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recurance

Natalie Edgington

11 Jan 2021 · Coroner Catherine McKenna · Manchester North

The coroner's concerns

  1. 1. prescribing without relevant medical information

    “prescribers should have full information about the nature and extent of a service user's liver disease in order to ensure that prescribing is within safe limits”
  2. 2. starting patients with liver disease on standard dose

    “The BNF recommends that consideration should be given to starting patients with a history of liver disease on a lower dose of methadone than the standard starting dose of 30mls”

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.

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