| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has written procedures for some of the services that team members provide. The written procedures are overdue review and do not always reflect current working practices. And documented procedures for certain services such as providing medicines in multi-compartment compliance packs, NHS Pharmacy First service and NHS Pharmacy First Plus service are missing. This means team members may not be following consistent processes to ensure services are provided safely. |
As the superintendent, I am currently reviewing all of the current standard operating procedures (SOP’s). I am also producing SOP’s for |
23/02/2026 | 23/02/2026 |
| 2.2 | The pharmacy does not always enroll its team members on the appropriate accredited training within the necessary timescales to ensure they have the right qualifications and skills for their roles and the services they provide. |
I have now enrolled the temporary delivery driver onto the NPA training course “Delivering Medicines Safely & Effectively” . The Pharmacy manager will be the training supervisor, with the course expected to be completed within 3 months. |
23/02/2026 | 23/02/2026 |
Pharmacy inspections
Inspection reports and learning from inspections