Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0010, written 13 Jan 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 13 Jan 2016 |
|---|---|
| Reference | 2016-0010 |
| Deceased | Arenijus Nedzelskies |
| Coroner | ARW Forrest |
| Coroner area | South Lincolnshire |
| Category | Alcohol, drug and medication related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
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.
AR W Forrest tum, rrcp, FrcPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. The Right Honourable Mike Penning MP Minister for Policing, Fire and Criminal Justice Home Office 2 Marsham Street London SW10 4DF 4 2. Dr Wyn Parry i DVLA Medical Branch Chief Medical Advisor CORONER | am ARW Forrest, Senior Coroner for the Coroner's area of South Lincolnshire. a | 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. INVESTIGATION and INQUEST On 27" August 2015 | commenced an investigation into the death of Arenijus Nedzelskis, age 48. The investigation concluded at the end of the inquest on 12" January 2016. The conclusion of the inquest was Narrative Conclusion: Arenijus died as a result of self suspension by the neck. Intoxication with alcohol and synthetic cannabinoids receptor agonists impaired his ability to form an informed intention to kill himself. CIRCUMSTANCES OF THE DEATH Arenijus was a lorry driver. He was in financial difficulties as a result of spending large amount of money on ‘Legal Highs’, specifically cannabinoid receptor agonists. Following an argument with his partner over money he was found hanging. Post Mortem toxicology demonstrated the presence of alcohol in his blood and urine and 5F AKB-48, 5F PB-22 and their metabolites. Empty packets of 'Night Shade’ labelled as containing 5F AKB-48 and 5F PB-22, using their full IUPAC systematic names were found at his home. The ——— Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCeroner_Southlincolnshire@lincolnshire.gov.uk AR W Forrest um, rrcp, FRcPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire presence of these two compounds was confirmed in washings from one of the packages. 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 That neither 5F AKB-48 nor 5F PB-22 are currently controlled by regulations made under the Misuse of Drugs Act 1971 2 That the deceased had not reported his chronic misuse of cannabinoid receptor agonists to the DVLA Medical Branch. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you and/or your organisation 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 9 March 2016. 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 Persons: 2. DC [J cast Midlands Special Operations Unit Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk AR W Forrest uum, rrcp, FrcPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire | 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. 13” January 2016 We ARW Forrest a H M Senior Coroner for South Lincolnshire Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
Karen Bradley MP Minister for Preventing Abuse, RN Exploitation and Crime 2 Marsham Street, Home Office London SW1P 4DF www.gov.uk/home-office Professor ARW Forrest H.M Senior Coroner for South Lincolnshire Unit 1, Gilbert Drive Endeavour Park Boston PE21 7TQ INQUEST INTO THE DEATH OF ARENIJUS NEDZELSKIS — REGULATION 28 REPORT —2 MAR 2016 Thank you for your letter of 13 January to the Home Office about the tragic death of Arenijus Nedzelskis from self suspension of the neck whilst intoxicated from alcohol and synthetic cannabinoids. | am replying as the Minister for Preventing Abuse, Exploitation and Crime, with responsibility for drug policy. | note your concerns that the Government should take action against synthetic cannabinoids to prevent such deaths occurring in the future. This is clearly a tragic case and | am grateful to you for raising this issue with me. The landmark Act to end the trade in harmful psychoactive substances and protect young people from the dangers of these drugs achieved Royal Assent on 28 January. The Psychoactive Substances Act 2016 will restrict the production, supply and importation of these potentially dangerous drugs. The new legislation will give police and other law enforcement agencies greater powers to tackle the reckless trade in psychoactive substances, and will see offenders face up to seven years in prison. We cannot, and should not, tolerate the open sale on our high streets and over the internet of these potentially harmful substances. This landmark legislation will fundamentally change the way we tackle psychoactive substances and put an end to the game of cat and mouse, in which new drugs appear on the market more quickly than we can identify and ban them. In addition, we have already banned more than 500 new drugs, created the Forensic Early Warning System to identify psychoactive substances in the UK and support law enforcement action with the latest intelligence on new substances. We have introduced new powers under the Anti-social Behaviour, Crime and Policing Act 2014 which have already been successfully used by police forces and local authorities to take action against head shops. We are also taking forward a comprehensive action plan on psychoactive substances to enhance further our response to prevention, treatment and information sharing. For example, we have launched a toolkit to help local areas prevent and respond to the use of psychoactive substances and published clinical guidelines to aid in the detection, assessment and management of psychoactive substance users. | note your concerns that Mr Nedzelskis did not inform the DVLA Medical Branch about his chronic misuse of synthetic cannabinoids. If a driver becomes aware of a condition that may affect safe driving they must report it to the Driver and Vehicle Licensing Agency. A driver could be fined up to £1,000 if they do not tell the DVLA about a condition that might affect their ability to drive. Additionally, a driver could also be prosecuted in the event of an accident. | hope that this letter addresses your concerns. (1 e— _- KAREN BRADLEY MP
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