PFD report

Tyereece Johnson · Prevention of Future Deaths report

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Issued 23 May 2019•Inner West 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
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
4

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 raised1

  1. Failure to pass relevant rider age information to tactical decision-makers
    Part of recurring concern: Failure of police operational communications to reliably share safety-critical information
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

    Ensure Pan London courses and refresher training include information and intelligence-gathering instruction.

    Stated by Metropolitan Police ServiceStated plannedThe respondent said that this action was planned when they made their response on 29 July 2019.
  2. Action

    Review the pod’s roles and responsibilities to maximise information and intelligence opportunities by 31 October 2019.

    Stated by Metropolitan Police ServiceStated plannedThe respondent said that this action was planned when they made their response on 29 July 2019.
  3. Action

    Maintain a dedicated six-role police pursuits and follows pod supporting risk assessment and information gathering.

    Stated by Metropolitan Police ServiceStated completedThe respondent said that this action was complete when they made their response on 29 July 2019.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    The dedicated pursuits pod and its resources are considered sufficient to address the concern, although its practices will be reviewed further.

    Stated by Metropolitan Police ServiceExisting 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

Failure to pass relevant rider age information to tactical decision-makers

Wider context from the report

“The first CAD messages gave an approximate age of the riders of the moped (aged 15 to 16). However this was not passed on to the team in the Police Control Centre who were formulating tactics to bring the moped to a stop. All witnesses from the police control room and police helicopter agreed that the age of the riders was a relevant factor to take into account when formulating a risk assessment in order to inform their tactical decision making. (However I did not find that it caused or contributed to the death in this instance.) ”

Is this part of a recurring concern?

Yes — Failure of police operational communications to reliably share safety-critical information.

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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

Ensure Pan London courses and refresher training include information and intelligence-gathering instruction.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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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

Review the pod’s roles and responsibilities to maximise information and intelligence opportunities by 31 October 2019.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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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

Maintain a dedicated six-role police pursuits and follows pod supporting risk assessment and information gathering.

Verbatim wording from the response

“Since 2016 a number of changes have been made within Met Command and Control (MetCC). There is now a dedicated pod for police pursuits and follows as occurred here, which consists of the following six roles;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 1 · response
Published 29 July 2019

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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

Consider whether to introduce a mandatory checklist of information sources at the start of pursuits.

Verbatim wording from the response

“The MPS considers that the changes implemented since 2016 are sufficient, however as a result of this Regulation 28 Report to Prevent Future Deaths, MetCC led by Superintendent Gary Warby in charge of Service Delivery, will take the following action;”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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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 dedicated pursuits pod and its resources are considered sufficient to address the concern, although its practices will be reviewed further.

Verbatim wording from the response

“In the last couple of years MetCC has created a dedicated police pursuits pod. This contains the necessary resources to support the Pan London Supervisor, who has overall control of pursuits/follows, with the information and intelligence required so risk assess the incident using the National Decision Model. MetCC believes this is sufficient to address the matter of concern raised by the Coroner, however they seek to improve their practices further and will conduct a review of the roles and responsibilities contained within the pod to ensure they maximise all available information and intelligence opportunities. This review will be completed within the next four months.”

Source location

2019-0166-Response-by-Metropolitan-Police
Page 2 · response
Published 29 July 2019

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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