“Once any patient at The Royal Shrewsbury Hospital is initiated on a new prescribed drug…”
Dated 28 Feb 2025, from the coroner for Shropshire, Telford and Wrekin. 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 publishedReplies were due by 25 Apr 2025.
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; a reply may have been sent and not yet published.
- Report dated28 Feb 2025
- Deadline25 Apr 2025
- Published on judiciary.uk4 Mar 2025
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS England | Response publishedPublished on judiciary.uk in March 2025. |
| The Shrewsbury and Telford Hospital NHS TrustNamed in the report as “Shrewsbury and Telford NHS Trust” | Response publishedPublished on judiciary.uk in March 2025. |
The coroner’s concerns
– (1) Once any patient at The Royal Shrewsbury Hospital is initiated on a new prescribed drug during an admission, no written record is ever made anywhere by anyone including pharmacy; nurses; doctors or consultants explaining or counselling the patient upon the possible side-effects or complications as a result of taking a specific prescribed drug; nor is there any written record on what to look out for and what to do in such circumstances and where they can get assistance. (2) No provision seems to be in place to record what should happen when the patient lacks capacity to understand such an explanation even when it is offered.
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, 2025-0113
- 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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