Fitness to Practise Cases

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This archive contains General Pharmaceutical Council (GPhC) Fitness to Practise (FtP) case summaries, detailing regulatory decisions affecting pharmacy professionals in the UK.

Each case provides insight into professional misconduct, errors, and ethical breaches that led to sanctions such as suspension, removal, or warnings. These summaries are valuable for:

  • Pharmacists & Pharmacy Technicians – to understand common regulatory pitfalls.
  • Employers & HR Teams – to learn about professional accountability and compliance.
  • Pharmacy Students – to prepare for real-world ethical challenges in pharmacy practice.

How to use this case summary database:

  • Search for specific cases using the search box above. You can search by keyword (e.g., "controlled drugs," "dishonesty," "suspension"), by sanction type (suspension, removal, warning) or issue type (dishonesty, prescribing errors, controlled drugs, etc.)
  • Alternatively, scroll down to browse the latest FtP case summaries.

Why it matters:

The decisions in these cases shape the legal and ethical landscape of pharmacy practice. Staying informed can help pharmacy professionals avoid similar mistakes and maintain high professional standards.

Latest FtP case summaries:

Pharmacy Technician Suspended for TPN Errors and Discriminatory “Mong” Remarks Towards Colleague with Autism

Date of Decision: October 29, 2025

Allegations: On 29 July 2019, incorporated errors into work by selecting incorrect ingredients for TPN products prescribed to patients PB and GW. Allegedly made these errors deliberately to undermine a colleague. Put patients at risk of receiving incorrectly formulated TPN products. On one or more occasions, made discriminatory comments and/or demonstrated bullying behaviour towards a colleague, referring to him as a "mong".

Outcome: Suspension for 4 months

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Warning Issued for Dishonest Removal of Amitriptyline by Pharmacist

Date of Decision: October 27, 2025

Allegations: Removed three boxes of Amitriptyline 10mg tablets from the pharmacy shelf without a valid prescription, payment, or employer permission. Provided a misleading initial explanation for possession of the medication. Admitted to taking the medication without authorisation. Acted dishonestly in contravention of professional standards.

Outcome: Warning issued, published on the GPhC register for 12 months.

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Pharmacist’s Suspension Ends After Sexual Harassment Misconduct and Intensive Remediation

Date of Decision: October 23, 2025

Allegations: Sent a sexually inappropriate WhatsApp message to a colleague. Physically touched a colleague’s buttock without consent. Engaged in conduct found to be sexually motivated, in pursuit of sexual gratification and/or a future sexual relationship. Verbally harassed and intimidated the same colleague upon her return to work. Retaliated against the colleague for raising concerns with senior staff.

Outcome: Fitness to practise no longer impaired; 12-month suspension to lapse on 4 November 2025.

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Warning Issued to GP Prescribing Pharmacist for Inadequate Assessments and Unsafe Prescribing Practices

Date of Decision: October 22, 2025

Allegations: Failed to conduct face-to-face assessments with patients when clinically indicated Altered a diabetic patient’s treatment plan without sufficient communication or risk consideration Prescribed trimethoprim to a pregnant woman without verifying pregnancy status, risking contraindicated supply

Outcome: Warning issued; published on the register for 12 months

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Warning Issued for Failing to Vet Online Prescribing Service: Lessons on Pharmacist Due Diligence

Date of Decision: October 22, 2025

Allegations: Dispensing medication for an online prescribing service without ensuring it was properly regulated Failing to conduct due diligence on the service’s governance, clinical oversight, and patient safety procedures Not verifying processes related to patient identification, consent, and medical history access Inadequate risk assessment and auditing of online service dispensing Dispensing without sufficient information to ensure clinical appropriateness

Outcome: Warning issued and published on the GPhC register for 12 months

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Pharmacist Warned for Unprofessional Conduct, Dispensing Errors, and Inappropriate Workplace Behaviour

Date of Decision: October 22, 2025

Allegations: Failure to return a patient’s prescription to the NHS spine when requested Inadequate checking of dispensed medication Dispensing incorrect volume of medication Unprofessional communication with a patient Making politically charged and violent statements Inappropriate and unprofessional conduct toward colleagues, including sexually suggestive remarks and behavior that caused distress

Outcome: Warning issued and published on the register for 12 months

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