Prescribing Clinical Pharmacist

Job responsibilities

Dealing with Medical Medication Queries

Clinical medication queries come from the following:

• Patients (ad hoc/ Footfall/ Medication advice Line)
• Patients at reception front desk (e.g. urgent as run out of meds or a complex query where the reception team need urgent pharmacist support)
• Pharmacists - hospital/ community
• Clinicians- secondary care
• Prescription clerks (Re-authorisation requests)
• Correspondence- outpatient letters/ discharge summaries (medicines reconciliation)
• Clinicians at PGGP- including morning meeting
• Reception staff
• See-Treat-Discharge patients with minor ailments, independently

Medication reviews and Medication reconciliation

• Medication reviews
• Medication reconciliation
• Triggering recall
• Polypharmacy
• Improving efficiency of re-authorisation processes- includes increasing electronic repeat dispensing prescribing
• Transfer DOACs prescribing from secondary care
• Care Homes structured medicines optimisation

Long term conditions

• Managing Asthma (Adults) / diabetes / Vascular Risk (via clinics / virtual reviews / telephone calls). Florey questionnaire
• Polypharmacy reviews
• Managing blood test results associated with long term conditions e.g. lipid profile & HbA1c, TFTs
• CCG Virtual clinics
• QOF clinics
• See-Treat-Discharge patients in F2F LTC clinics, independently

Medicines Quality Improvement

• Audits (ie: Bisphosphanate / DMARDs / NSAIDs)
• Pincer audits
• Medicines management scheme
• Managing MHRA alerts
• Education practice - participating in new staff induction / clinical meetings / prescription administration meetings

Covid / Flu Vaccinations

• On site at practice inc Pfizer/Moderna/AZ & mixing
• For housebound patients on home visits and to care homes

Extended Access

• Saturdays 9am-4pm in a fair share rota
• NHS Health Check F2F clinics
• LTC clinics e.g. Asthma / Hypertension reviews & follow up meds changes.

Role Supported by: Reception staff and Prescription Clerk

Reports to : GP Partners

Personal Qualities & Attributes

Essential

• Commitment to reducing health inequalities and proactively working to reach people from all communities
• Demonstrates use of appropriate communication to gain the cooperation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations, e.g. CCGs)
• Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
• Ability to identify risk and assess/manage risk when working with individuals
• Able to work under pressure and meet deadlines
• Able to provide leadership and to finish work tasks
• Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
• Demonstrates personal accountability, emotional resilience and works well under pressure
• Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
• High level of written and oral communication skills
• Ability to work flexibly and enthusiastically within a team or on own initiative
• Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Desirable

• Demonstrates accountability for delivering professional expertise and direct service provision

Skills and knowledge

Essential

• Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
• Able to obtain and analyse complex technical information.
• Able to gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action where there may be significant barriers
• Able to identify and resolve risk management issues according to policy/protocol.
• Understand the principles of research governance

Desirable

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
• Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions

Other

Essential

• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
• Self Motivation
• Safeguarding and other mandatory training
• Immunisation status
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes and care homes

Desirable

• Adaptable

Qualifications

Essential

• Hold an independent prescribing qualification Clinical Diploma
• Mandatory registration with the General Pharmaceutical Council
• Completion of an undergraduate degree in pharmacy
• Demonstrates an understanding of, and conforms to, relevant standards of practice.
• Follows professional and organisational policies/procedures relating to performance management

Desirable

• Membership Primary Care Pharmacy Association (PCPA)
• Membership of the Royal Pharmaceutical Society
• CPPE qualified
• Completion of a postgraduate degree in pharmacy

Experience

Essential

• Minimum of two years experience as a prescribing clinical pharmacist, demonstrated within a practice portfolio
• Experience and an awareness of the breadth of common acute and long-terms conditions that are likely to be seen in general practice
• Demonstrates ability to integrate general practice with community and hospital pharmacy teams community groups
• Experience of partnership/collaborative working and of building relationships across a variety of organisations
• Demonstrates broad experience of F2F, telephone and online clinics & the ability to see-treat-discharge independently
• Proven track records of reducing workload for GPs and Practice Nurses
• Experience of working at 10min-15min pace per patient appointment (depending on clinic type)

Desirable

• Experience as a prescribing pharmacist across a broad range of GP primary care medication areas including stable depression and other MH conditions.
• Experience of independent working in same day minor ailments clinics & urgent care
• Broad experience of working in a range of LTC clinics e.g. full QOF range
• QOF Audits and forming a 'focussed performance improvement plan' e.g. for high HbA1c patients or 9-care processes

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).