Job responsibilities
A successful candidate would
need to be highly motivated individual with a flexible attitude and the ability
to adapt to new ways of working. They
would need to be confident in their ability to work within their clinical scope
of practice providing care for patients through careful history taking,
clinical assessment, diagnosis, treatment and evaluation of their ongoing
care.
The responsibilities will
include but are not limited to:
1. Medication Reviews
Undertake clinical medication
reviews in a variety of settings, face to face in practice, remotely, in care
homes, for patients requiring medication review. Optimise medication in line
with patient symptoms, preferences monitoring results and other indicators of
control. Produce guidance and recommendations
on ongoing prescribing and monitoring.
2. Long Term Conditions Reviews
Where appropriate review
patients on long term conditions registers where medicine optimisation is
required. Review the ongoing need for
each medicine, review monitoring needs, empower patients to manage their own
medications and get the best results.
Make appropriate recommendations for the continuation, monitoring or
stopping of medications as appropriate.
3. Multi-Disciplinary Team Working
Where appropriate attend PCN multi-disciplinary
team meetings to give input to the optimisation of medicines in the frail,
elderly or at-risk patients on the case load.
Liaises with other stakeholders (patients, patients' representatives,
clinical staff, community pharmacists, locality leads, nursing homes, secondary
care providers) as needed for the collected benefit of patients
4. Risk Stratification
Use systems to identify and
review patients at high risk of harm through medicines. This might include risks that are patient
related, medicine related or both and will be achieve through a system one
reports and medication safety software like Eclipse.
5. Unplanned hospital Admissions
Review the patients at high
risk of hospital admission using pre-prepared searches to identify those at risk
through either polypharmacy or drugs associated with high risk of
admission. Put in plans to change or
reduce the prescribing of these medicines in high-risk patient groups.
6. Management of minor/self-limiting ailments
Within scope of practice manage
a caseload of patients with minor or self-limiting ailments.
7. Medicines Supports
Provide support to patients
with questions, queries or concerns relating to their medications.
8. Management of medicines at discharge from hospital
Review and reconcile
medications following discharge from hospitals, rest bite, intermediate or
community care settings. Monitor systems
to ensure continuity of supply in high-risk groups particularly those with
medication compliance aids or in care homes.
9. Medicine Information for Primary Care Teams
Participate in clinical
governance programmes and share medication related updates with GPs, and other
clinical practice and network teams.
Answer medication related queries and provide recommendations and
solutions where appropriate.
10. Repeat
Prescribing
Manage the repeat prescribing
and re-authorisation process by reviewing patient requests for repeat
prescriptions. Reviewing medicines and
concordance and flagging monitoring in place where required and review arranged
where appropriate.
11. Signposting
Signposting patients to allied
services of healthcare professions where appropriate
12. 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)
13. Information Management
Interpret and present medicines
data to highlight issues and risks to support decision making. Co-ordinate and plan the care of patients
with specific diseases to ensure that this is optimised and that the practice
achieves QOF and DES targets. Coordinate
efforts to ensure the practice improves its cost-effective prescribing, remains
within budget and achieves CCG Prescribing Incentive Scheme targets.
14. 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.
15. Medicines Safety
Implement changes to medicines
that result from MHRA alerts, product withdrawal and other local and national
guidance.
16. 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 each
practices computer system. Auditing
practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important
prescribing messages
17. Education and Training
Provide education and training
to primary healthcare team on therapeutics and medicines optimisation.
18. Care Quality Commission
Work with general practice
teams to ensure the practices are compliant with CQC standards where medicines
are involved.
19. Public Health
To support public health
campaigns. To provide specialist
knowledge on all public health programmes available to the general public
20. 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. 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.
21. Research and Evaluation
Critically evaluate and review literature. Identify where there is a gap in the evidence
base to support practice. Generate
evidence suitable for presentations at practice and local level. Apply research evidence base into the
workplace.
22. Health and Safety / Risk Management
Must always comply with the
health and safety policies, in particular following safe working procedures and
reporting incidents using the organisations Incident Reporting Systems. Comply with the Data Protection Act (2018)
and the Access to Health Records Act (1990).
23. Special Working Conditions
The post holder is required to
travel independently between work sites and to attend meetings etc hosted by
other agencies. The post holder will
have contact with body fluids, I.e., wound exudates, urine etc while in clinical
practice.
24. Miscellaneous
Work as part of the team to
seek feedback, continually improve the service and contribute to business
planning. Undertake any tasks consistent
with the level of the post and the scope of the role, ensuring that work is delivered
in a timely and effective manner. Duties
may vary from time to time, without changing the general character of the post
or the level of responsibility.
