Controlled Drug Storage — ORE Part 1 MCQ

Correct answer: B — In a compliant locked CD cabinet with restricted key access

Explanation lettering: C = shown as A · A = shown as B · D = shown as C · E = shown as D · B = shown as E

A is correct. Controlled drugs subject to the Safe Custody Regulations must be kept securely in a locked cabinet or other compliant secure receptacle; cabinet security and access arrangements must prevent unauthorised access. Thus, a compliant locked CD cabinet with key access restricted to authorised staff is required. A standard locked medicines cupboard, desk drawer or portable box is not necessarily compliant with the statutory safe-custody specifications, and unrestricted access defeats the purpose of secure custody. A staff-only location does not make an unlocked cupboard acceptable. The original example of midazolam was unsuitable for this statutory question: SDCEP advises a locked cupboard for sedation stock, but specifically notes that midazolam need not be stored in a locked CD cabinet.

Reference: Home Office, "Security guidance for all existing or prospective Home Office controlled drug licensees and/or precursor chemical licensees or registrants", section 4: Controlled Drug Storage, 2022, https://www.gov.uk/government/publications/general-security-guidance-for-controlled-drug-suppliers/security-guidance-for-all-existing-or-prospective-home-office-controlled-drug-licensees-andor-precursor-chemical-licensees-or-registrants-accessible