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:

Pharmacist Given 18-Month Conditional Registration for Mismanagement of Controlled Drugs and Pharmacy Standards

Date of Decision: October 26, 2020

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 Allowed poor storage conditions, including unhygienic premises, out-of-date CDs, and inaccurate CD balances.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

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Pharmacist Removed from Register Following Conviction for Theft and Forgery Involving Controlled Drugs

Date of Decision: April 10, 2025

Allegations: Convicted of theft and forgery relating to prescription medications while employed as a Senior Clinical Pharmacist. Created and submitted false prescriptions—both handwritten and electronic—using forged signatures and falsified patient records. Accessed patient personal data to select vulnerable patients and hide criminal activity. Committed the offences over a period of nine months, despite having previously appeared before the GPhC and criminal courts for similar misconduct.

Outcome: Removal from the GPhC register

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Pharmacist Convicted of Dangerous Driving After Hit and Run Receives Warning but Deemed Fit to Practise

Date of Decision: July 14, 2020

Allegations: Convicted of causing serious injury by dangerous driving and failing to stop after an accident. Drove on the wrong side of the road, struck a pedestrian, and fled the scene. Victim sustained multiple serious injuries, including brain bleeding, fractures, and lasting neurological damage. The registrant received a 12-month prison sentence, served just over three months, and remains under post-sentence supervision.

Outcome: Formal warning issued

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Pharmacy Technician’s Suspension Extended Again Following Pretending to be a Doctor and Ignoring the GPhC

Date of Decision: November 3, 2020

Allegations: Created and used a fake employer reference on NHS letterhead, claiming to be a doctor. Forged a colleague’s signature on that reference. Signed a tenancy guarantee agreement while falsely claiming to be a medical doctor. Repeatedly represented himself as a doctor to colleagues. Failed to engage with the GPhC and did not demonstrate remediation or insight.

Outcome: Suspension extended for another six months

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Pharmacist Given 12-Month Conditional Registration After Multiple Dispensing Errors and Patient Harm

Date of Decision: November 3, 2020

Allegations: Made multiple dispensing errors, including wrong medications and incorrect dosages. Allowed pharmacy students and trainees to handle dispensing without proper supervision. Failed to carry out final accuracy checks, including for high-risk medications. Errors led to moderate harm, including a hospital admission and physical injury to a patient. Continued to make errors despite previous warnings and advice from GPhC.

Outcome: 12-month conditional registration

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Pharmacist Suspended for One Month After Selling Pharmacy Medicines Online While Suspended from Practice

Date of Decision: February 11, 2020

Allegations: Sold pharmacy-only (P) medicines, including codeine linctus, via eBay and eBid without proper pharmacist supervision. Used a misleading online username containing the word “pharmacy” while not operating a registered pharmacy. Engaged in sales during a period when he was suspended from the GPhC register under an interim order. Misled customers, violated regulatory requirements, and caused actual harm to individuals with codeine addiction.

Outcome: One-month suspension from the register

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Pharmacist Suspended for Forging Employer Details and Misleading University for Postgraduate Pharmacy Course Funding

Date of Decision: November 23, 2020

Allegations: Submitted a CV and application form claiming employment at a pharmacy where he had never worked. Forged a signature on an Employer Support Form as part of a postgraduate course funding application. Declared a false practice location to meet eligibility criteria for England-based NHS funding. Misled colleagues and a university once concerns were raised, attempting to cover up the dishonesty.

Outcome: 12-month suspension

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Pharmacist Given 12-Month Conditional Registration for Failing to Manage Controlled Drugs Safely

Date of Decision: October 22, 2020

Allegations: Failing to maintain up-to-date Controlled Drug (CD) registers for multiple medicines including methadone, MST, and Fentanyl. Storing CD registers, private prescriptions, and emergency supply records at home, risking patient confidentiality. Allowing disorganised CD storage, including morphine not stored in the CD cabinet. Repeatedly failing to produce required records during inspections by GPhC inspectors and police.

Outcome: Conditions on registration for 12 months

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Pharmacist Suspended for Two Months for Checking CD Prescriptions via WhatsApp and Inaccurate RP Log Entries

Date of Decision: October 13, 2020

Allegations: Repeatedly conducted remote final checks of prescription items, including Controlled Drugs, via WhatsApp instead of in person. Allowed methadone and other high-risk medicines to be dispensed without a pharmacist present. Failed to ensure the accuracy of the Responsible Pharmacist (RP) log, misleadingly showing he was present when absent. Acted without integrity by permitting and participating in these practices as Superintendent Pharmacist.

Outcome: Two-month suspension from the GPhC register

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