Job responsibilities
JOB SUMMARY:
To support the General Practitioners, Specialist Nurses and the wider team by
providing expertise, management and leadership in regards to medicines, prescribing, regulatory
affairs, audit, compliance and best practice with regards to medicines and Medicines Optimisation.
The
post holder will work within their clinical competencies as part of a
multidisciplinary team to provide expertise in clinical medicines management,
provide face to face structured medication reviews, manage long term
conditions, management of medicines on transfer of care and systems for safer
prescribing, manage repeat prescription authorisations and reauthorisation,
acute prescription request, while addressing both the public health and social
care needs of patients.
To work with patients, their carers/relatives, practice staff, primary
care
teams and secondary care teams to ensure patients receive a service around their medicines that is
of high quality,
efficiency, cost effectiveness and
an overall good experience for the patient. This will also include ensuring
patients have the correct access to medicines that meets their
needs, their medication is optimised and they understand and are part of the decision making process
around their medication prescribing.
This role is pivotal to improving the quality of care and operational
efficiencies so requires motivation and passion to deliver an excellent service
within general practice
Work closely with GPs to resolve day to day medicines
related issues.
Provide expertise in practical
therapeutics and clinical
pharmacy input.
Work
with patients to allow them to successfully self-manage their well-being and long term conditions. This
will
be
through optimising their medicines
and
ensuring side effects and adverse events from their medication are identified and resolved in a
timely and safe manner.
This
may
also include titration of doses
and
de-prescribing as
needed.
The
post holder will perform face-to-face medication review of patients with
polypharmacy especially for older people, people in residential care homes and
those with multiple co- morbidities. The post holder will provide leadership on
quality improvement and clinical audit and well as managing some aspects of the
Quality and outcomes framework.
To evaluate the prescribing and advice needs of individual patients with complex
and
multiple needs, agreeing treatment changes through face to face reviews
and
telephone consultations.
To implement, review and monitor
the
outcomes of the above, in a self-directed and managed manner. To develop bespoke integrated pharmaceutical care
plans
for
both
individual patients and for
patient populations.
To act as
an
independent prescriber at a suitable level
to ensure all aspects of the
Main duties
and
responsibilities
are met. This
may
require being competent to
prescribe with a wide
enough scope of practice
that in itself may need to change over
time.
Offer
a holistic
approach to the use and
understanding of medicines by patients and
their carers that includes
step up and
step down management
required in Long
Term Conditions
or possibly End of Life".
Manage the repeat prescribing authorisation process
by
reviewing medication requests, medicines
reaching review dates and medicine queries.
Increase the uptake of new medicines
with
a focus on overall value rather than
focusing exclusively on drug cost.
To reconcile medicines
at
interfaces and transfer
of
care, including discharge from
Secondary and Intermediary Care. To include, identifying any unexplained changes, completing clinical medication review and arranging
follow up such as
follow up
tests, dose titration and medication supply where appropriate.
Contribute to reducing medicines
related hospital
admissions and readmissions by
proactively
targeting reviews at patients identified as
being at greatest risk. This may include working with patients and staff in residential
or care homes and those in Intermediary Care facilities and wards.
To provide prescribing support and guidelines
for
Practice GPs, working with them
and
Secondary Care
colleagues to ensure
patients receive seamless care across
the interfaces.
Manage medicines
shortages by suggesting suitable alternatives, managing the communication across
the
practices and ensuring any prescribing system changes to
support this are actioned.
Interpret national
and
local commissioning decisions
as they relate to medicines,
making recommendations
and
developing and leading on action plans
to
meet those recommendations.
Facilitate
communication
and liaise across patients
care pathway (including
the
wider primary care
workforce, secondary care, social
care and domiciliary environments)
Support the GPs and other
practice staff to deliver QOF I PCCF and enhanced
services.
To identify and lead on any statutory and regulatory requirements relating to
medicines and prescribing for the Practice(s). To conduct regular
audits, develop and
lead
on action plans deliver
necessary changes to ensure
compliance. This
will
also
include any requirements relating to medicines and prescribing by the CQC,
CCGs, etc.
Conduct
clinical
audit
as
part
of the
multidisciplinary team and ensure implementation of any agreed actions.
Develop and maintain robust risk management arrangements in relation to
medicines and prescribing.
Monitor the services around medicines
and
prescribing in terms
of
activity, effectiveness, risk, safety and quality using a range of key performance indicators
Implementation of drug alerts e.g. MHRA and drug withdrawal/supply issues
affecting patients.
Identify opportunities for
savings and efficiencies where that does not conflict with
the
interest of the individual
patient. To develop and lead on action plans to ensure
those savings
are realised within the required timescales.
Support innovation and clinical research where appropriate and through working with
partners external
to the Practice(s) as needed.
Ensure
own CPD and PDP are
identified and maintained together with competence and any reaccreditation for registration(s) and acting as an
Independent Prescriber.
Responsibilities for
patients/client care:
Undertake medication reviews
of
individual patients. This involves generating a pharmaceutical care
plan
to improve care, outcomes
and
reduce risks in relation to medicines
usage.
Implementation of the care plan will involve a complex interaction with patients, social
care professionals,
GP's, community pharmacists, nurses
and secondary care staff.
Responsibilities for
information resources:
Records personally generated information.
Deals with sensitive/confidential
information related to patients and staff.
Responsibilities for
research and development:
Frequent requirement to feed KPl's
in to NHS England evaluation.
Changes and obligations:
This job description is
intended as a guide to the duties
and
responsibilities
of
the post, and should not be regarded as a complete list of those requirements under the "written
statement of the main terms and conditions of the employment"
The contents may be
amended from time to time, subject to developing service
needs.
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