Prevention of Future Deaths reports · 2016

Darren Mindham

Regulation 28 report to prevent future deaths, reference 2016-0170, written 3 May 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report3 May 2016
Reference2016-0170
DeceasedDarren Mindham
CoronerSelena Lynch
Coroner areaSouth London
CategorySuicide (from 2015)
Sourcejudiciary.uk record · original PDF
Responses published1

The report

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.

In the South London Coroner’s Court

Inquest touching the death of Darren Mindham

Report to Prevent Future Deaths (Coroners (Investigations) Regulation 28)

THIS REPORT IS BEING SENT TO:

Rt Hon Jeremy Hunt, Secretary of State for Health

CORONER

| am Selena Lynch senior coroner for the coroner area of South London

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.
http:/Awww.legislation.gov.uk/uksi/2013/1629/requlation/28/made

INVESTIGATION and INQUEST

On 2" September 2015 | commenced an investigation into the death of Darren
Mindham. The investigation concluded at the end of the inquest on 14" April 2016. The
conclusion of the inquest was that he died from acute pentobarbital intoxication having
self-administered pentobarbital at home some time on 28" August 2015 while suffering
from depression. The conclusion as to the death was one of suicide.

CIRCUMSTANCES OF THE DEATH

Mr Mindham worked as an assistant in a veterinary practice. The evidence suggested
that he removed a bottle of pentobarbital from the drugs cupboard at a former employer
and kept it at home before using it to take his life some months later.

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. —-

Pentobarbital is a drug that is found in Schedule 3 of the Misuse of Drugs Regulations
200), and is therefore not subject to the strict control found in Schedule 2. Whilst there
may be practical difficulties in complying with stricter control, the use of pentobarbital in
suicide has become commonplace. It has been shown that reducing access to the
means of suicide can be effective in reducing the rate of suicide.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you 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 28" June 2016 |, 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:

The family of Darren Mindham
Albavet Limited
Vets4Pets Blackheath

| have also sent it to the Veterinary Medicines Directorate, and the Royal College of
Veterinary Surgeons who may find it useful or of interest.

| 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.

DATE 3" May 2016 Dia Meee SIGNED BY CORONER

Responses

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.

Response from Department of Health (PDF)
RG Rt Hon Alistair Burt MP

Minister of State for Community and Social Care

Department
of Health

Richmond House

79 Whitehall

Senior Coroner swia INS
Coroner’s Office Tel: 020 7210 4850
St Blaise Buildings,
Bromley Civic Centre,
Stockwell Close, 04 JUL 2016
Bromley BRI 3UH

Gow Oh Cyach ,

Thank you for your letter of 3 May 2016, following the inquest into the death of
Darren Mindham. I was sorry to hear of Mr Mindham’s death and wish to extend my
condolences to his family.

Your concern in this case focuses on the classification of the drug Pentobarbital,
under the Misuse of Drugs Regulations 2001, and its subsequent availability and use
as a means of suicide. Evidence shows that reducing access to the means of suicide
can be effective in reducing the rate of suicide. You have suggested that Pentobarbital
could be subject to the stricter controls applied to drugs found in Schedule 2 of the
Regulations.

This is not however a matter for the Department of Health. The Advisory Council on
the Misuse of Drugs (ACMD) makes recommendations to government on the control
of dangerous or otherwise harmful drugs, including classification and scheduling
under the Misuse of Drugs Act 1971 and its regulations. ACMD is an advisory non-
departmental public body, sponsored by the Home Office and is the lead organisation
in this area. I would therefore advise that you re-direct your Regulation 28 letter to the
following contact for a response on this matter.

ACMD Secretariat

c/o Home Office

Advisory Council on the Misuse of Drugs Secretariat
Ist floor, NE Quarter, Peel Building

2 Marsham Street

London

SWI1P 4DP

With regard to methods of suicide, the Department of Health continually monitors
trends in suicide data. Where we identify an increase in a particular method of suicide

or observe a new method emerging, we will take appropriate action to reduce access
to the means of suicide. One example where we have been successful is in reducing
access to paracetamol as a means of suicide. Of course, other drugs are also used in
suicide. We continue to have discussions with the Medicines and Healthcare Products
Regulatory Agency about practical steps that could be taken in relation to medicines
used in suicide.

I hope that this reply is helpful and I am grateful to you for bringing the circumstances
of Mr Mindham’s death to my attention.

i

ALISTAIR BURT

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