GPhC review: Pharmacist who issued illegitimate Covid-19 Fit to Fly certificates allowed back under strict conditions

Date of Decision: April 14, 2026

Registrant's Role: Pharmacist

Allegations:

  • On 22 February 2022, the registrant placed a used swab taken for a Covid-19 test back into its packaging.
  • Between 11 February 2022 and 22 February 2022, the registrant did not keep records of Covid-19 tests completed at the pharmacy, did not keep records of courier services used for Covid-19 tests, issued Fit to Fly certificates stating that Circular 1 Health had found rapid antigen tests negative, accepted only cash payments for Covid-19 tests, and recorded the cash received as “no sale”.
  • The dishonesty findings included that the registrant knew Covid-19 tests conducted at the pharmacy were not, or would not be, tested by Circular 1 Health, and knew the Fit to Fly certificates provided to patients were not legitimate.
  • In relation to Covid-19 PCR testing on 22 February 2022, the registrant used a swab kit from Fit2Fly 24/7 Limited at the pharmacy and informed a GPhC inspector that the pharmacy used “24/7” services to process tests.
  • On 24 February 2022, the registrant told a GPhC inspector by email that they did not realise UKAS accreditation was needed for taking swabs and that they had now applied for it; the committee found the statement about having applied was dishonest because the registrant knew no such application had been made.
  • Between February 2021 and February 2022, the registrant failed to ensure that the pharmacy’s testing services were UKAS accredited and/or failed to make an application to UKAS.

Outcome: Existing suspension replaced with a Conditions of Practice Order for 6 months

GPhC Standards Breached:

  • Standard 1 – Pharmacy professionals must provide person-centred care
  • Standard 2 – Pharmacy professionals must work in partnership with others.
  • Standard 4 – Pharmacy professionals must maintain, develop and use their professional knowledge and skills.
  • Standard 5 – Pharmacy professionals must use their professional judgement.
  • Standard 6 – Pharmacy professionals must behave in a professional manner.
  • Standard 8 – Pharmacy professionals must speak up when they have concerns or when things go wrong.
  • Standard 9 – Pharmacy professionals must demonstrate leadership.

Case Summary

Allegations

This was a principal review hearing following earlier substantive and review proceedings. The case arose from the registrant’s conduct in connection with Covid-19 testing services offered through the pharmacy. The proved allegations were serious and multifaceted. They included the placing of a used Covid-19 swab back into its packaging, failures to keep records of tests and courier services, the issuing of Fit to Fly certificates that purported to confirm negative rapid antigen results from Circular 1 Health, the acceptance of cash-only payments for Covid-19 tests, and recording that money as “no sale”. The case also included findings that the registrant knew the tests were not, or would not be, processed by Circular 1 Health and knew the certificates issued to patients were not legitimate. Added to that were findings around the use of a Fit2Fly 24/7 swab kit, statements to a GPhC inspector about which provider was being used, a dishonest email saying UKAS accreditation had been applied for when it had not, and a broader failure over approximately a year to ensure the testing service was UKAS accredited or to make the relevant application. In practical pharmacy terms, this was not a narrow record-keeping lapse: it was a case about the integrity of a clinical and public-health-facing service, the reliability of governance systems, and the legitimacy of documentation given to members of the public for travel and reassurance purposes.

For pharmacists, the procedural significance is obvious. Covid-19 testing services during that period depended on clear chain-of-custody processes, accurate documentation, use of authorised pathways, proper engagement with laboratory or testing partners, and compliance with accreditation requirements. When a pharmacy supplies a testing-related service, especially one connected with a Fit to Fly certificate, the public is entitled to assume that swabs are handled appropriately, courier arrangements are documented, results are genuine, and any certificate reflects a real and verifiable testing process. The committee’s findings show that those assumptions could not safely be made here. That is why the case resonates far beyond the historical context of pandemic services: it is fundamentally about whether a pharmacist can be trusted to run, document and represent a regulated clinical service honestly.

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