| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy provides a prescribing service for some people but it does not have any risk assessments or standard operating procedures (SOPs) to ensure the service is carried out safely. And it does not have a process to review its prescribing to ensure all prescriptions supplied are clinically appropriate. |
- Develop and implement SOPs including scope of prescribing, prescribing decisions, safeguarding & escalation, record keeping. - Implement prescribing audit & review including a quarterly review of sample of prescriptions. - Ensure prescriber competence in areas in which they will be prescribing. - Documentation to include clinical assessment, rationale for prescribing, safety-netting advice to ensure patient safety. |
10/04/2026 | 18/04/2026 |
| 4.3 | The pharmacy does not follow its process for expiry date checks, including keeping a record about when it date checks its medicines and highlighting medicines with short shelf lives remaining. And date-expired medicines are not always separated from in-date stock. This increases the risk that people are supplied medicines which are not fit for purpose. |
- Ensure full compliance with expiry date checking SOP - carry out regular, scheduled date checks, maintain accurate records of when checks are completed, clearly highlight short-dated medicines (e.g. with stickers/marker pen). - Implement a robust system for stock rotation. |
10/04/2026 | 08/04/2026 |
Pharmacy inspections
Inspection reports and learning from inspections