| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy’s controlled drug (CD) registers are not always well maintained. It does not always record CD transactions as required by law. |
All CD registers will be reviewed and reconciled. SOPs for Controlled Drug management will be implemented in line with legal requirements. All pharmacists and relevant team members will be briefed on correct CD record-keeping procedures, including recording of all CD transactions. |
06/10/2025 | 12/03/2026 |
| 1.6 | The pharmacy does not regularly audit its CD running balances. As a result, the pharmacy delays identifying discrepancies and some CDs are unaccounted for. |
A formal CD balance audit process will be implemented prior to reopening. Running balances will be checked regularly and documented. Any discrepancies will be investigated promptly in accordance with SOPs and reported where required. |
06/10/2025 | 12/03/2026 |
| 1.6 | The pharmacy’s controlled drug (CD) registers are not always well maintained. It does not always record CD transactions as required by law. |
All CD registers will be reviewed and reconciled. SOPs for Controlled Drug management will be implemented in line with legal requirements. All pharmacists and relevant team members will be briefed on correct CD record-keeping procedures, including recording of all CD transactions. |
06/10/2025 | 12/03/2026 |
| 1.6 | The pharmacy does not regularly audit its CD running balances. As a result, the pharmacy delays identifying discrepancies and some CDs are unaccounted for. |
A formal CD balance audit process will be implemented prior to reopening. Running balances will be checked regularly and documented. Any discrepancies will be investigated promptly in accordance with SOPs and reported where required. |
06/10/2025 | 12/03/2026 |
| 2.2 | The pharmacy is not supporting a new pharmacy team member to complete a necessary training qualification because there is no appropriate team member to supervise their training. This means they may have gaps in their knowledge and skills which could affect the pharmacy’s ability to provide services safely. |
Allied Pharmacies will ensure that an appropriately qualified pharmacist and/or accredited dispenser is in place to supervise and support any trainee staff. All new team members will complete the Allied Pharmacies induction process and where required, will be enrolled onto a GPhC – accredited course relevant to their role. Team members undertaking qualifications will have a named supervisor and structured training. |
06/10/2025 | 12/03/2026 |
| 2.2 | The pharmacy is not supporting a new pharmacy team member to complete a necessary training qualification because there is no appropriate team member to supervise their training. This means they may have gaps in their knowledge and skills which could affect the pharmacy’s ability to provide services safely. |
Allied Pharmacies will ensure that an appropriately qualified pharmacist and/or accredited dispenser is in place to supervise and support any trainee staff. All new team members will complete the Allied Pharmacies induction process and where required, will be enrolled onto a GPhC – accredited course relevant to their role. Team members undertaking qualifications will have a named supervisor and structured training. |
06/10/2025 | 12/03/2026 |
Pharmacy inspections
Inspection reports and learning from inspections