Source · Prevention of Future Deaths
Harold Uzomechina
Ref: 2019-0351
Date: 21 Oct 2019
Coroner: Chinyere Inyama
Area: London (West)
Responses identified: 0 / 1
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Detainees on the substance misuse unit received differential and inadequate care at night, lacking dedicated prison officers and equivalent attention compared to those on formal ACCTs.
Date
21 Oct 2019
56-day deadline
17 Jan 2020 est.
Responses identified
0 of 1
Coroner's concerns
Detainees on the substance misuse unit received differential and inadequate care at night, lacking dedicated prison officers and equivalent attention compared to those on formal ACCTs.
View full coroner's concerns
being: ~drug
_ There appeared to be differential treatment of detainees on the substance misuse unit at night compared to treatment they received during the specifically, detainees had the benefit of dedicated prison officers during the day time but not during the night:
2. The totality of the evidence given by staff suggests that the at-risk population of detainees on the substance misuse unit were not afforded the same level care and attention given to detainees who were formally on an ACCT. This needs to be addressed_
_ There appeared to be differential treatment of detainees on the substance misuse unit at night compared to treatment they received during the specifically, detainees had the benefit of dedicated prison officers during the day time but not during the night:
2. The totality of the evidence given by staff suggests that the at-risk population of detainees on the substance misuse unit were not afforded the same level care and attention given to detainees who were formally on an ACCT. This needs to be addressed_
Report sections
Investigation and inquest
On 24th April 2016 an investigation was commenced into the death of Harold Chukwunedum Uzomechina then aged 34. The investigation concluded at the end of the inquest on 12th September 2019. The conclusion of the jury at the inquest was that Mr Uzomechina died a drug related death to which a failure to recognise signs of cardio respiratory depression contributed A factor preventing such recognition was an inadequate process of physical monitoring during the night state of Mr Uzomechina the medical cause of death 1a aspiration pneumonia 1b cardio respiratory depression Ic multi-C toxicity
Circumstances of the death
Mr Uzomechina was remanded to HMP Wormwood scrubs on 20h April 2016. At reception health screens, he reported physical and mental health problems as well as longstanding dependence on drugs and alcohol: prison GP prescribed methadone for management of heroin dependency and chlordiazepoxide for alcohol withdrawal and symptom relief medication: Mr Uzomechina was transferred to the substance misuse stabilisation unit for detoxification. Late at night on 23rd April, Mr Uzomechina's cell mate asked to move cells because he said Mr Uzomechina was snoring 50 loudly that it was keeping him awake: At 8.55 the following morning, 24th April, officers were unable to wake Mr Uzomechina and a nurse was called. Despite attempts at CPR Mr Uzomechina was confirmed dead at 9.32 am
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.
Copies sent to
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Report details
- Reference
- 2019-0351
- Date of report
- 21 October 2019
- Coroner
- Chinyere Inyama
- Coroner area
- London (West)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 17 Jan 2020 (estimated).
Sent to
- HMP Wormwood Scrubs