Job responsibilities
Patient facing or telephone- Long-term condition Clinics
See patients (where
appropriate) 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 or telephone - Clinical Medication Review
Undertake clinical medication reviews with patients and produce
recommendations for nurses and/or GP on prescribing
and monitoring.
Patient facing or telephone - 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.
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 and Telephone Medicines support
Provide patient facing support and telephone
help for patients with questions, queries and concerns about their
medicines.
Medicine information to practice staff and patients
Answer 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
Hospital admissions - planned and unplanned
Review the use of
medicines most commonly associated with 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 economy's RAG list (RED, AMBER, GREEN)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.
Education and Training
If required, 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.
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
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.
Explores the potential for collaborative working
and takes opportunities to initiate and sustain such relationships.
Liaise with ICB colleagues
including ICB Medicine Management Team on prescribing related matters to ensure
consistency of patient care and benefit..
Leadership:
Demonstrate understanding of the pharmacy role in
governance and is able to implement this appropriately within the workplace.
Promotes diversity and equality in people
management techniques and leads by example.
Management:
Demonstrates ability to
identify and resolve risk management issues according to policy/protocol
Follows professional and
organisational policies/procedures relating to performance management.
Education, Training and Development:
Understands and demonstrates the characteristics of
a role model to members in the team and/or service.
Demonstrates
self-development through continuous professional development activity; to identify areas to develop.
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 into review and appraisal systems within
the practice.
Research and Evaluation:
Demonstrates ability to critically evaluate and
review.
Demonstrates ability to apply research evidence
base into working place.