Ask Sheila - Archive England

Sheila Scott OBE has now retired and therefore is no longer available to answer your social care questions. However, you might still find the answer you’ve been searching for down below.

03rd February 2016

Covert Administration of Medicines

Is adding oral medicines to yoghurt in place of a fluid thickener for clients with swallowing difficulties classed as covert administration of medicines?


Dear Allie,

Is this covert administration of medicine?

Does the service user know that the medicine is being mixed with yoghurt to aid swallowing? If the service user knows then it cannot be covert administration of medicine.

If the service user doesn’t know for whatever reason then it is covert and you will have a policy to deal with that I presume.

If you don’t have a policy then come back to me.

If it is covert then the question arises about mental capacity. Don’t be afraid to come back to me because I am assuming that you want to know about whether or not your actions are covert.

Covert or not you need to have the actions you are taking well documented in the care plan.

Best wishes.


*All information is correct at the time of publishing.

About Sheila

Sheila Scott OBE has now retired and over the years , prior to her retirement she has answered thousands of your social questions. You can still access the many questions below.

For Sheila Scott OBE as the former CEO of National Care Association (NCA), care is Sheila's life. She possesses a strong command of the issues facing the care sector informed by her long career as a nursing professional, the owner and manager of a care business, and as a leader in the care sector.

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