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coroner

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Coroner: Student died after failings by GP, locum pharmacist and NHS 111

Charlie Marriage died from sudden unexpected death in epilepsy in June 2021 after he was unable to get his medication from a pharmacy.

23 Jan 2025

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Coroner presses Government for drug-related death solutions after overdose case

The Government and NHSE have until February 27 to say how they will to prevent drug-related deaths after an inquest found a man who overdosed was not given naloxone.

20 Jan 2025

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Toddler died after pharmacy could not amend amoxicillin script

Coroner urges Streeting to consider legislation change after toddler's death from sepsis.

14 Jan 2025

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Pharmacist left patient ‘begging’ for out-of-stock epilepsy drug, inquest told

An inquest into Charlie Marriage's death heard he spent three hours in the pharmacy because the pharmacist did not tell him Fycompa was not in stock.

11 Dec 2024

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Coroner: ‘Suicidal’ young man acquired excess meds after GP switched P2U nomination

Devon surgery issued new prescription while original Pharmacy2U prescription was in the post

03 Dec 2024

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Coroner urges pharmacy to review Easter dispensing after overdose death

Elderly woman received excess diazepam and codeine due to Easter bank holiday, says coroner

28 Nov 2024

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‘National shortage’ left pharmacist unable to give correct EpiPen dose in fatal case

Pharmacy could not give patient's prescribed strength of EpiPen in fatal anaphylaxis case.

04 Sep 2024

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Overdose killed woman after GP pharmacist failed to follow advice, says coroner

A pharmacist at The Park Surgery in Heanor was warned the amount of medicine Deborah Bates was prescribed should have been limited.

19 Jul 2024

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Online zopiclone sales contributed to veteran’s death, says coroner

Coroner issues damning criticism of companies selling medicines online.

19 Jun 2024

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Coroner raises concerns after death of woman from cyclizine toxicity

Manchester coroner has written to MHRA and NHS England after investigating death of a patient due to cyclizine toxicity in January 2022

19 Dec 2023

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PMR limitations contributed to infant’s tragic death, says coroner

Lack of special prescription options contributed to morphine mix-up, says coroner

08 Sep 2023

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‘Lack of clarity’ on pharmacy delivery drivers’ roles, coroner warns GPhC

Hull coroner writes to GPhC after investigating death of patient who fell at home

18 Jul 2023

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Coroner: Suicide risk if pharmacies not involved in safety plans

There is a “risk of future fatalities” if pharmacies not involved in safety plans for young mental health patients at risk of overdose, a coroner says.

15 Jun 2021

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