Robert Simpson
12 Aug 2025 · Coroner Ana Samuel · Birmingham and Solihull
The coroner's concerns
1. wrong medication provided and missed antibiotic doses
“It was accepted by the Trust that the deceased had been provided and discharged with medication (gabapentin) that did not belong to him and had missed two doses of antibiotics (fidaxomin) due to the drug being out of stock, which had not been communicated to or escalated to treating clinicians”
2. risk of life from wrong medication or missed doses
“I am concerned that there may still be a risk to life of patients within the trust if they are provided with the wrong medication or miss necessary doses of prescribed medication”