Pharmacy Audit Template

• Site

• Registered Address
  Address

• Pharmacist

• Conducted on

  Date

Appointment of a Responsible Pharmacist

• Is a notice conspicuously displayed on the registered pharmacy premises detailing the name and registration number of the responsible pharmacist and the fact that s/he is in charge of the registered pharmacy at that moment in time?

  Yes

  No

Pharmacy Procedures

• Is there adequate and up-to-date SOP in place for arrangements to ensure that medicinal products are ordered, stored, prepared, sold by retail, supplied in circumstances corresponding to retail sale, delivered outside the pharmacy, and disposed of in a safe and effective manner?

  Yes

  No

• Is there adequate and up-to-date SOP in place for circumstances in which a member of pharmacy staff who is not a pharmacist may give advice about medicinal products?

  Yes

  No

• Is there adequate and up-to-date SOP in place for the identification of members of pharmacy staff who are, in the view of the responsible pharmacist, competent to perform specified tasks relating to the pharmacy business?

  Yes

  No

• Is there adequate and up-to-date SOP in place for proper recordkeeping?

  Yes

  No

• Is there adequate and up-to-date SOP in place for arrangements which are to apply during the absence of the responsible pharmacist from the premises?

  Yes

  No

• Is there adequate and up-to-date SOP in place for steps to be taken when there is a change of responsible pharmacist at the premises?

  Yes

  No

• Is there adequate and up-to-date SOP in place if a complaint is made about the pharmacy business?

  Yes

  No

• Is there adequate and up-to-date SOP in place for if an incident occurs which may indicate that the pharmacy business is not running in a safe and effective manner?

  Yes

  No

• Is there adequate and up-to-date SOP in place for the manner in which changes to the pharmacy procedures are to be notified to the staff?

  Yes

  No

• Is there evidence that the pharmacy procedures are reviewed?

  Yes

  No

Pharmacy Record

• Is there evidence that the pharmacy record is accurate?

  Yes

  No

• Is the pharmacy record maintained for at least 5 years?

  Yes

  No

Absence

• Is the responsible pharmacist never absent from the registered pharmacy?

  Yes

  No

• When absent does the responsible pharmacist remain contactable or arrange for another pharmacist to be contactable and be available to provide advice?

  Yes

  No

Staff Training

• Are staff appropriately trained for the tasks undertaken or undergoing appropriate training?

  Yes

  No

Service provision

• Are SOPs available where required?

  Yes

  No

• Do service provisions comply with best practice?

  Yes

  No

• Please indicate which service provisions were checked.

Dispensing

• Examine a random sample of medicines awaiting collection to ensure, for example, the use of appropriate advisory and cautionary warning labels, appropriate container. Do they comply with the Medicines Act 1968?

  Yes

  No

• Is there an adequate audit trail to identify the pharmacist responsible for the supply?

  Yes

  No

• Is there an adequate audit trail to identify other staff involved in the dispensing process?

  Yes

  No

• Are there adequate procedures in place for handling medication or dosage changes occurring mid-cycle?

  Yes

  No

• Are medicines supplied in MDS for domiciliary patients? If so, approximately how many?

  Yes

  No

• How many?

• Are medicines supplied in MDS for patients in care homes? If so, approximately how many?

  Yes

  No

• How many?

  Yes

  No

Medicine Stock, Containers & Storage

• Are medicines stored appropriately? (i.e. in original boxes, fully labelled, no loose blisters, mixed batches and in an organised fashion)

  Yes

  No

• Are unlicensed medicines in stock?

  Yes

  No

• Are medicines stored in appropriate conditions? (e.g. temperature, humidity etc.).

  Yes

  No

• Are there adequate date checking procedures in operation?

  Yes

  No

• Are dispensing containers appropriately stored?

  Yes

  No

Recordkeeping

• Are private prescription records legally compliant?

  Yes

  No

• Are emergency supply records legally compliant?

  Yes

  No

• Are poison records legally compliant (including permits and other documentation where necessary)?

  Yes

  No

• Are records of sales of veterinary medicines legally compliant (Veterinary Medicines Regulations)?

  Yes

  No

• Are specials records legally compliant?

  Yes

  No

• Are there appropriate records of extemporaneously prepared products (incl. Methadone)

  Yes

  No

• Does the pharmacy maintain an error log and systems for documenting and auditing dispensing errors that have reached the patient?

  Yes

  No

• Does the pharmacy maintain incident or near miss logs and systems for documenting and auditing errors picked up during the dispensing process?

  Yes

  No

• Does the pharmacy maintain records of clinical interventions / significant events?

  Yes

  No

Waste Disposal

• Are procedures in place for the safe disposal of returned medicines from individuals or households (includes care homes), including hazardous waste?

  Yes

  No

• Are patient returned medicines clearly segregated?

  Yes

  No

• Are there procedures for the management of date expired pharmacy stock?

  Yes

  No

• Are staff trained to deal with waste and is appropriate protective equipment available (including gloves, overalls and materials to deal with spillages)?

  Yes

  No

Chemicals

• Are chemicals stored, labelled and supplied in compliance with the Chemicals (Hazard Information and Packaging for Supply) Regulations 2002?

  Yes

  No

• Are COSHH assessments available for hazardous chemicals stocked or supplied?

  Yes

  No

Information Sources

• Are main information services and/or reference sources available and up to date?

  Yes

  No

• Is there a system for dealing with Drug Alerts?

  Yes

  No

• Is an information pack available for locums?

  Yes

  No

Computer

• Is computer software regularly updated?

  Yes

  No

• Is the use of data registered in accordance with Data Protection Act 1998?

  Yes

  No

• Are patient confidential computer records accessible only to staff who need access?

  Yes

  No

• Are computer records regularly backed up?

  Yes

  No

General Premises Check

• Fascia and front access to premises

  Safe

  At Risk

• Shop area

  Safe

  At Risk

• Dispensary area(s)

  Safe

  At Risk

• Consultation room

  Safe

  At Risk

• Security

  Safe

  At Risk

• Stock rooms

  Safe

  At Risk

• Others (e.g. toilets, external stores)

  Safe

  At Risk

Sign Off

• Additional Comments

• Pharmacist Name & Signature

  Sign