14 Aug 2017 Terence Joseph Pimm · Prevention of Future Deaths report Essex
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Concerns raised 11 Insufficient guidance View source Insufficient coordination between the police, hospital Trust and probation service View source Failure of call handling at The Lakes View source Insufficient training View source Failure of mental health assessors to seek family input in appropriate circumstances View source Failure of police call handlers to assess whether an individual is objectively at immediate risk View source Failure of record-keeping at the police custody suite View source Failure of call handling at the police custody suite View source Failure of record-keeping at The Lakes View source Failure of mental health clinicians to understand the effect of warrants on their ability to assess and treat View source Insufficient information sharing between the police, hospital Trust and probation service View source See 8 more concerns
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
Terence Joseph Pimm · 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
Terence Joseph Pimm died after leaping from the seventh floor of a car park on 26 August 2016, following recent threats to jump and contact with police, hospital and probation services. The substantive concerns included call handling and record-keeping, guidance and training, assessment of immediate risk, involvement of family members in mental health assessments, information sharing and coordination, and clinicians’ understanding of warrants.
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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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Insufficient guidance
Wider context from the report “3). The sufficiency of guidance and training.
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Insufficient coordination between the police, hospital Trust and probation service
Wider context from the report “6). The sufficiency of information sharing and coordination between the police, hospital Trust and probation service .
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of call handling at The Lakes
Wider context from the report “1). Call handling and record-keeping at The Lakes
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Insufficient training
Wider context from the report “3). The sufficiency of guidance and training.
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of mental health assessors to seek family input in appropriate circumstances
Wider context from the report “5). To mental health assessors as to the circumstances in which the input of family Members should be sought .
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of police call handlers to assess whether an individual is objectively at immediate risk
Wider context from the report “4). To police call handlers as to whether an individual is, objectively, at an “immediate” risk .
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of record-keeping at the police custody suite
Wider context from the report “2). Call handling and record-keeping at the police custody suite
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of call handling at the police custody suite
Wider context from the report “2). Call handling and record-keeping at the police custody suite
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of record-keeping at The Lakes
Wider context from the report “1). Call handling and record-keeping at The Lakes
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Failure of mental health clinicians to understand the effect of warrants on their ability to assess and treat
Wider context from the report “7). Training/guidance for mental health clinicians in relation to persons who are subject to a warrant . The evidence pointed to a lack of understanding as to the effect of a warrant upon the clinician’s ability to assess and treat .
” 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 The Essex Community Rehabilitation Company Limited; that does not assign responsibility.
PFD Monitor interpretation Insufficient information sharing between the police, hospital Trust and probation service
Wider context from the report “6). The sufficiency of information sharing and coordination between the police, hospital Trust and probation service.
” 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