Specialist Mental Health Pharmacist Allowed to Practise Unrestricted After Successful Remediation
Date of Decision: June 1, 2020
Registrant's Role: Pharmacist
Allegations:
- Failed to document or communicate a known contraindication (carbamazepine with clozapine) for a patient.
- Failed to complete medicines reconciliation on hospital admission.
- Failed to adequately check prescription charts and Mental Health Act forms across multiple patients.
- Led to unauthorised or incorrect medication administration for several patients.
- Recorded incorrect BNF code and missed omissions in urgent treatment documentation.
Outcome: Previously subjected to 18-month conditional registration
GPhC Standards Breached:
- Standard 1 – Provide person-centred care
- Standard 5 – Use professional judgement
- Standard 6 – Behave in a professional manner
- Standard 9 – Demonstrate leadership
Case Summary
Original Allegations and Findings (2018 Determination)
While working as a Specialist Mental Health Pharmacist, the registrant was found to have:
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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