Skip to content
recurance

David Jackson

24 Oct 2017 · Coroner Karen Harrold · West Sussex

The coroner's concerns

  1. 1. inadequate medication review of long-term patients

    “asked about current practice in relation to issuing prescriptions for drugs such as Soneryl or Co-drydamol {EE acknowledged that national guidance had tightened up particularly in respect of issuing prescriptions to patients for opiate based drugs. She accepted that medical thinking had moved on considerably. She was candid and accepted that in respect of Mr [name redacted] he had not been seen for 10 | 7 |YOURRESPONSE years and must have fallen through the cracks in terms of medication raviews including”

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

David Jackson · Recurance