to understand the processes for involving Liaison and Diversion team. ”
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 Recipient name withheld; that does not assign responsibility.
PFD Monitor interpretation
Lack of understanding of triggers for Liaison and Diversion contact during custody and at release
Wider context from the report
“4. A lack of understanding as to the triggers which may lead to contact with LND not just during a person's time whilst held in custody but at the point of release. ”
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 raised6

Failure to properly complete the pre-release risk assessment

Lack of knowledge of Liaison and Diversion information and flagging functionality on the Police Connect system

Failure to adequately address potentially vulnerable people with mental health needs at discharge

Failure to understand the importance of the release wellbeing question in the pre-release risk assessment

Failure to understand processes for involving the Liaison and Diversion team

Lack of understanding of triggers for Liaison and Diversion contact during custody and at release