“The long term use of shorter acting Benzodiazepine instead of longer acting…”
Dated 4 Aug 2017, from the coroner for Exeter and Greater Devon. 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
Report put online after its 56 daysOrganisations 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; a reply may have been sent and not yet published.
judiciary.uk put this report online on 3 Dec 2017, after the 56 days for replies had ended (29 Sep 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated4 Aug 2017
- Deadline29 Sep 2017
- Published on judiciary.uk3 Dec 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS England | Response publishedPublished on judiciary.uk in December 2017. |
| Royal College of General Practitioners | Response publishedPublished on judiciary.uk in December 2017. |
| Devon Local Medical Centre | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 3 Dec 2017, after the 56 days for replies had ended (29 Sep 2017). These dates can’t tell us whether a reply was due before it went online. |
| Fremington Medical Centre | Response publishedPublished on judiciary.uk in December 2017. |
| Devon Partnership NHS TrustNamed in the report as “Devon NHS Trust” | Response publishedPublished on judiciary.uk in December 2017. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
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 long term use of shorter acting Benzodiazepine instead of longer acting Benzodiazepine in accordance with the British Association of Psychopharmacology Guidelines should be followed when patients are prescribed this drug to avoid dependence. (2) All patients who receive this drug for an extended period of time should be reviewed by their medical advisors to reassess thelr suitability for the long term use of this particular medication.
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, 2017-0320
- 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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