The Care Quality Commission (CQC) has taken further action to protect people in England who are using websites to obtain prescription medicines.
The quality regulator has published inspection reports on four more providers, which detail examples of people being put at risk of harm, with insufficient checks on their identity, poor recording of their medical history and clarification of their symptoms, inappropriate medicines being prescribed, and lack of communication with the patient’s GP.
The CQC has used its urgent enforcement powers to suspend the registration of one of these providers, imposed conditions on two of them, and instructed the fourth to improve its practice.
- Doctor Matt Ltd (www.theonlinesurgery.co.uk) was found to be issuing prescriptions after taking as little as 17 seconds to review patient questionnaires. Also a patient was found to have been prescribed an asthma inhaler with no GP assessment to confirm asthma as their condition. CQC has suspended the registration of this service until the end of June.
- Frosts Pharmacy Ltd (www.oxfordonlinepharmacy.co.uk) was found to be prescribing large quantities of asthma inhalers that were not in line with recognised best practice and without appropriate review, putting patients at risk of life-threatening exacerbation. The CQC has issued the provider with warning notices.
- White Pharmacy Ltd (www.whitepharmacy.co.uk) was prescribing a high volume of opioid-based medicines with no system in place to confirm patients’ medical or prescribing histories. CQC has placed conditions on the provider to restrict its prescribing of these medicines.
- i-GP Ltd (www.i-gp.uk) was issued requirement notices instructing it to make improvements in a number of areas, including around ensuring it has a robust system in place to verify the identity of its patients.
Last month, the CQC – alongside the General Medical Council (GMC), the General Pharmaceutical Council, and the Medicines and Healthcare products Regulatory Agency – reminded those running these websites that they must care for people in a safe and effective way, which includes following professional guidelines like any other provider. At the same time, the CQC warned the public to act with caution when considering using these websites.
Professor Steve Field, Chief Inspector of General Practice at the Care Quality Commission, said: “It is understandable that people want convenient access to advice and medicines, but it is important that providers do not compromise on patient safety. We expect the same standards of quality and safety to be met as we would see in more traditional GP settings – this is exactly what people deserve.
“Online companies, and the people working for them, have a duty to protect the people seeking their support. They must follow relevant guidance and best practice to make sure that they know who they are communicating with, how medicines fit in with their medical history, and that their GP is made aware of any prescribing decisions.
“This might be a new way of working but the risks and responsibilities need to be understood and action taken in response. As the regulator of health and social care, we will continue to play our part in guaranteeing this.”
Professor Steve Field, Chief Inspector of General Practice at the Care Quality Commission, said: “It is understandable that people want convenient access to advice and medicines, but it is important that providers do not compromise on patient safety. We expect the same standards of quality and safety to be met as we would see in more traditional GP settings – this is exactly what people deserve.
“Online companies, and the people working for them, have a duty to protect the people seeking their support. They must follow relevant guidance and best practice to make sure that they know who they are communicating with, how medicines fit in with their medical history, and that their GP is made aware of any prescribing decisions.
“This might be a new way of working but the risks and responsibilities need to be understood and action taken in response. As the regulator of health and social care, we will continue to play our part in guaranteeing this.”
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