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Pharmacy inspections

Inspection reports and learning from inspections

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Letterbox Meds Ltd (9011288)

Inspection outcome: Standards not all met

Last inspection: 22/04/2020

View enforcement action (PDF 138.6KB)


Pharmacy context

This pharmacy started operating in February 2020. The pharmacy does not have an NHS contract and the main activity is the dispensing of private prescriptions issued by an online prescribing service. Requests for medicines are made via the website The website offers prescription medicines for a range of conditions but mainly supplies opioid-based medicines for the treatment of pain. The online prescribing service is not registered with CQC and an application is pending. Medicines are delivered to people using postal services and all supplies are made to people based in the UK. Due to the COVID-19 pandemic, the pharmacy was not physically inspected, and evidence was collected by email correspondence and via a scheduled telephone call with the superintendent pharmacist.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not manage all of the risks involved with its services. People can obtain opioid-based high-risk medicines on a regular basis without confirming with their GP that they are suitable for them. This means the pharmacy cannot be sure the medicines are clinically appropriate for the person, or that appropriate monitoring is in place. And it is likely that vulnerable people are able to obtain medicines that could cause them harm. The pharmacy works with a prescribing service that is based in England, but it is not registered with the appropriate regulator. This means the pharmacy cannot effectively demonstrate that the prescribing service is safe.

Principle 2. Staff

Standards met

The pharmacy has enough team members to manage the current workload and the services that it provides.

Principle 3. Premises

Standards met

The pharmacy uses a website that allows people to access its services. The website is clear and provides details about the pharmacy and some details about the prescribing service.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy does not make enough checks to ensure that medicines are safe and appropriate for the people it supplies. It supplies high-risk medicines without making sure that the patient's own doctor knows about the supply and agrees to it. This means people's conditions might not be properly monitored, and their use of medication may not be appropriately controlled.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide services safely. And the team uses in a way that keeps people’s information safe.


Pharmacy details

461A Tamworth Road
Long Eaton
United Kingdom

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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

Met The pharmacy has met all the standards for registered pharmacies
Not all met 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.