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:

Dishonest Morphine Mismanagement: Pharmacist Suspended for Concealing Controlled Drug Destruction Error

Date of Decision: March 19, 2019

Allegations: Failed to report the accidental destruction of a box of 60 x 5mg Morphine Sulphate Tablets (MST) to the Superintendent Pharmacist. Failed to enter the receipt of a replacement box of MST into the controlled drug register. Engaged in dishonest conduct to conceal the destruction and create a false appearance of register accuracy. Made dishonest statements in July and August 2017 denying responsibility for the destruction and ordering of MST. Attempted to shift blame onto colleagues by suggesting they might have destroyed the MST.

Outcome: 3-month suspension from the register

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Pharmacy Owner Warned for Inadequate Oversight in Dispensing Prescriptions from Gender GP, UK Meds

Date of Decision: July 17, 2025

Allegations: Dispensing medicines from unregulated online prescribing services (UK Meds and Gender GP). Failure to ensure clinical appropriateness and patient monitoring. Lack of due diligence and risk assessments in working with third-party prescribing services. Failure to obtain sufficient information from prescribers or patients' GPs. Inadequate communication and coordination with patients' primary care providers.

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

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Superintendent Pharmacist Suspended for Inappropriate and Excessive OTC Sales of Codeine Linctus to Opioid Addicts

Date of Decision: January 30, 2019

Allegations: Inappropriate supply of codeine linctus between January 2012 and May 2018. Supplied for unlicensed purposes. Supplied to patients in managed addiction programmes without consulting their prescriber. Failed to consider: Volume and frequency of purchases. Misuse or addiction potential. Possible codeine dependency. Adverse health and wellbeing effects.

Outcome: 12-month suspension from the Register

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Locum Community Pharmacist Suspended for Falling Asleep in the Pharmacy and Intimidating GPhC Investigation Patient

Date of Decision: July 16, 2025

Allegations: Fell asleep in the dispensary on the morning of 2 July 2022 while acting as Responsible Pharmacist. Fell asleep in the consultation room on the afternoon of 2 July 2022, leaving the pharmacy unattended and open to the public for over 20 minutes. Accessed Patient A's address between 2 July 2022 and 31 January 2023 and noted it outside clinical records. Attended Patient A’s home on 31 January 2023 and attempted to dissuade her from engaging with a GPhC investigation. Conduct in attending Patient A’s home with intent to dissuade her from cooperation with GPhC investigation demonstrated a lack of integrity.

Outcome: Suspension – one month

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Plagiarism and Dishonesty in Postgraduate Studies: GPhC Sanctions Two Pharmacists

Date of Decision: June 14, 2019

Allegations: One registrant plagiarised coursework from another pharmacist during a Postgraduate Diploma course. The second registrant provided his coursework, knowing there was a risk it would be misused. Both pharmacists gave dishonest accounts to the university during its academic misconduct investigation.

Outcome: The pharmacist who committed plagiarism received a formal warning. The pharmacist who provided the plagiarised material faced no further action.

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Supermarket Pharmacist Removed from Register After Years of Sexually Inappropriate Conduct Toward Colleague

Date of Decision: May 9, 2019

Allegations: Sexually inappropriate touching of a female colleague, including pressing genitals against her, slapping her bottom, and stroking her leg Coercing a colleague to sit on his lap for help with coursework Invading the colleague’s personal space and making inappropriate comments Exploiting a position of professional power over a vulnerable employee Sexual motivation behind repeated boundary violations spanning multiple years

Outcome: Erasure from the GPhC register

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GP Pharmacist Suspended for Unlawful Access to Patient Records Over Extended Period

Date of Decision: January 23, 2020

Allegations: Accessed medical records of multiple patients without clinical justification over several occasions. Accessed records of personal acquaintances including colleagues and their family members. Knew there was no clinical reason to access these records. Breached data protection and confidentiality standards in a healthcare setting.

Outcome: Suspension from the register for 3 months

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Pharmacist’s Suspension Lifted Following Review of Dishonesty Case Involving Falsified Gym Membership Letter

Date of Decision: March 28, 2019

Allegations: The registrant provided a forged letter, purporting to be from the NHS, to a private Health Club in order to freeze his membership and suspend payment obligations. The act was dishonest, involving knowledge of the letter's falsehood and intent to gain personal financial benefit.

Outcome: Suspension lifted; fitness to practise no longer impaired

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