PFD report

Viktoria Was · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 13 Jul 2015•Inner South London

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.

View original report
Concerns
4

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
10

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Report evidence summary

Concerns raised4

  1. Insufficient learning from police pursuit deaths
    Part of recurring concern: Failure to learn from deaths through systematic reviewPart of recurring concern: Unreliable police pursuit management and authorisation
  2. Failure to provide adequate initial regard, enquiry and ambulance response to injured third parties at pursuit scenes
    Part of recurring concern: Unreliable management and control of emergency incident scenes
  3. Failure to disseminate police pursuit lessons about impacts on third parties to officers promptly
    Part of recurring concern: Unreliable police pursuit management and authorisation
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.4

  1. Action

    Extend the radio-operator pursuit training package to officers who joined before its introduction, potentially through a revised computer-delivered format.

    Stated by Metropolitan Police ServiceStated plannedThe respondent said that this action was planned when they made their response on 13 July 2015.
  2. Action

    Develop and deliver pursuit-narration and radio-operator training incorporating risk assessment, stress management, and the ‘A Pursuit’ model.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.
  3. Action

    Embed the National Decision Model in recruit and refresher training, pursuit procedures, and online reference toolkits.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.

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

  1. Position

    There is solid quantitative and qualitative evidence that lessons from Safer Driving 3 improved management of vehicle pursuits.

    Stated by Metropolitan Police ServiceDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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 learning from police pursuit deaths

Wider context from the report

“(2) Evidence was placed before me from other unrelated deaths in police pursuits. There was an insufficiency of material to satisfactorily conclude that lessons had been learnt about police pursuits. ”

Is this part of a recurring concern?

Yes — Failure to learn from deaths through systematic review; Unreliable police pursuit management and authorisation.

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

Failure to provide adequate initial regard, enquiry and ambulance response to injured third parties at pursuit scenes

Wider context from the report

“(1) At the point of impact and for an unsatisfactory period of time thereafter, there was insufficient regard to Viktoria Was and her family. There were a number of officers immediately at the scene, and all focus appears to have been on the wanted suspect to the exclusion of injured third parties. A call for an ambulance, without further initial enquiry to third parties, whilst the pursuit continued for a number of hours was inadequate. ”

Is this part of a recurring concern?

Yes — Unreliable management and control of emergency incident scenes.

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

Failure to disseminate police pursuit lessons about impacts on third parties to officers promptly

Wider context from the report

“(3) Police Officers were not required to attend for sufficient ‘refresher’ training; either at all, at satisfactory intervals, or of a sufficiently rigorous nature. This revealed a gap in continued learning and skills updates. In this regard, I would be concerned to learn if lessons to be learnt from this investigation about the potential impact of police pursuits on third parties were not disseminated to officers as soon as reasonably possible. ”

Is this part of a recurring concern?

Yes — Unreliable police pursuit management and authorisation.

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

Failure to require sufficient refresher training and skills updates for police officers

Wider context from the report

“(3) Police Officers were not required to attend for sufficient ‘refresher’ training; either at all, at satisfactory intervals, or of a sufficiently rigorous nature. This revealed a gap in continued learning and skills updates. In this regard, I would be concerned to learn if lessons to be learnt from this investigation about the potential impact of police pursuits on third parties were not disseminated to officers as soon as reasonably possible. ”

Is this part of a recurring concern?

Yes — Failure to ensure police officers receive and retain required training and operational guidance.

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

Extend the radio-operator pursuit training package to officers who joined before its introduction, potentially through a revised computer-delivered format.

Verbatim wording from the response

“Since its introduction this package has been rolled out to selected elements of the Territorial Policing (uniformed) workforce; and since July 2014 all new recruits to the service have had this input. Steps are in hand to ensure that the officers serving prior to the course introduction, and who have yet to receive the benefit of it, may have an opportunity to take the course in the near future, most likely re-worked as a computer-delivered package.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 19 · response
Published 13 July 2015

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 deliver pursuit-narration and radio-operator training incorporating risk assessment, stress management, and the ‘A Pursuit’ model.

Verbatim wording from the response

“• Development and delivery of a Pursuit Narration training package for in car radio operators for all new recruits.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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

Embed the National Decision Model in recruit and refresher training, pursuit procedures, and online reference toolkits.

Verbatim wording from the response

“A simple mnemonic - ‘COW’ - Casualties, Obstructions, Witnesses - has long been a cornerstone of officer training in the handling of road traffic incidents, reminding first responders of their priorities as they arrive on scene. However, since the tragic death of Ms WAS, further steps have been taken by the MPS to better equip our officers, firstly with the cognitive tools to structure their choices in such difficult circumstances, and subsequently to better evidence these choices in a way which can make their rationale more readily apparent to others. For example, the Metropolitan Police now subscribes to the National Decision Model (NDM), developed by the College Of Policing.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 3 · response
Published 13 July 2015

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 a scoping exercise to determine resources and training abstractions required for a recurring, formally assessed refresher regime for police drivers.

Verbatim wording from the response

“We note however your concerns regarding the ‘…gap in continued learning and skills updates’. We are also mindful of proposed changes to the regulatory framework. Section 19 of the Road Safety Act 2006 seeks to amend Section 87 of the Road Traffic Regulation Act 1984 to regularise the current use by police, fire and ambulance services”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 17 · response
Published 13 July 2015

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

There is solid quantitative and qualitative evidence that lessons from Safer Driving 3 improved management of vehicle pursuits.

Verbatim wording from the response

“However, according to ████████ Crime Intelligence Analyst with the Directorate of Professional Standards Specialist Investigations Unit, the quantitative evidence that is available, albeit on a very small numerical base, does indeed show a welcome downward trend:”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 14 · response
Published 13 July 2015

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

Current driver assessment drives sufficiently comply with the regulatory regime and check that response-level drivers remain safe and capable.

Verbatim wording from the response

“In order to maintain their driving qualification, police drivers in the MPS are currently required to undertake an “Assessment Drive” conducted at a local level, by Advanced Drivers who have themselves been trained to carry out these assessments. Our Driving assessors are highly qualified ‘advanced drivers’ (formerly Level 1), who have attended the MPS Driving School for a 3 day course and are taught how to give feedback on an officers driving. Our current assessments are carried out at Response Car Level, and consist of a ‘normal’ drive which does not make use of any legal exemptions, together with a simulated emergency response drive using appropriate warning equipment and making use of legal exemptions. This is sufficient to comply with the current regulatory regime and, at a practical level, to check that drivers tested at Response Car level are safe and capable.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 17 · response
Published 13 July 2015

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

The available evidence does not show officers knowingly prioritised suspect capture over preserving life; their decisions reflected the information available at the time.

Verbatim wording from the response

““This is not a situation where disciplinary proceedings would be suitable. In summary, it would appear that none of the officers saw the VW Polo on their immediate arrival at the scene. ████████ did immediately request an ambulance with regards to the crash. On the arrival at the crash by ████████ immediately started to make off from the scene and ████████ chose to give chase. ████████ had information that the driver of the Peugeot was wanted for a serious assault and may be armed. ████████ chose to also chase ████████ to assist ████████ and based on the increased risk that came with this information. The officers had not seen the VW Polo and their decision making is in line with the National Decision Model.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 11 · response
Published 13 July 2015

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. 1

    Train suitably qualified officers in the TPAC rolling-roadblock tactic.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.
  2. 2

    Submit and progress a business case seeking funding for expanded central driver-record database functionality.

    Stated by Metropolitan Police ServiceStated in progressThe respondent said that this action was in progress when they made their response on 13 July 2015.
  3. 3

    Provide pursuit safety equipment, including increased availability of Hostvds tyre-deflation devices.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.
  4. 4

    Continue developing safer tactical responses to criminal use of motorcycles in pursuits.

    Stated by Metropolitan Police ServiceStated in progressThe respondent said that this action was in progress when they made their response on 13 July 2015.
  5. 5

    Improve pursuit procedures by clarifying phases, roles, responsibilities, authorisations, and radio-confirmation safeguards.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.
  6. 6

    Introduce the ‘A Pursuit’ mnemonic for drivers and control-room staff to structure pursuit risk assessment and authorisation.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 13 July 2015.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    Driving database expansion depends on organisation-wide human-resources infrastructure and remains subject to pending funding approval, preventing a firm delivery deadline.

    Stated by Metropolitan Police ServiceUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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 suitably qualified officers in the TPAC rolling-roadblock tactic.

Verbatim wording from the response

“• Training of suitably qualified officers in the ‘TPAC’ rolling roadblock tactic”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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

Submit and progress a business case seeking funding for expanded central driver-record database functionality.

Verbatim wording from the response

“This proposal also gives additional impetus to another long standing strand of the original Safer Driving 3 project, namely the introduction of a full-spectrum database for all drivers, to include not only their current driving skills and review date status, but also to electronically capture and store centrally all the ancillary information and documentation which at present is held off line locally as paper records, for example driving licence and endorsement checks, eyesight checks, and so on.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 18 · response
Published 13 July 2015

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

Provide pursuit safety equipment, including increased availability of Hostvds tyre-deflation devices.

Verbatim wording from the response

“• Funding for increased availability of ‘Hostvds’ tyre deflation devices”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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 developing safer tactical responses to criminal use of motorcycles in pursuits.

Verbatim wording from the response

“• Evolution of the safest tactical response to growing criminal use of motorcycles (ongoing)”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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

Improve pursuit procedures by clarifying phases, roles, responsibilities, authorisations, and radio-confirmation safeguards.

Verbatim wording from the response

“• Improvements to Standard Operating Procedures to clarify phases of a pursuit, roles, and responsibilities.”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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

Introduce the ‘A Pursuit’ mnemonic for drivers and control-room staff to structure pursuit risk assessment and authorisation.

Verbatim wording from the response

“which are still being progressed today. Progress on some of these strands has been slowed, or on occasion cancelled in the light of the new financial and operational environment in which we now function. I will not revisit in detail here all the operational changes which have directly resulted from ‘Safer Driving 3’, and its’ 2015 successor, the Pursuits Working Group, but I will note that despite budgetary constraints a great many improvements have been successfully carried through to implementation as a direct result of Safer Driving 3. The following are some of the fruits of that programme:”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 13 · response
Published 13 July 2015

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

Driving database expansion depends on organisation-wide human-resources infrastructure and remains subject to pending funding approval, preventing a firm delivery deadline.

Verbatim wording from the response

“I am advised that project delivery for this database is now dependant on the roll out of a new Human Resources function for the entire organisation, as part of an outsourcing agreement for the whole of our Business Support Services to a commercial provider. This is a major computer infrastructure project for the MPS, elements of which are due to go live on a new technology platform in October 2016. Chief Inspector Dale is the Driving School link person on this work, but no firm deadline for the introduction of the driving-specific functions within the new platform can be given as yet. As an interim measure an”

Source location

2015-0271-Response-by-Metropolitan-Police
Page 18 · response
Published 13 July 2015

Open published response
Back to top

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

Official responses located
1/1

Data last updated 7 September 2026