| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy doesn’t have complete risk assessments for all its services. It doesn’t have a risk assessment for each treatment supplied as part of its prescribing service and it doesn’t include risks of supplying medicines for unlicenced indications, such as Kenalog. And the procedures relating to its private prescribing services do not provide enough detail about the scope of the service to ensure it provides these services safely. |
1. Develop and implement individual clinical risk assessments for each private treatment offered, including unlicensed uses. |
08/09/2025 | 08/09/2025 |
| 1.2 | The pharmacy has not completed any audits of the services it provides. This includes for its private clinical services. And there is no schedule of audits planned. So, the pharmacy is unable show how it continually monitors and improves the safety and quality these services. |
1. Create an annual audit schedule covering all private clinical services. |
08/09/2025 | 08/09/2025 |
| 4.2 | The pharmacy does not receive legally valid prescriptions from the private prescribing service for the prescription only medicines prescribed as part of the service. |
1. Implement a revised prescription issuing process ensuring all prescriptions meet legal validity. |
22/08/2025 | 08/09/2025 |
Pharmacy inspections
Inspection reports and learning from inspections