Jhoots Pharmacy (1085517) - Improvement action plan

The pharmacy’s team does not follow the pharmacy’s written procedures for dispensing compliance packs and there is evidence that things have gone wrong as a result. The written procedures do not always contain all of the detail required to help the team understand their responsibilities for compliance pack dispensing.

All staff to be retrained and follow MDS SOP at all times. SOP being reviewed.
Branch to obtain written consent from all MDS patients and send the completed MDS transfer checklist when transferring patients.
All staff members including delivery driver to correctly sign against each SOP and RP to countersign.
Driver to follow SOP and obtain signatures from patients upon delivery.
RP to record all near misses and discuss with staff to share learning.