Job summary
The post holder is a Clinical Pharmacist, who acts within their
professional boundaries, supporting and working alongside a team of
pharmacists in general practice.
The post holder will work as part of a multi-disciplinary team in both a remote & patient-facing role.
The post holder will take responsibility for areas of chronic disease
management within the practice and undertake clinical medication reviews to
proactively manage patients with complex polypharmacy.
The post holder will provide primary support to general practice staff
with regards to prescription and medication queries. They will help support
the repeat prescription system, deal with acute prescription requests, and
medicines reconciliation on transfer of care and systems for safer
prescribing, providing expertise in clinical medicines advice while
addressing both public and social care needs of patient in the GP practice.
The post holder will provide clinical leadership on medicines
optimisation and quality improvement and manage some aspects of the quality
and outcomes framework and enhanced services.
The post holder will ensure that the practice integrates with
community and hospital pharmacy to help utilise skill mix, improve patient
outcomes, ensure better access to healthcare and help manage workload.
The role is pivotal to improving the quality of care and operational
efficiencies so requires motivation and passion to deliver excellent service
within general practice.
Main duties of the job
Please Job Description document for full details.
Conduct surgery and telephone consultations with patients with minor illnesses
To plan and organise own workload, including audit and project work, and training sessions for members of the clinical pharmacy team, GP practice team
To maintain registration as a pharmacist and comply with appropriate professional codes.
As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation and policy developments, agree objectives and a personal development plan and participate in the appraisal process.
To attend local, regional and national meetings of relevance as agreed with the post holders line manager.
Medication reviews of patients with polypharmacy especially for older people and people with multiple co-morbidities.
Provide advice and support for patients with self-limiting conditions
Reconcile medicines following patients discharge from hospital or clinic appointments
Review medications for newly registering patients
Practice as an independent prescriber working within scope of practice
To undertake any other duties commensurate with the post holders grade as agreed with the post holders line manager.
For further details, please refer to the job description section. The practice supports professional development and training.
About us
We are a well-established training practice in a purpose built (newly refurbished) premises, located on the Haringey Green lanes.
The practice's aim is to provide our patients with an excellent standard of patient-centered care, with clinicians and patients jointly involved in all aspects of planning and delivering care to meet patients' health and well-being needs.
You will work with colleagues including a team of GPs (including trainees), MSK practitioner, physician associate, practice Nurse & Healthcare Assistant, administrative staff and a wide variety of other health professionals.
There is free parking available on site.
You must have your covid vaccine to join as a member of the practice.
Job description
Job responsibilities
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.
Clinical
medication review:
Undertake
clinical medication reviews with patients and produce recommendations for
senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Care
home medication reviews:
Undertake
clinical medication reviews with patients and produce recommendations for the
senior clinical pharmacist, nurses or GPs on prescribing and monitoring.
Work
with care home staff to improve safety of medicines ordering and
administration.
Domiciliary
clinical medication review:
Undertake
clinical medication reviews with patients and produce recommendations for
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
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 highrisk
patient groups.
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 highrisk
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 reauthorisation 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
Medicines
quality improvement:
Undertake
clinical audits of prescribing in areas directed by the practice (to complete
all the PQSS and QOF prescribing audits each year and it will be under practice
managers direction), 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 economys 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
practices computer system.
Infection
Control
Infection
Control is everyones responsibility. All staff, both clinical and non-clinical,
are required to adhere to the Hygiene Code (2006), Infection Prevention and
Control Policies and make every effort to maintain high standards of infection
control at all times thereby reducing the burden of Healthcare Associated
Infections including MRSA.
Safeguarding
Within
their sphere of competence, each member of staff is responsible for promoting and
safeguarding the welfare of the children, young people and / or vulnerable
adults for whom they are responsible or may come into contact with, in the job
role.
Other
This
post is subject to an enhanced level Disclosure and Barring Service (DBS) Check
which will be completed during pre-employment checks. This post is also subject
to Occupational Health Clearance.
Job description
Job responsibilities
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.
Clinical
medication review:
Undertake
clinical medication reviews with patients and produce recommendations for
senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Care
home medication reviews:
Undertake
clinical medication reviews with patients and produce recommendations for the
senior clinical pharmacist, nurses or GPs on prescribing and monitoring.
Work
with care home staff to improve safety of medicines ordering and
administration.
Domiciliary
clinical medication review:
Undertake
clinical medication reviews with patients and produce recommendations for
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
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 highrisk
patient groups.
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 highrisk
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 reauthorisation 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
Medicines
quality improvement:
Undertake
clinical audits of prescribing in areas directed by the practice (to complete
all the PQSS and QOF prescribing audits each year and it will be under practice
managers direction), 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 economys 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
practices computer system.
Infection
Control
Infection
Control is everyones responsibility. All staff, both clinical and non-clinical,
are required to adhere to the Hygiene Code (2006), Infection Prevention and
Control Policies and make every effort to maintain high standards of infection
control at all times thereby reducing the burden of Healthcare Associated
Infections including MRSA.
Safeguarding
Within
their sphere of competence, each member of staff is responsible for promoting and
safeguarding the welfare of the children, young people and / or vulnerable
adults for whom they are responsible or may come into contact with, in the job
role.
Other
This
post is subject to an enhanced level Disclosure and Barring Service (DBS) Check
which will be completed during pre-employment checks. This post is also subject
to Occupational Health Clearance.
Person Specification
Experience
Essential
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.
- An appreciation of the nature of GPs and general practices.
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
- Good IT literacy and proficiency with the Microsoft 365 suite.
- Excellent interpersonal, influencing and negotiating skills
- Excellent written and verbal communication skills
- Able to demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences.
- Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
- Able to obtain and analyse complex technical information.
- Able to recognise priorities when problem solving and identify deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
Qualifications
Essential
- Masters degree in pharmacy (MPharm) or equivalent
- Postgraduate clinical diploma level or equivalent training/experience
- Registered with General Pharmaceutical Council
Desirable
- Independent Prescribing Qualification
Experience
Essential
- Minimum of 3 years post-qualification experience.
- Familiarity with GP systems
- Demonstrates accountability for delivering professional expertise and direct service provision
- Reliable
- Self-motivated
- Able to work autonomously
- Able to work under pressure to meet deadlines, whilst maintaining
- accuracy and attention to detail
- Able to work at part of a multidisciplinary team
- Committed to Continuous Professional Development
Desirable
- Ability to train Junior Pharmacists
Person Specification
Experience
Essential
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.
- An appreciation of the nature of GPs and general practices.
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
- Good IT literacy and proficiency with the Microsoft 365 suite.
- Excellent interpersonal, influencing and negotiating skills
- Excellent written and verbal communication skills
- Able to demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences.
- Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
- Able to obtain and analyse complex technical information.
- Able to recognise priorities when problem solving and identify deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
Qualifications
Essential
- Masters degree in pharmacy (MPharm) or equivalent
- Postgraduate clinical diploma level or equivalent training/experience
- Registered with General Pharmaceutical Council
Desirable
- Independent Prescribing Qualification
Experience
Essential
- Minimum of 3 years post-qualification experience.
- Familiarity with GP systems
- Demonstrates accountability for delivering professional expertise and direct service provision
- Reliable
- Self-motivated
- Able to work autonomously
- Able to work under pressure to meet deadlines, whilst maintaining
- accuracy and attention to detail
- Able to work at part of a multidisciplinary team
- Committed to Continuous Professional Development
Desirable
- Ability to train Junior Pharmacists
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).