A pharmacist who refused to dispense an EpiPen adrenalin injector without prescription to the mother of a teenager who later died from an allergic reaction told an inquest the “dynamic” would have been different if he had known it was for her daughter.

Judi Costello had to battle for six years to see a consultant about her daughter’s nut allergy.

Senior health service officials are examining ways to make potentially life-saving adrenaline shot epi-pens more widely available after the tragic death of a 14-year-old girl from a nut allergy last Christmas.