Pharmacist Suspended for Three Months Following Failure to Manage Codeine Linctus Supply Risks

Date of Decision: November 13, 2024

Registrant's Role: Pharmacist

Allegations:

  • Ordering and supplying large volumes of codeine linctus without adequate risk management
  • Failing to implement controls to prevent patient misuse or addiction
  • Supplying codeine linctus to two individuals despite clear signs of misuse
  • Failing to complete required training and reflective practice following prior conditions

Outcome: Suspension from the GPhC register for three months

GPhC Standards Breached:

  • Standard 1 โ€“ Provide person-centred care
  • Standard 5 โ€“ Use professional judgment
  • Standard 6 โ€“ Behave in a professional manner
  • Standard 9 โ€“ Demonstrate leadership

Case Summary

The General Pharmaceutical Council (GPhC) Fitness to Practise Committee reviewed the case of the registrant, the sole owner and responsible pharmacist at F.F. & R. Stevenson Pharmacy, following concerns over the uncontrolled supply of codeine linctus between July 2017 and September 2020.

The allegations were initially reviewed in November 2023, when the committee found that the registrant had:

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