Hannah Grace Beardshaw · Prevention of Future Deaths report

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Issued 13 Apr 2022•Manchester West

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
10

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised2

  1. Failure to make method of entry kits readily available to trained users
  2. Delays in escalating incidents

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.10

  1. Greater Manchester Police

    Measure attendance times daily and escalate aged high- and medium-risk incidents through district command meetings.

  2. Greater Manchester Police

    Implement risk-based incident grading with mandatory supervisory escalation for unallocated high- and medium-risk incidents.

  3. Greater Manchester Police

    Recruit across Force Contact Centre business areas to stabilise performance and improve service capacity.

  4. Greater Manchester Police

    Replace Sherlock with a version-controlled document-management platform, including content review, migration, testing, training and implementation.

  5. Greater Manchester Police

    Update Level 3 method-of-entry training to incorporate learning from the incident for future delivery, including new student officer training.

  6. Greater Manchester Police

    Train Force Contact Centre staff on THRIVE, the revised grading policy and escalation requirements.

  7. Greater Manchester Police

    Disseminate incident learning through the force intranet, organisational learning messages and updated Chief Constables Orders information.

  8. Independent Office for Police Conduct

    Publish the four learning recommendations on the IOPC website.

  9. Independent Office for Police Conduct

    Formally issue four systemic learning recommendations to Greater Manchester Police under statutory powers.

  10. Independent Office for Police Conduct

    Conduct external consultation with Greater Manchester Police to refine the proposed learning recommendations.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Greater Manchester Police

    Districts and branches determine how Method of Entry equipment is distributed after officers complete training.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. Greater Manchester Police

    Districts decide which officers attend Method of Entry refresher training, provided eligibility requirements are met.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  3. Independent Office for Police Conduct

    Greater Manchester Police is responsible for deciding and reporting on implementation of the four learning recommendations.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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 make method of entry kits readily available to trained users

Wider context from the report

“The IOPC highlighted a number of learning recommendations on how GMP handled the incident which to date have not been implemented: • A delay in escalating the incident, resulting in almost a 4 hour delay to respond to the incident. • A failure to make method of entry kits more readily available to those trained in their use. • Improvement in document management ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Delays in escalating incidents

Wider context from the report

“The IOPC highlighted a number of learning recommendations on how GMP handled the incident which to date have not been implemented: • A delay in escalating the incident, resulting in almost a 4 hour delay to respond to the incident. • A failure to make method of entry kits more readily available to those trained in their use. • Improvement in document management ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Measure attendance times daily and escalate aged high- and medium-risk incidents through district command meetings.

Verbatim wording from the response

“Stringent measurement of attendance times are in place with daily data produced for both FCC and district colleagues. Any incidents within the grade 1 and 2 queues that are over 24 hours old are flagged to District Silver Commanders by the FCC Supervisor responsible for that district at the district morning pascetter meetings, via email or Teams message if insufficient supervisors are on duty within the FCC to have a dedicated supervisor per district. These in the main are grade 2 incidents where efforts to speak with the caller/victim have failed due to their availability and there is deemed no threat to life to warrant forced entry under S.17 PACE.”

Source location

Response from Greater Manchester Police
Page 1 · response
Published 26 April 2022

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

Implement risk-based incident grading with mandatory supervisory escalation for unallocated high- and medium-risk incidents.

Verbatim wording from the response

“GMP revisited it’s Graded Response Policy (GRP) and made changes implementing a new GRP on the 1 February 2022. Incidents are now graded following a risk assessment via the THRIVE (Threat, Harm, Risk, Investigation, Vulnerability, Engagement) framework and assessed on the information received as opposed to incident type or crime category. Incidents graded 1 are high risk incidents that require a response time within 15 minutes, incidents graded 2 are medium risk incidents that require a response time within 1 hour these are referred to as ‘go now’ incidents, incidents graded C are low risk incidents that can be responded to outside of 1 hour and are referred to as ‘go later’. C incidents are often dealt with by appointment at a time suitable to the victim in line with their needs.”

Source location

Response from Greater Manchester Police
Page 1 · response
Published 26 April 2022

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

Recruit across Force Contact Centre business areas to stabilise performance and improve service capacity.

Verbatim wording from the response

“Previously there has been limited investment in the FCC both in terms of resources and technology which has greatly affected its ability to meet demand. This approach resulted in underperformance and poor staff retention along with a number of IT challenges. The newly agreed upon FCC investment plan demonstrates GMPs commitment to improving service delivery. The FCC are in the process of recruiting in all areas of business to stabilise performance. Improving standards is an area of focus in addition to investing in equipment, software and process improvements that underpin FCC service delivery.”

Source location

Response from Greater Manchester Police
Page 3 · response
Published 26 April 2022

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

Replace Sherlock with a version-controlled document-management platform, including content review, migration, testing, training and implementation.

Verbatim wording from the response

“The FCC is in the process of implementing a new and improved system that will replace Sherlock. Sherlock, the current system, holds information on policy and procedure however there are limited options with this system in terms of version control, updates and organisation. It is the FCC’s intention to replace the whole system with a new platform which is already used within other departments of GMP. Developers have been spoken to who have confirmed that these requirements can be built in and it is anticipated to have the new system in place by August 2022.”

Source location

Response from Greater Manchester Police
Page 3 · response
Published 26 April 2022

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

Update Level 3 method-of-entry training to incorporate learning from the incident for future delivery, including new student officer training.

Verbatim wording from the response

“The learning identified from this incident will form part of the initial MOE L3 training going forward with the package being updated for future delivery. This will also be reflected for new student officers joining GMP on the PEQF pathway who receive initial training on legislation and powers of entry.”

Source location

Response from Greater Manchester Police
Page 3 · response
Published 26 April 2022

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

Train Force Contact Centre staff on THRIVE, the revised grading policy and escalation requirements.

Verbatim wording from the response

“All staff within the Force Contact Centre (FCC) have received training on THRIVE and the new GRP incorporating escalation. At shift changeover times if an incident has not been resourced within the target time frame for arrival, staff within the FCC will escalate to district supervision.”

Source location

Response from Greater Manchester Police
Page 1 · response
Published 26 April 2022

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

Disseminate incident learning through the force intranet, organisational learning messages and updated Chief Constables Orders information.

Verbatim wording from the response

“It is also important that the key messages and learning from this tragic incident are conveyed to all other officers, particularly front line officers. In order to do this an article will be uploaded to the forces internal internet site and shared with the forces organisational learning team who publish a “Top 3” lessons message each month on which the learning from this incident will be conveyed. There has also been an updated Chief Constables Orders submission made for inclusion on the GMP intranet to cover the MOE Levels, training opportunities and SOPs.”

Source location

Response from Greater Manchester Police
Page 3 · response
Published 26 April 2022

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

Publish the four learning recommendations on the IOPC website.

Verbatim wording from the response

“On 24 May 2022, I gave approval for all four learning recommendations to be formally issued to Greater Manchester Police in accordance with the IOPC powers under Paragraph 28A of Schedule 3 of the Police Reform Act 2002. The four recommendations are:”

Source location

Response from Independent Office for Police Conduct
Page 2 · response
Published 26 April 2022

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

Formally issue four systemic learning recommendations to Greater Manchester Police under statutory powers.

Verbatim wording from the response

“The IOPC’s independent investigation into the death of Miss Hannah Beardshaw identified four systemic issues where, as decision-maker for the investigation, I felt changes were required to policy, guidance, training, systems, and equipment to prevent similar incidents occurring.”

Source location

Response from Independent Office for Police Conduct
Page 1 · response
Published 26 April 2022

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

Conduct external consultation with Greater Manchester Police to refine the proposed learning recommendations.

Verbatim wording from the response

“The learning recommendations were set out in the IOPC final report, and an external consultation process commenced with Greater Manchester Police on 25 April 2022. The purpose of the external consultation was to receive input and feedback on the proposed”

Source location

Response from Independent Office for Police Conduct
Page 1 · response
Published 26 April 2022

Open published response

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

Districts and branches determine how Method of Entry equipment is distributed after officers complete training.

Verbatim wording from the response

“Each GMP District or Branch has a Method of Entry (MOE) SPOC (Single Point of Contact) who is responsible for the maintenance, storage and ordering of MOE kit and equipment. Most districts have one central storage area of all MOE kit and some designated vehicles also have MOE equipment stored within them.”

Source location

Response from Greater Manchester Police
Page 2 · response
Published 26 April 2022

Open published response

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

Districts decide which officers attend Method of Entry refresher training, provided eligibility requirements are met.

Verbatim wording from the response

“As of 1 April 2016, Level 3 MOE officers must complete a three hour refresher course every three years. There are 192 course spaces available per year for Districts and Branches to book their front line officers onto. How they decide who or how many need to attend is a matter for each District but skill spread across teams and reliefs, inclusion within Performance Development Reviews (PDRs) are all factors taken into consideration as long as the individuals meet the following criteria:”

Source location

Response from Greater Manchester Police
Page 2 · response
Published 26 April 2022

Open published response

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

Greater Manchester Police is responsible for deciding and reporting on implementation of the four learning recommendations.

Verbatim wording from the response

“On 24 May 2022, I gave approval for all four learning recommendations to be formally issued to Greater Manchester Police in accordance with the IOPC powers under Paragraph 28A of Schedule 3 of the Police Reform Act 2002. The four recommendations are:”

Source location

Response from Independent Office for Police Conduct
Page 2 · response
Published 26 April 2022

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

Data last updated 7 September 2026