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Archived: National Slimming Centre (Northampton)

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 20 March 2012
Date of Publication: 29 June 2012
Inspection Report published 29 June 2012 PDF

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Not met this standard

We checked that people who use this service

  • Will have their medicines at the times they need them, and in a safe way.
  • Wherever possible will have information about the medicine being prescribed made available to them or others acting on their behalf.

How this check was done

Our judgement

The registered person must protect service users against the risks associated with the unsafe use and management of medicines, by means of making appropriate arrangements for the recording, handling, using and dispensing of medicines for the purposes of the regulated activity.

User experience

People told us about the medicines they had been prescribed to assist with their weight loss. They said the doctor had fully explained the reason for the medicines and the possible side effects. People said they had also been given written information about the medicines.

Other evidence

The manager and doctor showed us their procedures for the safe storage of controlled drugs. The medicines were stored appropriately. The manager demonstrated the audit process of medicines ordered, received, prescribed and dispensed.

We looked at how the clinic ensured medicines were prescribed safely. A copy of the doctor's manual describing when medication would be prescribed was available in the consultation room. This manual made reference to the National Institute for Health and Clinical Excellence (NICE), General Medical Council (GMC) and Royal College of Physicians (RCP) guidelines on obesity, which were also available in the consultation room.

Records showed that appetite suppressants were prescribed to patients at the clinic. The doctor confirmed this. These medicines are not currently recommended for the treatment and management of obesity by NICE, the RCP or The British National Formulary (the pharmacy guidelines).

The appetite suppressants prescribed and dispensed at the clinic are classed as controlled drugs under The Misuse of Drugs Regulations (MDR) 2001. The MDR guidance states that prescriptions for these controlled drugs should be valid for 28 days only and that up to 30 days of medicine can be supplied at one time. One person had been prescribed both types of appetite suppressants for eleven months. She had been prescribed 56 days worth of tablets at a time on 11 separate occasions. The reason why more than 30 days of tablets were prescribed was not recorded. The patient information leaflet for one of the medications stated that doctors prescribe the drug for a maximum of 12 weeks without a break from treatment. The same person had been prescribed the medication for more than 12 weeks on several occasions without a break from treatment. The reason for this decision had not been recorded

One client had medication prescribed and dispensed at the clinic which was labelled incorrectly. The dose on the bottle said to take them once a day, instead of twice a day. The manager confirmed the correct dose with her verbally as twice a day, but the label on the medicine bottle was not changed.