Case 2.5 | Bulletin – Command and Control Published June 2009 For archived bulletins, learning reports and related background documents please visit www.learningthelessons.org.uk Email | learning@ipcc.gsi.gov.uk This document is classified as NOT PROTECTIVELY MARKED in accordance with the IPCC’s protective marking scheme Searching for a missing person Request for the search of a vulnerable missing person raising issues about: • Logging on Compact • Liaison with the family • Handovers • Interface between Command and Control/Compact systems Overview of incident Mr M, a man of 40, was depressed because of the breakdown of a relationship and financial difficulties. His mother, Mrs N, had arranged to collect him one Sunday in spring 2008 for a St Patrick’s Day celebration but, although his car and bike were at his home address, his neighbours had not seen him since the previous day and his mobile phone was switched off. Mrs N, called the police because he did not normally let her down and she was worried about his mental state; he had tried to kill himself on two occasions and had talked about suicide since. The call handler checked for incidents in the area of his home and created an incident log but did not log the call in ‘Compact’, the system used to manage investigations of missing persons cases. She told Mrs N that police would go to her son’s address and force entry if they believed he was there and suggested Mrs N went to her son’s home and waited for the police. While they were waiting for the police to arrive Mrs N and Mr M’s father got into the house and discovered Mr M was not there. Once the police arrived it was agreed by both officers and Mr M’s parents that it was not appropriate at that stage to create a missing person report but, if Mr M had not made contact by the following day, the parents should contact the police again to report him missing. The following day, around 10pm, Mrs N told the police her son had failed to turn up for work that day and she wanted to report him as missing. The call handler created a new incident and created a log in Compact. Mr M was assessed as a high risk missing person and the incident was graded level 2. As Mrs N lived across the boundary of the Force area, the neighbouring force was asked by fax to take further details from her at home. A few hours later Mrs N contacted the Force control room for an update and was told that officers had checked the house and there appeared to be no change from the previous day. Mrs N then gave the call handler contact details for her son’s friend, who she thought might have been with him the Saturday before he went missing. The police spoke to the friend’s mother and were able to confirm he was. Mrs N also told the call handler that her son had earmarked a tree to hang himself from when he spoke about suicide, so officers searched this wooded area, but the search was limited as it was dark. On handover the incoming duty inspector was told by the nights inspector that there was ‘nothing to hand over’ and he only discovered the missing person report when he logged onto Compact the next morning. © Independent Police Complaints Commission. All Rights Reserved. Page 1 of 3 That day, officers visited the house of Mr M’s friend again and established through his mother that, when Mr M left the house, he had staggered down the stairs in a drunken state. Mrs N also spoke to the friend’s mother who told her Mr M had had no idea how to get home that night but assured her he would have found his way though it was bad weather. Mrs N concluded that, given his drunken state and the bad weather, her son must have got lost on his way home and, as it was dark by this stage, rang the police to ask for a police car with search lights to be sent to the area where she thought he would have gone missing. A police helicopter, officers on foot and a police dog were used to search the area but nothing was found. (The Command and Control computer system was needed to resource and manage this search.) Police then stopped the search. The email handovers that had taken place between duty inspectors up to that point lacked a sense of urgency, which led the inspector then on duty to conclude that the position should be assessed in daylight. Early the next morning Mrs N contacted the police to ask about the progress of the search but it had not yet restarted. The family had been conducting their own search since 6.30am. Police were about to start searching again when they received a call from a friend of the family who told them that Mr M’s body had been found in a ditch, 150 yards from where they had been standing during the search the previous evening. In the course of their contact with Mrs N, the police several times gave her inaccurate information when she rang to ask about the progress being made – on one occasion she was told an update was awaited from an officer who was on rest days and no longer involved in the case. She was also told several times that the duty sergeant would call her back but she always had to call back to request updates and information. Type of investigation Managed Recommendations Local recommendations 1. The first time Mrs N called and told the police of her concern for Mr M’s welfare, as his whereabouts were unknown a missing person report should have been immediately created in Compact, thereby allowing the investigation to start. 2. There was lack of ownership of communication between the Force and Mrs N. The Force Missing and Found Person Policy clearly puts the onus on the Divisional Duty Inspector to directly manage all ‘high risk’ missing person investigations. This is the person best placed to provide continuity of contact with the family where required. 3. A lack of sufficient updates from the relevant Duty Inspectors meant any sense of urgency over the daylight search was lost. There was also a lack of detail in handovers between supervisors and managers. There is no evidence to suggest this had an impact on Mr M’s death but it did have an impact on the family and their perception of the force. Duty Inspectors should update Compact before the end of their shift. © Independent Police Complaints Commission. All Rights Reserved. Page 2 of 3 4. During the investigation both the Command and Control system and Compact were being used. But Force Policy stated that once Compact was in use all information should be added to that. The fact that Compact was not properly updated may have contributed to the problems with keeping Mrs N informed of progress. Though it is recognised that in some cases the Command and Control system is required as well as Compact in these circumstances there should be an electronic interface between the two. Force response The Force’s missing person champion has updated training to reflect learning arising from this case. The Chief Constable has instigated a thematic review to examine the Force’s handling of missing person incidents to identify examples of good practice and opportunities for organisational learning. If you need more information about this case, please email learning@ipcc.gsi.gov.uk © Independent Police Complaints Commission. All Rights Reserved. Page 3 of 3