A suicidal man died after a GP surgery gave him double the recommended dose of sleeping pills, an inquest heard.
Mr Carrington, an artist, had been out drinking on the night of December 12 and arrived home at 3am, falling asleep in the living room and being discovered shortly before 8am.
Dr Denton waited one minute and 44 seconds before being connected to South East Coast Ambulance Service in an emergency call, the inquest heard.
But the responding paramedics went to the wrong address – Brunswick Square rather than Brunswick Terrace, meaning there was a nine-minute delay in getting to Mr Carrington.
Oh dear, another day, another example of NHS incompetence.
Mr Carrington was known to suffer from depression, anxiety, insomnia, obsessive compulsive disorder (OCD) and was dependent on alcohol.
Coroner Veronica Hamilton-Deeley blasted a new system at the North Laine Medical Centre which saw him receive more than double the amount of Zopiclone he should have in less than two months.
The system? That’s what was at fault? Not the people implementing it?
…under a new system which came into play in about October time, patients can request more drugs electronically. And staff at the surgery in Gloucester Street, Brighton, continued to give him more – despite the fact it is flagged up when he has received his prescription. However, receptionists and doctors overrode the warning, the inquest heard.
That they were able to do so without anyone bothering to double check is astonishing.
Mrs Hamilton-Deeley said: “I found this was a missed opportunity for the GP to carry out a medication review.
“It would have been good practice to do so.
“This man had just taken a serious overdose of his prescribed medication.”
She branded it “a worry” that this error had happened.
Mrs Hamilton-Deeley also stressed the importance of having an efficient prescription system in place, particularly in Brighton “because we have so many vulnerable people”.
So many suicidal people?