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recurance

Central Manchester University Hospitals

1
reports received
1
with a published response found
0
recurrence chains
0
reports in those chains
  • Stephen Coulson27 Oct 2017

    Coroner Rashid Sohail · Manchester (City) · in 3 recurrence links

    Response · 1 stated action
    2017-0307-Response-by-CQC.pdf ↗
    “The policy was updated in November 2017 to include reference to an opioid patch monitoring form. The use of the form should minimise the risk of a similar incident experienced by Mr [name redacted] being repeated. The trust managers have informed the Commission that they plan to audit implementation of the form. We will monitor this through our quarterly engagement meetings and subsequently consider this at the next inspection, which is likely to take place between October and December 2018.”
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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