Joshua Forsdyke: Prevention of Future Deaths Report

Alcohol, drug and medication related deaths

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Date of report: 10/01/2025 

Ref: 2025-0014 

Deceased name: Joshua Forsdyke 

Coroners name: Melanie Lee 

Coroners Area: Inner North London 

Category: Alcohol, drug and medication related deaths   

This report is being sent to: Fresh Student Living | University of Arts London 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1.  Fresh Student Living  
2.  University of the Arts, London
1CORONER

I am:   Melanie Sarah Lee 
           Assistant Coroner  
           Inner North London 
           St Pancras Coroner’s Court
           Camley Street 
          London N1C 4PP 
2CORONER’S LEGAL POWERS

I make this report under the Coroners and Justice Act 2009,  paragraph 7, Schedule 5, and The Coroners (Investigations) Regulations 2013, regulations 28 and 29. 
3INVESTIGATION and INQUEST

On 10 September 2024 an investigation was commenced into the death of Joshua James David Forsdyke “Josh” (aged 19). The investigation concluded at the end of the inquest on 8 January 2025. I made a determination at inquest Joshua took his own life whilst his judgment was impaired due to drugs and alcohol. 
4CIRCUMSTANCES OF THE DEATH

Josh moved to London to study in September 2023. He was exposed to easy access to drugs, particularly ketamine, whilst in student halls of  residence. He began buying ketamine and his addiction to illicit drugs  and alcohol appears to have spiralled from there and continued when 
he moved out of halls. On 26 August he took ketamine and had an  argument with his girlfriend about his drug use. The following day, he  began drinking alcohol in the morning, before taking tramadol tablets  belonging to a third person. He then left the flat and went to London  Bridge, telling his flat mate that he intended to jump. After behaving  bizarrely on the bridge, he jumped into the River Thames. His body was recovered from the Thames near Butlers Wharf on 31 August 2024.  Toxicology tests showed that Josh had consumed a significant level of alcohol, a toxic of tramadol plus ketamine, shortly before his death. 
5CORONER’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.

I heard evidence that Ketamine was easily and openly available to students as it was being dealt from and/or by persons with access to, and moved between, student halls of residence.  
6ACTION SHOULD BE TAKEN

In my opinion, action should be taken to prevent future deaths and I believe that your organisations have the power to take such action.  
7YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report, namely by 6 March 2024.  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. 
8COPIES and PUBLICATION

I have sent a copy of my report to the following.

Family of Joshua Forsdyke 
HHJ Alexia Durran, the Chief Coroner of England & Wales

I am also under a duty to send a copy of your response to the Chief Coroner and all interested persons who in my opinion should receive it.
I may also send a copy of your response to any other person who I believe may find it useful or of interest.  
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. 
9DATE        
10 January 2025
SIGNED BY ASSISTANT CORONER