| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy has paper records for its higher risk medicines. But it does not always keep some of the records up to date to ensure they are an accurate source of information. So the pharmacy may not be able to always show what should be present in the pharmacy which may increase the risk of loss or diversion. |
Ensure that any Controlled Drug balance discrepancies are investigated thoroughly using invoices and supply data. If upon conclusion the balance can not be rectified (i.e a difference between actual balance and the register balance) then this difference will be reported via the CDReporting tool and await an outcome from the Controlled Drugs officers. |
26/01/2026 | 24/02/2026 |
| 4.3 | The pharmacy does not store some of its higher risk medicines in suitable locations. So they are unable to demonstrate they are doing all they can to ensure these medicines are kept safe. |
Bolt CD cabinet to solid wall. |
26/01/2026 | 24/02/2026 |
| 4.4 | The pharmacy does not receive drug alerts. So members of the team are unable to carry out important checks to help make sure medicines remain fit for purpose. |
Pharmacy to be signed up to MHRA drug alerts emails. Pharmacy will ensure these emails are read and relevant ones actioned as per the alert. |
26/01/2026 | 24/02/2026 |
Pharmacy inspections
Inspection reports and learning from inspections