Lewis Begley
26 Sept 2022 · Coroner Jacqueline Lake · Norfolk
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. unrecorded medication stock and usage
“Evidence was heard that medication is kept in a locked room and in locked cabinets, in accordance with legislation. However, there is no record kept as to what medication is stored and how much, particularly which is a drug subject to misuse, in a mental health hospital where many patients have a history of drug misuse and suicidal ideation and actively seek out the drugs cupboard.”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“Such confusion over the actual quantities of medication Issued and the apparent issuing of 14 days supply of medicines to a patient who is known to have previously stockpiled medication, with a View to self-harm, is of obvious concern.”
This report
“Evidence was heard that medication is kept in a locked room and in locked cabinets, in accordance with legislation. However, there is no record kept as to what medication is stored and how much”