Prevention of Future Deaths reports · 2015
Regulation 28 report to prevent future deaths, reference 2015-0192, written 8 May 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 8 May 2015 |
|---|---|
| Reference | 2015-0192 |
| Deceased | Thaker Hafid |
| Coroner | Andrew Barkley |
| Coroner area | Cardiff & the Vale of Glamorgan |
| Category | Alcohol, drug and medication related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
ANNEX A
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)
NOTE: This form is to be used after an inquest.
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:
1. Chief Coroner
2. Advisory Council for the Misuse of Drugs
3. Family
)
1
CORONER
I am Andrew Barkley, Senior Coroner, for the coroner area of Cardiff & The Vale of
Glamorgan.
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 the 16th February 2015 I commenced an investigation into the death of Thaker Jamal
Hafid. The investigation concluded at the end of an inquest on the 6th May 2015. The
conclusion of the inquest was “Drugs Related”.
CIRCUMSTANCES OF THE DEATH
4
The deceased was found unresponsive by his wife on the floor of his study room on the
morning of the 9th February 2015. He was known to abuse drugs and drugs
paraphernalia was found in the room with him. He was confirmed deceased at the
scene.
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. –
(1) Post Mortem testing on blood taken from the deceased found the presence of
Acetylfentanyl (opioid analgesic drug more potent than heroin or morphine and
fentanyl) and is not licensed for medicinal use and has only been sold illegally as a
“designer drug”. This drug is being marketed legally and is available over the
internet. The evidence in this case indicated that the deceased had ordered it with
a view to weaning himself off heroin. Such is the potency/toxicity of this drug and
the apparent free availability of it, it is likely that further deaths may occur due to it’s
use. It is believed that this was the first known death in the UK caused by or
contributed to by this drug.
1
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 3rd July, 2015. 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.
8
COPIES and PUBLICATION
I have sent a copy of my report to the Chief Coroner, the family and the advisory Council
of the Misuse of Drugs.
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
8th May 2015 SIGNED:
HM Senior Coroner
2
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.