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Pharmacy inspections

Inspection reports and learning from inspections

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Dam Pharmacy (9012599) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy has written risk assessments for the services it provides and the medicines it supplies on behalf of a prescribing service it is associated with. There are some processes in place to address some of the associated risks. However, it is not comprehensive enough to demonstrate the due diligence undertaken is sufficient to show that the controls adequately mitigate against the risks that had been identified. For example, some of the controls referred to prescribing algorithms and procedures, but the pharmacy had not seen these documents. The pharmacy has not gained further assurances about the validation methods used for the remote prescribing of weight loss treatments. And some risks continue to be overlooked, such as having a robust service level agreement in place to determine responsibilities and expectations.

- Updated risk assessment highlighting new risks and controls including identity
verification and clinical audits.
- Updated SLA highlighting clarity of roles and responsibilities.

12/01/2026 12/01/2026
1.4

The pharmacy does not have sufficient processes in place to ensure complaints and feedback are directed to the most appropriate department, between the associated prescribing service and pharmacy. This includes having a clear and up to date service level agreement setting out which service is responsible for the complaint or query.

- Updated SLA outlining who is responsible for handling specific complaints and feedback from patients.
- New SOP on complaints handling for
pharmacy staff
- Flow chart for customer service team for quick reference of which queries to filter to the pharmacy.

12/01/2026 12/01/2026