| 22/07/2021 |
Using contrasting colour background to make the contents of multi-compartment compliance packs more visible for dispensing and checking. |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 4. Services, including medicines management |
4.2 |
The pharmacy is finding ways of making the dispensing and checking of multi-compartment compliance packs safer and more efficient. |
Details
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| 22/07/2021 |
Using regular newsletters to share learning, promote feedback and engage team members in identifying LASA medicines and other risks related to patient safety. |
Customer and patient focus, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff |
1.2, 2.4 |
The pharmacy owner regularly reminds its team members to be open and honest when reporting mistakes. The owner undertakes regular safety reviews of error reporting across its pharmacies. And it uses the information from these reviews to share learning through engaging newsletters. These help to maintain a clear safety culture. And it supports team members in identifying improvements to patient safety. |
Details
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| 22/07/2021 |
Providing healthy living advice and tailored information to people that are using an online prescribing service. |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach |
Principle 4. Services, including medicines management |
4.1, 4.2 |
The pharmacy does not see people face-to-face. But it still considers the additional healthy living advice that people using its services may need. And it actively signposts people to helpful information and to other healthcare providers. |
Details
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| 22/07/2021 |
Optimising effective communication between an online prescribing service and the person’s usual GP. |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.2, 4.2 |
The pharmacy obtains consent to inform the person’s usual GP when medicines are prescribed through its online prescribing service. It verifies the information people provide when completing the consultation questionnaires. This ensures people receive medicines that are appropriate for them. |
Details
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| 21/07/2021 |
Using continual review processes to help improve safety when handing out assembled medicine |
Governance, Outcomes for patients |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 4.3 |
The pharmacy uses continual review processes to identify and manage risks associated with supplying medicines to people. It takes timely action to implement changes designed to reduce risk when supplying medicines. |
Details
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| 08/06/2021 |
Use of ‘reflective statements' to improve dispensing following near misses. |
Efficiency of processes, Governance, Outcomes for patients, Responsiveness |
Principle 1. Governance, Principle 2. Staff, Principle 4. Services, including medicines management |
1.1, 1.2, 2.4, 4.2 |
The pharmacy conducts meaningful reviews of mistakes made during the dispensing process. This has driven changes to the pharmacy practices. And has made the whole team more mindful when dispensing. The team uses the company’s processes for review in a way which enhances individual learning. |
Details
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| 20/04/2021 |
Using peer review processes to help support the learning and continual professional development of Pharmacist Independent Prescribers |
Added value, Customer and patient focus, Efficiency of processes, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 2. Staff |
2.2, 2.4 |
The pharmacist independent prescriber (PIP) is actively using communication channels with PIP colleagues to share practice, to learn from each other and develop further. This broadens the scope of their practice, therefore increasing access to safe and effective treatment for a growing range of symptoms and conditions, for people in different locations. |
Details
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| 06/04/2021 |
Ensuring the way medicines are supplied meets the needs of the patient |
Customer and patient focus, Governance, Outcomes for patients |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.2, 4.2 |
The pharmacy has systems in place to ensure the provision of medicines in multi-compartment compliance packs is suitable for the person requesting the service. It provides alternate support to people identified as requiring help with taking their medicines when the supply of compliance packs is not appropriate for the person. |
Details
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| 07/03/2021 |
Reviewing how over-the-counter medicines which may be liable to abuse or misuse are sold |
Customer and patient focus, Governance, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff, Principle 4. Services, including medicines management |
1.1, 1.2, 2.2, 2.4, 4.2, 4.3 |
The pharmacy is supporting its team members' learning and development associated with requests for higher-risk over-the-counter medicines. This is directly in response to media coverage of GPhC enforcement action against pharmacies around the unsafe supply of codeine linctus. |
Details
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| 20/03/2020 |
Failure to act on health and safety concerns |
Governance, Responsiveness |
Principle 1. Governance, Principle 2. Staff, Principle 3. Premises |
1.1, 2.5, 3.1 |
The pharmacy does not have a working fire alarm. And people in the pharmacy can’t hear the alarm in the adjoining health centre. This poses a health and safety risk to both staff and people visiting the pharmacy and adjoining health centre. The pharmacy does not have an appropriate waste management contract in place. This means that waste is accumulating and poses a risk to staff and the surrounding environment, where it is stored. |
Details
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| 31/12/2019 |
Equipment installed in a location where people’s privacy is not adequately protected |
Governance, Outcomes for patients |
Principle 5. Equipment and facilities |
5.3 |
The privacy and dignity of people who use the supervised consumption service is compromised by the position of the equipment and automated software system, used for dispensing and recording their medication. |
Details
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| 20/12/2019 |
Application of safety and quality monitoring processes to support shared learning |
Efficiency of processes, Governance, Leadership |
Principle 1. Governance |
1.2 |
Pharmacy team members act openly and honestly by sharing information when mistakes happen. And they engage fully in shared learning processes to help reduce identified risks. |
Details
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| 20/12/2019 |
Commitment to continual learning |
Governance, Leadership, Proactive approach, Responsiveness |
Principle 2. Staff |
2.2, 2.4, 2.5 |
Pharmacy team members are encouraged to develop skills relevant to their roles through continual training. And they use the skills they have learnt when engaging with people and providing pharmacy services. They are open to learning following their mistakes. And they work effectively together to ensure the pharmacy operates in accordance with professional standards. |
Details
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| 20/12/2019 |
Effective shared learning arrangements to improve patient safety. And continual development of the pharmacy team |
Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff |
1.2, 1.3, 2.2, 2.3 |
The pharmacy has robust safety processes. And its team members are committed to sharing learning to help continuously drive improvement. Pharmacy team members have clearly defined roles and responsibilities. And the pharmacy manages the risks associated with delegating its tasks well, through regular audit. The pharmacy has robust learning and development strategies which encourage pharmacy team members to expand their knowledge and skills. Pharmacy team members demonstrate how they apply their professional judgement and learning by working in specialised roles focussed on improving outcomes for the people using the pharmacy's services. |
Details
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| 19/08/2019 |
Management of the risks associated with distance selling of medication liable to addiction or abuse, using online prescribers. |
Customer and patient focus, Governance, Lack of key knowledge and a failure to learn, Leadership |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.8, 4.2 |
Vulnerable patients have been supplied with medicines that are not clinically appropriate, excessive in quantity, and which have resulted in patient harm, or other serious risk to patient safety. |
Details
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| 19/08/2019 |
Inadequate identification and management of the risks associated with the provision of medicines to people overseas. |
Customer and patient focus, Governance, Lack of key knowledge and a failure to learn, Leadership, Outcomes for patients |
Principle 1. Governance, Principle 3. Premises, Principle 4. Services, including medicines management |
1.1, 1.2, 1.3, 1.6, 1.8, 3.1, 4.2, 4.3 |
The pharmacy does not adequately identify and manage the risks associated with the provision of medicines to people overseas. It does not check the identity of patients, or ensure that higher‐risk medicines, including methotrexate and misoprostol, are supplied safely. Pharmacy professionals involved in the supply of medicines overseas do not fully understand their responsibilities or accountabilities. The pharmacy does not make accurate or complete records about the supplies it makes of prescription‐only medicines to patients overseas. It also does not adequately monitor the temperature of medicines which require cold storage. |
Details
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| 15/08/2019 |
Efficiency and safety of processes assured through sound risk assessment and use of staff skills. |
Customer and patient focus, Efficiency of processes, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.1, 1.2, 1.3, 1.6 |
There is an innovative approach taken to using the Accuracy Checking Technician’s skills, enhanced use of the pharmacy team and thorough and robust record keeping to free up pharmacists’ time to deliver additional services safely, while ensuring that the dispensing and supply of medicines remains safe, and compliance and medicines optimisation is addressed. |
Details
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| 15/08/2019 |
Safeguarding vulnerable patients |
Customer and patient focus, Efficiency of processes, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.8 |
Safeguarding vulnerable patients is a clear focus for the pharmacy team. |
Details
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| 15/08/2019 |
Innovative dementia support services |
Customer and patient focus, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 4. Services, including medicines management |
4.1, 4.2, 4.3 |
A range of extended services for people with dementia and their families is aligned to patients' needs and expectations and ensuring patient safety and effective care across all services. |
Details
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| 15/08/2019 |
Staff development and training supported by a strong learning culture. |
Customer and patient focus, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 2. Staff |
2.1, 2.2, 2.3, 2.4, 2.5 |
There is a strong emphasis on training (including extended technician training), development and communication to ensure that highly qualified and skilled individuals are utilised to deliver innovative services to benefit the local community. |
Details
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