Andrew Hooper
PFD Report
Historic (No Identified Response)
Ref: 2014-0319
Coroner's Concerns (AI summary)
Unsecured, high-dose medication was prescribed to an individual unaware of its dangers, raising concerns about safe prescribing practices for those unable to manage risks.
View full coroner's concerns
_ (1) medication was not secured; and was prescribed in sufficient quantity for a fatal dose to be taken by a user un-used to this medication: (bottle 420ml) (2)_the_person to whom it was prescribed appeared to_be_unaware of thedangers of this john The medication, when taken by another in large quantities (3) Consideration should be given to the appropriateness of prescribing to an individual who is not able or prepared to keep the medication safe and secure, or is not aware of the dangers of ingestion, (deliberate or otherwise), for others If this means daily prescription; the balance of inconvenience versus the safety of others should be carefully weighed on an individual basis, and evidence recorded in this regard.
Sent To
- Devon Clinical Commissioning Group
Response Status
Linked responses
0 of 2
56-Day Deadline
3 Sep 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 23r July 2013 commenced an investigation into the death of Andrew Hooper 44 years The investigation concluded at the end of the inquest on 14 May 2014 The conclusion of the inquest was Misadventure with the cause of death being-1a Respiratory Failure 1b Hypoxic Brain Injury 1c Methadone Toxicity
Circumstances of the Death
Mr. Hooper died due to methadone toxicity. He was a naive user; and had taken a bottle of his girlfriends prescribed medication that was freely available at her home address Although was aware of this, she made no attempt to summon medical assistance for many hours until it was too late and Mr Hooper died from 1a respiratory failure 1b hypoxic brain injury Ic methadone toxicity
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action_
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.