Olivia Russell
14 Dec 2023 · Coroner Victoria Davies · Cheshire
The coroner's concerns
1. relapse of anxiety after medication stopped
“evidence was heard from [REDACTED], one of your salaried GPs as to his interactions with [the deceased], and based on the records, his colleagues' interactions”
2. lack of risk discussion about medication discontinuation
“the risk of relapse if a medication is stopped was discussed in either November 2020 or August 2021, nor”
3. non‑adherence to NICE guidance on medication risk discussion
“I am concerned that this guidance is not being followed as a matter of routine within the surgery and that this gives rise to a risk of future deaths”