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recurance

Ava Hodgkinson

10 Jan 2025 · Coroner Christopher Long · Lancashire and Blackburn with Darwen

The coroner's concerns

  1. 1. pharmacist unable to dispense different strength of medication

    “In evidence at the inquest it was explained that the [the deceased] had seen her GP who had prescribed amoxicillin with a dose of 250mg/5ml. The pharmacy did not have this strength in stock but did have amoxicillin 125mg/5ml in stock but could not issue this as restrictions currently in place prevent a pharmacist issuing any different strength of medication without an amended prescription, even where the medication can be provided to enable the same dose to be administered (here [the deceased]'s parents could have be”

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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