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recurance

Matthew O'Reilly

23 May 2025 · Coroner Timothy Brennand · Manchester West

This report repeats 2 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. reportable poison and explosives precursor

    “[REDACTED] is a reportable poison as well as a reportable explosives precursor within the terms, meaning and effect of Part 4 of Schedule 1A of the Poisons Act 1972 with the consequence that:”
  2. 2. unaware vendor supply of lethal chemical

    “The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less of [REDACTED] to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where:”
  3. 3. public access to suicide method information

    “The police investigation revealed the ability of members of the public to access a number of websites, primarily created in the USA, Canada and Mexico that promoted information as to how to access:”

Linked reports

Repeats an earlier warningJames Lacey29 Nov 2021 · 3 years 6 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“relatively small quantities of can easily be purchased (2) a. is currently a”
Original on judiciary.uk ↗

This report

“[REDACTED] is a reportable poison as well as a reportable explosives precursor within the terms, meaning and effect of Part 4 of Schedule 1A of the Poisons Act 1972”
Full chain: Insufficient controls on reportable poison and explosives precursor
Repeats an earlier warningHannah Aitken14 Nov 2024 · 6 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“[REDACTED] are reportable substances under the Poisons Act 1972. The only obligation under this legislation is that domestic sellers must report reasonable grounds for believing transactions are suspicious.”
Original on judiciary.uk ↗

This report

“Whilst there is a legal duty on persons selling this substance to report "suspicious" transactions within 24 hours to the Home Office, the purchase of small quantities is being presumed to be connected to the many legitimate uses of the substance”
Full chain: Insufficient controls on reportable poison and explosives precursor

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error