PFD report

Jack William PAYTON · Prevention of Future Deaths report

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Issued 30 Apr 2013•West Somerset

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
3

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure to ensure control room staff workloads do not impair judgement and case handling
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.3

  1. Action

    Commission an independent assessment of Communications Department shift patterns and their effects on staff.

    Stated by Avon and Somerset ConstabularyStated in progressThe respondent said that this action was in progress when they made their response on 30 August 2013.
  2. Action

    Consider the recommendations at Force level and decide whether to implement them or progress other options.

    Stated by Avon and Somerset ConstabularyStated plannedThe respondent said that this action was planned when they made their response on 30 August 2013.
  3. Action

    Review the independent assessment and develop recommendations balancing fatigue findings with service demand, resources and business impacts.

    Stated by Avon and Somerset ConstabularyStated plannedThe respondent said that this action was planned when they made their response on 30 August 2013.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to ensure control room staff workloads do not impair judgement and case handling

Wider context from the report

“At the Inquest two members of the control room staff at Portishead namely ████████ ████████ by their replies to my questions and demeanour conveyed to me the distinct impression that the hours they worked together with their case load had a detrimental affect on their judgement and subsequent handling of this matter. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Commission an independent assessment of Communications Department shift patterns and their effects on staff.

Verbatim wording from the response

“1. I am commissioning an independent assessment of the current shift pattern and its effects on staff. I currently anticipate this will be completed by ████████, a Human Scientist with Qinetiq who will be working in conjunction with ████████, the Force Medical Advisor from our Occupational Health Department who, as a specialist consultant physician, authored a dissertation on driving fatigue and shift work. It is anticipated this work will commence in January 2014, due to the availability of ████████”

Source location

2013-0220-Response-by-Avon-Somerset-Constabulary
Page 1 · response
Published 30 August 2013

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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

Consider the recommendations at Force level and decide whether to implement them or progress other options.

Verbatim wording from the response

“3. These recommendations will then be considered at Force level by an appropriate group to decide whether they should be implemented or whether any other options should be progressed. Should a decision be taken to amend shift patterns there are specific timescales set out with staff associations involving consultation and notice periods. The impact of these could mean that the timescales for full implementation could take until July 2014.”

Source location

2013-0220-Response-by-Avon-Somerset-Constabulary
Page 2 · response
Published 30 August 2013

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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

Review the independent assessment and develop recommendations balancing fatigue findings with service demand, resources and business impacts.

Verbatim wording from the response

“2. Their report will be presented for initial consideration to Chief Superintendent ████████ ████████ who heads the Communications Department, together with representatives from the HR Department who will review the findings and develop recommendations balancing the findings of the independent report with the demand profiles the organisation experiences, the resources we have available, our need to provide a 24 hour/365 day service, and any other business impacts.”

Source location

2013-0220-Response-by-Avon-Somerset-Constabulary
Page 2 · response
Published 30 August 2013

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026