“It became apparent in the course of the evidence that (1) There is a potential for…”
Dated 7 Mar 2016, from the coroner for Swansea. Sent to 5 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 2 May 2016. A reply may have been sent and not yet published.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.
- Report dated7 Mar 2016
- Deadline2 May 2016
- Published on judiciary.uk7 Mar 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| General Dental Council | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 May 2016. A reply may have been sent and not yet published. |
| BMA | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 May 2016. A reply may have been sent and not yet published. |
| Royal Pharmaceutical Society | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 May 2016. A reply may have been sent and not yet published. |
| Royal College of GPs | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 May 2016. A reply may have been sent and not yet published. |
| NHS England: Wales and Scotland | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 May 2016. A reply may have been sent and not yet published. |
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— It became apparent in the course of the evidence that (1) There is a potential for Miconazole Gel to have an interaction with Warfarin such as to increase the blood clotting time and hence a higher INR reading than should be expected. This could lead to significant uncontrolled bleeding. (2) There is a significant lack of knowledge of the interaction among health professionals and/or (3) The resources available to check the interaction may not be entirely clear on this issue or readily straight forward to locate.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2016-0096
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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