Lee Bradley Brown · Prevention of Future Deaths report

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Issued 13 Nov 2022•East London

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
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
10

Described in 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.

Report evidence summary

Concerns raised3

  1. Lack of an emergency access protocol for consular officers to reach detained British nationals
    Part of recurring concern: Unreliable consular access and communication for British nationals abroad
  2. Insufficient FCDO travel advice on the possible circumstances and consequences of detention in Dubai
    Part of recurring concern: Inadequate travel safety warnings about destination-specific hazards and standards
  3. Procedures failing to secure consular access for detained British nationals experiencing a mental health crisis
    Part of recurring concern: Unreliable consular access and communication for British nationals abroad

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. Foreign, Commonwealth & Development Office

    Consider how to reflect detention-related risks, including torture or mistreatment, in travel advice covering the UAE and other countries.

  2. Foreign, Commonwealth & Development Office

    Remind Global Response Centre staff of guidance on torture and mistreatment cases.

  3. Foreign, Commonwealth & Development Office

    Develop and implement improved mental-health training packages and enhanced specialist support for consular staff.

  4. Foreign, Commonwealth & Development Office

    Complete the broader internal review of FCDO travel advice and include its findings in that work.

  5. Foreign, Commonwealth & Development Office

    Codify a Global Response Centre protocol for emergency calls involving risk to life.

  6. Foreign, Commonwealth & Development Office

    Consider how detention-related risks should be represented proportionately alongside other travel risks.

  7. Foreign, Commonwealth & Development Office

    Operate a Consular Contact Centre that triages consular calls and directs cases requiring assistance to relevant teams.

  8. Foreign, Commonwealth & Development Office

    Continue reviewing consular services using user research and service-user feedback to improve assistance for British nationals.

  9. Foreign, Commonwealth & Development Office

    Deliver best-practice torture and mistreatment training to consular officers across the consular network.

  10. Foreign, Commonwealth & Development Office

    Complete refresher training for all Global Response Centre shift staff on torture and mistreatment guidance.

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

  1. Foreign, Commonwealth & Development Office

    Host states and local authorities are responsible for the safety, security and welfare of detained British nationals.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. Foreign, Commonwealth & Development Office

    Access to specific prisons or detainees cannot be guaranteed urgently because it depends on local authorities facilitating visits.

    Unable to actThe respondent said that a constraint prevented them from taking the relevant action.
  3. Foreign, Commonwealth & Development Office

    Consular officers are not trained or expected to determine mental capacity or assess whether local treatment is appropriate.

    Unable to actThe respondent said that a constraint prevented them from taking the relevant 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

Lack of an emergency access protocol for consular officers to reach detained British nationals

Wider context from the report

“1. The inquest heard evidence that there is no emergency access protocol to ensure that consular officers can reach detained British nationals in the event of a reported emergency. ”

Is this part of a recurring concern?

Yes — Unreliable consular access and communication for British nationals abroad.

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

Insufficient FCDO travel advice on the possible circumstances and consequences of detention in Dubai

Wider context from the report

“2. The inquest heard concerns in relation to the current FCDO travel advice. There was considered to be insufficient information relating to the possible consequences of detention in Dubai (and the possible circumstances of such detention). The inquest heard that the number of new cases of British Nationals reporting allegations of torture or mistreatment in Dubai to the FCDO has risen from 3% of the global total in 2016 to 13% of the global total in 2020. ”

Is this part of a recurring concern?

Yes — Inadequate travel safety warnings about destination-specific hazards and standards.

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

Procedures failing to secure consular access for detained British nationals experiencing a mental health crisis

Wider context from the report

“3. A concern was raised at the inquest in relation to the procedures in place to gain consular access to detained British nationals who may be suffering from a mental health crisis. Such British nationals may not be able to provide the necessary consent for consular services. ”

Is this part of a recurring concern?

Yes — Unreliable consular access and communication for British nationals abroad.

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

Consider how to reflect detention-related risks, including torture or mistreatment, in travel advice covering the UAE and other countries.

Verbatim wording from the response

“Our consular team responsible for foreign travel advice is considering how we could reflect the risks associated with detention across the globe – including the UAE – in a way that enables British nationals to make better-informed decisions when they travel. We will consider how to represent this alongside other risks to British nationals so that we set out all the relevant risks, including those of torture or mistreatment, proportionately. A broader internal review of FCDO Travel Advice is underway. We will ensure the findings of the report are included in that work. The review is expected to be completed in mid-2023.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 2022

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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

Remind Global Response Centre staff of guidance on torture and mistreatment cases.

Verbatim wording from the response

“GRC colleagues are specifically trained and use their professional judgement to decide when to escalate a call out of hours or contact a colleague for assistance in country. Nevertheless, as a result of the inquest, we have codified a protocol for the GRC to follow in the event of an emergency call where there is a risk to life. We have also reminded GRC staff of our guidance on cases of torture and mistreatment (T&M). By 31 January 2023 all those working GRC shifts will have attended refresher training by FCDO’s Human Rights Advisers on our consular guidance on T&M cases. Training on best practice in T&M cases has also been delivered to consular officers across the consular network over recent years.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Develop and implement improved mental-health training packages and enhanced specialist support for consular staff.

Verbatim wording from the response

“whether the local treatment is appropriate. Where more specialist expertise and advice is required, consular staff have access to mental health experts in the FCDO who are able to guide and, where necessary, provide contact and liaison assistance with social services and other relevant providers.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 3 · response
Published 21 November 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

Complete the broader internal review of FCDO travel advice and include its findings in that work.

Verbatim wording from the response

“Our consular team responsible for foreign travel advice is considering how we could reflect the risks associated with detention across the globe – including the UAE – in a way that enables British nationals to make better-informed decisions when they travel. We will consider how to represent this alongside other risks to British nationals so that we set out all the relevant risks, including those of torture or mistreatment, proportionately. A broader internal review of FCDO Travel Advice is underway. We will ensure the findings of the report are included in that work. The review is expected to be completed in mid-2023.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Codify a Global Response Centre protocol for emergency calls involving risk to life.

Verbatim wording from the response

“GRC colleagues are specifically trained and use their professional judgement to decide when to escalate a call out of hours or contact a colleague for assistance in country. Nevertheless, as a result of the inquest, we have codified a protocol for the GRC to follow in the event of an emergency call where there is a risk to life. We have also reminded GRC staff of our guidance on cases of torture and mistreatment (T&M). By 31 January 2023 all those working GRC shifts will have attended refresher training by FCDO’s Human Rights Advisers on our consular guidance on T&M cases. Training on best practice in T&M cases has also been delivered to consular officers across the consular network over recent years.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Consider how detention-related risks should be represented proportionately alongside other travel risks.

Verbatim wording from the response

“Our consular team responsible for foreign travel advice is considering how we could reflect the risks associated with detention across the globe – including the UAE – in a way that enables British nationals to make better-informed decisions when they travel. We will consider how to represent this alongside other risks to British nationals so that we set out all the relevant risks, including those of torture or mistreatment, proportionately. A broader internal review of FCDO Travel Advice is underway. We will ensure the findings of the report are included in that work. The review is expected to be completed in mid-2023.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Operate a Consular Contact Centre that triages consular calls and directs cases requiring assistance to relevant teams.

Verbatim wording from the response

“Since 2011, post Mr Brown’s death, we have developed further our overall consular services and our operating methods so that our 24/7 response is as effective as possible. We continue to refine and improve our services for the benefit of British nationals abroad who seek our support and help. Since 2017, a Consular Contact Centre (CCC) has triaged all consular calls no matter which country in the world they relate to or originate from every day of the year. They respond to the majority of queries”

Source location

Response from Foreign, Commonwealth & Development Office
Page 1 · response
Published 21 November 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

Continue reviewing consular services using user research and service-user feedback to improve assistance for British nationals.

Verbatim wording from the response

“The FCDO will continue to review our consular services to improve the help we give British nationals, including drawing on user research and all forms of feedback from those who have used our services. We will continue to strive to do more for those who need more help.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 3 · response
Published 21 November 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

Deliver best-practice torture and mistreatment training to consular officers across the consular network.

Verbatim wording from the response

“GRC colleagues are specifically trained and use their professional judgement to decide when to escalate a call out of hours or contact a colleague for assistance in country. Nevertheless, as a result of the inquest, we have codified a protocol for the GRC to follow in the event of an emergency call where there is a risk to life. We have also reminded GRC staff of our guidance on cases of torture and mistreatment (T&M). By 31 January 2023 all those working GRC shifts will have attended refresher training by FCDO’s Human Rights Advisers on our consular guidance on T&M cases. Training on best practice in T&M cases has also been delivered to consular officers across the consular network over recent years.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Complete refresher training for all Global Response Centre shift staff on torture and mistreatment guidance.

Verbatim wording from the response

“GRC colleagues are specifically trained and use their professional judgement to decide when to escalate a call out of hours or contact a colleague for assistance in country. Nevertheless, as a result of the inquest, we have codified a protocol for the GRC to follow in the event of an emergency call where there is a risk to life. We have also reminded GRC staff of our guidance on cases of torture and mistreatment (T&M). By 31 January 2023 all those working GRC shifts will have attended refresher training by FCDO’s Human Rights Advisers on our consular guidance on T&M cases. Training on best practice in T&M cases has also been delivered to consular officers across the consular network over recent years.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Host states and local authorities are responsible for the safety, security and welfare of detained British nationals.

Verbatim wording from the response

“It is important to begin by noting that the safety and security of individuals in a foreign jurisdiction is the responsibility of the host state and the relevant local authorities.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 1 · response
Published 21 November 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

Access to specific prisons or detainees cannot be guaranteed urgently because it depends on local authorities facilitating visits.

Verbatim wording from the response

“The local police or prison authorities have the responsibility for the welfare of all detainees and usually deal with arrangements for visiting or speaking to a detainee. We are reliant on the local authorities for the facilitation of visits and we cannot guarantee access will be given to any specific prison or detainee on an urgent basis or on a specific date.”

Source location

Response from Foreign, Commonwealth & Development Office
Page 1 · response
Published 21 November 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

Consular officers are not trained or expected to determine mental capacity or assess whether local treatment is appropriate.

Verbatim wording from the response

“FCDO staff are trained to help identify cases where an individual may have poor mental health and where they may require further assistance or may need their case to be prioritised. However, consular officers are not trained or expected to take a view on whether someone has capacity to make decisions on their own behalf or to comment on”

Source location

Response from Foreign, Commonwealth & Development Office
Page 2 · response
Published 21 November 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

Official responses located
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Data last updated 7 September 2026