A Western Cape doctor accused of treating patients while allegedly under the influence of cocaine has suffered a blow after the Labour Court found his dismissal was fair.

Dr A Kleynhans was fired after reportedly arriving at work on three separate occasions in August 2019 while intoxicated.

His dismissal was initially overturned following an arbitrator's finding that it was procedurally unfair and awarded him six months' remuneration.

However, the Labour Court ruled in favour of the Western Cape Department of Health after a review application was lodged.