Russell Charles ROBB · Prevention of Future Deaths report

On 18th April 2016 I commenced an investigation into the death of Russell Charles ROBB. The investigation concluded on the 24th November 2017 and the conclusion of the jury was narrative: Mr Robb did not intend the outcome to be fatal. Mr Robb had taken a fatal combination of prescribed and non-prescribed drugs, mixed with alcohol. Due to Mr Robb's vulnerable mental state along with his level of intoxication, it is more likely than not that Mr Robb was unaware of the high level of substances that he consumed. Mr Robb displayed very anxious, aggressive and erratic behaviour, which were heightened after receiving a letter regarding his benefits. In the past, it is evident that there was a lack of communication between multiple agencies along with the fact that Mr Robb failed to comply and engage with professional help. There was inadequate monitoring of Mr Robb's administration of prescribed drugs.

The medical cause of death was 1a Combined Drug Toxicity; and 2 Ischaemic Heart Disease

Mr Robb died on 9th April 2016 at 20:27pm at Manchester Royal Infirmary. Mr Robb had taken a cocktail of drugs (prescribed and non-prescribed) along with a substantial amount of alcohol prior to his death. During the early evening of 9th April 2016, Police officers forced entry to Mr Robb's property, discovering him in a collapsed state. CPR was administered by both Police Constables, the ambulance and fire service attended. The fire service attempted to resuscitate using a defibrillator. Mr Robb was transferred to A&E at Manchester Royal Infirmary, where further means of resuscitation took place. At 20:27pm, Mr Robb was pronounced dead.

which ultimately led to his death. There was no evidence of regular reviews of his medication. There appeared to be no guidelines in place to reduce the quantity of drugs available to Mr Robb at any one time. (CCG; Secretary of State for Health)

2. There was limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board. This meant that the Local Authority were unaware of volume of interaction between the Police and Mr Robb.(Adult Safeguarding Board).As a result only 1 strategic meeting took place over a 6 year period