DDA member the Over-Wyre Medical Practice in Preesall, near Poulton Le Fylde in Lancashire has been rated as outstanding for leadership and effectiveness.
Inspectors commended the practice for responding to patient demand for larger more modern facilities, including the dispensary. They also noted that staff including the dispensary supervisor had attended a six-day residential Improving Leaders programme. Rating the practice good for responsiveness, inspectors also noted that the practice proactively contacted patients about ordering repeat medication, after it identified problems in some patients.
Dispensing arrangements were described as safe, and there were records to show that all dispensary staff were appropriately qualified and up to date with competence. There was evidence of procedural review in response to incidents, updated guidance and annual review. For example, a number of dispensing errors had been audited, which led to a reorganisation of the items stored to reduce errors in picking out medicines, and any distractions for staff had been minimised.
Orchard House surgery in Newmarket was rated outstanding for responsiveness and leadership, a factor in which was the practice’s dispensary delivery service.
Medicines dispensing was described as safe although at the inspection, the practice was criticised for not notifying GPs of uncollected scripts. The practice was also seen to have a favourable medicine budget through effective management of antimicrobial prescribing and dispensary schemes, some of which was invested back into the practice for staff benefit, notably, new sofas for staff areas.
Rated inadequate is the Sleaford Medical Group. Despite the rating, inspectors found safe arrangements for managing medicines. Records showed that staff had received appropriate training, and there was documented use of regularly updated SOPs.
However, the practice was criticised for its lack of facilities for the safe disposal of cytotoxic medicine, and for failing to keep records of medicines sent out for delivery.