Repeated Dispensing Failures and CDs Mismanagement Lead to Suspension of Superintendent Pharmacist and RP
Date of Decision: September 12, 2025
Registrant's Role: Pharmacist
Allegations:
- Multiple inappropriate supplies of Schedule 2 Controlled Drugs without valid prescriptions
- Falsification of the Patient Medication Record (PMR) to record false “owed” medication entries
- Incorrect records indicating emergency supplies where none were authorised or lawful
- Dishonest claims regarding Responsible Pharmacist status on days absent from the pharmacy
- Inappropriate delegation of duties to unregistered staff
- Failure to supervise or correct unsafe practices of another pharmacist
- Repeated unsafe supplies of medicines, including methadone and diazepam
- Misleading inspectors and investigators during pharmacy visits
- Acting dishonestly and without integrity
Outcome: Suspension for 12 months (for both registrants)
GPhC Standards Breached:
- Standard 1 – Provide person-centred care
- Standard 2 – Work in partnership with people
- Standard 3 – Communicate effectively
- Standard 4 – Maintain, develop and use professional knowledge and skills
- Standard 5 – Use professional judgement
- Standard 6 – Behave in a professional manner
- Standard 7 – Respect and maintain a person’s confidentiality and privacy
- Standard 8 – Speak up when they have concerns or when things go wrong
- Standard 9 – Demonstrate leadership
Case Summary
Allegations
This GPhC determination involved two pharmacists—referred to as “the registrants”—both of whom worked at a pharmacy where systemic and dangerous practices were identified. One pharmacist was the Superintendent Pharmacist and Responsible Pharmacist (RP) on most relevant days, while the other was a locum pharmacist. Both were held to account for serious professional misconduct.
The allegations were extensive and involved:
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- Full allegations considered by the GPhC
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- Sanctions considered and imposed on the Pharmacist
- Key professional learning points
Original Case Document
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- Full hearing transcript
- Detailed findings of fact
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