Submitting... Bolton Coroners' Court However, senior coroner for Manchester West Timothy Brennand said he was concerned that her GP surgery had not followed up a discharge letter from hospital saying her medication needed to be changed urgently enough. Mr Brennand heard concerns from Beverley’s family that she was receiving too much of the powerful substances on prescription. And a consultant at Wigan Infirmary, where Beverley had been taken about a week before her death, told the inquest that he had reduced her dose before discharging her home. GP Dr Kevin Finn said he wished that he had spoken to the family more in what turned out to be the final stages of Beverley’s life.