Source · Prevention of Future Deaths

Claire Richards

Ref: 2020-0253 Date: 23 Nov 2020 Coroner: Crispin Oliver Area: County Durham and Darlington Responses identified: 1 / 2 View PDF

Illegally dealt prescription drugs are of increasing concern, and what steps are projected for stemming the leakage of prescription medication out of the lawful dispensing process into criminal hands?

Date 23 Nov 2020
56-day deadline 18 Jan 2021
Responses identified 1 of 2
Alcohol, drug and medication related deaths Mental Health related deaths

Coroner's concerns

AI summary
Illegally dealt prescription drugs are of increasing concern, and what steps are projected for stemming the leakage of prescription medication out of the lawful dispensing process into criminal hands?
View full coroner's concerns
This is notwithstanding that the concern is one concerning something which is endemic, and this case simply provides a paradigm example. It is my statutory duty to report to you. The MATTER OF CONCERN is as follows. – (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?

Responses

1 respondent
Royal Pharmaceutical Society Other
12 Feb 2021 PDF
Noted

The Royal Pharmaceutical Society acknowledges the concerns regarding prescription medicine misuse and highlights their role in promoting best practices, noting that the General Pharmaceutical Council regulates pharmacy. They suggest Public Health England and the Advisory Council for the Misuse of Drugs should be aware of the report. (AI summary)

View full response
Dear Mr Oliver,

Re: Regulation 28 Prevention of Future Deaths report for Clare Richards, deceased

Thank you for your letter dated the 8th February 2021 and for sending the report of the inquest into the death of Claire Richards dated 23rd November 2020. We would like to express our sincere condolences to Claire’s family.

We do not have a record of receiving the report in November 2020. If there was a communication at the time, can you let us know who and where this was addressed to together with the communication type and we can investigate further.

The Royal Pharmaceutical Society (‘RPS’) is the professional body for pharmacists and pharmacy in Great Britain, representing all sectors of pharmacy. Our role is to lead and support the development of the pharmacy profession including the advancement of science, practice, education and knowledge in pharmacy. We transferred our regulatory role to the General Pharmaceutical Council (‘GPhC’) in 2010, and they now regulate pharmacy and pharmacy professionals in Great Britain.

We note and share your concerns regarding the misuse of prescription medicines including pregabalin and gabapentin. As the professional body we work with the profession to promote best practice in the safe and effective supply of medicines and pharmaceutical care for people receiving medicines from pharmacy.

The report outlined matters of concern including the availability of prescription medicines to vulnerable people illegally, or outside of the healthcare system and controls on availability. For this reason we believe it would be appropriate for Public Health England (PHE) and the Advisory Council for the Misuse of Drugs (ACMD), who both have roles around the misuse of drugs to be aware of this report.

The misuse of prescription drugs is monitored by PHE and in their latest quarterly report published December 2020 noted that registered deaths involving pregabalin have increased from 136 in 2017 to 244 in 20191.

PHE is an executive agency of the Department of Health with a role to protect and improve health and wellbeing and reduce inequalities.

The role of the ACMD is to make recommendations to Government on the control of dangerous and harmful drugs.

misuse-of-drugs It was following concerns raised by the ACMD that pregabalin was added to the Misuse of Drugs Regulations in 2019.

Thank you for bringing this to our attention. If there is more information you would like to share please do not hesitate to contact us again. I hope our response has been helpful

Report sections

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

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Report details

Reference
2020-0253
Date of report
23 November 2020
Coroner
Crispin Oliver
Coroner area
County Durham and Darlington

Responses identified

Responses identified 1 of 2
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 18 Jan 2021.

Sent to

Home Office
Royal Pharmaceutical Society

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