Good morning Jane.It was Dr Wilkinson who addministered the last dose of Haloperidol in the evening,because Sheila had missed her appointment earlier that day.And let us not forget it should have been 150mg not 100,quite a serious mistake for a start,but we are told its still a theraputic dose.Now i would say Sheila was quite an ill patient,you dont get threatened with a nursing home at 28years old unless something is seriously out of the ordinary.Now,you say it was up to Sheila to take all her meds as a grown up.But she was a very ill grown up,and Dr Fergusson stated many times that she was a difficult patient who could not be trusted to take her meds regularly.It should have been imperative to pass on all this info to Sheilas GP,and as soon as Sheila asked for the Haloperidol to be reduced because of tiredness,a symptom that SHOULD have been controlled by the procyclidene,alarm bells should have immediately rung.The first thing Dr Wilkinson should have done was quiz Sheila about the proc tablets before even considering reducing the dose of Haloperidol.Dont you agree Jane? And i will say again,how many prescriptions of the procyclidene tablets did Sheila recieve,she couldnt possibly take them if she didnt have any to take.So her GP should have checked if she had a current supply of the tablets and whether she was taking them or not BEFORE any decision about the Haloperidol was taken.And surely in Dr Wilkinsons discussion with Dr Angeloglou which took place after the injection was given,the procyclidene tablets would have been discussed.So i will say again,how many times was Sheila prescribed the procyclidene tablets,and how many were found after her death.They couldnt just disappear,unless Sheila was flushing them down the toilet,You seem to think it is ok to simply accept Sheila was a grown up with rights and therefore be trusted to take her meds or otherwise without interference.But she was a very ill grown up,and if the Doctors knew she was prone to skipping her meds,surely intermediate checks should have been made on her,especially when she requested to have the Haloperidol reduced.Surely this was a red light for a discussion with her.As far as i can see the procyclidene tablets issue and whether Sheila was taking them or not,and how many times she was prescribed them has simply been swept under the carpet as irrellivent.And the thing is CAL had the chance to quiz Dr Fergusson about the tablets as well as the Haloperidol when interviewing him,but little is said about them,only that theySUSPECTED she may not have been taking them.Is this good enough,shouldnt they have made damned sure if Sheila was taking the tablets or not BEFORE reducing the Haloperidol,which some feel could have caused the catastrophe that followed.
"Threatened"!! Who was "threatening" Sheila? June may have thought she'd benefit from, what used to be called convalescence. I don't recall her being forced.
Had Dr Ferguson said "MANY" times that Sheila was "difficult"? I would suggest that, had she been as ill as you're claiming her to be, she'd had been forcibly kept in hospital under a section which is the usual way for those considered to be a danger to themselves or others. We don't know that procyclidene wasn't discussed in such a way as to ask her if she was remembering to take them. Exactly what do you think they'd have done if she hadn't? She couldn't be forced. Nor do we know that they weren't part of regular monthly issue. Whether or not she took them, or flushed them down the loo, was her responsibility and wouldn't have, in any way, contributed to her being shot.
The mental health nurses -those intermediaries you mention- didn't see her. I don't know if information didn't filter through to the NHS, or whether they visited and Sheila wasn't there/didn't answer the door. I suspect that nothing much was said about procyclidene because whilst taking them might have made life better for her, NOT taking them wasn't a life or death thing.
I think you're trying to make much more of this than is absolutely necessary. I don't believe her to have been as mentally ill as you claim her to have been, but I do believe her to have been depressed.