Pharmacist’s Conditions Extended Due to Incomplete Remediation of Dispensing and Controlled Drug Errors
Date of Decision: April 22, 2020
Registrant's Role: Pharmacist
Allegations:
- Series of dispensing and stock management errors involving Controlled Drugs (CDs) including methadone, MST, Oxycontin, and Temazepam.
- Advised a colleague to dispense a CD without a valid prescription.
- Failed to record or report multiple dispensing errors.
- Did not maintain proper audit or reflective diary records as required under existing conditions.
- Previously found to have committed dishonesty by concealing a past suspension and dispensing against a fraudulent prescription.
Outcome: Existing conditions extended for a further six months
GPhC Standards Breached:
- Standard 1.1 – Make sure the services you provide are safe and of acceptable quality
- Standard 1.6 – Provide medicines safely and when needed
- Standard 5.1–5.4 – Maintain and improve quality of practice
- Standard 6.5–6.6 – Meet accepted standards of personal and professional conduct
- Standard 7.4, 7.6, 7.7 – Ensure safe systems and delegate safely
Case Summary
At the original hearing, the registrant was found to have committed a pattern of errors related to the handling and dispensing of controlled drugs (CDs), including:
- Making non-chronological entries in CD registers for drugs like MST and Oxycontin.
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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