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Heather Planner

13 Dec 2019 · Coroner Crispin Butler · Buckinghamshire
Check this reportOriginal

The coroner's concerns

  1. 1. medication changes not acknowledged by carers

    “Changes to an individual patient's medication are emailed to carers and anew prescription (MAR) chart is issued but there is no procedure in place to ensure that individual carers have read and specifically acknowledged any medication changes”

Responses

No published response was found on judiciary.uk.

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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