| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy dispenses medicines in a hub and spoke model at low volumes, for another pharmacy under the same ownership. But the pharmacy does not assess the risks associated with the services it provides. There are no written procedures in place which cover the activities being undertaken. And members of the team do not work under the supervision of a pharmacist. So the pharmacy cannot demonstrate all the risks with dispensing medicines in this manner have been assessed and is completed safely and effectively. |
Sops and risk assessments have been put in place to address risks of processes and ensures correct procedures are followed. |
28/07/2025 | 14/07/2025 |
| 1.5 | The pharmacy cannot demonstrate it has sufficient professional indemnity insurance in place for the pharmacy services it provides. So people may not be sufficiently protected in the event of a serious mistake. |
Spoken to a number of insurance companies |
28/07/2025 | 14/07/2025 |
| 1.6 | Records for the responsible pharmacist are not kept. So the pharmacy is unable to show when a pharmacist is present. |
Records for the responsible pharmacist are not kept. So the pharmacy is unable to show when a pharmacist is present. This has been put in place as of 01/07/2025 and will be kept up to date at all times |
28/07/2025 | 14/07/2025 |
| 2.1 | The pharmacy routinely operates without a pharmacist present to take on the role of the responsible pharmacist. This means there is no professional oversight to ensure pharmacy services are provided safely and effectively. And the pharmacy is operating outside of the UK legal framework. |
A pharmacists will be present at any time there is any pharmacy related activity taking place at the premises. This will be reflected in the SOPs |
14/07/2025 | 14/07/2025 |
| 3.1 | This is a new pharmacy premises, built to accommodate the pharmacy’s services. But it is under construction and has not been signed-off by the building inspector to indicate that it meets building regulations. It is dusty, with wiring waiting to be fixed. There is no running water, or toilet facilities. The premises does not meet the expectations of a healthcare setting. |
This will be signed off by middle of July |
28/07/2025 | 14/07/2025 |
| 4.2 | The pharmacy dispenses prescriptions on behalf of a nearby pharmacy owned by the same company. But it does not inform people of this arrangement or include the address of the dispensing pharmacy. So people may not be aware how their medicines are dispensed and it may make it difficult to establish who is responsible in the event of an incident. |
A sticker will be attached to any prescription dispensed the current “hub” stating the address at which is was dispensed |
28/07/2025 | 14/07/2025 |
| 4.3 | The pharmacy obtains medicines ordered from licensed wholesalers. But there is no medicine management process in place to monitor and review its stock. So the pharmacy cannot demonstrate its medicines always remain fit for purpose. |
All medicines stored at the Hub are kept in a robobt where all stock is managed constantly automatically |
28/07/2025 | 14/07/2025 |
Pharmacy inspections
Inspection reports and learning from inspections