| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy team do not have a readily accessible written procedure to follow to manage confidential information, and they don't have training records to provide assurance of their knowledge. The pharmacy doesn't always dispose of confidential waste appropriately as some private information is found in general waste bins. |
I have put in place a readily accessible written procedure to follow for managing confidential information. There is a training record to assure that everyone in the team has the knowledge. We make sure we always dispose of confidential waste appropriately. |
23/06/2026 | |
| 1.1 | The pharmacy does not have one complete and up-to-date set of standard operating procedures for the services it provides. And not all team members have read, or signed to say they have read the procedures which are available. Team members do not always follow the process described in the procedures, this includes for dispensing medicines in multi-compartment compliance packs and the frequency of checking higher risk medicine stock against register balances. |
I have started to up-date all SOPs using templates found on NPA website and my own SOP’s relevant to our pharmacy. When the NPA templates are used I have inserted extra procedures we use in our pharmacy to reflect the accuracy of the SOPs. I decided to go with the paper version . If there are any changes I will amend the SOP accordingly. All team members read and sign to say they have read the procedures which are available. Team members are always following the process described in the procedures. With the higher risk medicine register balances, I will adhere to the checking frequency stated in the SOP. |
23/06/2026 |
Pharmacy inspections
Inspection reports and learning from inspections