'Affectionate' Kingston dad died after 43 days in intensive care following prescription mistake

Chandrakant Patel wearing a striped polo shirt
-Credit: (Image: Patel family)


A "cheerful, affectionate family man" died in hospital after going for a planned check-up, when a prescription mistake meant he was given 10 times the amount of pain medication he should have received, an inquest has heard. Kingston dad Chandrakant Patel's death has led to his family demanding accountability, as reported by our sister site Surrey Live.

The fatal dose occurred after he had been admitted for a planned check-up for his chronic kidney disease on October 27, 2022,. The disease causes gradual loss of kidney function over a period of months and years.

Chandrakant became unsteady and fatigued, so he was referred to the Same Day Emergency Care Unit for observations. It was decided by doctors that he would stay overnight for monitoring and could be sent home the next day if his kidney function was stable.

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However, Chandrakant didn’t leave the hospital the next morning, after his health rapidly deteriorated. The decline in his health was triggered after he was issued 500mg of Pregabalin at 10pm on October 27, 2022, instead of 50mg.

He was rushed to the intensive care unit, where he spent 43 days. Sadly Chandrakant died on December 8, 2022, leaving his family struggling to accept what had happened.

The error was made when a doctor relied on a letter dated July 13, 2022 that incorrectly recommended the inflated dose. Shortly after he was given the 500gm Pregablin dose, Chandrakant lost consciousness, and on October 28, 2022, suffered severe respiratory failure.

The prescription Chandrakant was given had been approved by a doctor at the Renal Medicine Outpatient Clinic, before the medicine was administered. An internal investigation revealed the hospital was in breach of its medicine management policy because the letter was dated four weeks before Chandrakant’s admission and should have been reviewed, considering his renal function deterioration.

During an inquest on May 2, 2024 at the London Coroner’s Court, Coroner Hannah Hinton revealed Chandrakant’s death was attributed to multiple organ failure, and that he suffered severe respiratory failure, lung infection and too much acid in the blood. Following the grave error, the hospital has worked to make changes to the prescription system. It has also held additional training measures for staff.

Family tribute to a man with a 'wonderful sense of humour'

Mr Patel is survived by his widow, Kailasben, as well as his three children. In a tribute to Chandrakant, the Patel family, supported by law firm Simpson Millar said: “Our beloved father was a cheerful, affectionate family man with a contagious laugh and a wonderful sense of humour. It's still unfathomable to us that he's been taken from us; it simply wasn't his time, and we struggle to accept how such a preventable mistake could claim his life in such a horrific manner.

“The 43 days he spent in the hospital were filled with immense suffering, and even now, we remain devastated and traumatised by the pain he endured and what we witnessed. We never imagined that our father wouldn't return home after what should have been a routine check-up in the capable hands of hospital staff.

“Hospitals are meant to be places of healing, but in our case, it was the opposite. The entire experience feels surreal, like a nightmare turned reality.

“We've been seeking answers and were hopeful that the inquest hearing would offer us some clarity. However, a year and a half later we are still unclear."

Hospital response with 'changes made'

A spokesperson for Kingston Hospital NHS Foundation Trust said: “The Trust identified that an incorrect dose of medication had been administered in October 2022. The Trust offers condolences to the family and since then, changes have been made to the medication prescribing system, and staff training in this area has been enhanced.”

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