"It shall be the duty of every person to whom any guidance under this section is issued to have regard to that guidance in discharging the functions to which the guidance relates. (4) A failure by a person to whom guidance under this section is issued to have regard to the guidance shall be admissible in evidence in any disciplinary proceedings or in any appeal from a decision taken in any such proceedings. (5) In this section 'disciplinary proceedings' means any proceedings under any regulations under section 50 [or 51] that are identified as disciplinary proceedings by those regulations."
"3. Officers should treat members of the public and colleagues with courtesy and respect, avoiding abusive or deriding attitudes or behaviour..."
"5. Officers should be conscientious and diligent in the performance of their duties ..."
"Following consideration of the investigation report [that is one by the IPCC], it might be decided that a formal hearing was not required but that it would be more appropriate for the matter to be dealt with by the officer's line management by way of words of advice. There might also be cases, where the officer admitted the failure to meet the standards set out in the Code of Conduct, in which it would be appropriate for a Superintendent (or above) to administer a written warning to the officer, in line with the guidance given in paragraphs 3.15 and 3.16 above ... In some cases it may be decided that no further action should be taken, and the officer should be informed in writing accordingly."
"Where the IPCC agree with the proposal to issue a written warning they will notify the force and the complainant accordingly. At this point, and not before, the officer concerned may be informed that, if he or she admits the conduct complained of, it is proposed to give a written warning. If the officer concerned does admit the conduct in question arrangements may then be made for a written warning to be given. If the officer does not admit the conduct in question a written warning may not be given and the case will need to proceed to a hearing. The IPCC should be informed accordingly."
"It is concluded that the conduct of Inspector Wood fell palpably below that which is reasonably expected of a Duty Officer. He failed to ensure that relevant information was given to the custody officer and more importantly through his incivility he failed to give himself the opportunity of obtaining information as to the drugs taken by Paul Coker. It is foreseeable that this information if obtained may have led to Paul Coker being taken to hospital where he would have been given the opportunity to see if his life could have been saved."
"What happened, or more pertinently what did not happen, in custody is shown on the composite disk. It is distressing to watch a man die, alone, with no assistance offered to him. Nobody can see it without thinking to themselves 'I wish somebody would do something'. This case is all about what the police did not do rather than what they did do. Having regard to the conclusions reached thus far no criticism is levelled against the four officers who originally attended the scene. The catalogue of errors and misjudgements that were made started with Inspector Wood and continued thereafter."
"I recommend the following: • There be Formal Misconduct Action in respect of Inspector Wood [and two other police sergeants] • [another force] be notified that Formal Misconduct Action would have been brought against [another police sergeant] had he remained within the jurisdiction of the Conduct Regulations."
"The two criticisms made of Inspector Wood by the IPCC are that (1) he lost his temper with Lucy Chadwick and thereby lost the opportunity of obtaining relevant information about Mr Coker at the scene of his arrest and (2) he failed to check that relevant information had been passed to the custody officers so that the FME had as much evidence as possible when assessing Mr Coker. The view expressed by PSD is that such matters are suitable for words of advice because (1) whilst Inspector Wood admits losing his temper, Lucy Chadwick was unhelpful with all the officers and was concerned that Mr Coker would get into trouble if she disclosed what he had taken and (2) it was the duty of the arresting officer to bring all relevant facts to the attention of the custody officer - here the custody officer was aware that Mr Coker was suspected of having taken crack cocaine. On balance I agree with PSD that words of advice are the appropriate level at which this should be dealt with."
"With regard to Inspector Wood whilst we agree that he breached Code 3, Politeness and Tolerance during his conversation with Lucy Chadwick, we do not feel that this was so serious as to place him before a misconduct hearing, and that he should in fact receive words of advice."
"I do not agree that Inspector Wood should receive words of advice for a breach of Code 3. What is important in relation to Inspector Wood is that his lack of politeness and tolerance meant that he failed to take the best opportunity to obtain vital evidence which on his own admission would have been of benefit to the FME. As such I agree that Inspector Wood should not go before a full powers board but should receive a written warning."
"Inspector Wood is to receive a written warning"
"It has previously been agreed that the written warning for Inspector Wood will contain reference to the consequence of his incivility being that an opportunity to obtain vital evidence which could have resulted in Paul Coker being taken to hospital was lost."
"Inspector Wood has declined to accept a written warning for his failure to meet Code 3, Politeness and Tolerance. The default position would normally be to revert to a non-legally represented hearing. However in the context of this case and the alleged failing it may be more appropriate to revert to words of advice. This would enable the officer to learn from this experience and move on. This method of disposal would be in keeping with the introduction of the new Code of Professional Standards, which encourages officers to learn from their actions as opposed to issuing sanctions."
"Thank you for your letter of9th January 2009 , the contents of which I have discussed with the IPCC Commissioner. We are both firmly of the opinion that Inspector Wood must now attend a non legally represented Board. As I have consistently stated the potential consequences of his failure must be taken into account and for that reason words of advice are not appropriate. Further I do not think it is appropriate to apply the new regime principle to a matter that predates it."
"On the basis of this advice I would ask you to reconsider your opinion that Inspector Wood must face a non-legally represented Board."
"I thank you for your letter of 4th February, the contents of which I have discussed with our Director of Legal Services. I do not agree that words of advice are an appropriate sanction for Inspector Wood. He was the senior officer present and he is an Inspector; in my opinion those are relevant facts to consider. Before I reconsider my opinion that he should face a non-legally represented Board it would be helpful to know the basis upon which Counsel was instructed to consider this matter and also to see Counsel's full advice relating to this issue."
"My view is as follows. If it can be said that the failure to take Paul Coker to hospital at the earliest opportunity was a reasonably foreseeable consequence of PI Wood's incivility, he should face misconduct. However, I don't believe that this can be said and as such I agree that the appropriate course of action is to give him words of advice. 27. To demonstrate my rationale I use the example of a custody sergeant. The failure of a custody sergeant to carry out a proper or effective risk assessment or otherwise seek to properly look after someone in their detention does have the potential consequence that a vulnerable person in their custody suffers harm. If not, there would never be a need to carry out risk assessments; clearly they are utilised to safeguard against harm. That is why, if there is a failure in this regard, it is viewed quite seriously. I do not therefore entirely subscribe to the view of Andrew Waters. 28. Very minor levels of incivility (which is what I would class PI Wood's behaviour as) do not generally have serious potential consequences and this is why it is not seen as such a serious breach of the code of conduct. 29. In this case, the evidence demonstrates that there is no reason why this case should be treated any differently or that it can be said that as a result of the incivility an opportunity was lost. Lucy Chadwick refused to give information that she might otherwise have given, in other words, the quantity of cocaine she believed Paul Coker to have taken. She was clearly not going to tell any police officer in the circumstances what he had taken and this is evidence by her failure to tell other police officers who spent time with her and checked on her welfare. We have described it as an opportunity that was lost. There simply was, in my view, no opportunity to lose and her complete reluctance to provide the information, however understandable, is the sole reason why the police were unaware of the quantity of drugs taken."
"I have considered this carefully. I have taken account of [the lawyer]'s advice and counsel's and Chris' comments below. I have decided that Wood's behaviour with Chadwick was not so serious as to merit a misconduct hearing as the officer has refused a written warning. The fact that Chadwick did not mention anything untoward about Wood's manner or behaviour until her third statement when at most she described him as 'abrupt' is not sufficiently serious to warrant more than words of advice. If the matter would not pass half-time before a tribunal there is no prospect of success. Furthermore, there is no nexus between the treatment at the police station and death and Wood's behaviour with Chadwick."
"You have asked that I consider appropriate sanctions against Inspector Wood and you refer me to paragraph 406 of the IPCC final report. This refers to an allegation that Inspector Wood failed to pass on information to the custody officer and FME regarding drugs found at the address. Inspector Wood states that he gave instructions to officers at the scene to seize the drugs and take them to the police station for the FME to see them. He states that all the officers at the scene were trained to pass such information onto custody staff; he had no reason to believe that this information would not be passed to the custody staff and the FME. The arresting officer's responsibility is to attend the custody suite with their prisoner. They should inform the custody sergeant of the grounds for the detained person's arrest, including any other information which they have relating to that person's detention and welfare. In this situation this would have dealt with the circumstances of the arrest and the property, i.e. drugs seized from the flat. It is inconceivable to suggest that the duty officer's responsibilities include attending the custody suite to confirm that information known by the arresting officer and other officers has been passed to the custody office. There is nothing to suggest to Inspector Wood that this information would not be communicated. I am of the opinion that Inspector Wood has no case to answer and as such consider that no further action should be taken in respect of this alleged failing."
"The IPCC took the view that it was in the lawyer's phrase, functus officio, that is to say it had done what it had to do. It had heard the appeal, it had decided the appeal, reached a conclusion, that was it and it was not going to do anything else."
"In my judgment this is a very simple issue. The IPCC made it pretty clear in December 2007 that their decision was final. They made it very clear in the course of subsequent correspondence that they did not propose to take any further action."
"Much may depend on the type of decision it is sought to change and the effect that such a change has on the rights of the parties. While not wishing to express any concluded view as to the power to change a decision on dispensing with an investigation, I am satisfied that where an appeal decision had been made and promulgated, there is no power to vary it by reason of further representations. To rule in any other way would lead to uncertainty. Should there be a time limit on representations? When would the police and the complainant be entitled to view the decision as final subject to an appeal on law to this court?"
"... as the decided cases also make clear, the power of review is one to be sparingly exercised. The reasons for this are clear. The primary decision to prosecute or not to prosecute is entrusted by Parliament to the Director as head of an independent, professional prosecuting service, answerable to the Attorney General in his role as guardian of the public interest, and to no-one else. It makes no difference that in practice the decision will ordinarily be taken by a senior member of the Crown Prosecution Service, as it was here, and not by the Director personally. In any borderline case the decision may be one of acute difficulty, since while a defendant whom a jury would be likely to convict should properly be brought to justice and tried, a defendant whom a jury would be likely to acquit should not be subjected to the trauma inherent in a criminal trial ... The director and his officials (and senior Treasury counsel when consulted) will bring to their task of deciding whether to prosecute an experience and expertise which most courts called upon to review their decisions could not match. In most cases the decision will not turn on an analysis of the relevant legal principles but on the exercise of an informed judgment of how a case against a particular defendant, if brought, would be likely to fare in the context of a criminal trial before ... a jury. This exercise of judgment involves an assessment of the strength, by the end of the trial, of the evidence against the defendant and of the likely defences. It will often be impossible to stigmatise a judgment on such matters as wrong even if one disagrees with it. So the courts will not easily find that a decision not to prosecute is bad in law, on which basis alone the court is entitled to interfere. At the same time, the standard of review should not be set too high, since judicial review is the only means by which the citizen can seek redress against a decision not to prosecute and if the test were too exacting an effective remedy would be denied."
"I am writing further to our recent correspondence concerning the misconduct proceedings against a number of the officers concerned in the arrest and detention of Mr Coker."
"It was proposed that Inspector Wood should receive a written warning. The officer has refused to accept such a warning, and the Metropolitan Police have taken the view that the officer's conduct is properly addressed by giving him words of advice. I have considered whether it is appropriate to direct that he should appear before a tribunal, and have reached the conclusion that I should not. Therefore, Inspector Wood will be given words of advice. In reaching this decision I have taken into account the level of sanction that a non legally represented panel would be likely to impose for an allegation of incivility in the circumstances of this case. The officer has admitted that he lost his temper with Ms Chadwick. In her evidence she describes him as abrupt. It would not be possible to prove at a tribunal that the officer's demeanour amounted to a lost opportunity to obtain more information from Miss Chadwick. Her own evidence is that she did not tell the police that Mr Coker had taken cocaine because she did not want to get him into trouble. There is no evidence that a different approach from the officer would have elicited any further information. In any event there were a number of other officers present who spoke to her both before and after Inspector Wood, with the same result. In addition, Ms Chadwick admits that she hid the blue bag containing the remainder of the drug that Mr Coker had taken. All of her behaviour is consistent with her expressed intent to protect Mr Coker from 'trouble' with the police. The allegation that is capable of proof is, at its highest, one of incivility. Given the officer's admission and the circumstances in which he was asking for information from Ms Chadwick, the appropriate outcome is that he should be given words of advice."
"At this time I remained in the bedroom as I saw that PC McDermid appeared to be suffering from being hit and I was concerned for his welfare. I took charge of him until I was satisfied he was OK and then I spoke to his girlfriend. I did not know at this time her name. I asked her if she knew what he was on and she said "
"PC Lockett's comment that, 'He's gone off his head on drugs' had raised the possibility that Mr Coker had taken drugs. However, from what I personally witnessed of his behaviour, there was nothing to confirm this. Acting on the assumption made by PC Lockett, I sought confirmation from Lucy Chadwick, Mr Coker's girlfriend, as to whether he had indeed taken drugs and what those drugs might be. My rationale was simply that if Mr Coker had been taking drugs then he would see an FME at the station, who should be provided with as much information as possible. However, there was nothing whatsoever in Paul Coker's demeanour or behaviour to suggest that he should be taken to a hospital. Miss Chadwick denied knowing anything about any drugs which Mr Coker may have taken. She was very reluctant to engage in any discussion whatsoever. Accordingly, I directed officers to look for drugs. I was informed that PC Evans had discovered what I believe was some white powder, together with a cardboard tube. I gave instructions for PC Evans, for this to be seized and be taken to the police station for the FME to see. In any event, all of the officers who attended the incident on6th August 2005 had been trained to pass any such information onto the custody staff. I had no reason to believe that this information would not be passed to the custody sergeant and the FME, or indeed that the FME would not be called to attend Mr Coker."
"From my perspective at that point, I stayed at the flat because one of my PCs was in a pretty exhausted condition and was quite poorly, or seemed to be quite poorly, so we sat him on the end of the bed, waited for him to recover a little, I think PC Palmer was still in the flat as well and whilst all of this was going on, two of my PCs came up to the flat with Lucy, Lucy Chadwick. Clearly because of what Grant had said, he obviously suspected that he thought he'd been using drugs ... and I asked Lucy, I asked her if she knew what he was on and she said 'No'. I then said - I was a little annoyed at this time - and I said to her 'You must know what he takes, you're his bloody girlfriend'. She again said she did not know what he had been on. So rather than leave it there, I then told the officers that were in the flat to have a look round to see if they could find anything."
"I instructed that they look to see if they could find any drugs and there were some found"
"Q. So, when Lucy said she did not know what he had been on, presumably you took that with a big pinch of salt? Indeed you tell us you lost your temper with her. A. I certainly did not lose my temper with her. It has been suggested that I did, but I certainly did not lose my temper with her. I like to think that I never have at work. I think frustrated would be a better word. My belief at the time, having not heard the original call, was that Lucy was the one that called us. It is normally the case in a domestic you are called by the partner and it is then frustrating if the person that you think has called you in the first place then will not co-operate with helping you deal with what [inaudible] ..."
"Q. ... You thought she knew more than she was telling you? A. Possibly, yes, but I cannot say that was actually what was going through my mind at the time."
"THE CORONER: ... the question you are being asked, and I am not sure I am getting an answer, is that you did not try at the scene to try and find out more information about Mr Coker from your arresting officer team, did you? A. No, no. Q. And then after Paul Coker was removed from the bedroom, a white substance is found on a tray. A. Yes. Q. And you put two and two together and assumed it was cocaine correctly did you not? A. I think I said cocaine or amphetamine [inaudible]. Q. And you did not know as a result of your speaking to Lucy Chadwick how much Paul Coker had consumed? A. No. Q. You did know from your training that cocaine intoxication is the most common cause of excited delirium? A. Yes. Q. And yet you did not change your decision to have Paul taken to a police station? A. No. Q. Even at that stage? A. No, because I did not think that we were dealing with excited delirium. I did not think from what I saw and what I witnessed that Paul was so violent that it would be off the wall if you like. I did not think Paul was delirious. Paul did not struggle with the police, in my opinion, to the point of absolutely exhaustion."
"I went upstairs to my room. One police officer was on my bed holding his neck, he had been hurt by Paul. The Inspector asked me about the white powder. On the board. I said it was Paul's not mine and that I had the occasional joint. Most of the officers left. A few female officers stayed and advised me about injunctions. I then went to straighten up my bed. Under the pillow I found the blue bag which Paul had earlier with the drugs in. I noticed the bag only had about half of what it contained earlier. I hid it under my mattress and went to bed, I planned to throw it in the river the next day. Later that morning police came to my room. DC Richard George told me Paul had died while at the police station. I burst into tears. I later showed Richard the drugs."
"After they had taken Paul away the Boss [no doubt a reference to Inspector Wood] was abrupt with me, he didn't seem to want to talk to me. He asked if Paul had taken anything. I said no as I didn't want to get Paul into trouble, but they found some cocaine residue, so I told them that he had taken some. The female officers then spoke to me and asked if I wanted to take action to take Paul away, but I said I'd wait to hear from them."
"The senior officer said that the injured officer would have to get himself looked at. He asked me if Paul had taken anything and I showed him the board which had some powder on it. He took this away. He asked how much Paul had taken, but I didn't know. He didn't search the room and I assumed that Paul still had the remainder of the drugs on him. The senior officer and the injured officer left and the female officer stayed behind and talked to me about getting an injunction out against Paul. There was no sign of a struggle in the room and when the officers left I went straight to bed. I was straightening up the bed when I found the remainder of the drugs tucked underneath my pillow. I put them under the mattress and fell to sleep."
"Q. Did police officers come back to talk to you? A. I can't remember. I can't remember. They must have done, but I can't remember what they said. Q. Do you remember being asked what he'd taken? A. Yes, yes. They saw in my room what the -- sort of what was left, and they asked me. Q. How do you know they saw what was left? A. Because they were in my room. Q. Yes, but how did you know they'd seen it? A. Because it was on the floor. Q. So you worked it out? A. It was obvious that they could ... Q. All right. A. ... that they could see it. Q. ... do you remember them asking you what he'd taken. What did you tell them? A. I told them what he had taken. Q. What did you say? A. Cocaine and cannabis. Q. Did you say how much? A. I can't recall."
"Q. I see. Right. Once Paul has been taken away, a quite senior officer, an inspector spoke to you, didn't he, about whether -- what you knew about what Paul had had. A. Yes. Q. Yes? A. They saw in my room the board that had been used, so he saw that and then asked me what he had been taking."
"A. Yes, that's correct. They saw the board in my room, asked me what he had been taking, and then I told them what he'd taken. They saw the board, I couldn't say to them, 'He hasn't taken anything', because the evidence was there. Q. Didn't this inspector, when you were saying, 'I don't know', get annoyed with you, say something to the effect of, 'You must know what he's bloody had, you're his girlfriend'? A. No, I don't recall that. Q. Because you weren't giving him straight answers, were you? A. I can't recall him saying that to me in that tone. Q. No. A. I was all over the place, I didn't really know what to do, I was scared. Q. I'm not criticising you, but the fact is this inspector was trying to get information from you about what Paul had had. A. Yes. Q. You weren't giving it, and he eventually got annoyed and said 'You must know what he's bloody had, you're his girlfriend'. That's rather how it went, isn't it? A. I can't recall. Q. You were trying to protect Paul at the time. A. I can't -- yes, I was scared because of what was there, but he saw it before -- when I came back up to the room he saw it there and he asked me what he had been taking. Q. But for reasons that no doubt are understandable, you didn't tell the inspector the quantity that Paul had had, did you? A. I didn't know the quantity -- how much he'd taken. I know I've said it in the statement ... Q. Yes. A. ... but that was just an average, but I mean there was a time where I left the room, I didn't know the quantity that he had physically taken..."
"... much of her evidence is -- I'm trying to use the word tainted, but it's affected very much by the state she will have been in on that evening, and the Jury will get certain -- certain words of caution about how to approach her evidence. And of course I think -- I have always taken the view, I'm sure we all do, that it's actually what happened later that's the most important, although the route of some of the information comes from this lady."
"If you determine that Mr Coker was suffering from [excited delirium/acute behavioural disorder], was the failure to recognise this caused by a. the nature of Mr Coker's symptoms/presentation? and/or b. failures in communication between police and/or doctor? (please specify) c. failures in training of police and/or doctor? (please specify).
"Yes, we find there was inadequate pooling of information between police officers and failure to communicate effectively among police officers, DDOs [detention officers] and FME [forensic medical examiner] (it is not possible to determine whether the outcome would have been affected)"
"Thank you for your recent correspondence regarding Inspector Wood. I have considered the matter carefully and in relation to the passing on of the information I confirm I am in agreement with your proposal of no further action against Inspector Wood."