Wendy Wilkes
20 Apr 2020 · Coroner Alison Mutch · Manchester South
The coroner's concerns
1. lack of alert notes and follow up review system
“The inquest heard that there was no clear system of alert notes/follow up review appointments at her GP practice despite the extent of the prescribed medication; The inquest heard that the GP practice did not appear to have a system to ensure that prescribers were aware that her alcohol use was high and to assess the risk of mixing alcohol with the prescribed medication.”