NI Superintendent Pharmacist Struck Off After Diverting Massive Quantities of Controlled Drugs Including Tramadol, Diazepam and Zolpidem
Date of Decision: September 17, 2015
Registrant's Role: Pharmacist
Allegations:
- Between 14 August 2012 and 31 December 2013, the registrant supplied 59,477 Tramadol 50mg capsules without a prescription, contrary to Regulation 214 of the Human Medicines Regulations 2012.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied 152,640 Diazepam 5mg tablets, a controlled drug, contrary to section 4(1) of the Misuse of Drugs Act 1971.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied 14,364 Diazepam 2mg tablets, contrary to section 4(1) of the Misuse of Drugs Act 1971.
- Between 14 August 2012 and 31 December 2013, the registrant supplied 24,622 Zopiclone 7.5mg tablets without a prescription, contrary to Regulation 214 of the Human Medicines Regulations 2012.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied 100,650 Zolpidem 10mg tablets, contrary to section 4(1) of the Misuse of Drugs Act 1971.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied 29,197 Temazepam 10mg tablets, contrary to section 4(1) of the Misuse of Drugs Act 1971.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied Sevredol (morphine sulfate), a Class A controlled drug, contrary to the Misuse of Drugs Act 1971.
- Between 1 January 2009 and 31 December 2013, the registrant unlawfully supplied Oxynorm (oxycodone), a Class A controlled drug, contrary to the Misuse of Drugs Act 1971.
- Between 1 January 2009 and 13 August 2012, the registrant supplied 85,626 Tramadol 50mg capsules as a Prescription Only Medicine without a valid prescription.
- The registrant failed to maintain an accurate Controlled Drug Register running balance for Schedule 2 drugs.
- The registrant destroyed Schedule 2 drugs without the presence of an authorised person.
- The registrant failed to cooperate properly or promptly with the Medicines Regulatory Group investigation and ignored action points issued by inspectors.
- The registrant failed to mark prescriptions with the date of supply at the time of dispensing.
- The registrant failed to dispense prescriptions in accordance with prescribers’ instructions.
- The registrant attempted to conceal discrepancies in controlled drug records by ordering large quantities of medicines from a wholesaler in England during the investigation.
Outcome: Erasure from the register (striking off).
GPhC Standards Breached:
- Standard 1 – Provide person-centred care and act in the best interests of patients.
- Standard 4 – Maintain, develop and use professional knowledge and skills appropriately.
- Standard 6 – Behave in a professional manner and uphold the reputation of the pharmacy profession.
- Standard 7 – Respect and maintain the public’s trust in pharmacy.
- Standard 8 – Speak up when there are concerns or when things go wrong.
- Standard 9 – Demonstrate leadership and accountability, particularly in supervisory roles.
- Standard 10 – Work effectively with regulators and comply with legal and professional requirements.
Case Summary
Allegations
This case concerned a superintendent pharmacist who owned and operated a community pharmacy and who was responsible for the safe management of medicines, including controlled drugs (CDs). The investigation began following a routine inspection by a pharmacy inspector in November 2011. During that inspection, significant concerns were raised regarding discrepancies in controlled drug management, particularly inconsistencies between wholesaler invoices and entries in the Controlled Drug Register.
Controlled drugs are subject to strict regulatory requirements due to their potential for abuse and diversion. Schedule 2 medicines such as morphine and oxycodone must be recorded accurately in a CD register with running balances, and destruction of these drugs must be witnessed by an authorised individual. However, the inspection identified numerous failures in record keeping and stock reconciliation.
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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
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