Pharmacist Given 12-Month Conditional Registration for Failing to Manage Controlled Drugs Safely
Date of Decision: October 22, 2020
Registrant's Role: Pharmacist
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
GPhC Standards Breached:
- Standard 2 – Work in partnership with others
- Standard 7 – Respect and maintain a person’s confidentiality and privacy
- Standard 8 – Speak up when things go wrong
- Standard 9 – Demonstrate leadership
Case Summary
Over several inspections between 2018 and 2019, GPhC inspectors found that the registrant:
- Was unable to produce up-to-date CD registers, particularly for medicines including MST, Zomorph, Concerta, Fentanyl, and others.
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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
Original Case Document
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The original determination transcript is available to registered users.
- Download the official GPhC determination
- Full hearing transcript
- Detailed findings of fact
- Sanction reasoning
- Details of the pharmacy professionals involved