Minute Book, home
Coroner’s reportPrevention of future deaths · 2017-0105

“The continuing risk.of unsafe prescribing of controlled drugs by the Ivy Grove Surgery…”

Dated 4 Apr 2017, from the coroner for Nottinghamshire. Sent to 2 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

Deadline passed

Replies were due by 30 May 2017. 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.

  1. Report dated4 Apr 2017
  2. Deadline30 May 2017
  3. Published on judiciary.uk16 May 2017
  4. Today23 Oct 2026

Watch this report

We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.

Next we ask your name, then send a link to confirm and create your free account. Already have an account? Sign in

Responses from each recipient

Responses from each recipient
Sent toResponse
The Ivy Grove SurgeryDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 30 May 2017. A reply may have been sent and not yet published.
Derbyshire Community Health Services NHS Foundation TrustNamed in the report as “Derbyshire Community Health Services”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 30 May 2017. 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.

1. The continuing risk.of unsafe prescribing of controlled drugs by the Ivy Grove Surgery, and the limited understanding of the duty to report serious prescribing incidents. 2. The continuing risk of poorly coordinated management and prescribing in neurological patients under the care of both DCHS and the Derby Hospital During the Hearing, | heard evidence in relation to these matters, and the oral evidence -and documents went some way to addressing the concerns raised.

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, 2017-0105
Added to Minute Book
8 Oct 2026
Reuse
We show short extracts and link to the original. We don’t host the full report.

Something wrong, such as a date or who it was sent to? Report a mistake

Is this report about someone close to you? You can ask us to remove names from our pages.

Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

Ask about this report

AI

Summaries and questions, with page references. Pro and above.

Sign in to use