Dorothy Delaney

“During the inquest evidence was heard that: i. [the deceased] became a patient at Alexander House Health Centre, Platt Bridge Health Centre, Rivington Avenue, Platt Bridge, Wigan in August 2013. At that time she was prescribed Clopidogrel, an antiplatelet medication, by her previous general practitioner, due to her history of transient ischaemic attack. This prescription continued to be given by her general practitioner at Alexander House Health Centre up until her death on the 11" June 2015. i”

“The Consultant [name redacted] gave evidence during the inquest that Mrs [name redacted] had died as a consequence of a spontaneous intracerebral haemorrhage which had been caused by amyloid angiopathy, which is naturally occurring disease of the vessels within the brain that can cause the vessels to rupture, resulting in haemorrhage.”

“I therefore have concerns that there are patients under the care of Alexander House Health Centre who are being prescribed both anticoagulation therapy and antiplatelet medication at the same time, which increases the risk of a haemorrhage occurring, in circumstances where specialist advice has not been sought”

“I therefore request review the treatment of all patients in his practice who are being treated with Clopidogrel, or any other antiplatelet medication at the same time as Rivoroxaban, or any other anticoagulation medication, having regard to the NICE guidelines in relation to oral anticoagulation”