Lamb, David John (CPSO#: 56546)

Current Status: Active Member as of 09 Jan 1986

CPSO Registration Class: Restricted as of 15 Aug 2017

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:Memorial University of Newfoundland, 1984

Practice Information

Primary Location of Practice
165 Plymouth Road
Suite 4
Welland ON  L3B 3E1
Phone: (905) 732-3087
Electoral District: 04

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 09 Jan 1986
Transfer of class of certificate to: Restricted certificate Effective: 15 Aug 2017
Terms and conditions imposed on certificate by member Effective: 15 Aug 2017

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
member Effective: 15 Aug 2017 Active View Details [+]
            As from August 15, 2017, the following terms, conditions and limitations are
            imposed on the certificate of registration held by Dr. David John Lamb, in
            accordance with an undertaking and consent Dr. Lamb has given to the College of
            Physicians and Surgeons of Ontario:

                               UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking") of
                                         DR.  DAVID JOHN LAMB
                                            ("Dr. Lamb") to
                             COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
                                            (the "College")



            A.    PREAMBLE

            (1)   In this Undertaking:

                  "Code" means the Health Professions Procedural Code, which is Schedule 2
                  to the
                   Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as amended;
                  
                  "NMS" means the Drug Program Services Branch, the Narcotics Monitoring
                  System implemented under the Narcotics Safety and Awareness Act, 2010,
                  S.O. 2010, c. 22, as amended;
                  
                  "OHIP" means the Ontario Health Insurance Plan;
                  
                  "Public Register" means the College's register that is available to the
                  public.
                  
            (2)   I, Dr. Lamb, certificate of registration number 56546, am a member of the
                  College. The College has received information regarding my standard of
                  practice.

            (3)   I, Dr. Lamb, acknowledge that the College received information from the
                  NMS and initiated an investigation bearing File Number 7215595 (the
                  "Investigation") into whether I failed to maintain the standard of
                  practice of the profession and/or am incompetent in my prescribing of
                  controlled substances, including narcotics.

            B.    UNDERTAKING

            (4)   I, Dr. Lamb, undertake to abide by the provisions of this Undertaking,
                  effective immediately.

            (5)   Resignation of Prescribing Privileges

                  (a)   I, Dr. Lamb, acknowledge that I will execute the Prescribing
                        Resignation Letter to Health Canada, effective November 1, 2017,
                        which is attached hereto as Schedule "A" (the "Resignation
                        Letter").
                  
                  (b)   I, Dr. Lamb, consent to the College sending the Resignation Letter
                        to Health Canada on my behalf.

                  (c)   I, Dr. Lamb, undertake that, effective November 1, 2017, I will not
                        issue new prescriptions or renew existing prescriptions for or
                        administer any of the following substances:
                  
                        (i)   Narcotic Drugs (from the Narcotic Control Regulations made
                              under the Controlled Drugs and Substances Act, S.C., 1996, c.
                              19);
                  
                        (ii)  Narcotic Preparations (from the Narcotic Control Regulations
                              made under the Controlled Drugs and Substances Act, S.C.,
                              1996, c. 19);
                  
                        (iii) Controlled Drugs (from Part G of the Food and Drug
                              Regulations under the Food and Drugs Act, S.C., 1985, c.
                              F-27);
                  
                        (iv)  Benzodiazepines and Other Targeted Substances (from the
                              Benzodiazepines and Other Targeted Substances Regulations
                              made under the Controlled Drugs and Substances Act., S.C.,
                              1996, c. 19);
                  
                        (A summary of the above-named drugs [from Appendix I to the
                        Compendium of Pharmaceuticals and Specialties] is attached hereto
                        as Schedule "B"; and the current regulatory lists are attached
                        hereto as Schedule "C")
                  
                        (v)   All other Monitored Drugs (as defined under the Narcotics
                              Safety and Awareness Act, 2010, S.O. 2010, c. 22 as noted in
                              Schedule "D");
                  
                              and as amended from time to time.
                  
                  (d)   I, Dr. Lamb, undertake to immediately:
                  
                        (i)   provide notice to patients that I will be resigning my
                              prescribing privileges effective November 1, 2017;
                  
                        (ii)  begin the process of referring all patients to whom I am
                              prescribing any of the substances described in section
                              (6)(c), above, to other physicians for assessment and care
                              and
                  
                        (iii) not accept any new patients who are currently requiring
                              prescriptions for any of the substances described in section
                              (6)(c), above .
                  
                  (e)   I, Dr. Lamb, undertake to keep a log of all patients referred to
                        other physicians pursuant to section (6)(d), above (the "Log"). I,
                        Dr. Lamb, undertake to include in the Log the name of each patient
                        referred, the name of the physician referred to, and the date of
                        referral.
                  
             (6)  I, Dr. Lamb, undertake that effective November 1, 2017, I will return any
                  supplies of the substances referred to in section (5)(c) above that are
                  presently in my possession, in any place, to a pharmacy in a safe and
                  secure manner, as stipulated in the College's Policy Number 8-12,
                  "Prescribing Drugs."

            (7)   I, Dr. Lamb, undertake to inform the College of each and every location
                  that I practise or have privileges, including, but not limited to,
                  hospital(s), clinic(s) and office(s), in any jurisdiction (collectively
                  my "Practice Location(s)"), within five (5) days of executing this
                  Undertaking. Going forward, I further undertake to inform the College of
                  any and all new 
                  Practice Locations within five (5) days of commencing practice at that
                  location.
                  
            (8)   Posting a Sign

                  (a)   I, Dr. Lamb, undertake that effective, November 1, 2017, I shall
                        post a sign in the waiting room(s) and in each examination and
                        consulting room, in all my Practice Locations, in a clearly visible
                        and secure location, in the form set out at Schedule "E."  For
                        further clarity, this sign shall state as follows:
                  
                  IMPORTANT NOTICE
                  
                  Dr. Lamb has agreed not to prescribe or administer any of the following:
                  
                  -Narcotic Drugs
                  -Narcotic Preparations
                  -Controlled Drugs
                  -Benzodiazepines and Other Targeted Substances
                  -All other Monitored Drugs
                  
            Further information may be found on the College of Physicians and Surgeons of
            Ontario website at www.cpso.on.ca

                  (b)   I, Dr. Lamb, undertake to post a certified translation in any
                        language in which I provide services, of the sign described in
                        section (8)(a) above, in the waiting room(s) and in each
                        examination and consulting room, in all my Practice Locations, in a
                        clearly visible and secure location, in the form set out at
                        Schedule "E."
                  
                  (c)   I, Dr. Lamb, undertake to provide the certified translation(s)
                        described in section (8)(b), to the College within thirty (30) days
                        of executing this Undertaking.
                  
                  (d)   I, Dr. Lamb, undertake that if I elect, after the execution of this
                        Undertaking, to provide services in any other language(s), I will
                        notify the College prior to providing any such services.
                  
                  (e)   I, Dr. Lamb, undertake to provide to the College the certified
                        translation(s) described in section (8)(c) prior to beginning to
                        provide services in the language(s) described in section (8)(d).
                  
            (9)   Professional Education

                  (a)   I, Dr. Lamb, undertake to participate in and successfully complete
                        all of the following professional education (the "Professional
                        Education"):
                  
                        (i)   a program(s) satisfactory to the College in: medical record
                              keeping.
                  
                  (b)   I, Dr. Lamb, undertake to provide proof to the College of my
                        successful completion of the Professional Education, including
                        proof of registration and attendance and participant assessment
                        reports, within one (1) month of completing it. I acknowledge that
                        the College will determine, in its sole discretion, whether I have
                        successfully completed the Professional Education.
                  
                  (c)   I, Dr. Lamb, acknowledge that a report or reports may be provided
                        to the College regarding my progress and compliance with the
                        Professional Education.
                  
            C.    ACKNOWLEDGEMENT

            (10)  I, Dr. Lamb, acknowledge that all schedules attached to or referred to in
                  this Undertaking form part of this Undertaking.

            (11)  I, Dr. Lamb, acknowledge and undertake that I shall be solely responsible
                  for payment of all fees, costs, charges, expenses, etc. arising from the
                  implementation of any of the provisions of this Undertaking.

            (12)  I, Dr. Lamb, acknowledge that I have read and understand the provisions
                  of this Undertaking and that I have obtained independent legal counsel in
                  reviewing and executing this Undertaking, or have waived my right to do
                  so.

            (13)  I, Dr. Lamb, acknowledge that the College will provide this Undertaking
                  to any Chief(s) of Staff, or a colleague(s) with similar
                  responsibilities, at any Practice Location ("Chief(s) of Staff").

            (14)  I, Dr. Lamb, acknowledge that a breach by me of any provision of this
                  Undertaking may constitute an act of professional misconduct and/or
                  incompetence, and may result in a referral of specified allegations to
                  the Discipline Committee.

             (15) I, Dr. Lamb, acknowledge that this Undertaking constitutes terms,
                  conditions, and limitations on my certificate of registration for the
                  purposes of section 23 of the Code.

            (16)  Public Register

                  (a)   I, Dr. Lamb, acknowledge that, during the time period that this
                        Undertaking remains in effect, this Undertaking shall be posted on
                        the Public Register.
                  
                  (b)   I, Dr. Lamb, acknowledge that, in addition to this Undertaking
                        being posted in accordance with section (16)(a) above, the
                        following summary shall be posted on the Public Register during the
                        time period that this Undertaking remains in effect:
                  
                              The College received information from the Narcotics
                              Monitoring System about Dr. Lamb's prescribing of controlled
                              substances, including narcotics.
                  
                              Based on the information received, the College conducted an
                              investigation into whether Dr. Lamb failed to maintain the
                              standard of practice of the profession and/or was incompetent
                              in his prescribing of controlled substances, including
                              narcotics. As a result of the investigation:
                  
                              Effective, November 1, 2017, Dr. Lamb must not issue new
                              prescriptions or renew existing prescriptions for or
                              administer any of the following substances:
                  
                              (i)   Narcotic Drugs (from the Narcotic Control Regulations
                                    made under the Controlled Drugs and Substances Act,
                                    S.C., 1996, c. 19);
                  
                              (ii)  Narcotic Preparations (from the Narcotic Control
                                    Regulations made under the Controlled Drugs and
                                    Substances Act, S.C., 1996, c. 19);
                  
                              (iii) Controlled Drugs (from Part G of the Food and Drug
                                    Regulations under the Food and Drugs Act, S.C., 1985,
                                    c. F-27);
                  
                              (iv)  Benzodiazepines and Other Targeted Substances (from the
                                    Benzodiazepines and Other Targeted Substances
                                    Regulations made under the Controlled Drugs and
                                    Substances Act., S.C., 1996, c. 19);
                  
                              (v)   All other Monitored Drugs (as defined under the
                                    Narcotics Safety and Awareness Act, 2010, S.O. 2010, c.
                                    22);
                  
                              and as amended from time to time.
                  
                              Effective, November 1, 2017, Dr. Lamb must post a clearly
                              visible sign in the waiting rooms and each examination and
                              consulting room, in all Practice Locations, which states as
                              follows:
                  
                              IMPORTANT NOTICE
                  
                              Dr. Lamb has agreed not to prescribe or administer any of the
                              following:
                  
                              -Narcotic Drugs
                              -Narcotic Preparations
                              -Controlled Drugs
                              -Benzodiazepines and Other Targeted Substances
                              -All other Monitored Drugs
                  
                              Further information may be found on the College of Physicians
                              and Surgeons of Ontario website at www.cpso.on.ca
                  
            D.    CONSENT

            (17)  I, Dr. Lamb, undertake that I will submit to, and not interfere with,
                  unannounced inspections of my Practice Location(s) and patient charts by
                  the College and to any other activity the College deems necessary in
                  order to monitor my compliance with the provisions of this Undertaking.

            (18)  I, Dr. Lamb, give my irrevocable consent to the College to make
                  appropriate enquiries of OHIP, NMS, and any person who or institution
                  that may have relevant information, in order for the College to monitor
                  my compliance with the provisions of this Undertaking.

            (19)  I, Dr. Lamb, acknowledge that I have executed the OHIP and NMS consent
                  forms, attached hereto as Schedule "F" and Schedule "G", respectively.

            (20)  I, Dr. Lamb, give my irrevocable consent to the College to provide all
                  Chief(s) of Staff with any information the College has that led to the
                  circumstances of my entering into this Undertaking and any information
                  arising from the monitoring of my compliance with this Undertaking.

Concerns

Source: Member
Active Date: August 15, 2017
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. David John Lamb to the College of Physicians and Surgeons of Ontario, effective August 15, 2017:

The College received information from the Narcotics Monitoring System about Dr. Lamb’s prescribing of controlled substances, including narcotics.

Based on the information received, the College conducted an investigation into whether Dr. Lamb failed to maintain the standard of practice of the profession and/or was incompetent in his prescribing of controlled substances, including narcotics. As a result of the investigation:

Effective, November 1, 2017, Dr. Lamb must not issue new prescriptions or renew existing prescriptions for or administer any of the following substances:

(i)Narcotic Drugs (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(ii)Narcotic Preparations (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(iii)Controlled Drugs (from Part G of the Food and Drug Regulations under the Food and Drugs Act, S.C., 1985, c. F-27);
(iv)Benzodiazepines and Other Targeted Substances (from the Benzodiazepines and Other Targeted Substances Regulations made under the Controlled Drugs and Substances Act., S.C., 1996, c. 19);
(v)All other Monitored Drugs (as defined under the Narcotics Safety and Awareness Act, 2010, S.O. 2010, c. 22);

and as amended from time to time.

Effective, November 1, 2017, Dr. Lamb must post a clearly visible sign in the waiting rooms and each examination and consulting room, in all Practice Locations, which states as follows:

IMPORTANT NOTICE

Dr. Lamb has agreed not to prescribe or administer any of the following:
Narcotic Drugs
Narcotic Preparations
Controlled Drugs
Benzodiazepines and Other Targeted Substances
All other Monitored Drugs

Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca