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Custody Division

This guide covers questions and procedures related to injuries, substance use, mental health, medical conditions, and other issues affecting individuals in custody. It discusses general healthcare, forensic examinations, and Counter Terrorism measures.

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Custody Division

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  1. Custody Division • Questions • Do you have any injuries? • Are you dependant on alcohol? • Have you used alcohol in the last 24hrs? • Are you dependant on drugs or other substances? • Have you used drugs or other substances in the last 24 hrs? • Are you suffering from, or have previously suffered from withdrawal symptoms? • Have you ever attempted self harm or suicide? • Do you have any thoughts at this time of self harm or suicide? • Do you have any mental health problems or have ever received treatment for mental health problems?.

  2. Custody Division • Are you suffering from any ongoing medical condition, allergies or infectious diseases? • Are you currently taking any other medication that you haven’t mentioned already? • Do you have any dietary requirements or food allergies? • Are you pregnant? • Are there any other issues which may affect your time in custody? All answers are to be accurately recorded on the Custody Record They should form the basis of any initial contact with HCP’s.

  3. Custody Division • General Healthcare v Forensic examinations? • General Healthcare • What it says on the tin – your day job? • Forensic • Sudden deaths • Assaults – prisoners, suspects, complainers, police officers • Sexual assault examinations • Paediatric examinations • RTC – Drink/Drug impairment • Intimate body searches • People detained in terms of Terrorism Legislation.

  4. What about the following? Fitness to detain Fitness to release Fitness to charge Fitness to transfer Fitness to interview Requirement for an appropriate adult GH? GH? GH? GH? F? F?. Custody Division

  5. Overview of Counter Terrorism

  6. Counter Terrorism • Terrorism Act 2000 (TACT) • Can’t happen here • Wont happen here • Did happen here • And not just once……..

  7. Counter Terrorism

  8. NEW TACT CUSTODY FACILITIES • Larger cells • Each cell is equipped with moulded furniture including a bed and desk • Each suite has visiting facilities • Each suite has dedicated exercise facilities • Each suite has secure IT facilities.

  9. TACT CUSTODY FACILITY STRUCTURE • STDC – Up to 14 days Regarded as national asset for the use of all forces under strict criteria. Built in accordance with Home Office Terrorism Act Police Custody Building Policy and Lord Carlisle Guidelines and with secure audio video capability. • Interim Detention Facilities (IDF) – Up to 48 hours (under review) Facilities without Home Office Terrorism Act Police Custody Building Policy Document accommodation.

  10. STDC AND INTERIM DETENTION FACILITIES (IDF’s)

  11. The STDC is the National resource for accommodating persons detained under Section 41 of the Terrorism Act 2000. SCOTTISH TERRORIST DETENTION CENTRE 923 HELEN STREET, GOVAN, GLASGOW, G51 1EE

  12. Counter Terrorism • Current situation • Terror suspect taken to an office and the next on call FME called out…………. • Issues • Very specialist area of work, different conditions, different requirements, more intense • The future • Service probably still delivered through the HB’s after transfer of all medical services to the NHS • But with additional training.

  13. Complaints about the Police

  14. Complaints about the Police • The police have a duty to record and investigate all complaints about the service, members of police staff or police officers • Complaints can be categorised as • Quality of service • Off duty criminal • Off duty non criminal • On duty criminal • On duty non criminal • You may be asked to perform the forensic role you would normally if a police officer is a victim or an accused • You may be asked to perform a role within the CAP system.

  15. Complaints about the Police • Within the CAP system • By accident • Carry out a general healthcare assessment prior to a complaint being made • Or design • Asked to carry out an examination of someone making a complaint to note injuries • Record in the normal manner.

  16. Fatal Accidents

  17. Fatal Accidents • Police Actions • Please amuse yourselves whilst the operator does it the long way…….

  18. Fatal Accidents • Sudden Deaths Inquiry (Scotland) Act 1976. • An inquiry must be held in cases of death in custody or as a result of an accident at work. • The purpose of an FAI is not to apportion blame for the death in either the civil or criminal sense. An FAI may be held in other cases of sudden, suspicious or unexplained death, or death in circumstances that give rise to serious public concern. Decisions on whether these discretionary inquiries are held are made by the Lord Advocate. • A Fatal Accident Inquiry is essentially a fact-finding exercise carried out in the public interest - standard of proof are as for civil cases in Scotland. The purpose of an FAI is to determine: • Where and when the death took place • The cause of the death • Reasonable precautions whereby the death might have been avoided • The defects, if any, in any system of working which contributed to the death or any accident resulting in the death • Any other relevant facts relevant to the circumstances of the death. • Procurators Fiscal investigate around 14,000 sudden deaths each year. There are usually around 50 or 60 Fatal Accident Inquiries in Scotland each year.

  19. Fatal Accidents • Some outcomes • Tayside 2001 – police carry out audit of training schedules to ensure every (relevant) member of staff has appropriate and up to date training • 2005 - Lothian NHS board and Lothian and Borders Police to consider how details of diagnosis and treatment are returned with the patient to the relevant police station.

  20. Fatal Accidents • Fife 2003 • (1) introduce and maintain regular training of police officers as to the care and management of drug abusers; • (2) review procedures for the detention of known suspected drug abusers; • (3) review the role and responsibilities of the duty sergeant with a view to enhancing its importance; • (4) improve training in relation to the use of Cellfile so as to • (a) ensure a complete record of the time in custody • (b) ensure training on a regular basis in the use of Cellfile • (c) introduce procedures to ensure Cellfile is regularly consulted • (d) consider simplifying the use of Cellfile • (5) review the use of special risk and low risk category; • (6) consider the introduction of "special measures" as a new category; • (7) ensure that custody procedures are regularly reviewed and checked.

  21. Introduction to the Role of Forensic Medical Examiner Questions?

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