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Decision Making in
Police Enquiries and
Critical Incidents
What Really Works?
Edited by
Mark Roycroft
Jason Roach
Decision Making in Police Enquiries
and Critical Incidents
Mark Roycroft · Jason Roach
Editors
Decision Making in
Police Enquiries and
Critical Incidents
What Really Works?
Editors
Mark Roycroft Jason Roach
Open University Applied Criminology and Policing
Milton Keynes, UK Centre
University of Huddersfield
Huddersfield, UK
© The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer
Nature Limited 2019
The author(s) has/have asserted their right(s) to be identified as the author(s) of this work
in accordance with the Copyright, Designs and Patents Act 1988.
This work is subject to copyright. All rights are solely and exclusively licensed by the
Publisher, whether the whole or part of the material is concerned, specifically the rights
of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction
on microfilms or in any other physical way, and transmission or information storage and
retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and
information in this book are believed to be true and accurate at the date of publication.
Neither the publisher nor the authors or the editors give a warranty, express or implied,
with respect to the material contained herein or for any errors or omissions that may have
been made. The publisher remains neutral with regard to jurisdictional claims in published
maps and institutional affiliations.
This Palgrave Pivot imprint is published by the registered company Springer Nature
Limited
The registered company address is: The Campus, 4 Crinan Street, London, N1 9XW,
United Kingdom
Contents
2 History of Decision-Making 15
Mark Roycroft
v
vi Contents
9 Conclusions 151
Mark Roycroft
References 163
Index 167
Notes on Contributors
vii
viii Notes on Contributors
xi
List of Tables
xiii
List of Boxes
xv
CHAPTER 1
Mark Roycroft
Abstract This chapter sets out the format and content of the book.
The author describes Police decision making and evaluates the char-
acteristics of decision making. Police decision making is now more
accountable than ever before and current police decision making practice
is discussed. The National Decision Model used by the Police is intro-
duced. Police officers of all ranks have to record their decision mak-
ing and the golden hour tactics are described for those arriving at an
incident.
M. Roycroft (*)
Open University, Milton Keynes, UK
e-mail: [email protected]
If you put a step wrong in one of these big cases, you will be guilty for
Hell freezing over. (Sarah Payne, mother of murdered schoolgirl Sara
Payne, 2006)1
1 Our thanks to our friend, Howard Atkin, for pointing out this quotation to us.
1 WHY UNDERSTANDING POLICE INVESTIGATIVE … 3
Although published in the last century (1978) it can be argued that the
five “masters” still stands as an accurate reflection on which the police
chief (and any officer) is responsible to.
In more extreme cases, police officers will have little choice but to
decide on the “least bad” option in dealing with a critical incident, for
4 M. ROYCROFT
1. Management of information
2. Prioritisation of leads
3. “Lack of grip” of the investigation
1 WHY UNDERSTANDING POLICE INVESTIGATIVE … 5
All arguably illustrate the flawed decision making inherent in the two
cases highlighted.
The main purpose of this book is to identify and explore some of
the common characteristics of police decision making in major enquires
and critical incidents. Lawrence Sherman (1998) notes the importance
of “evidence-based policing” by emphasising the fact that there is little
empirical evidence to guide most policing practices—at least this was
the case back in 1998. Research on the decision making of criminal
investigators is however at best “emergent” and at worst neglected,
has tended to focus on particular aspects of the investigative process
such as “interviewing suspects and witnesses”, detective’s “intuition”
(e.g. Wright 2013) or how different forms of “cognitive bias” includ-
ing; confirmation bias (e.g. Rossmo 2009; Stelfox and Pease 2005),
“framing effects” (e.g. Roach and Pease 2009) and “tunnel vision”
(e.g. Rossmo 2009), can have a negative effect on the decision making
of investigating officers in homicide investigations. The book’s depar-
ture is that it seeks to examine the different stages and types of decision
making within enquires and police critical incidents and to gently probe
the decision making styles of police officers in an overall attempt to
shed-light on how decision-processes work in different critical incident
contexts, and not just homicide investigations. (including counterter-
rorism operations).
Like their predecessors, the modern police officer has to comply
with legal statute, Human Rights legislation and the media and ponder
whether their actions are necessary and proportionate. Criminal investi-
gation continues to evolve through legislation and case law along with
procedural developments and scientific and technical developments have
increased the range of material that is now available to SIO. Procedural
developments have come about through the lessons learned from public
enquires, coroners’ inquests, trials and internal reviews. All adding to the
complexity of police decision making and we haven’t even mentioned the
advent of the internet and social media yet!
There is of course no known system of decision making which guar-
antees infallibility—well not in human beings (homo sapiens) anyway.
Optimal decision making often necessitates taking risks even when
reasoning to the most likely outcome, which Robin Bryant discusses
more fully in Chapter 4. To avoid risk does not ensure success. The
police investigator is relied upon to exercise judgment and discretion
6 M. ROYCROFT
in their decision making, for example, simply shaking the usual sus-
pect tree or raiding a housing estate to round up the “usual suspects”,
without due thought about the possible/probable consequences, could
have unwanted repercussions, including re-enforcing local mistrust
and dislike of police, estrangement from the local community, and lead
to justifiable claims of human rights abuses. This can be assisted by
rigorous training and high professional standards supported by
accountability mechanisms such as the IPCC and HMIC. The police
differ from other professions in that they have little time for deliber-
ation in critical incidents. The police face unique decision making
environments which encompass rapidly changing conditions. Chaotic
conditions can often create difficulty for police officers in prioritis-
ing the direction, type, intensity, and pace of the actions they take to
effectively control a critical incident or live investigation. Mullins et al.
(2008) proposed a preliminary model with the key factors most likely
to influence police decision making within murder investigations. This
took into consideration the decision environment, the decision maker
and the decision bases. In drafting this model the authors were includ-
ing the “individual characteristics of the SIO, the type of investiga-
tion, the media and the basis of particular decisions (from intuition to
evidence)”.
We have seen a vast increase in the transparency of police decision
making and the need for police officers of all ranks to justify, record
and explain their decision making, particularly Senior Investigating
Officer’s recording of all decisions they make in specific investiga-
tion logs. This move has been heavily influenced by legislation, high-
profile reviews such as the Macpherson report and the increased remit
and reach of organisations such as the IOPC (Independent Office for
Police Conduct, formally known as the Independent Police Complaints
Commission).2 The list of accountability bodies also includes the
courts, the media and public inquires such as the Hillsborough
inquiry. Roycroft’s recent book on Chief Constable’s (Roycroft 2016)
suggests that although it is right and proper that police officers face
scrutiny, the level of scrutiny has increased too dramatically over the
last decade.
2 https://www.policeconduct.gov.uk/.
1 WHY UNDERSTANDING POLICE INVESTIGATIVE … 7
especially those who monitor the “phasing “aspect of enquires. The con-
tinual review process is one described in later chapters. The essential skill
of continuous review, perhaps on an hourly basis in the original sequence
of events of a critical incident can determine and shape the investigative
process. As seen in the Stephen Lawrence murder cases and in Rotherham
(see Jay Report 2017) if and when investigations go awry they can affect
that forces reputation for a generation. Indeed, the management of
risk was exposed as a key theme in these investigations and subsequent
reviews. Part of the police decision maker’s role is to recognise the risk
and take appropriate action to deal with it (see Foucault and Anscoff, p. 7,
re-risk assessment). Roycroft et al. (2007: 148–162) commented after
looking at the socio-historic development of major investigations that
looking across the historical pattern overall, it does seem that at particu-
lar historical moments certain high profile major crime investigations come
to be seen as problematic in some fashion (i.e. achieve some measure of
amplification). Then the conduct of the investigation itself is enquired
into, either through a de facto public enquiry, with the result that some
reform in policing practices is recommended.
The reputational damage to police forces and the impact on victims and
their families following faulty decision making is considerable with the
repercussions lasting decades-the tragedy at Hillsborough in the 1980s
serves as testament.
This book will explore some of the psychology behind decision mak-
ing and the attributes of a good decision maker, along with an examina-
tion of the decision making process. In Chapter 4, Bryant states that
Bryant discusses the role of heuristics in decision making and states that
they “can (particularly when applied in ecologically sound circumstances
which require rapid decision-making) perform as well, and often better
than more formal methods”. Heuristics can be used to simplify decisions
but as Tversky and Kahneman (1974) state they can lead to systematic
errors. They talk of a “taxonomy of themes”.
1 WHY UNDERSTANDING POLICE INVESTIGATIVE … 9
Recording of Decisions
The modern police decision maker now complete “Decision logs” or
“Policy logs”. The recording of vital decisions and why certain actions
were NOT taken as well as why they were. Cook et al. (2013: 45) discuss
the option of “doing nothing” or deferring a decision. They state that it
must be done for the right reason and must be communicated to all par-
ties internally and externally, the constant evaluation of facts was shown
in Roycroft’s (2007) research to be one of the main “solving factors” and
this process can help overcome biases and adjust early “bad” decisions.
The NPCC Murder Manual breaks the investigative process into 5 stages
as follows:
The NPCC Core Investigative Doctrine describes some of the issues that
investigators face including overcoming personal bias (p. 58) and avoid-
ing verification bias, oversimplifying facts, becoming overwhelmed with
information and following non-optimal lines of enquiry. The investiga-
tive mindset according to the Doctrine involves the following into the
five following principles:
The College of Policing, Police Code of Ethics (see Appendix 1) sets out
the policing principles that members of the police service are expected to
1 WHY UNDERSTANDING POLICE INVESTIGATIVE … 11
uphold and the standards of behaviour they are expected to meet. Many
forces have their own values statements which are complementary to the
Code of Ethics.
Throughout a situation, decision makers should ask themselves:
During the early stages of an incident, the decision maker defines the sit-
uation and clarifies matters relating to any initial information and intel-
ligence. They then assess risk and the NDM asks that Decision makers
should consider:
• Assume nothing
• Believe nothing
• Challenge and check everything. They state that nothing should
be accepted at face value or taken for granted. Investigators must
“seek corroboration, recheck and review and confirm facts”.
The Practice advice on Core Investigative Doctrine (College of
Policing app) states that investigators should constantly search for
corroboration”.
These manuals set down the ground rules for decision makers and
the book is concerned with the processes that police officers use to
reach decisions. The authors (Chapters 2, 3, and 9) research found
that experienced senior detectives were concerned with “clearing the
ground” beneath their feet once they are engaged in policing an inci-
dent, i.e. ascertaining all relevant facts before moving on with an inves-
tigation. This includes risk assessment. The philosopher Michael Foucalt
stated that his job was to “make windows where there once was walls”
(Discipline and Punish the Birth of Prison London 1991). Ansoff
and Weston (1962) saw strategy as decision making with imperfect
information and he divided management decision making into three.
These distinguished decisions as either: Strategic, administrative or
operational. The modern police decision maker has to take cognisance of
all these issues. Stelfox talks of 3 key decision areas
References
ACPO Murder Manual. (2002). College of Policing.
Ansoff, H. I., & Weston, J. F. (1962). Merger Objectives and Organization
Structure. Quarterly Review of Economics and Business, 2(3), 49–58.
Cook, et al. (2013). Blackstone’s Crime Investigator’s Handbook. UK: Oxford
University Press.
HMIC Effective Poling. (2015). Home Office.
Jay Report. (2017). Independent Inquiry into Child Sexual Abuse. London:
HMSO.
Kahneman, D. (2011). Thinking Fast and Slow. London: Allen Lane.
Kirby, S. (2013). Effective Policing Implementation in Theory and Practice.
Basingstoke, UK: Palgrave.
Mark, R. (1978). In the Office of Constable. London, UK: Collins.
Mullins, S. J., Allison, L., & Crego, J. (2008). Towards a Taxonomy of Police
Decision-Making in Murder Inquiries. University of Wollangong.
Roach, & Pease. (2009). The Retrospective Detective: Cognitive Bias and the
Cold Case Homicide Investigator. Journal of Homicide and Major Incident
Investigation. UK: Wiley.
Roycroft, M. (2007). What Solves Hard to Solve Murders. Journal of Homicide
and Major Incident Investigation, 3(1), 93–107.
Roycroft, M. (2016). Police Chiefs in the UK: Politicians, HR Managers or Cops.
Palgrave.
Roycroft, M., Brown, J., & Innes, M. (2007). Reform by Crisis: The Murder
of Stephen Lawrence and a Socio-Historical Analysis of Developments in the
Conduct of Major Crime Investigations. In M. Rowe (Ed.), Policing Beyond
MacPherson. Routledge.
Sherman, L. (1998). Evidence-Based Policing, Ideas in American Policing Series.
Washington, DC: Police Foundation. www.policefoundation.org.
Stelfox, P. (2009). Criminal Investigation. Cullompton: Willan.
Stelfox, P., & Pease, K. (2005). Cognition and Detection: Reluctant Bedfellows?
In M. J. Smith & N. Tilley (Eds.), Crime Science: New Approaches to
Preventing and Detecting Crime (pp. 191–207). Cullompton, Devon: Willan
Publishing.
Tversky, A., & Kahneman, D. (1974). Judgement Under Uncertainty, Heuristics
and Biases. Science, 185(4157), 1124–1131.
Wright, M. (2013). Homicide Detectives’. Journal of Investigative Psychology and
Offender Profiling, 182–199. Special Issue: Investigative Decision Making.
CHAPTER 2
History of Decision-Making
Mark Roycroft
Abstract The author looks back over 40 years of inquires and reviews
of major police investigations such as The Yorkshire Ripper Case. The
author identified 7 themes that run through 40 years of historical
enquires, which are: Clarity and leadership among senior officers; Skills
of SIOs; Systematic failures; Phasing of enquires; The role of the Major
Incident Room; Information management; Individual investigative
strategy failures. Past inquiries can help inform present or future inves-
tigative strategies by providing best practice and highlighting potential
pitfalls. The role of the MIR and Holmes since the Yorkshire Ripper case
illustrates the progress that has been made although in the case of the
Harper, Maxwell and Hogg murders the suspect was not within the sys-
tem. The issue of leadership among senior management teams and SIOs
was discussed in the inquiries researched.
M. Roycroft (*)
Open University, Milton Keynes, UK
e-mail: [email protected]
This chapter explores the themes from over 40 years of reviews and
public inquires into major murder enquires. Seven key themes emerge
consistently from this overview. The purpose of the Chapter is to high-
light the main issues from the investigations researched and the themes
that emerged. Jones et al. (2008: 471) argue for the importance of a his-
torical context when examining murder investigations.
Looking across the historical pattern of inquiries, it does seem that
at particular historical moments certain high profile major crime investi-
gations come to be seen as problematic in some fashion. At such times,
the conduct of the investigation itself is reviewed, either through a public
enquiry, some other framework or internally, with the result that some
reform in policing practices is recommended. The introduction of signif-
icant reform is not a continuous progression and development; rather it
tends to occur in “fits and starts”.
The failure to act quickly as in the Soham (the 2002 murder of Holly
Wells and Jessica Chapman) case and the continuation of wrong deci-
sions in the Lawrence case were real-life illustrations of the need for
skilled decision-making by SIO’s. Lord MacPherson in his review of the
Lawerence case stated that each bad decision in the initial investigation
was compounded.
The Damiola Taylor Review (Recommendation 3.2.8) remarked on
the need to appoint people with the skills “to do the job”. This was
echoed in Recommendation 20 of the Flanagan report into the Soham
murder where Sir Flanagan commented that the Chief Officer should
(Pimlico lecture 12.1.05) “take a view of the skills needed in a major
enquiry and what skills the team actually have and that (in the Soham
case) senior officers failed to act on valuable evidential leads gathered
by officers on the ground”. In the Shipman inquiry Dame Smith criti-
cised DI Smith (the SIO), while recognising that many of his mistakes
were the result of his lack of experience of criminal investigations of a
non-routine nature (see page 5 of the report).
In the Climbie inquiry, Lord Laming stated that an investigation
should have begun straight away.
The Macpherson inquiry (into the death of Stephen Lawrence) in rec-
ommendation 46.9 stated that when the investigation was handed over
to Detective Superintendent Weedon “he perpetuated the wrong deci-
sions made in the vital early days. He did not exercise his own critical
faculties in order to test whether the right decisions had been made. His
fundamental misjudgement delayed arrests until 7th May”.
2 HISTORY OF DECISION-MAKING 17
The common theme running through the Byford report, the Lawrence
case, the Shipman case and the Soham case is one of leadership. Lord
Macpherson commented on the “failure of direction by senior officers
(in the Lawrence case p. 317)…who seem simply to have accepted that
everything was being done satisfactorily by somebody else”. There was
a “lack of imagination and properly co-ordinated action and planning”.
“The Yorkshire Ripper case highlights how the direction given by the
SIO can influence the rest of the enquiry. Peter Sutcliffe was interviewed
by the Police nine times between 1975 and his arrest in January 1981.
Interviewing officers were influenced by the credence given to the letters
and the tape sent by a hoaxer.
The review into the investigation of the Omagh bomb attack in
N. Ireland (the bomb exploded on 15 August 1998) commented (Orde
and Rea 2017, p. 67) there was inadequate management support for
and control of the role of SIO” and the HMIC found “little evidence
of the idealised Investigative Making Process” and (Orde and Rea 2017,
p. 69) there was a two week mindset. This was a complicated investiga-
tion involving covert policing, intelligence handling and a joint investiga-
tion with the Garda Siochana.
The frequency with which official enquires into homicide are com-
missioned has increased. This phase started with the Macpherson report
in 1999 into the murder of Stephen Lawrence and the review of the
Damilola Taylor murder in 2002. The following year saw inquiries into
the death of Victoria Climbie and Dame Janet Smith’s inquiry into the
murders committed by Dr. Shipman. In 2004 Sir Ronnie Flanagan of the
HMIC published a report into the murders at Soham. There are now
historical inquires into child sexual abuse cases in all parts of the UK
including the IICSA, The Independent Inquiry into sexual abuse. The
IPCC/IOPC now provides independent scrutiny of police investigations
and their work on the Hillsborough case was comprehensive. Table 2.1
highlights the critical issues identified from reviews and inquires from
1966 to the present day.
The present researcher documented themes from each report and
then compared them across all reports determining the most frequent.
Seven repeated themes emerged:
Case Name and date of inquiry Critical issues Main recommendations Themes identified
date of murder or review
Cannock Chase No public inquiry Failed to identify the suspect Systematic failures
Murder 1966
M. ROYCROFT
Murder of Maxwell Confait enquiry by Sir Uncorroborated confession Tape recording of interviews Accountability of the
Confait Henry Fisher1977 evidence from main suspect Introduction of appropriate adults Police
1972 having mental age of 8 safeguards for vulnerable persons Treatment of vulnera-
ble suspects
Skills of SIOs
Murder of Sarah No public inquiry Failure to identify suspect Catchem database introduced Systematic failures
Harper, Susan Management of flow
Maxwell & of info
Caroline Hogg
murdered between
1983–1986
Murder of Stephen Report by Sir William Failure to arrest suspects FLO’s introduced Systematic failure
Lawrence murdered MacPherson February 1999 Failure to keep victims family Decision Logs introduced Skills of SIO
22 April 1993 informed Racial Awareness Training intro-
duced Murder Review Groups
introduced.
Murder of Victoria Lord Laming’s public Crimes involving chil- Managers from each service should Skills base
Climbie Inquiry dren should be dealt with be involved in the investigation Phasing
25 January 2000 2001–2003 promptly and efficiently Police must take the lead in any Lack of coordination
reported 2003 joint investigation within the command
Supervisory officers structure
Must take an active
Role in Investigations
(continued)
Exploring the Variety of Random
Documents with Different Content
Quale esse cernis ipsi.
“Now Cytherean Venus leads the bands, under the shining moon,
and the fair graces, joined with the nymphs, beat the ground with
alternate feet,”—were these, likewise, sacred, religious dances? But it
is wasting words to argue against such a conceit.
Note 50, p. 145.
Plinius, lib. xxxiv. sect. 19. “Ipse tamen corporum tenus curiosus,
animi sensus non expressisse videtur, capillum quoque et pubem
non emendatius fecisse, quam rudis antiquitas instituisset.
“Hic primus nervos et venas expressit, capillumque diligentius.”
Note 51, p. 162.
The Connoisseur, vol. i. no. 21. The beauty of Knonmquaiha is thus
described. “He was struck with the glossy hue of her complexion,
which shone like the jetty down on the black hogs of Hessaqua; he
was ravished with the prest gristle of her nose; and his eyes dwelt
with admiration on the flaccid beauties of her breasts, which
descended to her navel.” And how were these charms set off by art?
“She made a varnish of the fat of goats mixed with soot, with which
she anointed her whole body as she stood beneath the rays of the
sun; her locks were clotted with melted grease, and powdered with
the yellow dust of Buchu; her face, which shone like the polished
ebony, was beautifully varied with spots of red earth, and appeared
like the sable curtain of the night bespangled with stars; she
sprinkled her limbs with wood-ashes, and perfumed them with the
dung of Stinkbingsem. Her arms and legs were entwined with the
shining entrails of an heifer; from her neck there hung a pouch
composed of the stomach of a kid; the wings of an ostrich
overshadowed the fleshy promontories behind; and before she wore
an apron formed of the shaggy ears of a lion.”
Here is further the marriage ceremony of the loving pair. “The
Surri, or Chief Priest, approached them, and, in a deep voice,
chanted the nuptial rites to the melodious grumbling of the Gom-
Gom; and, at the same time (according to the manner of Caffraria),
bedewed them plentifully with the urinary benediction. The bride
and bridegroom rubbed in the precious stream with ecstasy, while
the briny drops trickled from their bodies, like the oozy surge from
the rocks of Chirigriqua.”
Note 52, p. 166.
The Sea-Voyage, act iii. scene 1. A French pirate ship is thrown
upon a desert island. Avarice and envy cause quarrels among the
men, and a couple of wretches, who had long suffered extreme want
on the island, seize a favorable opportunity to put to sea in the ship.
Robbed thus of their whole stock of provisions, the miserable men
see death, in its worst forms, staring them in the face, and express to
each other their hunger and despair as follows:—
Lamure. Oh, what a tempest have I in my stomach!
How my empty guts cry out! My wounds ache,
Would they would bleed again, that I might get
Something to quench my thirst!
But this is nothing, compared with the next scene, when the ship’s
surgeon enters.
Franville. Here comes the surgeon. What
Hast thou discovered? Smile, smile, and comfort us.
Surgeon. I am expiring,
Smile they that can. I can find nothing, gentlemen,
Here’s nothing can be meat without a miracle.
Oh, that I had my boxes and my lints now,
My stupes, my tents, and those sweet helps of nature!
What dainty dishes could I make of them!
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