Terence Ryan
8 Sept 2017 · Coroner Alan Walsh · Manchester (West)
The coroner's concerns
1. missed repeat prescription of anticoagulant medication
“On the 15TM July 2016 a Consultant prescribed Edoxaban 60mg per day for long term anticoagulation treatment to be collected by the deceased on a weekly basis by repeat prescription issued by the General Practitioner and the Consultant sent a letter to the General Practitioner to confirm that plan of treatment. The repeat prescription for Edoxaban was not put on the deceased's repeat prescriptions by the General Practitioner and the deceased did not receive Edoxaban for administration after the 2”
2. lack of protocol for self-discharging patients requiring anticoagulation
“Irequest the Chief Executive of the Wrightington, Wigan and Leigh NHS Foundation Trust conduct a review of policies, protocols and systems when a patient, particularly a vulnerable patient, self-discharges from the Hospital without necessary medications so that all Health Professionals, including Doctors, can be aware of the protocols if a patient self-discharges from the Hospital in circumstances similar to the deceased.”