“. 1”
Dated 27 Jun 2022, from the coroner for East London. 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.
The 56-day response deadline
All responses publishedOrganisations 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.
- Report dated27 Jun 2022
- Deadline22 Aug 2022
- Published on judiciary.uk23 Sep 2022
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| North East London NHS Foundation TrustNamed in the report as “North East London Foundation Trust” | Response publishedPublished on judiciary.uk in September 2022. |
| High St Surgery | Response publishedPublished on judiciary.uk in September 2022. |
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
. 1. The NICE guidelines for indicate that it is a suitable medication for the short term treatment of insomnia, it advises against prolonged use due to risk of tolerance and withdrawal symptoms. Mr Vince is said to have been prescribed for 20 years. 2. No evidence exists to support that Mr Vince's GP or community mental health team meaningfully reviewed his prescription 3. Evidence of Mr Vince 's dependence upon was not shared by his GP with the mental health trust. 4. The frequency with wh ich Mr Vince was administering his PRN was never monitored.
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, 2022-0198
- 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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