Second paragraph from the end reads: “Spencer’s
antidepressant medication were not recorded on his custody records,
it also emerged. Detention officer Stewart Wakeman said was an
Man’s death forced change in police policy
Thursday 3rd December 2009
POLICE changed their policy for assessing the risks prisoners pose to
themselves after a Swindon man killed himself less than two hours after leaving
their custody, an inquest heard.
Michael Spencer of Grantham Close,
Freshbrook, told officers at Gablecross Police Station he was suicidal after he
assaulted wife Wendy at their West
Swindon home, Oxfordshire Coroner’s Court heard.
This suicidal fact
was logged onto his custody record which was placed in a red folder to signify
he was a vulnerable person, Oxfordshire Coroner Nicholas Gardiner said.
Depressed Spencer, 39, who had overdosed on painkillers and also
self-harmed in the weeks leading to his death, was placed in a cell monitored by
The dad-of-two was charged with common assault and released on
police bail at 2pm on July 16, in 2006.
No health care professional was
called to assess his state of mind as custody sergeants and detention officers
said he was “quiet” and “compliant” and didn’t cause them any welfare concerns.
But by 3.45pm he was run over and killed on the A420 near Shrivenham,
said Mr Gardiner.
Now a pre-release risk assessment sets out more
rigidly the questions custody staff need to ask if a prisoner is considered a
threat to himself, said Duty Inspector Antony Ducker of Swindon Police.
This comes after Mr Ducker reviewed the process by which prisoners are
released from police custody.
Giving evidence yesterday, he said: “There
has been an overwhelming increase in the number of referrals to the healthcare
profession in the amount of people who make indications of self-harm and
“So much so this was causing financial strain.
questions on the pre-release risk assessment are set. It asks the detainees how
they are feeling.
“It forces one’s hand to ask – Nothing is overlooked.”
This was done in paper form before being transferred to the computer
system, added Mr Ducker.
Custody Sergeant Julian Law described Spencer
as “unremarkable” who gave him “no concerns” while he was in custody.
Law admitted he didn’t know it was an obligation of his role to read prisoners’
custody records as this had not been made clear during his training.
When asked if he should have read it by solicitor Sean Horstead,
representing Mrs Spencer, Mr Law replied: “In hindsight yes.”
said it didn’t think Spencer was confused by the bail conditions set out to him
as this was Spencer’s first time in custody.
These were that he couldn’t
see his wife Wendy, he couldn’t pass any messages on to her through friends and
family and he could make one visit home but this had to be with a police
These conditions had to be adhered to before Spencer attended
Mr Law told Spencer his brother-in-law Michael Titcombe had rung
for him and passed on his phone number.
But he said Spencer didn’t ask
to call Mr Titcombe, who rang the station earlier that day to warn police
Spencer was “unstable”.
Mr Law said Spencer hadn’t been confused in
thinking the bail conditions meant he wasn’t allowed to talk to any family
Had he asked to use the phone then Mr Law said he would have
allowed it and Spencer could have arranged to be collected by Mr Titcombe from
Spencer’s antidepressant medication were not recorded on his
custody records, it also emerged. Detention officer Stewart Wakeman said was an
The inquest continues on Tuesday next week.
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