Feedback from the two GPhC training events in February 2014

During the meetings we asked the delegates to consider things that could be looked at for each principle. Here is the output captured across the two meetings.

Things to look at and consider for each principle (we covered Principle 1 and 4). (use reference tools for the definition of each principle)

Principle 1.1

  • Processes
  • Mitigation of risk
  • Workflow management
  • Baskets, dedicated areas for PCS / MDS / CDS / Acutes etc
  • Managing the dispensary
  • Dedicated people
  • Dispensing audit trail
  • Skill mix risks
  • New services offered in the pharmacy
  • Risk assess
  • Examples include
  • Vaccinations
  • PGDs
  • Substance misuse
  • Review training
  • Record interventions
  • Record changes
  • Include OUTCOMES
  • Near misses
  • Demonstrate safety OUTCOMES
  • Document changes made

Principle 1.2

  • SOPs
  • Knowledge
  • Training
  • Reviewed
  • Monitored
  • Demonstrate compliance
  • Clinical audits
  • PGDs
  • Demonstrate you can provide the service
  • Signed
  • In date
  • Awareness of high risk drugs
  • Highlight as part of the dispensing process

Principle 1.3

  • Clear lines of accountability
  • Understand scope / limitations of all roles
  • When do people need to refer
  • ACT / Dispenser / HCA / New member of staff etc
  • HCAs asking the correct WWHAM questions

Principle 1.4

  • Customer complaints and feedback
  • Do you CHANGE something as a result
  • How do you provide evidence that you have changes
  • Outcomes of changes

Principle 1.7

  • Smart cards not shared
  • Scripts stored on shelves so as not in view of the public
  • Password protection
  • Regularly changed
  • Security of batch scripts
  • Telephone calls not overheard
  • Private consultation room
  • No private information in there
  • Lockable cabinets
  • IT screen not visible to the public

Principle 1.8

  • Understanding what safeguarding is
  • Not just children, but old people, shared care clients etc
  • When do you escalate?

Principle 4.1

  • How do you handle people with learning difficulties
  • Introduce hearing loops
  • Magnifying glasses
  • Pharmacy leaflet
  • Up to date and accurate
  • Correct services
  • Which languages
  • Staff know which services are offered
  • Correct signposting
  • How are services offered to delivery patients
  • Proactive promotion of services
  • MUR leading to NRT service etc
  • How do you overcome language barriers?
  • Wheel chair access
  • Access to Google translate is useful

Principle 4.2

  • High risk areas of the pharmacy
  • Drugs
  • Services
  • Audit trail of dispensing process
  • ACT procedures
  • Pharmacist clinical checks leading to ACT accuracy checks
  • Changes referred to pharmacist
  • Signing sheet for deliveries
  • MDS / CDS services
  • Auditing of orders
  • Delivery / collection records
  • Audit trails for all changes
  • Who labels the scripts?
  • Intervention records on PMR
  • Record of returned scripts to GP for change
  • Dear Dr pads etc
  • Escalation to CD Accountable Officer when appropriate
  • Record everything

Principle 4.3

  • Registered wholesaler for supply of licenced medicines
  • Medication stored securely
  • Includes CD regs
  • No public access
  • Separation of waste medicines
  • Out of dates
  • Destroy patient returns (especially CDs)

Principle 4.4

  • How would you handle MHRA recalls
  • Actions documented
  • How do ensure all patients are safe?
  • Print alerts and record actions and outcomes