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COMMUNITY PHARMACY COMPLIANCE & AUDIT SUPPORT

Keep your community pharmacy compliant and audit-ready

HCPA helps community pharmacies strengthen pharmacy policies and procedures, maintain compliance evidence and prepare for accreditation, inspections and regulatory review.

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Community pharmacies need to manage dispensing, medicine storage, staff competence, PBS claiming and advertising requirements as part of everyday operations.

Keeping those systems current helps reduce compliance risk and makes it easier to respond when an assessment, inspection or regulatory issue arises.

HCPA can help identify gaps early and strengthen the processes needed to keep your pharmacy compliant as services and requirements change.

When urgent community pharmacy compliance support may help

Compliance issues can arise through an upcoming accreditation assessment, premises inspection, PBS review or complaint. Acting early gives the pharmacy more time to identify the gap and put the right evidence in place.

Speak with an HCPA pharmaceutical compliance consultant

QCPP accreditation findings

An upcoming assessment or corrective action can expose gaps in records, staff training, procedures or service delivery. QCPP assessments are currently conducted onsite, while the program is evolving into the Quality and Safety Pharmacy Program.

Medicine storage and records

Controlled medicines need appropriate security and accurate records. Discrepancies between stock held and recorded transactions can create serious pharmacy regulatory compliance concerns, particularly for Schedule 8 medicines.

PBS claiming concerns

Incorrect or unsupported PBS claims can result in repayment or wider compliance action. Clear claiming, certification and reconciliation processes help pharmacies identify discrepancies before they develop into larger issues.

Advertising and service changes

Pharmacies can also run into difficulty when advertising does not keep pace with TGA requirements or when new professional services are introduced without updating training and operating procedures.

Key community pharmacy compliance requirements

Community pharmacy compliance needs to be built into the dispensary, workforce, medicine controls and professional services rather than addressed only when an assessment approaches.

QCPP accreditation and pharmacy procedures

Your pharmacy policies and procedures should reflect how the pharmacy actually operates and provide clear processes for staff to follow. QCPP also expects pharmacies to maintain a quality management system through regular reviews of policies, procedures and training as part of ongoing accreditation.

Controlled medicines and storage

Pharmacies need reliable controls for medicine storage, stock movements and record keeping, particularly for Schedule 8 medicines. Requirements vary by state or territory, so procedures should reflect the rules applying to the pharmacy’s jurisdiction.

Dispensing and PBS claiming

Dispensing systems should support accurate supply, documentation and PBS claiming. PBS claim periods also need to be certified and closed in line with the PBS claims certification requirements.

Pharmacist registration and staff competence

Pharmacists need to maintain current registration and continuing professional development relevant to their scope of practice. The Pharmacy Board’s CPD standard also requires pharmacists to plan and complete ongoing professional development relevant to their practice.

Advertising and pharmacy scope of practice

As pharmacy scope of practice expands, new services can require updated protocols, training and compliance checks. Marketing should also be reviewed against the TGA’s restrictions on advertising prescription and pharmacist-only medicines.

HCPA can help bring these requirements together into practical systems that are easier to manage day to day.

Pharmacy compliance audits and ongoing accreditation

Community pharmacies can be reviewed through several different compliance pathways, depending on the issue. This can include accreditation assessments, state or territory premises inspections and PBS compliance activity, each focusing on different parts of the pharmacy’s operations.

For pharmacies participating in QCPP, reaccreditation assessments are currently conducted onsite every two years. QCPP is also transitioning to the Quality and Safety Pharmacy Program, with pharmacies moving toward assessment against the updated Australian Community Pharmacy Standard, AS85000:2024.

A practical pharmacy compliance audit should test whether the pharmacy can demonstrate compliance in day-to-day operations, including:

  • pharmacy policies and procedures

  • dispensing and prescription records

  • Schedule 8 storage and transaction records

  • pharmacist registration and staff training

  • cold-chain and medicine storage controls

  • PBS claiming and certification

  • accreditation evidence and corrective actions

  • advertising and professional service procedures.

A pharmacist in a white coat smiles while handing a prescription to a customer at a pharmacy counter with shelves of medicine in the background.

One recurring risk is allowing dispensing practices, staff training or procedures to drift away from the documented compliance system as requirements change.

Maintaining evidence throughout the accreditation cycle makes it easier to identify gaps before an assessor or regulator does.

HCPA can review your systems, identify gaps and help you prepare for accreditation assessments, inspections and regulatory review.

Speak with an HCPA community pharmacy compliance consultant

Responding to community pharmacy compliance issues

Community pharmacy compliance concerns often require quick action because problems can involve medicine security, dispensing, claiming or patient safety.

Step 1

Identify the requirement behind the finding

Confirm whether the issue relates to accreditation, dispensing, medicine storage, PBS claiming, advertising, staffing or another regulatory requirement.

Step 2

Reconcile the records and pharmacy practice

Compare the relevant registers, dispensing records, stock, staff documentation and pharmacy policies and procedures to determine whether the problem is documentary or operational.

Step 3

Prioritise medicine and patient safety

Where the issue involves controlled medicines, dispensing or another immediate clinical risk, correct the high-risk problem before dealing with lower-priority administrative gaps.

Step 4

Update the workflow before reassessment

Revise the procedure, staff responsibilities or training behind the finding and retain evidence showing that the corrected process is now being followed.

Why choose HCPA for community pharmacy compliance?

HCPA takes a practical approach to pharmacy regulatory compliance, looking at how regulatory requirements translate into dispensing, staff responsibilities, medicine controls and everyday pharmacy operations.

This can include reviewing pharmacy policies and procedures, accreditation evidence, controlled-medicine records, PBS processes and workflows for new professional services.

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HCPA’s pharmacy experience helps turn regulatory requirements into workable dispensary processes, rather than simply adding more documentation.

Frequently asked questions about community pharmacy compliance

The pharmacy needs evidence showing that its quality systems operate in practice, not simply a complete set of policies.

Depending on the pharmacy and services offered, that may include procedures, training records, medicine storage evidence, cold-chain monitoring, professional service records and evidence that corrective actions have been completed.

Community pharmacies participating in QCPP are assessed through onsite accreditation assessments, so the pharmacy needs to be able to demonstrate how its systems work in day-to-day practice.

Start by determining whether the problem is limited to missing evidence or reflects the way the pharmacy is actually operating.

Where dispensing or medicine security is involved, address any immediate safety or legal risk first. Then correct the procedure, train relevant staff and retain evidence showing that the revised workflow is being followed.

The aim is to demonstrate that the underlying process has changed, rather than simply supplying a corrected document for reassessment.

Yes. QCPP is transitioning to the Quality and Safety Pharmacy Program (QSPP), with the updated program placing greater emphasis on quality, safety and clinical governance in everyday pharmacy practice.

Pharmacies should monitor the QCPP to QSPP transition and ensure their systems are ready for assessment against the updated Australian Community Pharmacy Standard, AS85000:2024.

Treat the discrepancy as a priority and investigate what has occurred rather than simply correcting the written balance.

Review the physical stock, relevant transactions and dispensing records, determine whether an error or unexplained movement has occurred and follow the reporting or escalation requirements that apply in your state or territory.

Because Schedule 8 medicine requirements are jurisdiction-specific, pharmacy procedures should reflect the requirements applying where the pharmacy operates.

The pharmacy should have clear processes for accurate claiming, certification and reconciliation rather than relying entirely on dispensing software to identify problems.

PBS claim periods need to be certified and closed in line with the PBS claims certification requirements, with internal review used to identify discrepancies before they become part of a formal compliance issue.

Before introducing a new professional service, confirm that pharmacists are authorised and appropriately trained to provide it in the relevant state or territory.

The pharmacy should then update its pharmacy policies and procedures, clinical workflows and staff training before the service begins. A service that fits within an expanded scope of practice may still create new operational, premises or documentation requirements for the pharmacy.

Do not limit preparation to tidying documentation immediately before the regulator arrives.

Check controlled medicine storage and records, dispensary processes, refrigerator and temperature controls, pharmacist and staff evidence, current procedures and any outstanding corrective actions.

State regulator inspections can catch pharmacies off guard, so maintaining these systems continuously is more reliable than preparing reactively.

Related community pharmacy resources

Starting a community pharmacy

Planning to open or acquire a community pharmacy?

Assess the proposed location, ownership structure and business model, then work through PBS approval, premises requirements, fitout and the systems needed to start operating.

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Growing your community pharmacy

Ready to attract more customers and expand your pharmacy services?

Strengthen local marketing, prescription growth, repeat visits and service capacity so the pharmacy can grow without putting pressure on day-to-day operations.

Start Growing
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