David Crompton
31 Dec 2024 · Coroner Kevin McLoughlin · West Yorkshire (Eastern)
The coroner's concerns
1. lack of anti-epileptic medication
“It is important that when anti-epileptic medication is prescribed by a GP that this is obtained and supplied promptly by the dispensing pharmacy. It is a matter of concern that for relatively lengthy periods on two occasions Mr [name redacted] was left without this important medication.”
2. pharmacy reliance on patient to obtain medication
“when the pharmacy was unable to supply the prescribed Tegretol medication, it was left to them to contact other pharmacies to see if they could obtain it, rather than for the pharmacy to search for supplies”
3. absence of Tegretol for 10 days
“the absence of Tegretol for around 10 days "will likely have contributed to your seizure activity”
4. lack of designated systems for medication shortages
“pharmaceutical profession should have clear designated systems to deal with any shortages of supply encountered; for example, reference to hospital departments to ensure patients are not left without important medications”