| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not have appropriate monitoring arrangements for all its dispensing procedures to ensure its team members adequately learn from their mistakes and make improvements to keep services safe. |
The staff have access to Reportsmart as part of the Pharmsmart computer programme and this allows the recording and reviewing of errors. These records are reviewed on a monthly basis by the respective managers, the SI and the Area Manager and teams have meetings to discuss errors and implement improvements to keep services safe. |
14/01/2025 | 11/12/2024 |
| 1.3 | The pharmacy does not have an operating structure that clearly identifies where responsibility lies for the services it provides. |
In order to meet section 10 the plan is as follows: |
14/01/2025 | 11/12/2024 |
| 1.1 | Team members are referring to SOPs that are out of date and some SOPs have not been approved by the SI. So there is a risk team members may not be following appropriate procedures. |
SOPs shall be reviewed such that they are in date and approved by the SI. |
14/01/2025 | 11/12/2024 |
| 4.2 | The pharmacy does not have adequate accountability structures in place to show that pharmacy services are provided safely and effectively. |
As a hub it does not provide any pharmacy services. It is a centralised dispensing hub with SOPs relating to these activities. |
14/01/2025 | 11/12/2024 |