Prevention of Future Deaths reports · 2016

Mark Yafai

Regulation 28 report to prevent future deaths, reference 2016-0403, written 9 Nov 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report9 Nov 2016
Reference2016-0403
DeceasedMark Yafai
CoronerDelroy Henry
Coroner areaCoventry
CategoryPolice related deaths · Alcohol, 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.

Regulation 28:  Prevention of Future Deaths Report   

Mark Adam YAFAI (died 01.07.15)   

THIS REPORT IS BEING SENT TO:   

Chief Constable of West Midlands Police, Office of The Police and Crime Commissioner West 
Midlands Lloyd House, Colmore Circus Queensway, Birmingham B4 6NQ 

1.  CORONER   

I am:   Delroy Henry, Assistant Coroner, Coventry. The Coroner's Office, The Register Office, 
Coventry City Council, Cheylesmore Manor House, Manor House Drive, Coventry, CV1 2 

2.  CORONER’S LEGAL POWERS   

I make this report under the Coroners and Justice Act 2009,  paragraph 7, Schedule 5, and  
The Coroners (Investigations) Regulations 2013, regulations 28 and 29.    

3. 

INVESTIGATION and INQUEST   

On 9th July 2015, I commenced an investigation into the death of Mark Adam Yafai, aged 27 
years. The investigation concluded at the end of the inquest on 31st October 2016 at 
Coventry Coroners Court. The conclusion of the jury was that death was “drug related with a 
narrative”, a copy of which I attach to this letter.     

4.  CIRCUMSTANCES OF THE DEATH 

in the hotel car park 

On 30th June 2015 Mark Yafai was staying at the Allesley Hotel in Coventry.  At about 
04:00am on 1st July 2015, Mark Yafai was arrested by 
for affray. Mr Yafai was searched prior to arrest and taken to Coventry Central Police station, 
arriving at 04:20am. His detention was authorised at 04:47am. As part of this process, Mr 
Yafai was again searched at the custody desk, declared that he had used cocaine. Mr Yafai 
had a marker on the Police National Computer about drug use. Mr Yafai was placed in a cell 
at about 05:10am. Hourly observations were prescribed but in fact Mr Yafai was checked in 
his cell every 30 minutes. At 05:56am, Mr Yafai’s was found him on the floor in his cell 
convulsing and frothing at the mouth.   An ambulance was called at 05:57am. The 
ambulance arrived at 06:07am leaving the station at 06:36am and arriving at hospital at 
06:43am. Mark Yafai was in cardiac arrest and, in spite of efforts by hospital staff to 
resuscitate him for 30 minutes, was pronounced life extinct at 07:10am. A post-mortem and 
toxicological analysis were conducted, the cause of death as “acute cocaine toxicity”.  

5.  CONCERNS   

During the course of the inquest, the evidence and information 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: 

i. 

The Safer Detention Policy and Handling of Person in Custody Composite  Policy  as 

updated August 2014 was replaced by the WMP Detention and Custody Policy Inc. 

 Standard Operating Procedure with effect from the 22nd December 2015. The earlier 

policy was in operation at the time Mark Yafai died. The earlier policy lacked clarity 

or  guidance  in  how  the  phrase  “under  the  influence”  must  be  interpreted.  The 

phrase is unsuitable since it confers a very broad discretion upon a custody officer to 

not  have  the  detainee  examined by a Health Care  Professional,  despite a detainee 

has disclosed recently consuming drugs. The impact upon risk assessment and levels 

of  observation  is  clear  and  significant.  A  broad  discretion  of  an  officer  when 

determining risk  concerning medical matters including drug use  is inadequate.  The 

jury made a determination in similar terms.  

ii. 

The  evidence  was  the  policy  is  accessible.  Accordingly,  it  is  paramount  that  the 

policy  must  provide  clear  unambiguous  guidance/  direction  to  custody  officers 

particularly  in  relation  to  drugs  which  can  have  serious  consequences  for  an 

individual who has consumed.  The circumstances of this inquest touching upon the 

death of Mark Yafai accentuated this point.  The evidence was that cocaine can have 

toxic effects even from small quantities (as little as 0.03g). Consumption can be via a 

number of means and the effects delayed depending upon the method of ingestion. 

There is no antidote to cocaine toxicity. The evidence was custody officers range of 

knowledge about drugs and the effects can and do differ and this can have a bearing 

upon  risk  assessment  given  the  terminology  in  the  policy  and  broad  discretion 

officers have. 

iii. 

The 2015 policy retains that same unclear terminology i.e. “believed to be under the 

influence  of  drugs  or withdrawing  from  drugs”  and  “will  be  seen  by  a  Health Care 

Professional (HCP) as a matter of course”.  

iv. 

It does not deal with the instances in which a detainee irrespective of presentation 

(which  is  not  itself  any  easy  assessment  when  a  detainee  is  being  observed  by  an 

officer most likely for the first time with no information against which a comparison 

may  be  made  as  whether  their  current  presentation  is  indeed  “normal”)  has 

disclosed  the  recent  consumption  of  drugs.  What  is  “a  line”  or  any  quantitative 

opinion on drugs consumed is a very subjective assessment by the detainee and/ or 

the custody officer. 

v. 

An  assessment  as  to  the  effect  of  any  drugs  is  best  assessed  a  by  a  Heath  Care 

Professional.  That  was  the  evidence  and  information  that  emerged  in  the  inquest. 

Standard  medical  observations  can  be  undertaken  ranging  from  a  check  as  body 

 temperature to elevated heart rate or blood pressure which may be indicators that 

drugs are having an adverse effect upon the body.  

vi. 

Earlier 

identification  of  these  matters  may  prevent  death  particularly  since 

treatment  for  many drugs, particularly cocaine,  is symptomatic.   Close observation 

of  a  detainee  is  clearly  significant  since  early  treatment  of  symptoms  can  have  an 

impact upon an individual’s survivability.  

vii. 

The policy in other respects does use directional/ non discretion type terminology in 

some respects when dealing with drug issues. It is thus currently inconsistent in this 

respect  on  this  topic  and  in  interrelation  with  Risk  assessment  and  appropriate 

observation levels which are a focus of custody personnel.  

6  ACTION SHOULD BE TAKEN   

In my opinion, action should be taken to prevent future deaths and I believe that you 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  January  2017.    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 following:  

1.  HHJ Mark Lucraft QC the Chief Coroner of England & Wales  

2.  Mark Yafai’s parents   

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 Assistant Coroner, at the time of your 
response, about the release or the publication of your response by the Chief Coroner.    

9  DATED - 9th November 2016                             

SIGNED BY Assistant CORONER -

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