Emergency services in Lincolnshire are being encouraged to reassess their procedures relating to acute behavioural disturbance (ABD) cases. This follows the unfortunate death of Robert Gracey, a 39-year-old Gainsborough resident. There was an incident involving police restraint prior to his death.
A Prevention of Future Deaths report by Coroner Paul Smith called attention to the lack of a joint protocol between Lincolnshire Police and East Midlands Ambulance Service (EMAS) for handling ABD cases. This issue had been recommended for addressal in 2019. In adherence with this report, EMAS has pledged to focus on resolving the issues by the given deadline. Lincolnshire Police, meanwhile, stated that reviews of medical emergency responses are currently ongoing.
The inquest, completed at Lincoln Coroners Court, pointed to the use of cocaine, restraint, and stress on an already compromised heart as the key factors leading to Mr Gracey’s demise on 29 September 2021. The jury highlighted a “missed opportunity” to perceive the situation as a medical emergency and responsive transportation of Mr Gracey to A&E, thereby potentially enabling early intervention.
Coroner Smith’s report underlined the requirement for specific protocols to be designated for ABD cases. He indicated that the existing NHS Pathways system does not provide a unique pathway for ABD cases, often leading to a category two response unless the situation involves police restraint.
Keeley Sheldon, the director of quality at EMAS, extended her condolences to Mr Gracey’s family. She further asserted EMAS’s commitment to providing timely and appropriate care. Both Lincolnshire Police and EMAS are expected to put forth their plans or timelines by 3 March. In addition, EMAS is anticipated to spearhead the creation of an ABD protocol across the East Midlands in order to enhance future emergency responses.
The original version of this story was reported by www.bbc.com and adapted by The Lincoln Post.
