Miriam Tighe
4 Jul 2019 · Coroner Rachel Galloway · Manchester (West)
The coroner's concerns
1. uncontrolled sedative medication administration
“Promazine was sought by the home manager at Edge Hill idential Home and prescribed by the GPs at Royton & Crompton family practice ane A oa working in the Memory Clinic (part of Pennine Care NHS Foundation Trust)) had advised that such medication be stopped on the 16" November 2016 and, again on the 16" December 2016. On both occasions, Promazine continued to be prescribed by the GP and continued to be administered under the control of the manager at Edge Hill Residential Home. In the event, | found”
2. unsafe prescribing of sedatives and antipsychotic medication
“The psychiatrist had recommended alternative sedative and antipsychotic medication, which was also being administered to [the deceased]. tt was clear that the GPs and the Psychiatrist were not aware of decisions being made by each other In October to December 2016, which led to unsafe prescribing of sedatives and antipsychotic medication.”
Responses
No published response was found on judiciary.uk.