Prevention of Future Deaths reports · 2014

Bradley Cockel

Regulation 28 report to prevent future deaths, reference 2014-0298, written 9 Jun 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report9 Jun 2014
Reference2014-0298
DeceasedBradley Cockel
CoronerEleanor McGann
Coroner areaEssex
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.

HM Coroner’s Court  
A Block – Ground Floor 
County Hall  
Victoria Road 
Chelmsford 
CM1 1LX 

Telephone: 0333 013 5000 
coroner@essex.gov.uk 

ANNEX A 

HM Senior Coroner for Essex  

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS (1) 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

The Advisory Council on the Misuse of Drugs 
ACMD Secretariat 
2 Marsham Street 
London 
SW1P 4DP 

1 

CORONER 

I am Eleanor McGann, Area Coroner, for the coroner area of Essex 

2 

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. 

3 

INVESTIGATION and INQUEST 

On 30th April 2013 I commenced an investigation into the death of Bradley Geoffrey 
Michael Cockel, who was 20 years of age. The investigation concluded at the end of the 
inquest on 28th May 2014. The conclusion of the inquest was – Drug Overdose. The 
medical cause of death was 1a) 25B-NBOMe intoxication. 

4 

CIRCUMSTANCES OF THE DEATH 

Bradley Geoffrey Michael Cockel of Beaufort Gardens, Braintree was found deceased 
on 27th April 2013 at Bramble Road Witham. 
CORONER’S CONCERNS 

5 

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)  At the time of the death this drug was not controlled and not covered by any 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 legislation. 

(2)  There are several other chemical compounds of this drug.   

(3)  (3) NBOMes are not currently controlled under the 1971 Misuse of Drugs Act, but 

as of June 2013 some, but not all of the compounds, were controlled for sale under 
a Temporary Banning order. 

6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe your 
organisation have the power to take such action.  

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this report, 
namely by 4th August, 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. 

8 

COPIES and PUBLICATION 

I have sent a 
from the Essex and Kent Serious Crime Directorate. 

 (Parents of the deceased) and to 

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. 

9 

 9th June 2014     

Area Coroner for Essex

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