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Correct details
Check name,address, postcode and DOB
of customer
Refer topharmacist
Wrong
prescription
given to
customer
by surgery
Print name and address ofcustomers on script if hand
written; tick if computergenerated
Verify Doctor has signed the
prescription
Ensure customer/representative
declaration signed and
dated if required
Ensure NI number present
where required
Mark evidence not seen ifrequired. Cross box discreetly
in presence of customer
Annotate number offorms i.e. 1/2, 2/2
Place prescription(s)in appropriate
coloured basket andadd to dispensing
queue
Verify
exemption
status
Paid script
Check evidence of
exemption if required
No evidence Evidence
Refer to
pharmacist Not signed
Wrong name
or address
Old address
or surname
Change name
or addressReturn
prescription
to surgery
Obtain price &
inform customer
Private
script
Refer to
pharmacist for
advicePrice not
acceptable
Obtain
payment
Attach
receipt to
prescription
Price
acceptable
Advise of
estimated
waiting time
Annotate
prescriptions for
time and Waiting
(W) or Calling
Back (CB)
Exempt
See Prescription
Reception – paid
prescriptions
Accept appropriate number of
charges. Enter amount on back
of prescription
Annotate number of
forms i.e. 1/2, 2/2
Place prescription(s) in
appropriate coloured
basket and add to
dispensing queue
Advise of estimated
waiting time
Annotate
prescriptions for time
and Waiting (W) or
Calling Back (CB), Paid
or To pay
Is patient going
to pay now?Yes
Collect charge at prescription
transfer stage
No
In addition to Prescription Reception SOP
Stamp docket with branch stamp
Complete docket and pass customer’s portion to
customer / representative
Clearly mark docket with number of forms
Attach completed docket to prescription and place in
appropriate coloured basket
Are any prescriptions
for controlled drugs?
Dispense prescription following SOP
Ensure correct endorsement / coding on prescription form
Does the customer pay for their prescription?
All forms must be stamped
at the bagging up stage
(non- CoMPaSS)
Attach prescription to bag
Place in collection area
Customer collects prescription. Reverse of form
completed / levy taken if appropriate. Follow
Prescription Transfer SOP
Place completed prescription in secure area for counting at end of day
Return to prescriber
Legal requirements correct?
Dispense prescription following Dispensing and
Recording of Prescriptions for Controlled Drugs in the
Pharmacy SOP
Attach ‘To Pay’ sticker to bag, completing
amount to pay
Record in Private prescription book and
store in file
No
No
Yes
Privateprescription
Yes
No
Yes
Dispense prescription following SOP
Ensure correct endorsement / coding on prescription form
Does the customer pay for their prescription?
All forms must be stamped at the bagging up stage
(non-CoMPaSS)
Locate suitable storage location and annotate script
Customer returns - locate script and retrieve bag
Customer collects prescription. Reverse of form
completed / levy taken if appropriate. Follow
Prescription Transfer SOP
Place completed prescription in secure area for counting at
end of day
Return to prescriber
Legal requirements correct?
Attach ‘To Pay’ sticker to bag, completing
amount to pay
Record in Private prescription book and
store in file
No
Yes
Private
prescription
Yes
No
Place bag in storage location and file script A-Z
Yes
Dispense prescription following Dispensing and
Recording of Prescriptions for Controlled Drugs in the
Pharmacy SOP
Are any prescriptions for controlled drugs?
No
Check all received
prescriptions against list
held in pharmacy
Count total
number of items
and record for MRS
Are any of the
prescriptions ‘Keep
Repeat’ or ‘ExRx’?
Refer to Repeat
Prescription
Collection Service -
Keep Repeat SOP
or ExRx SOP
Legal requirements
correct?
Return to prescriber
Dispense prescriptions
following SOP
Ensure correct endorsement /
coding on prescription form
Does
customer pay for
prescription?
Attach ‘To Pay’
sticker to bag,
completing amount
to pay
All forms must be stamped at the
bagging up stage (non-CoMPaSS)
Attach prescription to bag
Place in collection area
Customer collects prescription.
Reverse of form completed / levy
taken if appropriate.
Follow Prescription Transfer SOP
Place completed prescription in
secure area for counting at end
of day
Yes
No
Yes
No
Yes
No
Yes
Are any
prescriptions for
controlled drugs
(CD)?
No
Dispense prescription
following Dispensing and
Recording of Prescriptions
for Controlled Drugs in the
Pharmacy SOP
Check all received prescriptions against list held in pharmacy
Count total number of items
and record for MRS
Are any of the prescriptions ‘Keep
Repeat’ or ‘ExRx’?
Refer to Repeat Prescription
Collection Service -Keep Repeat SOP
or ExRx SOP
Legal requirements correct?
Return to prescriber
Dispense prescriptions following SOP
Ensure correct endorsement / coding on prescription form
Does customer pay for
prescription?
Attach ‘To Pay’ sticker to bag,
completing amount to pay
All forms must be stamped at the
bagging up stage (non-CoMPaSS)
Customer collects prescription. Reverse of form completed /
Follow Prescription Transfer SOP
Place completed prescription in secure area for counting at end of day
Yes
No
Yes
No
Yes
No
Yes
Are
any prescriptions for controlled drugs
(CD)?
No
Dispense prescription
following Dispensing and
Recording of Prescriptions
for Controlled Drugs in the
Pharmacy SOP
Locate suitable storage location and
annotate script
Place bag in storage location and file
script A-Z
Customer returns – locate script and
retrieve bag
levy taken if appropriate.
Genuine?
Allowed on NHS?
Is dose form appropriate?
No contraindications
No interactions
No adverse reactions
No misuse issues?
Drug in local formularies?
Drug suitable for customer’s condition?
Labelling SOP
Pharmaceutical Assessment
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Return to prescriber
for correctionNo
Record any
clinically
significant event
on Intervention
& Referral form
and annotate
CoMPaSS
No intervention
required
YesIntervention
required
Follow Intervention
SOP
Follow Labelling
SOP
Professional judgement (see
handy hints)
No
No
Legal requirements correct?
Contact prescriber
or discuss with
customer
PRESCRIBERCUSTOMER
(see Customer SOP)
Inform customer of
the need to contact
prescriber without
causing undue alarm
Prescriber
available?
When will prescriber be
available? If unavailable
consider discussing with
alternative prescriber
Discuss query
with prescriber
Inform customer of delay and
when query will be resolved.
Obtain contact telephone
number if appropriate
Agreement
reached with prescriber on
appropriate action
Decision
made based on
professional
judgement
Record any clinically
significant
interventions on
Intervention &
Referral form and
annotate CoMPaSS
Refer customer to
prescriber
Record any clinically
significant interventions on
Intervention & Referral
form and annotate
CoMPaSS
Labelling SOP
Communicate
outcome to
customer
YesNo
Not dispense
YesNo
Dispense
Contact prescriber
or discuss with
customer
PRESCRIBER
(see Prescriber SOP)CUSTOMER
Agreement
reached with customer on
appropriate action
Record any clinically
significant interventions on
Intervention & Referral Form
and annotate CoMPaSS
Pharmacist to make decision
based on professional
judgement
Labelling SOPRefer customer to prescriber
Record any clinically significant
interventions on Intervention &
Referral Form and annotate
CoMPaSS
YesNo
Dispense
Not dispense
Is there sufficient stock?
No
Yes
With reference to prescription,
select drug(s) from shelf/fama
drawer
Follow Owings SOP
Place selected drug(s) in dispensing basket with
prescription(s)
Does customer have CoMPaSS
record?
Enter patient’s details
No
Advise pharmaceutical
checker of interactions/
dose/medication changes
Professional judgement
Endorse / code prescription
Place labels with prescription in
basket
Yes
Follow Intervention
SOP
Picking SOP
Review DUR
Select dispensed product on CoMPaSS
Review prescription summary and order as appropriate
Generate labels
Follow Owings SOP if
appropriate
Check item in stock?NoFollow Owings
SOP
Yes
Assembly SOP
Does customer have
CoMPaSS record?
Enter patient’s details
No
Advise pharmaceutical
checker of interactions/
dose/medication changes
Professional judgement
Endorse / code prescription
Place labels with prescription in
basket
Yes
Follow Intervention
SOP
Assembly SOP
Picking SOP
Yes
Review DUR
Select dispensed product on CoMPaSS
Review prescription summary and order as appropriate
Generate labels
Follow Owings SOP if
appropriate
Check expiry dateis sufficient for
treatment period
Calculate/ measure/count required
quantity
Transfer to appropriatecontainer(s)
with P.I.L
Attach labels toproducts withoutcovering product
name
Mark any split packs with X usingpermanent marker.
Mark date ofopening on
liquid preparations
Check prescriptionwith item. Checkprescription with
label
Initial ‘disp by’ box
Accuracy checkSOP
Obtain copy of P.I.L if
not available
Labelling SOP
for drug selected
Insufficient stock to satisfy prescription
If customer/representative is present - advise of incomplete nature and estimated time of availability or manufacturer
difficulty
Ensure sufficient stock is ordered
Keep with original prescription
Follow Owings Part 2
Give to customer with any remaining items on
prescription
Confirm estimated date and time of
availability
Attach prescription and full owing slip to
bagged item
Detach customer copy when prescription is
collected
Branch copy
Waiting
Calling back
Obtain contact details for customer if
appropriate
Generate owing labels using
CoMPaSS and fix to owings slips. If for a
Controlled Drug mark owing slip with
“CD”
Customer copy
Advise customer to collect owed
medication within 2 months or within 28
days of the appropriate date on the
prescription for CD’s
Insufficient stock to satisfy prescription
If customer/representative is present - advise of incomplete nature and estimated time of availability or manufacturer
difficulty
Ensure sufficient stock is ordered
Keep with original prescription
Follow Owings Part 2
Give to customer with any remaining items on
prescription
Confirm estimated date and time of
availability
Attach full owing slip to prescription
Locate storage location. Annotate
location. Place prescription in A-Z file.
Branch copy
Calling
back
Obtain contact details for customer if
appropriate
Detach customer copy when prescription is
collected
Place bag in storage location
Customercopy
Generate owing labels using CoMPaSS and
fix to owings slips Waiting
Advise customer to collect owed
medication within 2 months or within 28
days of the appropriate date on the
prescription for CD’s
Owings Part 1
Owing uncollected after 21
days NB expiry date for
schedule 2, 3 & 4 CD scripts
is 28 days
Contact customer to remind
about owing and / or deliver
item (s)
Patient
or representative calls to
collect Rx or Rx to be prepared
for delivery
No
Is owing for full pack of medication.
Full quantity owed eg Rx for 28: owe 28?
Endorse item as ND, and
cross through
Endorse Rx with
amount supplied
and date of supply.
Yes
No
Process prescription
for payment
Return Rx to
prescriber if no
other items on Rx.
Yes
Is
prescription still
in date?
Inform patient no
longer valid and
refer to prescriberNo
Follow Prescription
transfer SOP
Yes
Stock arrives to complete
prescription. Update stock
levels on CoMPaSS
Owing medication dispensed
with reference to original
prescription (follow SOP)
Owing annotated ‘N/C’ on
CoMPaSS. Medication
returned to stock following
check of expiry date and
batch no
Medication disposed of as ‘out
of date’ and mark as “N/C” in
CoMPaSS. If schedule 2 CD,
mark as “unusable stock” and
quarantine in CD cabinet
awaiting destruction
Ow
ing
s P
art
1
Sto
ck a
rriv
es t
o c
om
ple
te
pre
scri
pti
on
. U
pd
ate
sto
ck
lev
els
on
Co
MP
aS
S
Ow
ing
me
dic
ati
on
dis
pe
nse
d
wit
h r
efe
ren
ce
to
ori
gin
al
pre
scri
pti
on
(fo
llo
w S
OP
)
Fu
ll p
ack o
f m
ed
ica
tio
n.
Pa
rt q
ua
nti
ty o
we
d e
.g. R
x f
or
56
; o
we
28
Pre
scri
pti
on
pro
ce
sse
d a
nd
reis
su
ed
aft
er
dis
pe
nsin
g o
win
g
Me
dic
ati
on
re
turn
ed
to
sto
ck f
ollo
win
g c
he
ck o
f e
xp
iry
da
te,
a
dju
st
sto
ck le
ve
l a
nd
ma
rk a
s ‘N
/C’ o
n C
oM
Pa
SS
Fu
ll p
ack o
f m
ed
ica
tio
n.
Fu
ll q
ua
nti
ty o
we
d e
.g. R
x
for
28
; o
we
28
Pre
scri
pti
on
att
ach
ed
to
ba
g
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B 2
8
da
y e
xp
iry
of
sch
ed
ule
4
CD
s
Ow
ing
an
no
tate
d ’N
/C’ o
n
Co
MP
aS
S a
nd
pre
scri
pti
on
re
turn
ed
to
su
rge
ry
if s
ing
le ite
m
Me
dic
ati
on
re
turn
ed
to
sto
ck
follo
win
g c
he
ck o
f e
xp
iry
da
te
Sp
lit
pa
ck o
f m
ed
ica
tio
n.
Pa
rt q
ua
nti
ty o
we
d e
.g. R
x f
or
100
; o
we
17
Pre
scri
pti
on
pro
ce
sse
d a
fte
r
dis
pe
nsin
g o
win
g
Me
dic
ati
on
dis
po
se
d o
f a
s ‘o
ut
of
da
te’
an
d m
ark
as “
N/C
” in
Co
MP
aS
S
Fo
llo
w P
rescri
pti
on
Tra
nsfe
r S
OP
Co
mp
lete
d p
rescri
pti
on
sto
red
fo
r co
un
tin
g a
t
en
d o
f d
ay
Fo
llo
w P
rescri
pti
on
Tra
nsfe
r S
OP
Prescription
collected
Prescription
collected
Ow
ing
slip
att
ach
ed
to
ba
gO
win
g s
lip
att
ach
ed
to
bag
Prescription
collected
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B e
xp
iry
of
sch
ed
ule
4 C
Ds is 2
8 d
ay
s
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B 2
8 d
ay
exp
iry
of
sch
ed
ule
4 C
Ds
Co
nta
ct
cu
sto
me
r to
rem
ind
ab
ou
t o
win
g a
nd
/
or
de
liv
er
ite
m(s
)
Me
dic
ati
on
co
lle
cte
d/
de
liv
ere
d?
Yes
No
Co
nta
ct
cu
sto
me
r to
re
min
d
ab
ou
t o
win
g a
nd
/or
de
liv
er
ite
m(s
)
Co
nta
ct
cu
sto
me
r to
rem
ind
ab
ou
t o
win
g a
nd
/
or
de
liv
er
ite
m(s
)
Me
dic
ati
on
co
lle
cte
d/
de
liv
ere
d?
Me
dic
ati
on
co
lle
cte
d/
de
liv
ere
d?
No
No
Yes
Yes
Ow
ing
s P
art
1
Sto
ck a
rriv
es t
o c
om
ple
te
pre
scri
pti
on
. U
pd
ate
sto
ck
lev
els
on
Co
MP
aS
S
Ow
ing
me
dic
ati
on
dis
pe
nse
d
wit
h r
efe
ren
ce
to
ori
gin
al
pre
scri
pti
on
(fo
llo
w S
OP
)
Fu
ll p
ack o
f m
ed
ica
tio
n.
Pa
rt q
ua
nti
ty o
we
d e
.g. R
x f
or
56
; o
we
28
Pre
scri
pti
on
pro
ce
sse
d a
fte
r
dis
pe
nsin
g o
win
g
Me
dic
ati
on
re
turn
ed
to
sto
ck f
ollo
win
g c
he
ck
of
exp
iry
da
te, a
dju
st
sto
ck le
ve
l a
nd
ma
rk a
s
“N
/C” o
n C
oM
Pa
SS
Fu
ll p
ack o
f m
ed
ica
tio
n.
Fu
ll q
ua
nti
ty o
we
d e
.g. R
x
for
28
; o
we
28
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B 2
8 d
ay
exp
iry
of
sch
ed
ule
4 C
Ds
Ow
ing
an
no
tate
d ‘N
/C’ o
n
Co
MP
aS
S a
nd
pre
scri
pti
on
retu
rne
d t
o s
urg
ery
if
sin
gle
ite
m
Me
dic
ati
on
re
turn
ed
to
sto
ck
follo
win
g c
he
ck o
f e
xp
iry
da
te
Sp
lit
pa
ck o
f m
ed
ica
tio
n.
Pa
rt q
ua
nti
ty o
we
d e
.g. R
x f
or
100
; o
we
17
Pre
scri
pti
on
pro
ce
sse
d a
fte
r
dis
pe
nsin
g o
win
g
Me
dic
ati
on
dis
po
se
d o
f a
s ‘o
ut
of
da
te’ a
nd
ma
rk a
s “
N/C
” in
Co
MP
aS
S
Fo
llo
w P
rescri
pti
on
Tra
nsfe
r S
OP
Co
mp
lete
d p
rescri
pti
on
sto
red
fo
r co
un
tin
g a
t
en
d o
f d
ay
Fo
llo
w P
rescri
pti
on
Tra
nsfe
r S
OP
Pre
scri
pti
on
collecte
d
exclu
din
g S
ch
edu
le 2
an
d 3
CD
’s
Ow
ing
slip
att
ach
ed
to
ba
gO
win
g s
lip
att
ach
ed
to
ba
g
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B e
xp
iry
of
sch
ed
ule
4 C
Ds is 2
8 d
ay
s
Ow
ing
un
co
lle
cte
d a
fte
r 2
mo
nth
s o
r 2
1 d
ay
s f
or
co
ntr
olle
d d
rug
s N
B 2
8 d
ay
exp
iry
of
sch
ed
ule
4 C
Ds
Co
nta
ct
cu
sto
me
r to
rem
ind
ab
ou
t o
win
g a
nd
/
or
de
liv
er
ite
m(s
)
Me
dic
ati
on
co
lle
cte
d/
de
liv
ere
d?
Yes
No
Co
nta
ct
cu
sto
me
r to
rem
ind
ab
ou
t o
win
g a
nd
/or
de
liv
er
ite
m(s
)
Co
nta
ct
cu
sto
me
r to
rem
ind
ab
ou
t o
win
g a
nd
/or
de
liv
er
ite
m(s
)
Me
dic
ati
on
co
lle
cte
d/d
eliv
ere
d?
Me
dic
ati
on
co
lle
cte
d/d
eliv
ere
d?
No
No
Yes
Fo
llo
w B
ag
gin
g U
p S
OP
to
sto
re m
ed
ica
tio
n
Lo
ca
te s
tora
ge
lo
ca
tio
n.
Att
ach
co
py
ba
g la
be
l to
em
pty
ba
g w
ith
sto
rag
e
loca
tio
n a
nn
ota
ted
.
Pla
ce
in
A-Z
file
. S
tore
ba
g in
sto
rag
e lo
ca
tio
n.
Pre
scri
pti
on
collecte
d
Re
mo
ve
co
py
ba
g la
be
l
fro
m A
-Z f
ile
Yes
Accuracy Check
Read the prescriptionand check it matchesname on bulk pack or
patient pack
Read strength of item
on prescription andcheck against item
Check that multiplepacks are the same
medication and same strength
Check expiry dateson all packs
Check drug form onprescription against thatdispensed e.g. ointment
Check quantity onprescription against
that dispensed
Bulk packs - visuallycheck contents of
dispensed containermatch contents of
bulk pack
Read throughprescription
Check prescriptionagainst label for- customer name- medication name- strength- quantity- dosage form
Check that prescriptionmatches dose /
instructions on the label
Mark ‘checked by’ boxon dispensing label
Check The Product Check Label
Ensure correctendorsement/coding onprescription form. Check
that back of form iscompleted correctly
(including correctnumber of charges)
Ensure “dispensed by”box marked
If the prescription has been assembled by the pharmacist ensure a mental break is taken before
the Accuracy Check is carried out
Check that packcontains relevant P.I.L.
Return bulk and split
packs to appropriate
places on shelves / Fama
drawers
Place items in bag,
counting number of items
and confirming count with
items on prescription
Mark bags if more than
one. 1 of 2, 2 of 2, etc
Attach sticker if
appropriate, e.g. fridge,
pharmacist, CD
Check all prescriptions are
stamped through
CoMPaSS or manually
Attach completed
prescription to bag
Place items in bag, counting
number of items and confirming
count with items on
prescription
Attach sticker if appropriate,
e.g. fridge, pharmacist, CD. Also
add note to script if
appropriate.
Locate suitable storage location
All prescriptions must
be stamped
Mark bags if more than one.
1 of 2, 2 of 2 etc
Annotate location on
prescription
File prescription in A-Z file
Place bag in storage location
Return bulk and split packs to
appropriate places on shelves /
Fama drawers
Is customer /
representative
over 16?
Refer to pharmacist
if appropriate
Confirm address with customer /
representative and cross check
against bag label & prescription
Yes
Respond to note / label on bag
if appropriate, e.g. fridge
Ask
if customer has
had medication
before?
Refer to pharmacist
if appropriate
Transfer to customer or representative
Ensure appropriate register entry
is made (i.e. CD register)
Completed prescription
No
Yes
No
Record any clinically
significant advice or
referral made on
Intervention &
Referral form and
annotate CoMPaSS
Is further
to customer required?
Remove prescription from bag and
check prescription is completed /
signed on the reverse &
appropriate levies paid
(including appropriate signature for schedule 2 or 3 CD collection). Check the CoMPaSS exemption
matches back of the RX
No
Yes
Place prescription in secure area to
be counted at the end of day
Accept appropriate number of
charges if applicable. Enter
amount on back of prescription
To pay?
Advise customer to collect owed
medication within 2 months or within
28 days of the appropriate date on the
prescription for CD’s
Ensure any
prescriptions for
schedule 2,3 and
4 CD(s) are still
valid – within 28
day expiry
Is
there an
owing on the
Rx?
No
Yes
Confirm customer’s name
advice
Confirm customer’s name
Is customer /
representative over 16?Refer to pharmacist
if appropriate
Ask customer / representative
for address and cross check
against bag label & prescription
Yes
Respond to note / label on bag or
prescription if appropriate, e.g.
fridge, CD
Ask if customer
has had medication
before?
Refer to pharmacist if
appropriate
Transfer to customer or representative
Ensure appropriate register entry
is made (i.e. CD register)
No
No
Record any clinically
significant advice or
referral made on
Intervention &
Referral form and
annotate CoMPaSS
Is
further advice
to customer
required ?
Check prescription is completed /
signed on the reverse &
appropriate levies paid (including
appropriate signature for schedule 2 or 3 CD collection). Check the CoMPaSS exemption
matches back of the Rx
No
Yes
Place prescription in secure area to be counted at the end of day
Retrieve prescription from A-Z
file and locate bagged medication
Accept appropriate number
of charges. Enter amount on
back of prescription
To pay?
Yes
Advise customer to collect owed
medication within 2 months or within
28 days of the appropriate date on the
prescription for CD’s
Ensure any
prescriptions for
schedule 2,3 and 4
CD(s) are still
valid – within 28
day expiry
Is
there an owing on
the Rx?
No
Yes
Completed Prescription
