PFD report

Joshua James Alexander Hamill · Prevention of Future Deaths report

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Issued 5 Dec 2017•North Wales (East and Central)

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
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
18

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

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

Concerns raised2

  1. Failure to record a safety and welfare resolution before closing a Concern for Safety event
  2. Ineffective training for police officers to accurately identify mental health issues
    Part of recurring concern: Failure to ensure frontline personnel recognise mental-health indicatorsPart of recurring concern: Insufficient police training for safe recognition and response to mental-health and behaviour-related medical crises
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.11

  1. Action

    Adapt the College of Policing vulnerable-person Taser package for personal-safety training and deliver it to all officers with auditable attendance.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  2. Action

    Require supervisors to review every event before closure to ensure threats, risks and vulnerabilities are managed.

    Stated by North Wales PoliceStated completedThe respondent said that this action was complete when they made their response on 11 February 2018.
  3. Action

    Continue liaison with other forces and the local health board to improve mental-health training and share best practice.

    Stated by North Wales PoliceStated in progressThe respondent said that this action was in progress when they made their response on 11 February 2018.

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 record a safety and welfare resolution before closing a Concern for Safety event

Wider context from the report

“2. That when an event was opened as a “Concern for Safety” it was closed down as domestic incident without there being a recorded resolution as to safety and welfare of the person originally at risk of harm. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Ineffective training for police officers to accurately identify mental health issues

Wider context from the report

“1. That the current training afforded to police officers in North Wales was ineffective in ensuring that they were able to accurately identify mental health issues in persons they were attending. ”

Is this part of a recurring concern?

Yes — Failure to ensure frontline personnel recognise mental-health indicators; Insufficient police training for safe recognition and response to mental-health and behaviour-related medical crises.

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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

Adapt the College of Policing vulnerable-person Taser package for personal-safety training and deliver it to all officers with auditable attendance.

Verbatim wording from the response

“5. The College of Policing vulnerable person Taser package be adapted and extended into personal safety training. All officers will receive the package. This also ensures the training is auditable. This will be ready in the near future.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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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

Require supervisors to review every event before closure to ensure threats, risks and vulnerabilities are managed.

Verbatim wording from the response

“In addition, since 1st March 2017, supervisors now review every event prior to closure to ensure any threat, risk or vulnerability is appropriately managed.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 4 · response
Published 11 February 2018

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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

Continue liaison with other forces and the local health board to improve mental-health training and share best practice.

Verbatim wording from the response

“The North Wales Police training department are liaising with other forces and the local health board to improve the training.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 5 · response
Published 11 February 2018

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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

Deliver mental-health training webinars covering mental-health conditions, places of safety, support, suicide, self-harm and learning disabilities.

Verbatim wording from the response

“A mental health training package was developed by the Training Department and delivered as a webinar package. This detailed different types of mental health issues, places of safety, support/advice contacts, suicide, self-harm and learning disabilities. Due to the way in which it was delivered it is not auditable. I can confirm that this was delivered on 10th May 2017 and 16th August 2017 but I cannot identify which officers received the input. I trust that this information assists in demonstrating that the training provided in relation to mental health issues has developed since the death of Joshua Hamill on 5th June 2016.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 2 · response
Published 11 February 2018

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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

Seek mental-health team input to identify improvements to training delivery.

Verbatim wording from the response

“The training department will also contact the BCUHB mental health team to seek an input from them for Force trainers to identify any areas where we could improve delivery.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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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

Develop a mental-health training package using learning from other forces and national working groups.

Verbatim wording from the response

“The Training Department are currently developing a mental health training package. Other Forces have been contacted in relation to their mental health training. The Training Department will be following this up through roles on the national working groups for personal safety training and Taser training as they bring trainers into contact with all forces. This will provide a definitive idea of what other forces are already doing and assist in developing best practice.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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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

Incorporate coordination and incident close-out guidance into personal-safety training for all officers.

Verbatim wording from the response

“This is a challenge when numerous officers attend a spontaneous incident but the developments identified in the section relating to incident closure should improve the matter. All officers will also receive an input on this which will be incorporated into the Personal Safety Training.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 6 · response
Published 11 February 2018

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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

Embed early-intervention vulnerability training, including signposting to external support, within the vulnerability course.

Verbatim wording from the response

“An early intervention training package was developed in force and delivered between November 2016 and July 2017. This package addressed concerns around dealing with vulnerable persons including those with mental health issues. As part of this package officers were provided with details of external partners that persons they were dealing could be signposted to. Although this package does not continue to be delivered as a stand-alone it does continue to be delivered as part of the vulnerability course. This is auditable through officer training records.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 2 · response
Published 11 February 2018

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

Convert the mental-health webinar package into an auditable classroom package and deliver it to officers.

Verbatim wording from the response

“6. The webinar package will be adapted and delivered as a classroom package. This will take time to develop and implement but officers attendance can be audited. Whilst this is still being developed it should be available to go live post April 2018.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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 Acute Behavioural Disorder training within mandatory personal-safety training for all officers.

Verbatim wording from the response

“During August 2016 the Acute Behavioural Disorder (ABD) package developed by the College of Policing was introduced to the classroom session of personal safety training. Although dealing primarily with persons suffering from ABD, it followed the same principles for dealing with persons suffering mental health problems. All officers in North Wales Police are required to undergo personal safety training; therefore every officer will receive this package. This package is still being delivered and some officers have now received it more than once. This is auditable through changes made to lesson plans and officer training records.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 2 · response
Published 11 February 2018

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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

Deliver enhanced Vulnerable Person training, including a mental-health scenario and health-board advice, on Taser courses.

Verbatim wording from the response

“During April 2015 the “Vulnerable Person” package was introduced by the College of Policing, National Taser Course that all Taser officers have to complete. This package dealt with identifying and dealing with persons suffering mental health issues. This was implemented straight away by North Wales Police in both the initial and refresher training.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 1 · response
Published 11 February 2018

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.7

  1. 1

    Publish mental-health support signposting information on the force intranet.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  2. 2

    Direct officers to relevant mental-health Authorised Professional Practice guidance.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  3. 3

    Require communications operators to document the rationale and changed risks when incident type or grading changes.

    Stated by North Wales PoliceStated completedThe respondent said that this action was complete when they made their response on 11 February 2018.
  4. 4

    Disseminate mental-health training and signposting information through weekly Need To Know updates.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  5. 5

    Include guidance on contacting neighbouring forces for local intelligence in mental-health training.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  6. 6

    Publish existing mental-health training packages on the force intranet.

    Stated by North Wales PoliceStated plannedThe respondent said that this action was planned when they made their response on 11 February 2018.
  7. 7

    Assess all incidents using THRIVE and the graded-response protocol within a structured incident-assessment process.

    Stated by North Wales PoliceStated completedThe respondent said that this action was complete when they made their response on 11 February 2018.

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

  1. 1

    Immediate cross-force information responses may not be justified or possible depending on circumstances, available resources, and demand.

    Stated by North Wales PoliceUnable 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

Publish mental-health support signposting information on the force intranet.

Verbatim wording from the response

“2. All the signposting details from the early intervention package to be made available on the force intranet. This can be implemented immediately.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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

Direct officers to relevant mental-health Authorised Professional Practice guidance.

Verbatim wording from the response

“7. There is an extensive Authorised Professional Practice (APP) package on mental health that would benefit officers. Officers will be directed to this but it is not auditable.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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

Require communications operators to document the rationale and changed risks when incident type or grading changes.

Verbatim wording from the response

“North Wales Police also amended our THRIVE CRE process on 20th February 2017 to ensure that in the event of a change of event type or change of event grading, a clear rationale for change and any change in threat, risk, harm and vulnerability must be documented by the communications operator within the body of the command log.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 4 · response
Published 11 February 2018

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 mental-health training and signposting information through weekly Need To Know updates.

Verbatim wording from the response

“3. A “Need To Know” detailing 1 and 2. “Need To Know” is a weekly update delivered to all staff via e-mail. It is a one page document highlighting issues that staff need to be aware of. It highlights sources of additional information and is stored on the Force Intranet so it is readily accessible. This will be implemented immediately.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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

Include guidance on contacting neighbouring forces for local intelligence in mental-health training.

Verbatim wording from the response

“The ability to access information on the local intelligence systems of other forces is a challenge especially outside office hours. The need to consider whether it is necessary to telephone a neighbouring force for their local intelligence will be covered in the training. An immediate response may not be justified or possible depending on the circumstances, available resources and demand.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 6 · response
Published 11 February 2018

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 existing mental-health training packages on the force intranet.

Verbatim wording from the response

“The following actions will be taken to improve both the content and the accessibility of the mental health training.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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

Assess all incidents using THRIVE and the graded-response protocol within a structured incident-assessment process.

Verbatim wording from the response

“I can confirm following process changes on 20th February 2017, North Wales Police now assesses incidents comprehensively, using an established and structured process to ensure that an appropriate response is always provided.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 3 · response
Published 11 February 2018

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

Immediate cross-force information responses may not be justified or possible depending on circumstances, available resources, and demand.

Verbatim wording from the response

“The ability to access information on the local intelligence systems of other forces is a challenge especially outside office hours. The need to consider whether it is necessary to telephone a neighbouring force for their local intelligence will be covered in the training. An immediate response may not be justified or possible depending on the circumstances, available resources and demand.”

Source location

2017-0351-Response-by-North-Wales-Police
Page 6 · response
Published 11 February 2018

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