I see drugs wasted on a grand scale through care homes! If a resident dies one day, we will often still get all his meds delivered that month because they are prepared in advance by the pharmacy. this will often be 100s of very expensive pills. at the end of that month, these meds will be returned along with many 100s of other meds that come from other residents that have had their medication stopped or changed. these can often be thousands of tablets. they are all the destroyed!! and this is happening in almost every care home in the UK. If the medication leaves the Pharmacy it must be destroyed if not used. I hasten to add, most of this medication is still "sealed" in blister packs or "sealed" in bottles.
When we have a resident admitted to hospital, which is quite a regular occurrence, the ambulance staff will usually ask for "all" their medication to go with them, we now refuse to send their medication as it is not used by the hospital staff, they use their own stocks, and the medication is never returned to us, even if the resident comes home again on the same day. Again, this medication will be destroyed and we then need to get more medication issued by their GP. It really is a crazy system!!