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recurance

Christine Stevenson

10 Mar 2016 · Coroner Joanne Kearsley · Manchester (South)

The coroner's concerns

  1. 1. uncontrolled Oramorph prescribing

    “lack of control for Oramorph redication. A 10mgs per 5ml solution does not fall under the controlled drug requirements in the BNF”

Responses

2016-0123-Response-by-Home-Office.pdf ↗· Medicines and Healthcare products Regulatory Agency

Stated action

“My officials have consulted with other departments and agencies who have responsibility for prescribing opiate medicines for severe pain relief, including the Department of Health and the Care Quality Commission.”

Christine-Stevenson-Response.pdf ↗· Medicines and Healthcare products Regulatory Agency

Stated action

“We will take the following actions: Greater Manchester along with all areas of NHS England has established Local Intelligence Networks where information is shared across a network of healthcare providers such as hospitals, hospices, private hospitals, clinics, the police, the Care Quality Commission, and regulators such as the General Pharmaceutical Council. The Network meets twice a year to share learning concerning controlled drugs and more recently”
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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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Christine Stevenson · Recurance