Prevention of Future Deaths reports · 2013
Regulation 28 report to prevent future deaths, reference 2013-0231, written 17 Sep 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 17 Sep 2013 |
|---|---|
| Reference | 2013-0231 |
| Deceased | Neil Richard Clark |
| Coroner | Michael Snell |
| Coroner area | Birmingham and Solihull |
| Category | Alcohol, drug and medication related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
CORONER’S COURT Jurisdiction: Birmingham & Solihull Districts Acting Senior Coroner: Miss Sarah Elaine Ormond-Walshe CUSTOMER Our ref: MS/Imb 17" September 2013 Mr. J. Brennan, Chief Executive, Jurys Inn Birmingham, 245 Broad Street, Birmingham, Bl 2HQ Dear Mr. Brennan, Re: Neil Richard Clark (deceased) I am reporting this matter to you in accordance with Rule 43 Coroners Rules 1984 (as amended by the Coroners (Amendment) Rules 2008). This rule provides that where the evidence at an inquest gives rise to a concern that circumstances creating a risk of other deaths will occur or will continue to exist in the future, and in the coroner’s opinion, action should be taken to prevent the occurrence or continuation of such circumstances, or to eliminate or reduce the risk of death created by such circumstances, the coroner may report the circumstances to a person who may have power to take such action. In accordance with rule 43, a copy of this report is being sent to the Lord Chancellor and all the other properly interested persons identified at the inquest. A list of copy recipients can be found at the end of this report. Your response to this report will also be shared with those listed. The Lord Chancellor may send a copy of the report and response to any person who the Lord Chancellor believes may find it useful or of interest. In addition, the Lord Chancellor may publish a full copy or a summary of the report and response (unless I have decided otherwise in response to a written representation about the release and publication of your response). Rule 43A requires that you give a written response within 56 days of the day the report is sent. If you are unable to respond within that time, you may apply to me for an extension. The response is to contain details of any action that has been taken or which it is proposed will be taken whether in response to this report or otherwise, or an explanation as to why no action is proposed. If there are circumstances where you do not want your full response to be shared with sof recipients listed at the end of this report, or for a copy of it to be published, yo make a written representation to me at the time of giving your response. g Zz CSE Coroner’s Court 50 Newton Street Birmingham B4 6NE uh ee Tel: (0121) 303 3920 /303 3228 Fax (0121) 233 4841 sa aie Email: coronersofficeenquiries@birmingham.gov.uk uy vu EBs Instead of releasing or publishing your full response it may be possible to share or publish a summary in accordance with rule 43A. I enclose herewith a copy of the Inquisition following the Inquest that was held on 26" November 2012. ; Neil Richard Clark was attending Birmingham with friends to watch cricket. Whilst at the cricket, and in the evening/night afterwards, they consumed a considerable quantity of alcohol and some drugs. At some stage in the evening they separated. Neil Clark appears to have returned to the hotel where they were staying but passed out on a landing/stairwell after leaving his room. He was found by patrolling security guards at approximately 2.45 am who thought that he was drunk. They placed him in the recovery position and left him where he was. At about 08.50 when another guest in the hotel found him and alerted staff who called the emergency services. He was pronounced dead at The Jury’s Inn Hotel Broad Street Birmingham on the 28" day of August 2011. Upon hearing the evidence at the Inquest, I was very concerned that the security guards on duty that evening left Mr. Clark for a period of six hours after initially discovering him on a landing in the hotel. I was very concerned that nobody checked on Mr. Clark at all during that period. Indeed, it was actually a guest who discovered him the following day rather than a member of staff, even though staff were aware that Mr. Clark was on the landing. I would be grateful if you would arrange for this tragic case to be reviewed and then let me know if you consider that there are lessons which can and should be learned. Yours sincerely, Michael John Snell Assistant Coroner Birmingham and Solihull Districts Please note that this letter was prepared following the Inquest but due to an administrative oversight, was not sent. Please accept the Court’s apologies for the delay in this matter.
See every Prevention of Future Deaths report matching Alcohol, drug and medication related deaths, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.
These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.