| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have adequate processes to manage the risks associated with the transfer of some work to another branch effectively, for example by maintaining an appropriate audit trail. |
Going forward there will be no more transfer of work between branches. The transfer of work was due to exceptional circumstances. If required, any work transferred will need to be recorded and emailed to the SI/Head Office for audit trail purposes and possible approval. |
09/01/2025 | 03/01/2025 |
| 1.6 | The pharmacy does not have robust systems in place to make sure that it keeps records about its controlled drugs up to date and accurate. |
Procedures have been reviewed and discussed with SI. Regular CD stocktakes have been implemented. All CD invoices are kept separately. Upon receipt of CDs all invoices are now signed and dated with a comment to the effect that the CD has been entered into the CD register. Prescriptions being entered into the CD register must be the done on date of supply (not date on prescription). Prescriptions not dispensed must be kept separate to ensure that they are then updated on the PMR system promptly. If a prescription is not collected the PMR will be updated to make this clear. The SI has informed all staff, locums and pharmacists. |
09/01/2025 | 03/01/2025 |
Pharmacy inspections
Inspection reports and learning from inspections