Job responsibilities
JOB
SUMMARY
As a Clinical Pharmacist,the post holder will work as part
of a multidisciplinary team to develop and run processes for repeat
prescription reauthorisation, management of medicines on transfer of care and
systems for safer prescribing.
They will work directly with patients to assess and treat
conditions, manage long-term conditions as well as promote self-care.Theywill
be part of a group of Primary Care Network(PCN)Clinical Pharmacists working
under the supervision and mentoring of a Clinical Pharmacist Manager.
Candidates who have completed the accredited 18-month
Primary Care Pharmacy Education Pathway are preferred. Where this has not yet been completed, we will provide structured support and supervision to enable completion. The CPPE pathway does not need to be completed if the
pharmacist meets a HEE (Health Education England) exemption such as completion
of Clinical Diploma.
Primary
Responsibilities
Patient
facing Clinical Medication Review:
Undertake clinical medication reviews with patients within
the practice, care homes and/or domiciliary visit to proactively manage
polypharmacy and produce recommendations for senior clinical pharmacist, nurses
and/or GP on prescribing and monitoring.
Patient
facing Long-term condition clinics:
See (where appropriate) patients with single or multiple
medical problems where medicine optimisation is required (e.g. Respiratory,
Cardiovascular and Diabetes).
Clinics are done face to face, via telephone, home visits
and in the future, possibly video consultations.
The post holder will undertake clinics for patients or
develop one to one relationships in order to de-prescribe where necessary or
offer clinical leadership on medicines optimisation and quality improvement.
Review the on-going need for each medicine, a review of
monitoring needs and an opportunity to support patients with their medicine
adherence ensuring they get the best use of their medicines (i.e. medicines
optimisation). Make appropriate recommendations to GPs for medicine
improvement.
Patient
facing Care Home and Domiciliary Clinical Medication Reviews:
Undertake clinical medication reviews with patients and
produce recommendations for clinicians on prescribing and monitoring. Work with
care home staff to improve safety of medicines ordering and administration.
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 and a telephone helpline for
those with questions, queries and concerns about their medicines in the
practice.
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
Telephone medicines support
Provide a telephone help line for patients with questions,
queries and concerns about their medicines.
Helping
tackle the issue of 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.
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 e.g. pathology results, common/minor ailments, acute conditions, long
term condition reviews etc.
Repeat
prescribing:
Produce and implement a repeat prescribing policy within the practice. 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. 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).
Medicines
quality improvement:
Undertake clinical audits of prescribing in areas directed
by the GPs, feedback the results and implement changes in conjunction with the
relevant practice team.
Medicines
safety:
Implement changes to medicines that result from MHRA alerts,
product withdrawal and other local and national guidance.
Auditing practices compliance against NICE technology
assessment guidance.
Care
Quality Commission:
Work with the general practice team to ensure the practice
is compliant with CQC standards where medicines are involved.
Collaborative
Working Relationships:
Participates in the Primary Care Network Multidisciplinary
Team.
Liaises with ICB colleagues including ICB pharmacists on
prescribing related matters to ensure consistency of patient care and benefit
in surgeries.
Foster and maintain strong links with all services across
the PCN and neighbouring networks.
Explores the potential for collaborative working and takes
opportunities to initiate and sustain such relationships.
Recognises the roles of other colleagues within the
organisation and their role to patient care.
Demonstrates use of appropriate communication to gain the
co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other
professionals, other NHS/private organisations e.g. ICBs).
Can recognise personal limitations and refer to more
appropriate colleague(s) when necessary.
Demonstrates ability to integrate general practice with
community and hospital pharmacy teams.
Liaises with other stakeholders as needed for the collective
benefit of patients including but not limited to:
Patients and their representatives.
GP, nurses and other practice staff.
Other healthcare professionals including
community pharmacists, pharmacy technicians,
social prescribers, first contact
physiotherapists, physicians associate and paramedics.
Community pharmacists and support staff
Other members of the medicines management (MM)
team including pharmacists, technicians and dieticians
Locality/GP prescribing lead
Community nurses and other allied health
professionals
Hospital staff with responsibilities for
prescribing and medicines optimization
Professional
Development:
Work with your line manager to undertake continual personal
and professional development, taking an active part in reviewing and developing
the role and responsibilities.
Involved in one-to-one meetings with line manager monthly to
discuss targets and outcomes achieved.
Adhere to organisational policies and procedures, including
confidentiality, safeguarding, lone working, information governance, and health
and safety.
Work with your line manager to access regular clinical
supervision, to enable you to deal effectively with the difficult issues that
people present.
Review yearly progress and develop clear plans to achieve
results within priorities set by others.
Participate in the delivery of formal education programmes.
Demonstrate an understanding of current educational policies
relevant to working areas of practice and keep up to date with relevant
clinical practice.