United PharmacyIncludes reports addressed to a minister or senior office-holder acting for this organisation.

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First report 31 Mar 2014•Latest report 31 Mar 2014

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
100%

Found for named reports

Concerns addressed
1

Across all linked responses

Stated actions
3

Described in responses

Concerns and recipient responses

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

  1. Addressed to: Supervising Pharmacist, United Pharmacy.

    South London

    AI-generated summary

    Deanne Naomi Smith · 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

    Deanne Smith, who was dependent on drugs and had recently relapsed to using heroin, died on 8 January 2013 after methadone bottles were found at her home. The coroner was concerned that several days’ supply of methadone was dispensed at once over public holidays when the usual pharmacy arrangements were suspended, particularly for drug-dependent individuals who also acquired opiates illegally.

    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 United Pharmacy; that does not assign responsibility.

    PFD Monitor interpretation

    Unsafe provision of several days’ methadone supply at one time during public holidays

    Wider context from the report

    “The evidence I heard at the inquest concerns me in that at times of public holidays, such as Christmas and New Year, when the usual pharmacy is closed for some of the days, an appreciable quantity of methadone is dispensed and provided for the individual to use on days over the holiday period. When the individual is dependent on opiates and is known to acquire opiates both legally and illegally, it seems appropriate to question to wisdom of providing several days’ supply at one time. I invite the Drug and Alcohol Service and the Pharmacy to reconsider their policies and procedures for the provision of methadone to drug-dependent individuals at times of public holiday when the usual methods of provision are suspended. If drug-dependent individuals are permitted to take away several days’ supply in one visit, there must remain a risk of future deaths. Part of a coroner’s duty at an inquest is to make a report such as this, intended to assist in the prevention of future deaths. ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Encourage services to use pharmacies open at weekends and bank holidays as medication collection bases for patients who have relapsed or miss doses.

    Verbatim wording from the response

    “3. For patients who have relapsed or not taking their medication on regular basis, we will encourage the services to use pharmacies that are open at weekends and bank Holidays as a base for picking up their medication on those specific days to reduce the amount of medication taken home.”

    Source location

    2014-0141-Response-by-United-Pharmacy
    Page 1 · response
    Published 31 March 2014

    Open published response
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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