https://club.hcqc.co.uk/c/self-audits/edit-lesson/sections/517639/lessons/2835491
The first part of this audit will apply to every practice, while the latter sections are specifically relevant to those that store controlled drugs or maintain a controlled drugs cabinet.
Even if your practice does not believe it currently holds any controlled drugs, we strongly recommend completing this audit in full. Doing so ensures clear evidence that CDs are not being stored inadvertently and that governance systems are robust enough to demonstrate compliance, safety, and accountability across all areas of medicines management.
Controlled drugs (CDs) play an important role in patient care — from managing severe pain to supporting patients with long-term conditions. However, because of their potential for misuse, diversion, and harm, the way they are stored, prescribed, and destroyed is subject to strict legislation.
CQC inspectors expect practices to demonstrate robust systems for CD management, not only to comply with the law but also to protect patients, staff, and the wider community.
Why This Audit Was Created
This week’s audit focuses on Controlled Drugs (CD) Management and Security, in line with the following CQC regulations:
- Regulation 12: Safe care and treatment
- Regulation 17: Good governance
- Regulation 18: Staffing
The aim is to check that CDs are handled safely at every stage — from storage and prescribing to record-keeping and disposal — and that staff are trained and confident in their responsibilities.
Why It Matters
- Patient safety: Errors in prescribing, storing, or issuing CDs can cause serious harm.
- Legal compliance: CD management is governed by strict legislation; breaches can result in enforcement action.
- Prevention of misuse: Secure storage and accurate record-keeping reduce the risk of diversion or abuse.
- Staff protection: Clear processes safeguard staff from professional risk and ensure accountability.
- CQC assurance: Demonstrating robust CD governance provides strong evidence of safe systems and leadership.
What Good Practice Looks Like
- CDs are stored in compliant, locked cabinets with controlled access.
- Accurate registers are maintained in real time, with regular reconciliations.
- Prescribing of CDs follows legal and clinical guidelines.
- Expired or unwanted CDs are disposed of safely, with witness sign-off.
- Staff are trained and confident in CD regulations and processes.
- Regular internal audits and governance reviews identify learning and ensure continuous improvement.
Final Thoughts
Controlled drug management is about more than compliance — it’s about ensuring patient safety, protecting staff, and maintaining public trust.
By embedding this audit, practices can provide assurance that:
- Systems are robust, safe, and legally compliant.
- Staff are trained and supported in their responsibilities.
- Governance oversight ensures that issues are identified, addressed, and learned from.
In doing so, practices not only meet regulatory standards but also demonstrate a culture of safety, accountability, and professionalism.
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