| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy cannot show how it learns from things that go wrong. It does not keep a record of the mistakes its team members make, nor does it carry out any regular reviews to identify any trends or patterns. This makes it harder for the team to avoid repeating their mistakes and increases the risk of people not getting their medicines exactly as prescribed for them. |
1. Implement a near-miss and dispensing error log. All dispensing errors, near-misses and patient safety incidents will be recorded in a dedicated logbook/electronic system. 2. Hold a monthly significant event review meeting involving the superintendent pharmacist and all dispensary staff to review recorded errors, identify trends and document lessons learned. 3. Create a written Standard Operating Procedure (SOP) for incident recording and review, to be signed by all staff. 4. Display a brief summary of lessons learned on the dispensary noticeboard after each monthly review. |
22/06/2026 | 24/06/2026 |
| 1.7 | The pharmacy leaves labelled multicompartment compliance packs on the medicines counter beside where people sit waiting for their prescriptions. And bags of prescriptions awaiting collection are stored on shelves facing people waiting at the counter. Both of which mean that people can see other people's private information without authority to do so. |
1. To relocate all labelled compliance packs to a secure area behind or away from the medicines counter that is not visible to waiting patients (e.g. on a dedicated dispensary shelf), or have a physical barrier / screen in front of current worktop 2. Immediately move prescription collection bags to a secure location not visible to the public waiting area (e.g. behind the dispensary counter, in labelled pigeon-holes) or to change size of storage holders to ensure no patients are visible to any customers 3. Update the relevant SOP for dispensing workflow and patient confidentiality. Ensure all staff read and sign the updated SOP. 4. Superintendent pharmacist to conduct a weekly check for the first month to verify compliance, reducing to monthly thereafter. |
22/06/2026 | 24/06/2026 |
| 2.2 | The pharmacy has not trained its team members, or enrolled them on suitably accredited training courses. This is not in accordance with GPhC requirements and may mean they are performing tasks that they are not appropriately qualified or trained for. |
1. Enrol all staff requiring accredited training with an approved provider (e.g. Buttercups, NPA, CPPE or a local college offering the QCF/RQF Level 2/3 Dispensing or Pharmacy Services qualification) within 10 working days, after finalisation with prospective buyer and their preference 2. Maintain a staff training matrix recording each team member's role, current qualification status, training course enrolled, expected completion date and any registration number (where applicable). |
22/06/2026 | 24/06/2026 |
Pharmacy inspections
Inspection reports and learning from inspections