Recipient

Pharmacy2U Limited

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First report 28 Nov 2024•Latest report 28 Nov 2024

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Private limited company. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Pharmacy2U Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Devon, Plymouth and Torbay

    AI-generated summary

    Oliver James Billings · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Oliver James Billings, aged 22, was found deceased at home on 6 December 2023 after consuming possibly as many as 266 prescribed 75mg tablets. The report describes concerns that a second prescription was issued without confirming the status of the first, that rapid dispatch limited opportunities to identify or correct the error, and that Oliver was expected to remedy the problem when Pharmacy2U could not be contacted.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Pharmacy2U Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Medication dispatch failing to allow mistakes to be noticed and remedied

    Wider context from the report

    “(2) That the swift dispatch of medication (whilst admittedly necessary in many circumstances) does not allow for mistakes to be noticed and/or remedied. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Pharmacy2U Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Placing the onus on the patient to remedy prescription errors when the pharmacy cannot be contacted

    Wider context from the report

    “(3) That the onus was on Oliver to remedy the error when Pharmacy2U could not be contacted. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Pharmacy2U Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Submission of subsequent prescriptions despite knowledge that the first prescription was cancelled or to be cancelled

    Wider context from the report

    “(1) That a subsequent prescription was submitted in the knowledge that the first was cancelled or to be cancelled but that steps do not appear to have been taken or be able to be taken to ascertain the status of that prescription before the subsequent prescription was issued. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Pharmacy2U Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure or inability to ascertain prescription status before issuing a subsequent prescription

    Wider context from the report

    “(1) That a subsequent prescription was submitted in the knowledge that the first was cancelled or to be cancelled but that steps do not appear to have been taken or be able to be taken to ascertain the status of that prescription before the subsequent prescription was issued. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026