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recurance

Kerry Jacobs

21 Mar 2014 · Coroner Bridget Dolan · West Sussex

The coroner's concerns

  1. 1. prescription of medication outside usual practice and BNF guidelines

    “There was nothing within Mrs [name redacted]' hospital records indicating any awareness that she had been prescribed steroid dose which was out with usual ENT practice and the BNF guidelines. Nor was the actual prescription issued confirmed with or reported to patient's consultant. The evidence was that there is no policy or procedure within the Trust which requires a doctor who prescribes a medication outside usual practice and/or BNF guidelines to note within the patient's clinical record that they have”

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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