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The pharmacy is providing safe and effective treatment to people through the NHS Scotland Pharmacy First Plus service. The pharmacist providing the service uses a structured consultation and record keeping approach. And refers to resources and colleagues from other professions to help form a multi-disciplinary approach to care. And they fully involve the patient in decisions about their care

GPhC engagement indicates that a good quality pharmacy-led COVID-19 vaccination site is one which has

• Clear leadership. The service has been well thought through with a clearly articulated written plan. The plan is person centred. It identifies and mitigates for the potential risks involved in providing the service. And everyone involved understands their roles and responsibilities.

• A well trained and well-motivated team. Team members are fully trained for their individual roles and have a good understanding of the service as a whole. The team regularly reviews the service so that it can modify it quickly to adapt to changing circumstances. And there is a culture of continuous improvement.

• A well-designed, well laid-out and well managed site. It has enough space for people to progress through the vaccination process in a logical fashion, while maintaining social distancing. And people do not unnecessarily cross paths with others. The site has regular robust cleaning routines and the patient journey is well thought through. People can find the site without difficulty, park easily and know what to expect when they get there. People are made welcome and are dealt with thoughtfully, efficiently and speedily throughout the service.

The layout of the pharmacy does not allow for the safe delivery of pharmacy services. And there is an increased risk of errors happening. The dispensary work benches are cluttered. And the team use the floor to store stock and baskets of assembled medicines waiting to be checked.

The pharmacy is reviewing whether people continue to need their medicines dispensed into multi-compartment compliance packs. It is doing this to manage the increased workload and space issues. And is discussing any required changes with people.

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.

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.

Safeguarding vulnerable patients is a clear focus for the pharmacy team.

Dispensing is highly automated using 2 robots which are maintained and serviced regularly and providing an efficient dispensing process. There is a range of high specification equipment for extended services which is calibrated and PAT tested annually. These are used in consultation rooms protecting the privacy and dignity of patients.

Poor management of CDs with a lack of maintenance of CD registers and inadequate arrangements for destruction of returned CDs

Integrated governance procedures are in place which improve patient outcomes and patient safety. Collaborative procedures are in place with other healthcare providers and wider community groups. The pharmacy had a strong focus on medicines optimisation and proactively identified and managed potential risks to patients.