Prevention of Future Deaths reports · 2020

Neville Bardoliwalla

Regulation 28 report to prevent future deaths, reference 2020-0258, written 26 Nov 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report26 Nov 2020
Reference2020-0258
DeceasedNeville Bardoliwalla
CoronerAndrew Walker
Coroner areaLondon (North)
CategorySuicide (from 2015) · Other related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Regulation 28: Prevention of Future Deaths report  

                  Neville Bardoliwalla (died 10/03/20) 

THIS REPORT IS BEING SENT TO: 

Department of Health and Social Care 
39 Victoria Street, 
Westminster 
London SW1H OEU 

1 

CORONER 

I am:   H.M. Coroner and Senior Coroner Mr Andrew Walker 

Senior Coroner for North 
London 
Barnet Coroner’s Court 
29 Wood Street, 
London EN5 4BE 

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 13th March 2020 I commenced an investigation into the death of Neville 
Bardoliwalla. The investigation concluded at the end of the inquest held on 
the 9th October 2020. 
The conclusion of the inquest was a short form conclusion; 

Suicide. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 4 

CIRCUMSTANCES OF THE DEATH 

On the 10th March 2020 Mr Bardoliwalla was found having hanged 
himself from two screws screwed into the top panel of the door frame at 
his home. 

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.  Evidence  was  heard  regarding  the  fact  that  prescribed  controlled 
medication had been accumulated by Mr Bardoliwalla and that there was 
no process for  of collecting and disposing of  this medication.  

 
 
 
 
 
 
 
 
 
 
 
 
 
 6  ACTION SHOULD BE TAKEN 

In my opinion, action should be taken to prevent future deaths and I believe 
that your organisation has 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  20th January  2021  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. 

●  The Bardoliwalla Family, 

. 

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 

26th November 2020.                     H M Coroner and Senior 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 Dept Health and Social Care (PDF)
a

From the Lord Bethelf
D ep artm ent Parliamentary Under Secretary of State for Innovation
of Health & 39 Victoria Street
Lond
Social Care SWiHOEU
Our Ref 020 7210 4850
Mr Andrew Walker

HM Senior Coroner, North London
HM Coroners Court

29 Wood Street

Barnet EN5 4BE

15 December 2020
Dear Andrew,

Thank you for your letter of 26 November 2020 about the death of Neville Bardoliwalla.
lam replying as Minister with responsibility for medicines.

Firstly, | would like to say how sorry | was to read the circumstances of Mr Baroliwalla’s
death and | offer my most heartfelt condolences to Mr Bardoliwalla’s family and loved ones
at what must be a distressing time.

| note that this is the second Prevention of Future Deaths report you have issued to the
Department of Health and Social Care about the disposal of controlled drugs. | wish to
assure you that we recognise the importance of having methods to dispose of medicines
waste safely, that protect the public from harm.

Disposal of unwanted medicines is an essential service of the NHS Community Pharmacy
Contractual Framework’, to be provided by all community pharmacies in England. This
requires them to accept unwanted medicines from private households, residential care
homes and children's homes. These returned medicines are then stored securely and
safely by pharmacies until they are collected for safe disposal.

NHS England and NHS tmprovement, as commissioners of NHS Pharmaceutical Services,
have arrangements in place for a waste contractor to collect the unwanted medicines from
pharmacies at regular intervals for safe disposal. This ensures that the public have an easy
method of returning unwanted medicines to pharmacies for safe disposal, helping to reduce
harm to themselves and environmental damage caused by inappropriate disposal methods.

Patients or their families and carers, should be advised by community nursing staff, GPs or
pharmacists to return any unwanted or unrequired medicines to their local community
pharmacy for safe disposal. This recommendation is made in National Guideline 46
Controlled Drugs: safe use and managemeni?, published by the National Institute for
Health and Care Excellence (NICE) in 2016.

2 httos:/Awww.nice.org.uk/quidance/ng46 [1.5.11]

| should also explain that work is underway to reduce waste medicines in the first place.
Medicines optimisation is a key workstream within NHS England’s Medicines Value
Programme? that aims to ensure that the right patients get the right choice of medicine, at
the right time. Through focusing on patients and their experiences, the goal is to help
patients to improve their outcomes; take their medicines as intended; avoid taking
unnecessary medicines; reduce wastage of medicines; and improve medicines safety.

In addition, the Secretary of State for Health and Social Care, Matt Hancock, has asked Dr
rare the Chief Pharmaceutical Officer for England, to carry out a review of over-
prescribing in the NHS. This work is looking at reducing inappropriate prescribing, with a
particular focus on the role of digital technologies; research; culture change and social
prescribing; repeat prescribing; and transfer of care. The report of the review will provide
recommendations to reduce overprescribing to improve patient safety and reduce
medicines wastage.

| hope this response is helpful. | am grateful to you for bringing these concerns to my
attention.

LORD BETHELL

3 https://www.england.nhs.uk/medicines-2/value-programme/

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