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 Removed from Register Following Conviction for Child Exploitation and Dishonesty

Date of Decision: July 3, 2025

Allegations: Conviction on 7 May 2024 for: Four counts of distributing indecent photographs/pseudo-photographs of a child Two counts of making indecent photographs/pseudo-photographs of a child One count of voyeurism – recording a private act Possession of indecent photographs/pseudo-photographs of a child Dishonesty in voluntary removal application by declaring no criminal convictions

Outcome: Removal from the register

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Community Pharmacist Warned After Dispensing Errors Involving Child Patient Lead to Hospitalization

Date of Decision: July 3, 2025

Allegations: Supplied incorrect medication to a child without adequate checking. Supplied medication unsuitable for a child’s age and dosage requirements, leading to hospitalization. Repeated dispensing errors in July 2022 and May 2023, indicating a lack of due diligence and insight. Failed to involve or communicate effectively with other staff and the patient’s mother. Delegated communication to an unqualified apprentice.

Outcome: Warning issued

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Pharmacist Suspension Extended for Unsafe Controlled Drug Practices and Police Caution in Third Review

Date of Decision: February 3, 2020

Allegations: Supplied controlled drugs (diazepam, methadone, buprenorphine) without prescriptions. Failed to endorse FP10MDA prescriptions. Failed to maintain appropriate pharmacy records. Maintained inaccurate Responsible Pharmacist log. Received a police caution for unlawful possession of a large quantity of controlled drugs. Failed to notify the GPhC of the police caution within seven days. Was suffering from adverse physical or mental health.

Outcome: Suspension extended for 12 months

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Warning Issued for Online Prescribing Without Adequate Safeguards: GPhC Case on Prescribing Amitriptyline to Vulnerable Patients

Date of Decision: June 26, 2025

Allegations: Prescribing amitriptyline to vulnerable patients without verifying the information provided. Failing to consult with patients' GPs or obtain independent confirmation of diagnoses or medical history. Inadequate risk assessment and safeguarding of vulnerable patients. Over-reliance on online questionnaires in prescribing decisions.

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

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Online Prescribing Failures: UK Meds Superintendent Pharmacist Suspended

Date of Decision: June 26, 2025

Allegations: Failed to ensure safe prescribing practices as Responsible and Superintendent Pharmacist at UK Meds Ltd Oversaw the prescribing and dispensing of vast quantities of high-risk medicines based on inadequate patient information and without proper clinical oversight Allowed a transactional model of care contrary to GPhC and GMC guidelines Dispensed specific prescriptions without confirming they adhered to clinical guidance Breached multiple GPhC professional and pharmacy premises standards

Outcome: Suspension (four months)

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Mental Health-Related Suspension Lifted: Pharmacist Deemed Fit to Practise After Extended Monitoring

Date of Decision: January 14, 2019

Allegations: The registrant was found to be suffering from adverse physical or mental health conditions, as detailed in Schedule 1. The nature of the illness was such that it impaired the registrant’s ability to practise safely and effectively as a pharmacist.

Outcome: Fitness to practise found not currently impaired; existing conditions of practice order allowed to lapse.

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Pharmacist Suspended for Drug Possession, Dishonesty, and Misuse of Professional Position

Date of Decision: February 20, 2019

Allegations: Conviction for possession of cannabis, diazepam, and alprazolam Possession of unlabelled prescription-only medications (Letrozole, Bendroflumethiazide, Zomorph, Aciclovir) without prescriptions Dishonestly removing medicines from a pharmacy without permission or payment Reckless consumption of cocaine and MDMA Smoking cannabis on multiple occasions

Outcome: 12-month suspension with review; interim suspension order continued until substantive order takes effect

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Pharmacist Struck Off for Misconduct and Health Concerns Involving Controlled Drugs and Sexualised Conduct

Date of Decision: June 23, 2025

Allegations: Consumed prescription-only medication without authorisation or a valid prescription. Supplied prescription-only medicine outside the legitimate supply chain. Removed Oramorph and Tramadol from the pharmacy without permission. Entered pharmacy premises out of hours without authorisation. Made inappropriate and sexually motivated comments to two colleagues (Persons A and B). Touched both colleagues’ hair inappropriately. Engaged in sexually motivated conduct seeking gratification or sexual interaction. Was affected by a medical condition relevant to fitness to practise.

Outcome: Removal from the Register

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