| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy retains private prescriptions that it issues. However, it does not keep a fully compliant record of the medications supplied against these prescriptions as required by law. |
A private prescriptions register will be introduced to ensure all private prescriptions issued by the pharmacy are recorded in full compliance with legal requirements. The register will be maintained at the point of supply and reviewed regularly by the superintendent pharmacist. |
28/05/2026 | 01/06/2026 |
| 1.2 | The pharmacy does not have defined procedures for reviewing prescribing concerns and incidents. This limits opportunities to learn and improve. |
A Standard Operating Procedure (SOP) has been implemented, introducing defined procedures for the reporting, logging, and review of prescribing concerns and incidents. The SOP also establishes an independent prescribing audit programme, with findings documented, reviewed by the Superintendent Pharmacist, and shared with the pharmacy team to drive improvements and learning. |
28/05/2026 | 31/05/2026 |