Clinical audit

Clinical audit

Contractors must undertake a clinical audit each year, the topic of which they choose. In addition to this pharmacy-based audit they must also complete an audit on a topic that has been determined by NHS England. 

Please note, NHS England has not set an audit for 2016/17 therefore contractors are not required to complete an NHS England determined audit to meet the audit element of the clinical governance requirements for 2016/17. A clinical audit, the topic of which they choose must, however, be completed. 

The NHS England determined audit

Since the introduction of the CPCF in 2005 community pharmacies have been required to carry out an annual audit where the topic of the audit was determined locally by the PCT or latterly by the local NHS England team.

It was agreed that in 2014/15, rather than audit topics being chosen by local NHS England teams, one nationally agreed audit would be undertaken by all pharmacies on the emergency supply of medicines.

PSNC believes this represented a good opportunity for the sector to demonstrate the importance of its work in this area and the positive impact that pharmacy emergency supplies can have in reducing the demand for urgent and emergency services such as out of hours GP care, NHS 111 and Emergency Departments. The audit may also be useful in helping pharmacies to identify patients suitable for the repeat dispensing service.

Information on the 2014/15 CPCF national clinical audit on emergency supply 


Q. Must I send the results of my clinical audit to NHS England?

No. It is not a requirement in the terms of service to send your clinical audit results to NHS England.

However, pharmacy contractors should be prepared to demonstrate they have carried out a clinical audit (as required by the terms of service) at the time of any contract monitoring visit carried out by NHS England.

PSNC encourages pharmacy contractors to participate in the abbreviated Community Pharmacy Assurance Framework (CPAF) questionnaire which NHS England’s local offices use to monitor pharmacy contractors’ compliance with the terms of the community pharmacy contractual framework (CPCF) – it is apparent that non completion of the CPAF screening question is a mandatory selection factor in NHS England’s decision as to who will be asked to complete the full CPAF questionnaire and possibly a future contract monitoring visit. For more information, please visit the contract monitoring section here.

Clinical audit resources

A guide to clinical audit
Hydration messages to prevent acute kidney injury clinical audit (on PharmOutcomes)
NSAID clinical audit (on PharmOutcomes)
RPS audit templates (RPS members only)

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