Isabelle Bridie Sapherson-Moralee
18 Jun 2026 · Coroner Brendan Joseph Allen · Dorset
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of coordinated care for ketamine addiction
“A lack of a co-ordinated approach to care risks patients "falling through the cracks"”
2. absence of prescribing guidelines for ketamine-related pain management
“there are no guidelines available to those in primary care to assist with safe prescribing where ketamine use remains a concern”
3. insufficient data collection on ketamine use and harms
“ketamine should be included in the data collected by medical services about drug use”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“Ketamine is a controlled drug of class B. There is a perception in naïve users that this signifies "lesser" risks associated with using ketamine as compared with class A drugs.”
This report
“There is limited research on the addictiveness of ketamine and the consequences of chronic ketamine use.”