| 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. |
Details
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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 |
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. |
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 |
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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| 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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| 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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| 10/03/2021 |
Using adverse incidents to make improvements to stock management at a COVID-19 vaccination centre |
Coronavirus (COVID-19) |
Principle 1. Governance |
1.2 |
The pharmacy uses information from adverse incidents and other pharmacies to continually share learning. And to make changes to the way the COVID-19 vaccination service operates. |
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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| 26/02/2021 |
Sharing learning and driving improvement through regular team meetings |
Coronavirus (COVID-19) |
Principle 1. Governance |
1.2 |
The pharmacy is holding regular clinical governance meetings to help manage the risks associated with providing its services during a national pandemic. It uses these meetings as an opportunity to share learning and to drive improvement. |
Details
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| 26/02/2021 |
Observation audits contributing to the safe and effective running of a COVID-19 Pharmacy-led vaccination site |
Coronavirus (COVID-19) |
Principle 1. Governance |
1.2 |
The pharmacy is using ongoing observation audits to support the safe and effective running of its COVID-19 vaccination site. It is sharing the learning from these audits to help inform practice and to continually drive improvement. |
Details
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| 23/01/2021 |
Recording and sharing examples when person-centred care makes a difference to people’s health and wellbeing. |
Coronavirus (COVID-19), Customer and patient focus, Outcomes for patients, Proactive approach |
Principle 1. Governance, Principle 2. Staff |
1.2, 1.8, 2.2, 2.4, 2.5 |
When the actions of pharmacy team members lead to positive health and wellbeing outcomes for people using their services, the team feels empowered to record and share this with the superintendent pharmacist (SI). The SI shares these examples with the other pharmacies within the company to promote shared learning. Recording these events and actions encourages team members to reflect on how the pharmacy meets GPhC standards. This reflective approach helps to support learning, development and confidence and provide good person-centred care. |
Details
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| 14/04/2020 |
Using near miss data to help manage risk during the COVID-19 pandemic |
Coronavirus (COVID-19) |
Principle 1. Governance |
1.2 |
The pharmacy is able to identify the impact that the increased workload caused by the COVID-19 pandemic is having on the team. It is using its procedures for capturing and reviewing near miss errors so that it can share information and learn from them. And it is adapting its processes to help reduce the risk of making mistakes in future. |
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 |
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 |
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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| 09/08/2019 |
Effective use of monitoring and review mechanisms and a culture of learning from incidents. |
Customer and patient focus, Efficiency of processes, Governance, Leadership, Proactive approach |
Principle 1. Governance |
1.1, 1.2 |
The pharmacy demonstrates a robust and systematic approach to clinical governance. Risks to pharmacy services are proactively identified and managed. Systematic review procedures are applied with risk reduction actions implemented routinely. |
Details
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| 09/08/2019 |
Inadequate arrangements for learning from mistakes and errors. |
Governance, Lack of key knowledge and a failure to learn |
Principle 1. Governance |
1.2 |
The pharmacy team doesn't have any procedures to follow to make sure they adequately respond to mistakes. And they don't record mistakes or review why they happened. So, they do not have the information to identify patterns and help reduce similar mistakes in the future. |
Details
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| 26/07/2019 |
Identification and management of risks to dispensing processes |
Efficiency of processes, Governance, Innovation |
Principle 1. Governance |
1.1, 1.2 |
The pharmacy applies systematic processes when delivering all its services. These processes are continually monitored and used to drive up standards. The pharmacy uses innovative technology to substantially reduce risks to patient safety. It has a strong culture of sharing learning with its team, and with other healthcare organisations. This helps to ensure its services are always provided safely. |
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