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recurance

John Roberts

25 Apr 2023 · Coroner Guy Davies · Cornwall and the Isles of Scilly

The coroner's concerns

  1. 1. inadvertent reduction of steroid dosage

    “The concern is the inadvertent reduction of steroid dosage and the arrangements made in relation to the administration of medication dosages and the policies regarding dosage errors, and the application of those policies”
  2. 2. lack of safety information on bowel perforation risk with corticosteroids in diverticular disease

    “The concern is regarding the accuracy and rigour of the British National Formulary (BNF) guidance on Prednisolone, published by NICE”

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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John Roberts · Recurance