| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy’s overarching written risk assessment (RA) for the service it provides to people online is incomplete. And it doesn’t have documented risk assessments for individual treatments and medicines. It hasn’t applied the information in its risk assessment when working with online companies such as Amazon and e-Bay. This means the pharmacy hasn’t assessed and managed key risks and so the supplies it makes may not be appropriate for people. |
Comprehensive Review and Update of RA |
23/07/2025 | 14/07/2025 |
| 1.1 | The pharmacy has some documented standard operating procedures (SOPs). But they do not cover all aspects of the service. For example, to help manage the risks of supplying medicines to people online. And to manage the requirements of the responsible pharmacist regulations and the proper management of stock expiry dates. |
SOP Review and Gap Analysis |
23/07/2025 | 22/07/2025 |
| 1.1 | The pharmacy doesn't have clear frameworks for the pharmacist to use to help ensure supplies are safe and appropriate. There is no clear direction on maximum quantities, frequencies of supply, unlicensed use, and when a supply is inappropriate. |
. Implement P Medicine Supply Framework |
23/07/2025 | 14/07/2025 |
| 1.2 | The pharmacy does not audit or monitor the supplies it makes to ensure it provides them safely. And without complete documented risk assessments and standard operating procedures (SOPs), it does not have access to the right information to be able to conduct any audits effectively. |
• Develop and implement risk assessments for: |
23/07/2025 | 22/07/2025 |
| 1.6 | The pharmacy does not maintain a record of responsible pharmacists, as required by law. |
A Responsible Pharmacist Log has been commenced from 21/5/2025 |
23/07/2025 | 22/07/2025 |
| 1.6 | The pharmacist does not keep records of their consultations and conversations with people ordering medicines, or any other communications with people about their medicines. There are no records to help justify and reflect on decisions to supply or not supply people with their requested medicines. Or when people have been referred to a more appropriate source of help and treatment. |
• An online clinical questionnaire tailored to each medicine |
23/07/2025 | 14/07/2025 |
| 4.3 | The pharmacy does not have robust systems in place to regularly check and remove expired medicines from stock. And there are some short-dated and expired stock on the shelves. This means there is a risk people may receive medicines which are out of date. |
• Create and implement an SOP for expiry date checking and stock rotation. |
23/07/2025 | 22/07/2025 |
| 4.4 | The pharmacy does not receive drug alerts and does not have a system to deal with them. |
• Register to receive alerts from the MHRA (Medicines and Healthcare products Regulatory Agency) – Sign up here. |
23/07/2025 | 22/07/2025 |
Pharmacy inspections
Inspection reports and learning from inspections