An independent review has identified significant problems in workplace culture of the pharmacy at Jersey's General Hospital.
Current and former staff were interviewed about their experiences. Many said they have been feeling dismissed and not listened to.
Those surveyed spoke out about multiple situations where 'policies, procedures and processes' were not applied in a 'just way'.
Employees also said there is a lack of feedback, recognition and reward, as well as transparency.
It was also revealed that confidential information about individual staff members was not dealt with sensitively.
The reviewers - a Chief Pharmacist and Deputy Chief Pharmacist from the UK - were invited into the department in June by Health and Community Services bosses.
Their findings were passed to HCS last month, and an action plan for addressing the issues raised is being drawn up.
The report has made 54 recommendations for improvement, covering areas including culture, workforce, workload, education and training.
It follows recent failures within HCS, including within its radiology and rheumatology departments.
Read: Concern as 'inappropriate' behaviour from radiologists led to scans not being requested
Read: Rheumatology care and treatment may have contributed to 20 patient deaths
In August 2022, a wider review of the hospital revealed bullying behaviours and a lack of accountability were potentially compromising patient safety. An overhaul was promised.
Health Minister Tom Binet has made the pharmacy review public ahead of its formal submission next month to the Health Advisory Board which oversees care standards.
"This review is the latest in our ongoing programme of work to improve patient care across the entire health department.
"Improvements were already being made whilst this review was taking place, some of which resulted in reducing the queues to collect prescriptions at the hospital. Other changes will also be taken forward whilst the action plan is being completed."
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