Sewa Chaddha

“The medications were provided to the couple by the local pharmacy, then known as [name redacted], in separate dosset boxes. Mrs [name redacted] medications were provided on a weekly basis. Mr [name redacted] were provided on a monthly basis.”

“Evidence was given at the inquest that there was no guidance or policy in place for Pharmacists to follow when issuing medication to patients with cognitive impairments, or if there was, it was not well disseminated among the pharmacist population.”

“dosset boxes of different colours or labels with different colours were not routinely given to elderly or cognitively impaired patients living at the same address.”