Dispensary Green (9011755) - Improvement action plan

The pharmacy does not identify and manage all the risks associated with its supplies of specific higher-risk medicines. It does not have risk assessments for individual treatments and conditions. And it does not have relevant information, such as prescribing policies to help the team manage the risks when supplying medicines in this specialised area.

Evidence the pharmacy has the following assurances from each clinic.
1. Indemnity Insurance
a. The pharmacy will require each clinic, annually, to confirm appropriate indemnity insurance is in place

2. Prescriber CPD records are up to date
a. The pharmacy will require each clinic, annually, to confirm CPD records are up to date

3. Prescribing policies are shared from the clinics with the pharmacy
a. The pharmacy will require each clinic, at least annually, or at each substantive change point, whichever comes first, to provide copies to the pharmacy
b. These prescribing policies will be available to the pharmacy team to provide assurance regarding the safe dispensing of medicines

4. Presenting condition information to be held by the pharmacy
a. In initiation of a patient with the pharmacy, the pharmacy will require information relating to the presenting condition of the patient
b. This is to allow the cross checking of patient details versus prescribing policy

5. Risk assessments carried out for all dispensed medication
a. This will review all medicines supplied by the pharmacy to include
i. Indications for use
ii. Cautions
iii. Contra-indications
iv. Side effects
v. Dose regime
vi. Manufacturers details

6. Onboarding checks and annual reviews with clinics
a. Check CQC status and most recent reports
b. Outcomes of prescribing audit

7. Prescriber checks to ensure authorised to prescribe products
a. Prescriber registered numbers will be checked monthly against the prescribing database to ensure the prescriber is lawfully able to prescribe
b. Shared care protocols will need to provide the details of all prescribers working against them. These are to be updated with changes, or at least once per year

8. Checks on Specials Manufacturers
a. The pharmacy will seek evidence and assurances from the manufacturers that they meet MHRA (or equivalent) standards
b. This will be checked quarterly or as and when market updates are received