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Pharmacy inspections

Inspection reports and learning from inspections

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Apple Pharmacy (1042651) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy does not keep all records as required by legislation and standard good practice. These include missing records for private prescriptions since July 2019. And incorrect entries for controlled drugs. The pharmacy hasn’t adequately investigated discrepancies in running balance records.

Transfer of records for both CDs and private prescriptions to a new electronic register.
Head Office to schedule time for 2nd pharmacist (with existing experience of using electronic register) in place to perform transfer of records and provide staff training in its use.

Private prescriptions. Backlog of un-entered
Prescriptions to be entered into existing
(hand- written) book. A small quantity of most recent forms will be retained for entry onto electronic system for use in staff training of the new system.
Ongoing, Private scripts will be entered onto
Electronic system on the day of collection


Running balances (specifically Methadone) are expected to show improvement in accuracy once transferred to electronic register. Deviations beyond acceptable accuracy limits for Methadone to be investigated at the time of check performed.
Methadone invoices for incoming stock will
be filed separately to aid with checking of incoming stock.

Discrepancies in Methadone running balance
Have been checked and a report forwarded to the NHS accountable Officer.


CD entries for those dispensed as part of a patient medication tray have been switched to entry “out” on day of delivery / collection.
New paperwork mechanism to ensure entries are made at this time has been developed.


CD entries where there are not full prescriber details
This point has been investigated and found to only occur with one surgery, affecting two patients. The point has been reported to the surgery: it was raised with a member of staff (Marianne, 25th Feb 2020) who has stated that they will bring it to the attention of the practice manager. The name of the prescriber was identified from the surgery records, this has been noted on the current prescription forms to allow it to be used on the entries for the remainder of the current scripts.
It was also noted that the existing prescription form does have the prescribers GMC registration number printed on it. This was checked on the GMC register, which confirmed the prescriber name as given by the surgery. The same name was confirmed on the surgery website as being listed as their current registrar.
If the same problem is observed to re-occur in the future, it will again be raised with the surgery in question. The same process will be used to confirm future prescriber names if they are not printed on the prescription.

13/03/2020 28/04/2020