PFD report

Dean Christian JOSEPH · Prevention of Future Deaths report

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Issued 12 Aug 2015•Inner North 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.

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Concerns
6

Raised in this report

Recipients
1

Named on the report

Responses found
2

Of 1 recipient

Stated actions
8

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.

Report evidence summary

Concerns raised6

  1. Armed Policing Policy failing to describe the effective range of a TASER
    Part of recurring concern: Inadequate safety controls for Taser use
  2. Failure to prevent officers' access to control-log matters outside their personal knowledge during account preparation
  3. Failure to ask where the incident commander wants the hostage negotiator co-ordinator to meet them
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.5

  1. Action

    Work with the College of Policing to consider whether national armed-policing guidance and firearms training need greater specificity on containment types.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated plannedThe respondent said that this action was planned when they made their response on 12 August 2015.
  2. Action

    Clarify overt and covert/discreet containment and require commanders to communicate the containment type in firearms training.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated plannedThe respondent said that this action was planned when they made their response on 12 August 2015.
  3. Action

    Highlight in training the need to communicate the final meeting point to arriving personnel when a forward reception point accompanies a rendezvous point.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated plannedThe respondent said that this action was planned when they made their response on 12 August 2015.

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

  1. Position

    Existing post-incident guidance is sufficient on officer conferring, having been upheld by the Court of Appeal and subsequently clarified.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Armed Policing Policy failing to describe the effective range of a TASER

Wider context from the report

“4. My recollection from the evidence I heard, is that the Armed Policing Policy only describes the maximum range of a TASER, not the effective range. The inclusion of the latter might be helpful. ”

Is this part of a recurring concern?

Yes — Inadequate safety controls for Taser use.

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 prevent officers' access to control-log matters outside their personal knowledge during account preparation

Wider context from the report

“5. The post incident management: • allowed police officers writing their detailed accounts to confer about matters other than simply timings, and • arranged for the display of the control log for them, which included matters outside the personal knowledge of some of the officers. It may seem that this is not a matter for a prevention of future deaths report. However, it will always be the case that we, as a society, try to learn lessons from deaths such as Mr Joseph’s, and the learning of any lessons is hampered if the post incident procedure is sub optimal. In this case, it was clear to me that the version of events given by police officers was doubted to a degree that would not otherwise have been the case, because of the post incident procedure. • That means that public confidence in the police is eroded, when there may be no substantive reason for this. • It also caused me to exclude some officers from court when other officers were giving evidence which, all other things being equal, I would much have preferred not to do, because it is generally less helpful in ensuring the most meaningful exploration of events. ”

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

Failure to ask where the incident commander wants the hostage negotiator co-ordinator to meet them

Wider context from the report

“3. The hostage negotiator co-ordinator felt that it would be useful for the officer in her role to ask when first contacted, “Where does the incident commander want me to meet them?” This is a point which could be included in training. The fact of not asking that question did not appear to have a material impact in this case, but it might in another. ”

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

Unavailability of en-route guidance from trained hostage negotiators

Wider context from the report

“2. As you will see from the narrative, the jury noted that there was no guidance from trained hostage negotiators en route, for the local officer who was first on scene. He was attempting to negotiate, though he was untrained as a hostage negotiator. Such guidance might or might not have led to the issuing of an armed challenge. ”

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

Failure to ensure a consistent understanding of overt or covert armed containment

Wider context from the report

“1. Different officers had a different understanding of whether the armed containment was overt or covert. ”

Is this part of a recurring concern?

Yes — Unreliable armed police containment and call-out procedures.

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 restrict post-incident officer conferral to timings when writing detailed accounts

Wider context from the report

“5. The post incident management: • allowed police officers writing their detailed accounts to confer about matters other than simply timings, and • arranged for the display of the control log for them, which included matters outside the personal knowledge of some of the officers. It may seem that this is not a matter for a prevention of future deaths report. However, it will always be the case that we, as a society, try to learn lessons from deaths such as Mr Joseph’s, and the learning of any lessons is hampered if the post incident procedure is sub optimal. In this case, it was clear to me that the version of events given by police officers was doubted to a degree that would not otherwise have been the case, because of the post incident procedure. • That means that public confidence in the police is eroded, when there may be no substantive reason for this. • It also caused me to exclude some officers from court when other officers were giving evidence which, all other things being equal, I would much have preferred not to do, because it is generally less helpful in ensuring the most meaningful exploration of events. ”

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

Work with the College of Policing to consider whether national armed-policing guidance and firearms training need greater specificity on containment types.

Verbatim wording from the response

“The NPCC will also work with the College of Policing to consider whether the APP and/or the National Police Firearms Training Curriculum needs to be more explicit in this area.”

Source location

2015-0319-Responses
Page 3 · response
Published 12 August 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

Clarify overt and covert/discreet containment and require commanders to communicate the containment type in firearms training.

Verbatim wording from the response

“The MPS, however, will in future make clear in training to both firearms officers and commanders what is meant by overt and covert/discreet containment according to the APP. The MPS will ensure that TFCs are aware of the need to communicate to containment officers what type of containment is being carried out.”

Source location

2015-0319-Responses
Page 3 · response
Published 12 August 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

Highlight in training the need to communicate the final meeting point to arriving personnel when a forward reception point accompanies a rendezvous point.

Verbatim wording from the response

“The MPS will highlight to TFCs and incident commanders in training the need to consider communicating the final desired meeting point to persons arriving at an incident (including negotiator coordinators) if a forward reception point has been designated alongside an RVP.”

Source location

2015-0319-Responses
Page 5 · response
Published 12 August 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

Direct post-incident managers to consult professional standards and the IPCC on proposed account reference materials and record their decisions and reasoning.

Verbatim wording from the response

“Further development of best practice has already lead the MPS to direct the post incident manager (PIM) to consult the DPS and the IPCC to decide on what reference materials are proposed to be used by officers when giving their accounts. The PIM is also trained to record his or her decision and reasoning to further promote transparency.”

Source location

2015-0319-Responses
Page 8 · response
Published 12 August 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

Strengthen national guidance on officer separation and clarify its application to prevent inappropriate conferring.

Verbatim wording from the response

“It is accepted by the NPCC that when applying national guidance across all police forces and agencies, there is some risk that the guidance will be subject to local interpretation. However, the NPCC has already taken steps to strengthen the guidance (for example, in relation to when separation of officers is necessary to prevent conferring) and to improve clarity on its application. Individual forces are responding positively with training and amendments to local procedure.”

Source location

2015-0319-Responses
Page 7 · response
Published 12 August 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

Existing post-incident guidance is sufficient on officer conferring, having been upheld by the Court of Appeal and subsequently clarified.

Verbatim wording from the response

“5. The APP provides detailed guidance in relation to the post incident procedure to be followed in cases of death following police contact. The guidance has been developed over several years and draws upon legal advice and learning from previous incidents.”

Source location

2015-0319-Responses
Page 6 · response
Published 12 August 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

A single prescriptive Taser effective range cannot be specified because effectiveness depends on circumstances including clothing, physique, distance and weather.

Verbatim wording from the response

“The MPS and NPCC consider this guidance is clear and adequate. The maximum distance is dictated by the length of the Taser cables (21 feet), so this is the maximum distance at which the weapon has the potential to be effective.”

Source location

2015-0319-Responses
Page 6 · response
Published 12 August 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

Existing guidance adequately explains Taser maximum and variable effective range, so adding a prescriptive effective range is unnecessary.

Verbatim wording from the response

“4. In respect of the conducted energy device (Taser), the APP currently states that:”

Source location

2015-0319-Responses
Page 6 · response
Published 12 August 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.3

  1. 1

    Continue developing guidance on reference materials, including consideration of body-worn video material.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated in progressThe respondent said that this action was in progress when they made their response on 12 August 2015.
  2. 2

    Invite the IPCC and professional standards department to observe officers providing initial and detailed post-incident accounts.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated completedThe respondent said that this action was complete when they made their response on 12 August 2015.
  3. 3

    Highlight in training the early consideration and briefing of trained police negotiators and negotiator coordinators during incidents.

    Stated by Metropolitan Police Service and National Police Chiefs’ CouncilStated plannedThe respondent said that this action was planned when they made their response on 12 August 2015.

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 guidance on reference materials, including consideration of body-worn video material.

Verbatim wording from the response

“The MPS accepts that ideally, officers should not be exposed to the latter and in the interests of developing best practice, we are currently in a dialogue with the NPCC regarding this matter. The NPCC is also considering the APP guidance on this issue, particularly in relation to body worn video (BWV) material.”

Source location

2015-0319-Responses
Page 8 · response
Published 12 August 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

Invite the IPCC and professional standards department to observe officers providing initial and detailed post-incident accounts.

Verbatim wording from the response

“Developing best practice has already lead the MPS to always invite the IPCC and DPS (Directorate of Professional Standards) to be present throughout the time when officers give their initial and detailed (Stage 3 & 4) accounts to promote transparency.”

Source location

2015-0319-Responses
Page 7 · response
Published 12 August 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

Highlight in training the early consideration and briefing of trained police negotiators and negotiator coordinators during incidents.

Verbatim wording from the response

“The MPS will in future, however, highlight in training to TFCs and incident commanders the need to consider the use and briefing of trained police negotiators and negotiator co-ordinators at an early stage in incidents.”

Source location

2015-0319-Responses
Page 5 · response
Published 12 August 2015

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