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17 Dec

A NSW Ambulance investigation of paramedic Tony Jenkins’ suicide has raised serious questions

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Family: Tony Jenkins, wife Sharon and daughters Kim and Cidney in happier times.THE family of Lake Macquarie paramedic TonyJenkins has demanded an apology from NSW Ambulance for inferring he was a drug addict followinghis suicide in April, after a secret review threemonths before his death concluded there was “no evidence” he“mis-used”restricted NSW Ambulance medications.
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The family is even more determined to push for a public Coroner’sinquestafter a NSW Ambulance investigation of events leading up to Mr Jenkins’ death provided no solid proofto back allegations 38 Fentanyl vials at fourHunter ambulance stations weretampered with, or that Mr Jenkins was responsible. Fentanyl is a synthetic opioid painkiller 100 times more potent than morphine.

The investigation instead found NSW Ambulance carried out no routine tracking of Fentanyl usage;that weekly“integrity check” audits of Fentanyl and other restricted medications were lacking and varied from station to station across the state; that secure drug safes were“frequently not closed” and drugs were“handed over” from shift to shift; compliance with dual signing out of restricted drugs varied; and“a culture of trust and mateship” resulted inregularchecking procedure“violations”and“routine deviation” from restricted drug policies across NSW.

The investigation also“could not confirm if other staff were or were not involved with medication tampering” at Hunter stations.

Mr Jenkins’ family wants an inquest to explore why he was targeted on April 9 after a morning shift identified allegedly opened Fentanyl at aHunter station where he worked.

History: NSW paramedic Tony Jenkins had a history of standing up for reforms in NSW Ambulance.

The NSW Ambulance investigation said there was“a sense of urgency to meet with” Mr Jenkins on April 9 but cites anaudit seven months earlier identifying him as the second highest paramedic Fentanyl administrator in NSW as the reason he alone was questioned. This wasdespite a subsequent review inJanuary, without Mr Jenkins’ knowledge, that found“no evidence” of“mis-use” and which“did not identify any concerns regarding the paramedic’s usage”.

Mr Jenkins committed suicide on April 9 less than two hours after he was dropped off, alone, by a manager followingan unscheduled meeting part-way through a shift where the manager alleges Mr Jenkins admitted he“relied on Fentanyl” but it was“out of control”.

Despite a NSW Ambulance file noteof the April 9 meetingalleging Mr Jenkins admittedreplacingused Fentanyl vials with a salinesolution, a NSW Ambulance investigation report provided to Mr Jenkins’ family on September 7 was silent on any testing of the 38 vials or conclusions aboutthe tampering allegations. The investigation found collection of the vials on April 9 from four Hunter stations via an ambulance vehicle to an“incorrect location”did not follow policy for the transportation of suspected tampered medications. Mr Jenkins’ family said the failure meant the vials could not be relied on as evidence because of chain of custody questions.

An autopsy found no trace of Fentanyl in Mr Jenkins’ body at the time of his death. The two-page reportof the April 9 meeting, written by the manager who dropped Mr Jenkins off alone after the meeting, does not record that he wasasked if he had taken Fentanyl before his shift.The file note alleges Mr Jenkins carried two morphine syringes on his person into the meetingand said he’d drawn them up intending to use them on himself. His family slammed the allegation as implausible and unbelievable.

Answers: Sharon Jenkins with daughters Cidney (left) and Kim. The family wants answers about events before paramedic Tony Jenkins’ death on April 9.

The NSW Ambulance investigation also relied on reportsby“a number” of unidentified paramedics ofMr Jenkins“appearingsleepy, a series of near miss accidents whilst driving and clinical records not completed to his usual standard” in the months before his death to justify a conclusion that“these behaviours were early warning signs of a possible addiction to Fentanyl”.

“Their warning signs of a possible addiction to Fentanyl are so vague they could alsodescribe someone who was simply lacking sleep,” Mr Jenkins’ nephew Shayne Connell said.

Mr Jenkins’ family said NSW Ambulance had not responded to requests forformal reportsof the“near miss accidents”. His familyrejected that he displayed any behaviourfittingthe alleged admissions he was“out of control”.

The NSW Ambulance investigation reportsaid the service received a state-wide Fentanyl audit report in September, 2017 commissioned because of an“unrelated matter” involvingthe prescribing habits of two NSW paramedics. The audit identifiedMr Jenkinsas the second-highest administrator of Fentanyl in NSW.

It was not until January, 2018 that a second secret review of Mr Jenkins’ Fentanyl administration, conducted without his knowledge, concludedno evidence of mis-use but recommended“education in relation to the Fentanyl pharmacology”. The investigation report found the education“did not occur”.

Mr Jenkins’ widow Sharon, daughters Cidney and Kim and nephew Shayne Connell describedNSW Ambulance comments after his death and a subsequent internalinvestigation as a“disgraceful attempt to posthumously defame and discredit”Mr Jenkins in an attempt to avoid responsibility for events leading up to his death and major deficiencies in the organisation’s systems.

Devastated: Sharon Jenkins with one of her late husband Tony’s paramedic uniforms. The devastated family wants a public coronial inquiry into his suicide. Picture: Max Mason-Hubers.

A NSW Ambulance statement afterMr Jenkins’ deathincluded concern that a paramedic“could find themselves so desperate that their only option was to turn to drugs and addiction”.

“They’re trying to portray him as this devious drug addict who’s put the public at risk. They’re blaming him for what happened rather than look at their duty of care to someonethey allege wasdrug tampering, and an addiction for which they haveno evidence,” said MrsJenkins.

The family was outraged at the opening statement of the NSW Ambulance investigation reportwhich was an examination of “the circumstances whereby a paramedic inappropriately accessed restricted medications from NSW Ambulance, over an extended period, and the subsequent management of the matter once identified”.

“They have no evidence to say any of those things. They’ve provided no evidence to make that statement or even that there was tampering,” Mr Connell said.

“If they’d tested those vials and it came back with salt solution in them don’t you think they’d be rushing to us with those results? But no. Five months after they publicly blamed Tony for using NSW Ambulance Fentanyl we don’t know where those vials are or what’s in them.

“How do you do a root cause analysis of a critical incident into the death of an employee withouteven saying what’s in the vials?It’s like they’re trying to do a root cause analysis with no evidence and no results. Based on what they’ve given us it’s more like they’ve tried to write a suicide note on Tony’s behalf by portraying him as a drug addict when availableevidencesays the opposite.”

Mr Jenkins’ family said information in the file note purportedly said by him during the April 9 meeting was factually incorrect, including that he had had a drinking problem, that his wife was a manager at Coles and that he had been treated by his GP for depression. The mistakes raised real doubt about what was said at the meeting and the reliability of the document which was produced without minutes or notes being taken duringthe meeting or an independent witness, the family said.

A NSW Ambulance spokesperson confirmed the circumstances of Mr Jenkins’ death were being investigated by NSW Police on behalf of the NSW Coroner’s office.

“Therefore NSW Ambulance can make no further comment pending the outcome of those investigations and a coronial inquiry,” the spokesperson said.

“NSW Ambulance offers its sincere condolences to the Jenkins family and continues to offer supportduring this difficult time.”

Lifeline: 13 11 14.

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