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Coroner seeks answers from Greater Manchester ICB and medical centre over patient's death

Coroner seeks answers from Greater Manchester ICB and medical centre over patient's death

A coroner has given Greater Manchester integrated care board and Flixton Road Medical Centre until next month to explain why “very limited attempts” were made to review the long-term prescribing of opiates to a patient who died from multiple drug toxicity and pneumonia.

An inquest into the death of Louise Danielle Rosendale, who was found unresponsive on September 24, 2024, heard she had been prescribed long-term opiates for pain after undergoing surgery. The inquest concluded her death was accidental.

It heard evidence that Ms Rosendale was prescribed opiates “for many years despite the risks associated with long-term opiate prescribing”.

It also heard “there had been very limited attempts to review the long-term prescribing of opiates to her” even though she was identified in 2022 “as a patient on a long-term opiate prescription”.

“The next action had been a pharmacy review in July 2024. There was no evidence of long-term detailed planning or oversight of these patients within the practice,” the coroner’s report said.

The coroner has given Flixton Road Medical Centre and Greater Manchester ICB until June 25 to explain what action they have taken or propose to take to prevent similar deaths occurring in future.

Independent Community Pharmacist has contacted Flixton Road Medical Centre and Greater Manchester ICB for comment.

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