Investigation and inquest
On Nineteenth March 2020 I commenced an investigation into the death of Claire RICHARDS aged 34. The investigation concluded at the end of the inquest on Twentieth November 2020. The conclusion of the inquest was Drug related:
I a Toxic Effects of Pregabalin and Buprenorphine
I b
I c
II
Circumstances of the death
Claire Richards had a history of drugs misuse and mental health issues. She was pronounced dead at home. She had been snorting illegally dealt pregabalin and buprenorphine in the days before her death. She became very unwell, then unresponsive. Eventually those she was with summoned the emergency services, but she could not be saved and died at home. She did not intend her own death.
Coroner’s concerns
(1) This case involves a death resulting from illegally dealt prescription drugs. It is of increasing concern that prescription drugs are available in vast quantities for illegal dealing to vulnerable people.
(2) What steps are projected, or are actually in the pipe line, for stemming the leakage of prescription medication out of the lawful dispensing process into criminal hands?