Pharmacist Given 18-Month Conditional Registration for Mismanagement of Controlled Drugs and Pharmacy Standards
Date of Decision: October 26, 2020
Registrant's Role: Pharmacist
Allegations:
- Failed to maintain accurate and timely entries in the Controlled Drugs (CD) registers, including for methadone, Zomorph, Sevredol, Medikinet, and others.
- Allowed poor storage conditions, including unhygienic premises, out-of-date CDs, and inaccurate CD balances.
- Did not carry out regular balance checks or controlled drug audits, despite multiple inspections and advice from NHS England and the GPhC.
- Left methadone unattended, failed to record deliveries promptly, and did not update the register within legal timeframes.
Outcome: 18-month conditional registration
GPhC Standards Breached:
- Standard 5 – Use professional judgement
- Standard 8 – Speak up when things go wrong
Case Summary
The registrant, a pharmacist and pharmacy owner, was responsible for multiple failings in the management of Controlled Drugs and general pharmacy standards over a 17-month period. These included:
- Inaccurate CD registers (e.g., balances for methadone, Zomorph, and Sevredol not matching stock).
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- Full allegations considered by the GPhC
- Panel findings and reasoning
- Outcome of the investigation
- Sanctions considered and imposed on the Pharmacist
- Key professional learning points
Original Case Document
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The original determination transcript is available to registered users.
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- Full hearing transcript
- Detailed findings of fact
- Sanction reasoning
- Details of the pharmacy professionals involved