Pharmacist Issued Public Warning for Unsafe Independent Prescribing and Self-Medication

Date of Decision: May 8, 2025

Registrant's Role: Pharmacist

Allegations:

  • Carried out independent prescribing and dispensing without informing the pharmacy or obtaining authorisation, over a period of two years.
  • Failed to review clinical histories, document decisions, or notify patients’ GPs.
  • Self-prescribed and supplied himself with a year's worth of medication on three occasions, without exceptional circumstances.
  • Prescribed and supplied a Schedule 3 controlled drug without following legislation and guidance.
  • Did not maintain adequate indemnity insurance for prescribing activities.

Outcome: Formal warning issued

GPhC Standards Breached:

  • Standard 2 – Work in partnership with others
  • Standard 5 – Use professional judgement

Case Summary

Over the course of approximately two years, while working as a locum pharmacist, the registrant:

  • Undertook consultations as an Independent Prescriber and dispensed medication to patients directly, without informing or gaining authorisation from the pharmacy.

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Original Case Document

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