Clinical Pharmacist - GP Practice Based

Job description

Job responsibilities

Responsible to:Lead Practice Manager / Senior Partner

Location: Victoria Cross Surgery including Lakeside Practice

Hours of Work: Up to full time

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).

Patient facing Clinical Medication Review -Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, 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.

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 -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).

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 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). Auditing 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 practice teams to ensure they are 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.

Collaborative Working Relationships

Recognises the roles of other colleagues within the Primary Care Network 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. CCGs).

Demonstrates ability to work as a member of a team.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality.

Foster and maintain strong links with all services across locality.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Demonstrates ability to integrate general practice with community and hospital pharmacy teams

Liaises with CCG colleagues including CCG Medicine Management Team (MMT) on prescribing related matters to ensure consistency of patient care and benefit.

Liaises with CCG Medicine Management Team to benefit from peer support.

Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:

• Patients
• GP, nurses and other practice staff
• Other healthcare professionals including CCG MMT, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc.
• Locality / GP prescribing lead
• Locality managers
• Community nurses and other allied health professionals
• Community and hospital pharmacy teams
• Hospital staff with responsibilities for prescribing and medicines optimisation

Leadership:

Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

Demonstrate understanding of, and contributes to, the workplace vision.

Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role and practices.

Demonstrates ability to improve quality within limitations of service.

Reviews yearly progress and develops clear plans to achieve results within priorities set by others.

Demonstrate ability to motivate self to achieve goals.

Promotes diversity and equality in people management techniques and leads by example.

Management:

Demonstrate understanding of the implications of national priorities for the team and/or service.

Demonstrate understanding of the process for effective resource utilisation.

Demonstrate understanding of, and conforms to, relevant standards of practice.

Demonstrates ability to identify and resolve risk management issues according to policy/protocol.

Follows professional and organisational policies/procedures relating to performance management.

Demonstrate ability to extend boundaries of service delivery within the team.

Education, Training and Development:

Understands and demonstrates the characteristics of a role model to members in the team and/or service.

Demonstrates understanding of the mentorship process.

Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague.

Demonstrates self-development through continuous professional development activity; working alongside senior clinical pharmacist to identifying areas to develop. Participates in the delivery of formal education programmes.

Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

Ensures appropriate clinical supervision is in place to support development Enrolled into review and appraisal systems within the practice.

Research and Evaluation:

Demonstrates ability to critically evaluate and review literature.

Demonstrates ability to identify where there is a gap in the evidence base to support practice.

Demonstrates ability to generate evidence suitable for presentations at practice and local level.

Demonstrates ability to apply research evidence base into working place.

Demonstrates understanding of principles of research governance.

Person Specification

Qualifications

Essential

• Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council.
• Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.
• Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.
• Have experience and an awareness of common acute and long-term conditions that are likely to be seen in general practice.

Desirable

• Experience working as a clinical pharmacist in General Practice.
• May hold or be working towards an independent prescribing qualification.

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).

Employer details

Employer name

Victoria Cross & Eldene Surgery

Address

Victoria Road

Swindon

SN1 3BU

Employer's website

https://victoriacrosssurgery.co.uk/ (Opens in a new tab)