| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have risk assesments or a standard operating procedure for the private weight loss service it provides. This means it may not be able to demonstrate that it has assessed all of the risks and considered how to mitigate these before launching the service. And team members may not have access to written procedures on how to deliver the service safely and effectively. |
A standard operating procedure and a risk assessment are being drafted in line with NICE Guidelines and the Mounjaro SPC. |
27/06/2025 | |
| 1.6 | The pharmacy generally keeps the records it needs to by law. But records associated with the pharmacy's private weight loss service are insufficient, which may make it harder to respond to queries or concerns relating to the service. |
A 'Further Consultation Notes' section has been added to the Weight Management Service questionnaire. This will allow details of discussions and advice about lifestyle to be recorded. If the patient provides consent for the pharmacy to contact their GP this will also be recorded and a GP notification slip will be completed. |
27/06/2025 | |
| 1.6 | Running balance checks of higher-risk medicines are not always recorded and the nature of the emergency is sometimes missing for emergency supply records, so team members may not always be able to show exactly what has happened if any problems arise. |
A controlled drugs balance check will be carried out every 6-8 weeks and recorded in the CD register. The nature of the emergency will be recorded for all emergency supplies going forward. |
27/06/2025 | |
| 4.3 | The pharmacy does not have a robust date-checking procedure in place and this increases the risk that out-of-date medicines could be supplied. |
Date checks on all medicines will be carried out every 8 weeks and the pharmacy team will continue to check expiry dates of medicines during the dispensing and checking processes. |
27/06/2025 |
Pharmacy inspections
Inspection reports and learning from inspections