| 21/10/2023 |
Proactively addressing the risks associated with the change of ownership of a pharmacy |
Customer and patient focus, Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff, Principle 4. Services, including medicines management |
1.1, 2.2, 4.1, 4.2 |
The pharmacy is due to change ownership. And the new owners are proactively preparing for the change to ensure continuity of care for people using the pharmacy. And they are supporting team members well during this transition. |
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| 21/10/2023 |
Reviewing pharmacy team members skills to support introducing new pharmacist-led services. |
Governance, Leadership, Outcomes for patients, Proactive approach |
Principle 1. Governance, Principle 2. Staff, Principle 4. Services, including medicines management |
1.1, 1.3, 2.2, 2.5, 4.2 |
The pharmacy reviews its team members skill mix before introducing new pharmacist-led services. It provides training for team members, so it can optimise the knowledge, skills, and experience of its team members when introducing these new services. |
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| 17/05/2023 |
Using continual audits to monitor compliance with the pharmacy’s processes and to drive improvement. |
Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach |
Principle 1. Governance |
1.1, 1.2 |
The pharmacy uses regulatory checklists, and monthly audits to ensure the team complies with all procedures and that records are accurate and up to date. The pharmacy team is fully engaged in the process, completes any actions required and reviews the actions taken. |
Details
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| 28/01/2023 |
Promoting a culture of openness and honesty through sharing learning when things go wrong |
Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff |
1.1, 1.2, 2.2, 2.4 |
The pharmacy encourages its team members to act openly and honestly when things go wrong. It does this by sharing learning through regular team briefings and by supporting its team members to contribute ideas designed to reduce risk. |
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| 28/01/2023 |
Collaborative working with other health services to provide access to Buvidal treatment |
Customer and patient focus, Efficiency of processes, Governance, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff, Principle 4. Services, including medicines management |
1.1, 1.2, 2.2, 4.2, 4.3 |
The pharmacy is working collaboratively with the local ‘Community Addiction Team’ CAT to provide continual access to Buvidal treatment, especially at short notice. The pharmacy communicates regularly with its wholesaler. This supports cost effective treatment and continuous access to the medicine. The pharmacy provides support and guidance to CATs, enabling them to strengthen governance arrangements associated with managing a Buvidal treatment service. And it identifies and manages the risks associated with the supply of Buvidal. |
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| 20/05/2022 |
The use of technology to enhance the efficiency and safety of delivery services. |
Added value, Customer and patient focus, Efficiency of processes, Governance, Innovation, Outcomes for patients |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 4.2, 4.3 |
The pharmacy uses technology to enhance the safety and efficiency of its delivery service. The technology helps the delivery driver to prioritise the pharmacy’s deliveries while also finding the most efficient route to use. And the technology keeps the pharmacy team up to date with the status of each delivery. |
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| 20/05/2022 |
Developing a rigorous clinical check procedure |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 4. Services, including medicines management |
4.2 |
The pharmacy rigorously checks all of its prescriptions against many relevant and up-to-date clinical reference sources to ensure that they are correct. And in particular it checks that the dose needed is appropriate and accurate. The pharmacy team directs all its queries directly to the appropriate clinician. And it only supplies the medicines once all queries are resolved. The pharmacy team gives detailed counselling to people to help ensure they take them safely and benefit fully from them. |
Details
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| 19/11/2021 |
Failing to maintain controlled drug running balances and investigate discrepancies. |
Governance, Lack of key knowledge and a failure to learn, Responsiveness |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.6, 4.3 |
The pharmacy does not always manage its high-risk controlled drug medicines as it should. It does not act appropriately when discovering a balance discrepancy within its controlled drug register. And it does not follow due process to investigate and account for the discrepancy. It does not identify the risks which come from this poor controlled drug management. And there is also an absence of shared learning to help prevent similar adverse events from happening again. |
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| 16/11/2021 |
Effectively using near miss records and regular reviews to reduce the risk of mistakes being made. |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff |
1.1, 1.2, 2.4 |
The pharmacy has effective processes for reviewing any mistakes it makes. And it takes action to prevent them from happening again. Team members reflect on whether the learning and improvements from previous reviews have been sustained. And they continue to look for new ways to improve the safety and effectiveness of the pharmacy’s services. |
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| 16/11/2021 |
Understanding how to sell over-the-counter codeine-containing medicines safely |
Customer and patient focus, Governance, Outcomes for patients |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 4.2 |
The pharmacy assesses the risk of selling codeine-containing medicines. And it has safeguards in place to monitor the sales of these medicines. Pharmacy team members have a good awareness of the potential for misuse of these higher risk medicines. And they sell these medicines appropriately with additional advice. |
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| 11/10/2021 |
Using automation to support the safe and efficient preparation of multi-compartment compliance packs. |
Efficiency of processes, Governance, Innovation, Responsiveness |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.2, 4.2, 4.3 |
The pharmacy invests in automation to support the pharmacy team in assembling compliance packs. The system is risk assessed regularly and has in-built safety checks to reduce the risk of human error. |
Details
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| 25/08/2021 |
Supporting vulnerable people in decision making |
Customer and patient focus, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.8 |
The pharmacy uses respected guidance to help vulnerable people to make their own decisions about contraception. This includes assessing people’s ability to understand and agree to any contraceptive treatment. And it allows them to express their own wishes. |
Details
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| 25/08/2021 |
Using national guidance to inform the delivery of specialist pharmacy services |
Customer and patient focus, Efficiency of processes, Governance, Outcomes for patients, Proactive approach |
Principle 1. Governance |
1.2 |
The pharmacy uses recognised guidance for planning its EHC and OC services. It has internal and external stakeholders who monitor the content of these plans against this guidance. |
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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. |
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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. |
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| 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 |
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. |
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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. |
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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. |
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