All incidents involving controlled drugs should be reported to the Accountable Officer. This provides assurance that any risks have been mitigated and prompts any necessary action to be taken. Reporting also allows for the identification of themes in reported incidents from which learning can be shared across the system. Organisations that do have their own Accountable Officer (designated bodies) are required to send a summary of concerns relating to controlled drugs in an ‘occurrence report’ to the accountable officer at NHS England. A registered healthcare professional who is not responsible for the day to day use or management of CDs at the provider premises can apply to act as an authorised person and witness the destruction of Schedule 2 Controlled Drugs. Please note, some of this content was published before July 1 2022. The Health and Care Act 2022 introduced significant changes to how the NHS in England is organised and these may not be reflected below. Our Statutory Duty Chapter 23: Reorienting Chapter 24: Leave It Chapter 25: Whiplash Turn Chapter 26: Look at That! Chapter 27: Mat Work Chapter 28: Off-Switch Game Chapter 29: Give Me a Break Game Chapter 30: Parallel Games Chapter 31: Box Work Chapter 32: Puppy Ping-Pong Chapter 33: Watch the Distracted Handler

Multiple pharmacies can register and apply for witnesses to be authorised by completing the form below and returning to [email protected] Chapter 1: What Is Puppy Control Unleashed ? Chapter 2: Getting to Know Your Puppy Chapter 3: A Different Way to Think About Focus Paying attention is its own skill set and teaching it should be separate from teaching your puppy more complex behaviors. Without attention, you won't get as far as you want with all those other behaviors you're going to teach because it's likely they will fall apart in the face of distraction. So it is wise to teach the attention skill set as the base of operations for your puppy training. The attention skill set includes: Discrimination skills, self-control skills, and arousal regulation skills. The Superintendent Pharmacist of the corporate body is accountable to the appropriate NHS England CDAO for the governance arrangements around the witnessed destruction of CDs in their premises. The appropriate NHS England CDAO is the one for the regional team where the corporate body’s registered office is located.North East (North Cumbria, Tyne and Wear) Controlled Drugs (CD) team is led by the Lead Controlled Drug Accountable Officer (CDAO) for the region supported by a Controlled Drugs Accountable Office and a small team from North of England Commissioning Support Unit (NECS). Gazala Khan Yorkshire and the Humber Controlled Drugs (CD) team is led by the Lead Controlled Drug Accountable Officer (CDAO) for the region supported by the CDAO team. NHS England has a statutory duty to ensure that safe systems are in place for the management and use of controlled drugs. This is to prevent harm to patients and staff from any misuse of controlled drugs. In 2007, The Controlled Drugs (Supervision of Management and Use) Regulations 2006 were introduced as part of the Government’s response to the Shipman Inquiry’s Fourth report in 2004. NHS England anticipates that corporate bodies operating in excess of 5 or more pharmacy premises will seek to have suitably trained employees designated as Authorised Witnesses by the appropriate NHS England CDAO.

Where an NHS England CDAO designates Authorised Witnesses for a corporate body then the responsibility for the provision of Authorised Witnesses to witness the destruction of obsolete CDs within their premises rest with the body corporate. A corporate body may contract with an independent Authorised Witness to facilitate the witnessed destruction of obsolete CDs.The appropriate NHS England CDAO may designate suitably trained individual employees and/or class of employees in a corporate body as Authorised Witnesses where the individuals described are not routinely involved in the management and use of CDs in the premises in which they are acting as an Authorised Witness. NHS England Controlled Drugs (Supervision of management and use) regulations 2013 Single Operating Model; Annex 6: Authorisation of witnesses to destroy Controlled Drugs highlights the following for Community Pharmacies – Multiples: Nominate a registered healthcare professional, this could be a pharmacist or a pharmacy technician for pharmacies or GP/Nurse for GP practices. Controlled Drugs are drugs that are subject to high levels of regulation as a result of government decisions about those drugs that are especially addictive and harmful. Controlled drugs use regulations A corporate body operating 5 or more pharmacies may apply to the appropriate NHS England CDAO to designate suitably trained individual employees and/or class of employees as Authorised Witnesses.