Duties:
Patient facing Long-term condition Clinics
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to GPs for medicine improvement.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for nurses and/or GP on prescribing and monitoring.
Patient facing care home medication reviews
Undertake clinical medication reviews with patients and produce recommendations for the nurses or GPs on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the nurses and GPs on prescribing and monitoring.
Attend and refer patients to multidisciplinary case conferences.
Management of common/minor/self-limiting ailments
Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.
Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
Telephone medicines support
Provide a telephone help line for patients with questions, queries and concerns about their medicines.
Medicine information to practice staff and patients
Answers relevant medicine-‐related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions.
Providing follow up for patients to monitor the effect of any changes.
Unplanned hospital admissions
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
Put in place changes to reduce the prescribing of these medicines to high‐risk patient groups.
Job Summary
You will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services. You will provide primary support to general practice staff with regards to prescription and medication queries and help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, medication audits, Prescribing Incentive Scheme, providing expertise in clinical medicines advice while addressing both public and social care needs of patients.
Clinical Pharmacist
Job Description
Management of medicines at discharge from hospital
To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
Set up and manage systems to ensure continuity of medicines supply to high‐risk groups of patients (e.g. those with medicine compliance aids or those in care homes).
Signposting
Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g.
pathology results, common/minor ailments, acute conditions, long term condition reviews etc.
Repeat prescribing
Produce and implement a practice repeat prescribing policy.
Manage the repeat prescribing reauthorization process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
Ensure patients have appropriate monitoring tests in place when required.
Risk stratification
Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches.
This might include risks that are patient related, medicine related, or both.
Service development
Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).
Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Medicines quality improvement
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Implementation of local and national
guidelines and formulary
recommendations
Monitor practice prescribing against the local health economy’s RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
Assist practices in seeing and maintaining a practice formulary that is hosted on the practice’s computer system.
Auditing practice’s compliance against NICE technology assessment guidance.
Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
Public health
To support public health campaigns.
To provide specialist knowledge on all public health programmes available to the general public.
Personal Specification
Qualifications
Essential
* Masters degree in pharmacy (MPharm) (Or equivalent)
* Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
* Independent prescriber or working towards gaining independent prescribing qualification
* Mandatory registration with General Pharmaceutical Council
Desirable
* A member of or working towards Faculty membership of the Royal Pharmaceutical Society
Experience
Essential
* Minimum 2 years post qualification experience
Desirable
* Recent General Clinical Pharmacy Activity relevant to Primary Care
* Previous experience of providing prescribing advice or support in primary or secondary care
* Experience of delivering patient clinics or services
Skills & Knowledge
Essential
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare
* Excellent interpersonal, influencing and negotiating skills
* Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
* Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
* Computer literate with an ability to use the required GP clinical systems (desirable) and Microsoft office packages (essential)
* Able to obtain and analyse complex technical information
* Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
* Able to work under pressure and to meet deadlines
* Produce timely and informative reports
Reporting to
Business Manager and Partners
Salary description
£41614.00 - £44000.00 per year