David Stables
6 Dec 2024 · Coroner Marilyn Whittle · South Yorkshire West
The coroner's concerns
1. lack of mental health medication review
“I am concerned that there were no recorded mental health or medication reviews from April 2020 until February 2024 when [the deceased] attended the GP asking for help. I was unable to establish whether these reviews had taken place and just not been recorded or whether full mental health reviews had not taken place when they should have been.”