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 and NHS Improvement (NHSE&I).

COVID-19 update: For 2020/21, it has been agreed that contractors are not required to undertake an NHSE&I determined national clinical audit or a contractor chosen clinical audit.

Read more about other contractual changes during the pandemic


NHS England and NHS Improvement determined audits

Since the introduction of the Community Pharmacy Contractual Framework in 2005, community pharmacies have been required to carry out an annual audit where the topic of the audit was determined locally by the Primary Care Trust or latterly by the local NHS England team. It was agreed that in 2014/15, rather than audit topics being chosen by local NHSE&I teams, one nationally agreed audit would be undertaken by all pharmacies.


Previous nationally determined audits

The 2018/19 CPCF national clinical audit on flu vaccination for people with diabetes

The 2014/15 CPCF national clinical audit on emergency supply


Pharmacy chosen audit

COVID-19 update: NHSE&I will not take action against contractors who did not complete their pharmacy-selected clinical audit by 31st March 2020.

The annual clinical audit, the topic of which is chosen by the pharmacy, can focus on an appropriate topic of relevance to the practice of the individual pharmacy team. Guidance on undertaking clinical audits can be found via the link below, alongside template audits developed for use by pharmacy teams.

It is not a requirement in the terms of service to send your pharmacy chosen clinical audit results to NHSE&I. However, pharmacy contractors should be prepared to demonstrate they have carried out a clinical audit at the time of any contract monitoring visit carried out by NHSE&I.

PSNC Pharmacy Advice Audit
This audit – capturing information about the advice you give visitors to your pharmacy in w/c 29th June – can be carried out as one of your contractual (clinical) audit for 2020/21.

A guide to clinical audit

Valproate medicines safety (Company Chemists’ Association)

PSNC audit on LABA as monotherapy for the treatment of asthma without ICS preventer treatment

Hydration messages to prevent acute kidney injury clinical audit (on PharmOutcomes)

NSAID clinical audit (on PharmOutcomes)

RPS audit hub, including templates



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