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Coroner’s reportPrevention of future deaths · 2019-0460

“Whether the content of police training in dealing with restraint should be addressed (2)…”

Dated 4 Mar 2019, from the coroner for Carmarthenshire and Pembrokeshire. Sent to 3 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 29 Apr 2019. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated4 Mar 2019
  2. Deadline29 Apr 2019
  3. Published on judiciary.uk4 Mar 2019
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Dyfed Powys PoliceDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 29 Apr 2019. A reply may have been sent and not yet published.
National Police Chief’s CouncilDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 29 Apr 2019. A reply may have been sent and not yet published.
Hywel Dda University Health BoardNamed in the report as “Hywel Dda Health Board”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 29 Apr 2019. A reply may have been sent and not yet published.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— (1) Whether the content of police training in dealing with restraint should be addressed (2) Whether the criteria for identifying the most appropriate place of safety and the responsibilities for transporting someone who is detained under Section 136 MHA 1983 should be reviewed (3) Whether the content and frequency of police training on the status and responsibilities of an Appropriate Adult under the Police & Criminal Evidence Act should be reviewed.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2019-0460
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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