PFD report

Paul Taylor · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 24 Dec 2024•Nottinghamshire

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
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

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 raised1

  1. Failure to automatically refer suspects interviewed voluntarily for relevant offences to mental health services
    Part of recurring concern: Unreliable mental health referral pathways
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.2

  1. Action

    Communicate the amended safeguarding policy across the organisation by 1 March 2025.

    Stated by Nottinghamshire PoliceStated plannedThe respondent said that this action was planned when they made their response on 9 January 2025.
  2. Action

    Revise procedures so voluntary and arrested suspects receive consistent welfare assessments and automatic Liaison and Diversion referrals.

    Stated by Nottinghamshire PoliceStated in progressThe respondent said that this action was in progress when they made their response on 9 January 2025.

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 automatically refer suspects interviewed voluntarily for relevant offences to mental health services

Wider context from the report

“When a suspect is arrested for offences requiring a referral to a mental health nurse, commonly referred to in Nottinghamshire as “Liaison and Diversion” the custody sergeant makes that referral automatically, which allows the opportunity for a suspect to obtain assistance from a healthcare professional, if they desire. In addition, there are welfare assessments conducted by the officer in charge of the investigation. In cases where a suspect is interviewed on a voluntary basis for relevant offences, the suspect is not dealt with at a custody suite and a referral to a mental health nurse is not automatic. In this latter scenario, only welfare assessments are completed by the officer in charge of the investigation without any involvement from healthcare services. ”

Is this part of a recurring concern?

Yes — Unreliable mental health referral pathways.

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

Communicate the amended safeguarding policy across the organisation by 1 March 2025.

Verbatim wording from the response

“A policy revision is being undertaken to ensure that the procedures for supporting and safeguarding suspects of relevant offences are consistent, irrespective of whether the individual has been arrested or invited for voluntary attendance. In both scenarios, suspects receive an officer welfare assessment together with an automatic referral to Liaison and Diversion (healthcare services). The amendment to the policy and communication to the organisation will be implemented by 1st March 2025.”

Source location

Response from Nottinghamshire Police
Page 1 · response
Published 9 January 2025

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

Revise procedures so voluntary and arrested suspects receive consistent welfare assessments and automatic Liaison and Diversion referrals.

Verbatim wording from the response

“A policy revision is being undertaken to ensure that the procedures for supporting and safeguarding suspects of relevant offences are consistent, irrespective of whether the individual has been arrested or invited for voluntary attendance. In both scenarios, suspects receive an officer welfare assessment together with an automatic referral to Liaison and Diversion (healthcare services). The amendment to the policy and communication to the organisation will be implemented by 1st March 2025.”

Source location

Response from Nottinghamshire Police
Page 1 · response
Published 9 January 2025

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