Prevention of Future Deaths reports · 2014

Daniel Collins

Regulation 28 report to prevent future deaths, reference 2014-0058, written 3 Feb 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report3 Feb 2014
Reference2014-0058
DeceasedDaniel Collins
CoronerIan Arrow
Coroner areaPlymouth, Torbay & South Devon
CategoryAlcohol, drug and medication related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS 

This report is made under paragraph 7, Schedule 5, of the 
Coroners and Justice Act 2009 and regulations 28 and 29 of the 
Coroners (Investigations) Regulations 2013. 

   The  Chief  Constable,  Devon  &  Cornwall  Police,  Middlemoor,    

Recipients 
This report is being set to: 
  Name 
Exeter 
  Name 
  Name 

BCU Commander, Devon & Cornwall Police, Plymouth 
Chief  Executive  Officer,  Plymouth  City  Council,  Civic  Centre, 

Plymouth 

  Name:  Director  of  Public  Health,  Plymouth  City  Council,  Windsor 

House, Plymouith 

Coroner 

I  am  IAN  MICHAEL  ARROW.  Senior  Coroner  for  the  area  of  Plymouth, 
Torbay and South Devon. 

Coroner’s legal powers 

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice 
Act  2009  and  regulations  28  and  29  of  the  Coroners  (Investigations) 
Regulations 2013. 

Investigation and Inquest 

On 26 September 2013 I commenced an investigation into the death of Daniel 
COLLINS,  aged  31  years.    The  investigation  concluded  at  the  end  of  the 
inquest on.  

The cause of death was found to be: 

1a 
1b 
1c 

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 2 

The conclusion of the inquest was a Drug Related Death   

Circumstances of death 

,  Devonport,  Plymouth.  
The  deceased  occupied  a  flat  at 
The  deceased  died  within  one  week  of  another  occupant  in  the  same 
property. 

Coroner’s concerns 

During the course of the inquest the evidence revealed matters giving rise to 
concern.  In  my  opinion  there  is  a  risk  that  future  deaths  will  occur  unless 
action is taken. In the circumstances it is my statutory duty to report to you. 

The matters of concern are as follows.   

1. 

  appears  to  be  a  property  in  multiple  occupation 
having  several  flats  in  the  property.    The  occupants  clearly  associate 
and  are  on  speaking  terms  with  one  another.    It  appears  there  is  a 
history  of  drug  abuse  at  the  property.    I  am  concerned  that  future 
inhabitants of that property may suffer a drug related death. 

Action should be taken 

In  my  opinion  action  should  be  taken  to  prevent  future  deaths  and  I  ask 
please  that  you  review  the  manner  in  which  the  property  is  occupied  and 
consider  what  powers  you  have  to  prevent  future  deaths  at  that  particular 
address. 

I  ask  you  please  to  advise  me  if  I  should  write  to  any  other  organisation  to 
alert them to my concerns. 

Your response 

You  are  under  a  duty  to  respond  to  this  report  within  56  days  of  the  date  of 
this report, namely by [date]. I, the coroner, may extend the period. 

Your response must contain details of action taken or proposed to be taken, 
setting out the timetable for action. Otherwise you must explain why no action 
is proposed. 

Copies and publication 

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 I  have  sent  a  copy  of  my  report  to  the  Chief  Coroner  and  to  the  following 
Interested  Person,  The  Salvation  Army  and  the  deceased’s  immediate 
relatives. 

I am also under a duty to send the Chief Coroner a copy of your response.  

The  Chief  Coroner  may  publish  either  or  both  in  a  complete  or  redacted  or 
summary  form.  He  may  send  a  copy  of  this  report  to  any  person  who  he 
believes  may  find  it  useful  or  of  interest.  You  may  make  representations  to 
me,  the  coroner,  at  the  time  of  your  response,  about  the  release  or  the 
publication of your response by the Chief Coroner. 

I M ARROW   
Senior Coroner – Plymouth Torbay and South Devon area 

Date 

3

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