Inspection outcome: Standards not all met
Last inspection: 05/10/2020Improvement action plan
The pharmacy is located in a unit on an industrial estate in Liverpool. It is a distance selling internet pharmacy, trading as clearchemist.co.uk. The pharmacy premises are not open to the public. The pharmacy’s main activity involves dispensing prescriptions that are issued by an online prescribing service for patients of Gender GP (‘the online provider’), which is an online clinic that operates outside UK regulation. The online provider is registered as a company in Hong Kong and the prescriptions are issued by a doctor who is registered and based in Romania. Medicines are prescribed by the online provider for both adults and children. Some of the medicines that the pharmacy supplies to patients of the online provider are higher risk, because they require effective monitoring and management. The pharmacy also dispenses approximately 200 NHS prescription items each month and sells a range of over-the-counter medicines. An intelligence-led inspection was carried out which focussed on the services that the pharmacy provides in relation to the online provider. The online provider offers treatments for transgender patients and gender dysphoria.
Inspection summary findings
Principle 1. Governance
The pharmacy is not effectively
managing all of the risks involved with supplying medicines prescribed by the online
provider. And the pharmacy team supplies
medicines to people without fully understanding how their treatment is being
managed. This means the pharmacy cannot provide assurance that the medicines
are always safe and appropriate. And it is not carrying out appropriate audits
or reviews to make sure that the medicines are being used safely. The pharmacy has
procedures in place to help it safeguard vulnerable patients. But they do not always
reflect the particular risks involved with the services it provides or the
people it supplies medicines to. For example, when supplying medicines for trans-gender health.
Principle 2. Staff
The pharmacy has enough
staff to manage its workload safely. But no members of the team have completed
training about gender dysphoria treatments, even though the majority of the
pharmacy’s business involves dispensing these medicines. And patients are not usually
given advice about the medicines they are taking unless they ask for it. This
means the pharmacy cannot provide assurance that people are fully informed
about their treatment. Or that members of the team have the skills and
knowledge they need to identify concerns and ensure patients are taking their medicines
Principle 3. Premises
The pharmacy premises are
clean and tidy and are suitable for the services provided.
Principle 4. Services, including medicines management
The pharmacy has systems in
place to help make sure it correctly supplies the medicines that are ordered on
prescriptions. But it has not taken steps to identify which of the medicines it
supplies are higher-risk or require on-going monitoring. And it has not put
enough safeguards in place to provide assurance that people are being properly
monitored and are using their medicines safely.
Principle 5. Equipment and facilities
principle was not assessed because the inspection focused on other key areas.
Brookfield Trade Centre
Brookfield Drive Aintree
What do the inspection outcomes mean?
After an inspection each pharmacy receives one overall outcome. This will be either Standards met or Standards not all met
|The pharmacy has met all the standards for registered pharmacies|
|The pharmacy has not met one or more of the standards for registered pharmacies|
What does 'pharmacy has not met all standards' mean?
When a pharmacy has not met all standards, they are required to complete an improvement action plan, which you can find via a link at the top left of this page. We monitor progress to check the improvements are made and inspect again after six months to make sure the pharmacy is maintaining these improvements. A new report will then be published.