Assurance Framework

Community Pharmacy Assurance Framework

HSCB Correspondence 29th July 2019

How can CPNI help YOUR pharmacy prepare for the Community Pharmacy Assurance Framework?

CPNI is here to help support and guide you through the requirements to comply with the HSCB community pharmacy assurance framework (CPAF). We have developed a range of resources which are designed to encourage and support contractors to review and update current practice where necessary.

What is the CPAF?

The purpose of the HSCB assurance framework is to monitor compliance of community pharmacy contractors with Terms of Service, service specifications and related professional standards to ensure that patients and members of the public receive safe, effective and high-quality pharmaceutical services.

The CPAF consists of two components:

  • An annual declaration, to be completed and signed by all community pharmacy contractors and returned to the HSCB and
  • A three-year rolling program of visits, undertaken by HSCB staff, during which each pharmacy will usually be visited once.

What do I need to submit to the HSCB?

The self-declaration form will be issued annually by HSCB to all community pharmacy contractors to seek assurances on dispensing, Terms of Service and requirements for specific elective services e.g. MUR service. Contractors will have six weeks to return the declaration form to their local HSCB office. A copy of your practice leaflet and complaints SOP will also be requested for submission with the annual declaration.

When will I be selected for a visit?

Each quarter approximately nine pharmacies, per LCG area, will be selected for an assurance visit by HSCB staff. The basis of selection of pharmacies for visits will be random but priority will be given to pharmacies who failed to submit the declaration form.  HSCB staff will contact contractors when they have been selected for an assurance visit to arrange a suitable date and time, it will never be unannounced.

What do I need to prepare for the HSCB visit?

The visit protocol provides detail of the topics and questions that will be covered during the visit. Contractors can review this in preparation for the visit and ensure supporting documentation is readily available for discussion during the visit.

What CPNI resources are available?

All CPNI supporting CPAF resources can be found here.

What happens at the visit?

The visit should last no longer than 1 hour during which time the HSCB pharmacist will discuss the questions on the visit protocol with the pharmacist. This will include a review of how processes work practically in the pharmacy and evidence or documents/records to support this may be requested.

In order to ensure the safe and effective delivery of pharmacy services during the visit funding will be available to cover locum costs for the day of the visit.

What happens next?

Any follow-up actions will be discussed by the HSCB Adviser, the pharmacist and contractor (if in attendance) and agreed where possible. A record of actions will be made on the visit protocol. Following the visit, a draft report will be sent to the contractor for review and comment. Once agreed, the final visit report will be issued along with an action plan, where appropriate.

When all actions identified in the visit have been completed or where there are none to complete, a letter of compliance with the requirements of the framework will be issued.

Where can I view the relevant CPAF paperwork?

Full details of the framework and the relevant documentation can also be accessed on the Pharmaceutical Section of the BSO website

What support is available with CPAF?

CPNI is available to visit to your pharmacy to provide practical support ranging from HSCB visit preparation, to finalising and implementing action plans. If you feel you would benefit from a support visit to facilitate the process and assist you in receiving the HSCB letter of compliance with CPAF, please don’t hesitate to get in touch.

Need further assistance?

If you require any clarification, advice or support from CPNI please contact our office.

Tel: 028 9069 0444