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

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

In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.