Clockwork Pharmacy (1040107) - Improvement action plan

The pharmacy does not always have appropriate anaphylaxis resources in place when it delivers its vaccination service. During the inspection it was found that the expiry date on its anaphylaxis kit had been reached. And there was evidence that the pharmacy had done vaccinations whilst it was out of date.

Upon identification of the expired anaphylaxis kit during the inspection, the pharmacy took immediate steps to address the issue and prevent recurrence. The following actions are
being implemented:
1. Immediate Replacement: The expired anaphylaxis kit was removed from service immediately and replaced with a new kit, in-date kit received the next day after inspection.
2. Inventory Review: A full audit of all
emergency medication and vaccination-related supplies was conducted to ensure all items are within expiry and appropriately stocked. A monthly log has been introduced to proactively monitor expiry dates of all emergency kits
3. Ongoing Monitoring: Regular spot
checks will be conducted by the pharmacy manager to ensure continued compliance with emergency preparedness standards.
These measures aim to ensure that patient safety remains the pharmacy’s top priority and that vaccination services are delivered in accordance with national standards and guidance.