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recurance

Michael George

9 Jul 2015 · Coroner Andrew Harris · London (Inner South)

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

The coroner's concerns

  1. 1. unmonitored diabetes risk in patients on antipsychotic medication

    “The Maudsley Hospital failed to address the risk of Mr [name redacted] developing diabetes from the long tern use of Olanzapine and did not check his urine or blood sugar prior to 06/12/11”

Linked reports

Repeats an earlier warningMoses McDonald2 Dec 2014 · 7 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“(1) The lack of mandatory and regular glucose testing while on antipsychotic medication by the Clozapine clinic.”
Original on judiciary.uk ↗

This report

“Another (0883-13) following a death from diabetic ketoacidosis, reported the lack of mandatory and regular glucose testing whilst on anti-psychotic medication.”
Full chain: Lack of mandatory glucose testing for antipsychotic patients

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

Michael George · Recurance