Arenijus Nedzelskies

Date of report: 13 January 2016 Ref: 2016-0010 Deceased name: Arenijus Nedzelskies Coroners name: ARW Forrest Coroners Area: South Lincolnshire Category: Alcohol, drug and medication related deaths This report is being sent to: Home Office | Driver and Vehicle Licensing Agency

AR W Forrest tum, ercp, rrcpath GMC Number: 1333523

Her Majesty's Senior Coroner for South Lincolnshire

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. The Right Honourable Mike Penning MP Minister for Policing, Fire and Criminal Justice Home Office 2 Marsham Street London SW10 4DF

2. Dr Wyn Parry E DVLA Medical Branch Chief Medical Advisor

CORONER

| am ARW Forrest, Senior Coroner for the Coroner's area of South Lincolnshire.

CORONER’S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28.and 29 of the Coroners (Investigations) Regulations 2013.

INVESTIGATION and INQUEST

On 27" August 2015 | commenced an investigation into the death of Arenijus Nedzelskis, age 48. The investigation concluded at the end of the inquest on 12" January 2016. The conclusion of the inquest was Narrative Conclusion: Arenijus died as a result of self suspension by the neck. Intoxication with alcohol and synthetic cannabinoids receptor agonists impaired his ability to form an informed intention to kill

himself.

CIRCUMSTANCES OF THE DEATH

Arenijus was a lorry driver. He was in financial difficulties as a result of spending large amount of money on ‘Legal Highs’, specifically cannabinoid receptor agonists. Following an argument with his partner over money he was found hanging. Post Mortem toxicology demonstrated the presence of alcohol in his blood and urine and 5F AKB-48, 5F PB-22 and their metabolites. Empty packets of 'Night Shade' labelled as containing 5F AKB-48 and 5F PB-22, using their full IUPAC systematic names were found at his home. The

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

AR W Forrest ium, ercp, FRcPath GMC Number: 1333523

Her Majesty's Senior Coroner for South Lincolnshire

presence of these two compounds was confirmed in washings from one of the

packages.

CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the

circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows:

1 That neither 5F AKB-48 nor 5F PB-22 are currently controlled by regulations made under the Misuse of Drugs Act 1971

2 That the deceased had not reported his chronic misuse of cannabinoid receptor agonists to the DVLA Medical Branch.

ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you and/or

your organisation have the power to take such action.

YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 9 March 2016. I, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out

the timetable for action. Otherwise you must explain why no action is proposed.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested Persons:

1. RE step-s0n)

2, oc i East Midlands Special Operations Unit

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk

AR W Forrest uum, rrcp, Frcpath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire

| am also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner.

13™ January 2016

H M Senior Coroner for South Lincolnshire

Unit 1, Gilbert Drive, Endeavour Park, Boston PE21 7TQ Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire.gov.uk