The couple were left in their crashed car for three days after police failed to log a call (Picture: Police Scotland/PA Wire)
A woman who spent days in an undiscovered car along with her partner could have survived if the emergency call was logged properly.
Parents Lamara Bell and John Yuill died after they were left inside their crashed car for three days on the M9 near Stirling, Scotland, following an accident on July 5, 2015.
Now an inquiry has found their car was left for days after an ‘organisational failure’ in police call handling procedures.
The couple spent three days in their Renault Clio for three days before being discovered on July 8, despite police previously being alerted to the incident.
Mr Yuill, 28, a father-of-five, was pronounced dead at the scene and Ms Bell, 25, a mother-of-two, died four days later in hospital.
A search at Junction 9 of the M9 after the couple’s car was discovered (Picture: Andrew Milligan/PA Wire)
A police officer who failed to log a call reporting the incident was inadequately trained, the inquiry also found.
What happened to the couple
The crashed car was discovered on July 8, 2015 after another member of the public rang police to report seeing it and emergency services went to investigate.
The inquiry heard Mr Yuill suffered unsurvivable injuries in the crash.
But Ms Bell would probably have survived if she had received medical treatment on July 5, albeit with a long-term neurological deficit.
Sheriff James Williamson Ms Bell’s suffering over a period of three days, when she was severely injured but conscious, is ‘almost incomprehensible.’
Police Scotland repeated their apology to the families of Mr Yuill and Ms Bell, saying that ‘significant improvement’ have been made to call handling systems since 2015, which are now ‘incomparable’ to the systems in place at that time.
Sheriff Williamson said in his determination published following a fatal accident inquiry (FAI) into the incident that there was no system of reconciling information recorded by officers in notebooks with action taken.
He said: ‘The failure of Police Scotland to properly risk assess the call handling procedures and have a system of reconciliation was an organisational failure.
‘An organisational failure which led to the safety of the public being compromised and to the events of July 5, 2015.’
How the call was not logged
In his determination, Sheriff Williamson noted the Bilston Glen police call handling centre was under pressure that summer amid staffing shortages, and there was confusion among some officers about the tripartite call handling system comprising the Aspire, Avaya and Storm systems.
Police sergeant Brian Henry, now retired, volunteered to do overtime at Bilston Glen.
He arrived into what the sheriff described as a ‘confused, fractious working environment.’
The inquiry heard that on July 5 he took a call from farmer John Wilson reporting a car off the road and recorded it in his police notebook, but he failed to log it into the Storm case management system and no action was taken.
Sheriff Williamson found police had not identified the risk that calls might not be dealt with.
He said: ‘Brian Henry was inadequately trained and left largely unsupervised to operate a system that allowed for human error to go undetected.
‘His human error going undetected meant that Lamara Bell was left in a vehicle by the side of a major motorway in Scotland suffering devastating injures.
‘These injuries, together with the delay in rescuing and treating her, led to her death.’
Sheriff Williamson found the incident was not the result of one individual failure by Police Scotland but ‘more than one and these failures took place over a lengthy period of time, during which the opportunity to resolve them was lost.’
Police Scotland pays £1,000,000 damages
The FAI came after the family of Ms Bell was awarded more than £1,000,000 in damages from Police Scotland in a civil settlement in December 2021.
In September 2021, the force was fined £100,000 at the High Court in Edinburgh after it pleaded guilty to health and safety failings which ‘materially contributed’ to Ms Bell’s death.
He said that since the incident in 2015, the police Contact, Command and Control Division (C3 Division) has been transformed into an ‘efficient, tightly-controlled and sophisticated complex of service centres all capable of communicating with each other on a unified IT network’ that is better able to serve and protect the public than in 2015.
He said: ‘It is not risk-free. It still has a susceptibility to human failure, but the risk of human failure and that failure going undetected is now marginal.’
Deputy Chief Constable Alan Speirs said: ‘Lamara Bell and John Yuill’s deaths were a tragedy and my first thoughts today are with their family and friends.
‘Police Scotland failed Lamara and John in 2015 and I repeat the personal apology made previously to their loved ones. We did not keep them safe in their time of need as was our duty and for that I am truly sorry.
‘We have fully participated with all inspections, investigations and inquiries established since July 2015 to identify what went wrong and to do everything we possibly can to stop a terrible incident such as this being repeated.
‘Sheriff Williamson’s findings highlight the significant improvements which have been made to our call handling systems. How we respond to 999 and 101 calls now is incomparable to how we dealt with them in 2015.
‘None of these provide consolation to Lamara and John’s loved ones, but I can give them my assurance that lessons have been learned and that the relentless improvement of service delivery lies at the heart of everything we do.
‘We are studying the determination in detail for any learning which will form part of this continuous improvement.’
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