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recurance

Katherine Stamp

18 Dec 2019 · Coroner James Healy-Pratt · West Sussex

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. rare but important side effects of clozapine including smoking and pneumonia

    “The side effects of clozapine, with specific reference to smoking and pneumonia, are under-appreciated”
  2. 2. future deaths from clozapine side effects

    “action should be taken to prevent future deaths”

Linked reports

Raised again laterLuke Worrell21 Feb 2025 · 5 years 2 months later
Closely relatedConfidence 0.90 · high

This report

“The side effects of clozapine, with specific reference to smoking and pneumonia, are under-appreciated”

Later report

“The lack of awareness by a series of clinical staff of the potential fatal side effects of Clozapine”
Original on judiciary.uk ↗
Full chain: Insufficient recognition of clozapine fatal adverse effects

Responses

No published response was found on judiciary.uk.

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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