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recurance

Louise Rosendale

30 Apr 2025 · Coroner Alison Mutch · Manchester South

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. long term opiate prescribing without adequate review

    “The evidence before the inquest was that there had been very limited attempts to review the long term prescribing of opiates to her”

Linked reports

Repeats an earlier warningPaul Clark16 Oct 2024 · 6 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“However despite the risks opioid painkillers presented to him he had been started in primary care on opioid based painkillers for reported pain. He had become addicted to them and took them at increasing levels topping them up with non-prescribed opioids.”
Original on judiciary.uk ↗

This report

“[the deceased] had been prescribed opiates for many years despite the risks associated with long term opiate prescribing. The evidence before the inquest was that there had been very limited attempts to review the long term prescribing of opiates to her.”
Full chain: Insufficient safeguards in long term opioid prescribing

Responses

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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