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recurance

Amanda Hesketh

17 Jun 2022 · Coroner Chris Morris · Manchester South

The coroner's concerns

  1. 1. systematic review of patients on repeat prescriptions of multiple analgesics

    “it is a matter of concern the partnership has yet to undertake or commission a systematic review of all patients receiving repeat prescriptions of multiple analgesics and formulate individual plans for each such patient”
  2. 2. repeat prescription of multiple analgesics without specialist input

    “patients being prescribed multiple analgesics continue to receive such medicines on repeat prescription with often with little or no specialist input”
  3. 3. lack of practice pharmacist engagement for complex analgesia regimes

    “GP practices who have a significant number of patients with complex analgesia regimes do not universally engage practice pharmacists to complement the knowledge of doctors and enhance the advice provided to patients”

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.

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