| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy does not consistently keep the appropriate records for the prescribing services, including decisions to supply or refuse treatment. This means that it does not have evidence available to show that the service is safe and there is little data to drive improvement or quality management. |
1. Implement a comprehensive record-keeping system for all private prescribing consultations, including a standardised consultation record templates 2. All consultations will document: patient assessment, clinical rationale for supply or refusal, advice given, and follow-up arrangements. 3. Introduce a log for recording all treatment refusals with documented clinical reasoning. |
19/06/2026 | 10/06/2026 |
| 1.2 | The pharmacy do not complete regular audits for the prescribing services. This may mean that any issues with service provision are not identified, such as suitability of communication methods, documentation, and clinical decision-making including treatment refusals. |
1. Implement a structured clinical audit program for all private prescribing services, to be conducted quarterly as a minimum – one per high risk clinic. 2. Audits will review completeness of clinical documentation, appropriateness of clinical decision-making, and reasons for treatment refusals. 3. Results will be reviewed by the Superintendent Pharmacist and used to drive service improvements. 4. Peer review once per quarter with high risk clinical activity. |
19/06/2026 | 10/06/2026 |