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recurance

Robert Simpson

12 Aug 2025 · Coroner Ana Samuel · Birmingham and Solihull

The coroner's concerns

  1. 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. 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”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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