Prevention of Future Deaths reports · 2014

Christopher Davies

Regulation 28 report to prevent future deaths, reference 2014-0420, written 29 Sep 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report29 Sep 2014
Reference2014-0420
DeceasedChristopher Davies
CoronerJohn Gittins
Coroner areaNorth Wales (East & Central)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

BCUHB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, Gwynedd LL57 2PW

1 CORONER

lam JOHN ADRIAN GITTINS, senior coroner, for the coroner area of North Wales (East
and Central)]

2 | CORONER’S LEGAL POWERS

| 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 the 10th of February 2014 | commenced an investigation into the death of
Christopher Paul Davies (DOB 13.02.79, DOD 05.02.2014). The investigation concluded
at the end of the inquest on the 26" of September 2014 and | recorded a conclusion of
Accidental Death with the cause of death being 1(a) Clozapine Poisoning

4 | CIRCUMSTANCES OF THE DEATH

The Circumstances of the death are that Christopher Paul Davies was found
unresponsive at his home address on the 5" of February 2014 and was verified dead at
16.39 on the same date.

5 | 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 :-

The father of the Deceased indicated that his son would drink
significant amounts of caffeinated drinks and had also cut down on his smoking and that
he felt this may have had a bearing on the levels of clozapine in his system and also that
the flu like symptoms which his son had prior to his death may have been the result of
clozapine toxicity.

He stated that although his son’s clozapine levels were being regularly monitored, at no
point was he ever made aware of the possible interaction between caffeine or the
cessation/reduction of smoking in relation to clozapine levels, nor was he made aware of
the possible warning signs of toxicity.

It was therefore felt that there should be greater emphasis placed on the sharing of this
knowledge with users and with staff within the Community Mental Health Team. It was
also felt that due to memory issues, patients should be regularly reminded of this
information.

ACTION SHOULD BE TAKEN

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

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 24" November 2014 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

| have sent a copy of my report to the Chief Coroner and to the following Interested
Person — (Father of the Deceased)
lam 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.

[DATE] 29" September 2014 , [SIGNED BY CORONER]

GOAT -

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