1.1 |
The pharmacy doesn’t adequately manage the risks associated with its prescribing service. Some consultation notes for the prescribing service lack important information. The pharmacy does not have a robust prescribing policy in place and it does not complete any risk assessments for its prescribing service. |
Develop a Comprehensive Prescribing Policy: • Include guidelines on therapeutic areas, prescribing formularies, and evidence-based treatment protocols (e.g., referencing NICE guidelines). • Incorporate clear steps for assessing patient eligibility and managing risks. Conduct Risk Assessments: • Identify potential risks in all stages of the prescribing process, from consultation to dispensing. |
03/01/2025 |
23/12/2024 |
1.2 |
The pharmacy cannot demonstrate that it regularly audits its prescribing service adequately to ensure its processes are effective at keeping people safe. |
Establish Audit Schedule: a. Perform quarterly audits of prescribing records to assess compliance with the new policy. b. Audit criteria: completeness of records, adherence to guidelines, and safety of prescribed treatments. 2. Use External Review:Collaborate with an external doctor or advisor to review the first three audits and provide feedback. 3. Documentation and Feedback: a. Create a simple reporting template for audits, ensuring findings are reviewed by the superintendent pharmacist. b. Discuss audit outcomes in team meetings to encourage continuous improvement. 4. Implementation Timeline: First audit to be completed within 20 working days. 5. Evidence: a. Submit audit schedules, completed reports. |
03/01/2025 |
23/12/2024 |
4.2 |
The pharmacy does not always make sure that it makes supplies of prescription-only medicines against current Patient Group Directions. And the prescriber cannot adequately demonstrate that people’s regular prescribers are informed about prescribed medicines supplied through the pharmacy's private prescribing service. |
Update and Reauthorize PGDs: • For any medicines supplied under PGDs. Review PGDs and ensurethey are up-to-date and signed off by an authorized clinician. Review Consultation Protocols: • Ensure consultation notes include all required information (e.g., weight, BMI for weight loss medicines, area of travel for malaria prophylaxis). Enhance Communication with Regular Prescribers: • Obtain explicit patient consent to share prescribing details with their regular healthcare provider. • Develop a standardized referral form to inform GPs about prescribed treatments. Implementation Timeline: • Referral system and consultation checklists implemented within 20 working days. • Evidence: • Provide copies of completed consultation checklists and referral forms. |
03/01/2025 |
23/12/2024 |