| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy’s risk assessments do not adequately identify the risks of the service including supplying medicines online and the SI's dual role of prescriber and pharmacist. And they do not fully identify the risks relating to individual medicines or treatments, or explain how these are managed. Services are not audited, and there is some evidence of prescribing which is not in line with UK guidance. |
To complete a risk assessment for each medication in the formulary whilst identifying the risks associated with each individual medicine. The risk assessment will be based on NICE guidance, BNF and SPC. Services will be audited to help identify any areas which may need improvement. Already completed audits on dispensing errors to identify any training needs, improvement in the dispensing process and if dispensary staffing was adequate. Similarly complete annual audits in areas which we will help improve service for example complaints or delivery’s to patients. |
01/05/2020 | |
| 4.2 | There are no pharmacy specific evidence-based prescribing policies or protocols which indicate in what circumstances each individual medicine is prescribed or requests are declined, and what counselling, follow up and ongoing monitoring should take place. The pharmacy supplies medicines without informing the patient's regular doctor, and the prescribing relies solely on information provided by the person completing the online questionnaire, without necessarily seeking further confirmation of a diagnosis or what previous treatments have been provided. |
The prescribing protocol/policies will be implemented in to the risk assessment for each individual medication. Medicines will not be supplied if patient refuses to give access to summary care records (SCR). Patient will have the option to decline sharing information with their GP however will need to allow us access to summary care records otherwise the order will be declined. |
01/05/2020 |
Pharmacy inspections
Inspection reports and learning from inspections