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Jacqueline Carrey

26 Oct 2023 · Coroner Tom Osborne · Milton Keynes
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The coroner's concerns

  1. 1. [REDACTED] abuse

    “There may not have been a clear indication on the patients medical record about the potential risk of [REDACTED] abuse, or for the risk to be flagged up to members of staff before discharge”

Responses

2023-0411-Response-from-Milton-Keynes-University-Hospital.pdf ↗· Milton Keynes University Hospital

Stated action

“The 'Pharmacy Medication History Form' now includes the question 'Does this patient get a limited supply in community', requiring a 'yes' or 'no' answer. The user can still add free text narrative but the fact of selecting 'yes' in response to this question fires specific actions downstream when clinicians are looking to progress the patient's discharge.”
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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