Matthew Flatman

PFD Report Historic (No Identified Response) Ref: 2014-0429
Date of Report 6 October 2014
Coroner David Horsley
Response Deadline est. 1 December 2014
Coroner's Concerns (AI summary)
The slow process of proscribing the "legal high" MDAI/Gogaine poses a fatal risk, particularly to users with cardiac problems, requiring accelerated action.
View full coroner's concerns
day:

(1) The "legal high" taken by Matthew Flatman was a substance known as Gogaine or MDAI: This substance is in the process of proscribed as an illegal but the process is moving very slowly.

(2) MDAI presents a fatal risk to all its users but particularly to those with cardiac problems and its proscription should be accelerated.
Sent To
  • Home Office
Response Status
Linked responses 0 of 1
56-Day Deadline 1 Dec 2014
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On 8th July 2013 commenced an investigation into the death of Matthew Alexander Flatman, age 35. The investigation concluded at the end of the inquest on 2nd September 2014_ The conclusion of the inquest was: Narrativve Conclusion: Matthew Alexander FLATMAN died at Queen Alexandra Hospital, Portsmouth, at 08.50 hours on 5'h July 2013 having been taken there by ambulance having experience chest; jaw and arm pain at around 07.00 hours and a cardiac arrest at 08.00 that day: 2-The previous evening he had taken a "legal high" substance, MDAI: 3-Although his post-mortem examination revealed that he had died from a myocardial infarction and that he had severe coronary artery disease, on the balance of probabilities, his consumption of MDAI precipitated the myocardial infarction and his subsequent cardiac arrest:
Circumstances of the Death
Matthew Alexander FLATMAN died at Queen Alexandra Hospital, Portsmouth, at 08.50 hours on Sth July 2013 having been taken there by ambulance having experience chest; jaw and arm pain at around 07.00 hours and a cardiac arrest at 08.00 that
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:

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.