The new inspection model: update and next steps Helen Jackson, - - PowerPoint PPT Presentation

The new inspection model: update and next steps

Helen Jackson, Inspector GPhC Leyla Hannbeck Chief Pharmacist NPA

A ‘total game-changer’!

A modernised approach to inspection: driving improvement and providing assurance for patients and the public:

• A new framework: inspecting against the standards for

registered pharmacies

• Open and transparent: evidence based judgements in a written

report showing how pharmacies perform against the standards

• Promoting professionalism: pharmacies ‘showing and telling’

us how they meet the standards; not a matter of simple checklists

• More detailed inspection: covering the range of services and

involving the whole pharmacy team

What happens in practice: an inspector’s view

• Introduction to the pharmacy team
• find out who everyone is
• engagement
• Explaining the purpose and structure of the inspection
• don’t be shy!
• Evidence collection, including
• questioning
• documentation
• observation
• scenarios
• Providing feedback
• Written report
• - based solely on the evidence collected
• - quality assured
• - sent to the SI/owner

The story so far: what are we learning?

• Over 7,100 inspections carried out
• Principles 1 (management of risk), 2 (staffing) and 4 (safety of

pharmacy services): particularly important to overall judgement

• Performance ranges from poor to excellent but with majority

as satisfactory – reflects the significant shift from old focus on rules and procedures to demonstrating outcomes for patients

• Action plans have provided an effective mechanism for

demonstrating improvement in standards

Characteristics of a good pharmacy

• Performing well against most of the key standards
• Delivering services that were achieving good outcomes for patients
• Well-led and managed and the pharmacy’s systems, procedures

and processes were applied consistently

• Empowering their well-trained staff
• Presenting a professional image as a provider of healthcare
• Responsive to patient needs

The story so far: Responsible Pharmacist Feedback

RPs strongly agreed/agreed with the following statements:

• Feedback from inspector was accurate
• Inspector explained clearly what would happen after the

inspection

• Inspector identified where the pharmacy was performing well
• Inspector helped me to think about how I can improve the quality
• f services provided to patients and the public
• I had a clearer understanding of the standards after the inspection

‘Very informative and explained where we needed improvement and why’ ‘I find the reports informative and they represent a paradigm step forward ‘Very professional and clear’ ‘Issues were raised we may have not thought of i.e. vulnerable people’ ‘Relaxed approach and constructive’ ‘Explained what she was looking for and summarised feedback’

A story of continuous refinement and improvement

• We have already made some operational improvements based on

feedback and experience

• Inspection reports are now highlighting more clearly any areas for

improvement and good practice

• More focus on the individual context of each pharmacy
• Owners/SIs now have longer to comment on the accuracy of

reports (subject to risk)

• The time taken to conduct an inspection has now stabilised to an

average of 2.5-3.5 hours

What next?

• The overall feedback for the new approach is overwhelmingly
• positive. But we are committed to addressing those issues where

some concerns have been expressed.

• In particular we are reviewing the ratings and will be seeking views
• n these later this year
• We have listened carefully to the particular concerns around the

term ‘satisfactory’ and will be replacing it.

• We also continue to focus on the quality and consistency of

reports.

Independent Pharmacies Rising to the Challenge Principle 1

Independent Pharmacies Rising to the Challenge Principle 2 Principle 3

Independent Pharmacies Rising to the Challenge Principle 4 Principle 5

Independent Pharmacies Rising to the Challenge

Finally.................

Do not forget to renew your premises registration on time!!!! If you are having an issue with a staff member who is being difficult make sure you go through the right processes Remember that as an RP you do need to sign in and out according to the RP regulations.