Job responsibilities
Be responsible for the care management of
patients with chronic diseases and undertake clinical medication reviews to
proactively manage people with complex polypharmacy, especially the elderly,
people in care homes, those with multiple co-morbidities and people with
learning disabilities or autism.
Review the on-going need for each
medication, ensuring monitoring needs are performed and use the opportunity
to support patients achieve better health outcomes through shared
decision-making conversations
Support patients to take their medications
to get the best from them, reduce waste and promote self-care
Make appropriate recommendations to
prescribers
Promote safe disposal of medicines and recycling of inhaler
Patient facing / video consultation Long-term Condition clinics
Help to set up pharmacist-run long term
condition clinics particularly for patients with complicated medication
regimes
Optimisation of blood pressure control utilising BP@Home.
Patient facing / video consultation Care Home Medication Reviews
Undertake clinical medication reviews,
formulate a medicines optimisation plan jointly with the patient/ carer and
facilitate its implementation by working with other professionals, services
and agencies as necessary
Support patients to wean from medications
including opioids, gabapentinoids and antidepressants in line with national
guidance.
Work with care home staff to improve safety of medicines ordering
and administration.
Medicines information
Take part in the pharmacy team central
rota to answers relevant medicine-related enquiries from GPs, other practice
staff, other healthcare teams (e.g. community pharmacy) and patients.
Suggest and recommend solutions using clinical knowledge and
trusted pharmaceutical sources
Medicine Reconciliation
Carry out medication reviews and reconciliation for all new
patients and for patients whose care is transferred back into primary care.
Medicines Management
Support initiatives for antimicrobial
stewardship to reduce inappropriate antibiotic prescribing locally.
Support the Pharmacy team in to manage blood monitoring of
High-Risk Drugs and DOACs across the PCN.
Provide specialist expertise in the use of
medicines whilst helping to address both the public health and social care
needs of patients at the PCNs practices and to help in tackling inequalities
Undertake and lead on any specific medicines optimisation-based
projects/portfolio areas of work as may be required by the Pharmacy Team,
e.g., diabetes medication, blood pressure optimisation, lipid lowering
therapy
Collaborating Working Relationships
Having a leadership role in supporting
further integration of general practice with the wider healthcare teams
(including community and hospital pharmacy) to help improve patient outcomes,
ensure better access to healthcare and help manage general practice workload
Work collaboratively with ICB medicines
management teams
Develop relationships and work closely
with other pharmacy professionals within and across the PCN and the wider
health and social care system
Take a central role in the clinical
aspects of shared care protocols, clinical research with medicines, liaison
with specialist pharmacists, liaison with community pharmacists and
anticoagulation
Explores the potential for collaborative working and takes
opportunities to initiate and sustain such relationships
Education and Training
Enrol in the NHS England CPPE Primary care
pharmacy education program (if not already undertaken) and complete the
18-month course. This will be fully supported by the PCN, and time allocated
for study days.
Complete the Independent Prescribing course
(if not already undertaken)
Medicines optimisation
Demonstrate self-development through
continuous professional development
Develop a good working knowledge of the
clinical systems used by the practices
Attend internal and external meetings and
training courses, and supervision sessions with designated GP supervisor on a
regular basis
Complete regular mandatory training
Provide clinical supervision for clinical pharmacist and pharmacy
technicians in the PCN pharmacy team
Practice
Support the implementation of national
prescribing policies and guidance within GP practices, care homes and other
primary care settings. This will be achieved through undertaking clinical
audits, supporting quality improvement measures and contributing to the
Quality and Outcomes Framework and enhanced services.
Support the delivery of the pharmacy and
medicines optimisation elements of the network service specifications within
the Network Contract DES (Pharmacy Quality Scheme)
Help the GPs with reauthorising medication
and repeat prescribing process and medication reviews.
On the day medication queries from
patients
Understand the role of CQC in General
practice and adhere to practice policies.
Take part in significant event meetings and practice protected
learning meetings.
Service development
Work with GPs and Pharmacy Technicians to
create processes and Standard Operating Procedures for use within the
practice and pharmacy teams, which offer improvement in consistency and
delivery of our services to patients.
Contribute pharmaceutical advice for the
development and implementation of new services
Identify areas of good practice and help to disseminate across the
PCN
PERSONAL DEVELOPMENT
To
discuss development needs with line manager and establish an agreed
development plan in order to consistently achieve best practice and
continuously improve personal performance.
To
identify own training needs and attend relevant study days/courses as agreed
by the line manager and in accordance with the Personal Development Plan.
To
demonstrate appropriate behaviour in stressful and difficult situations,
recognising personal limitations.
WORKING CONDITIONS
The
role requires flexibility, as there are often changes to the planned programme
of work, according to matters arising for independent contractors requiring
urgent attention.
COMMUNICATION AND WORKING RELATIONSHIPS
The post holder will:
Work
actively to develop good and effective working relationships with colleagues
in the PCN and with individuals and organisations external to the Trust in
order to develop the service, facilitate collaborative working and mutually
beneficial solutions to problems.
Act as an ambassador for the Team and the PCN in terms of
telephone and in personal contacts and as a friendly and competent point of
access to the PCN for outside organisations.
Work collaboratively with colleagues to ensure that resources
are used flexibly to meet the demand, including providing assistance in times
of particular pressure in any area.
Assimilate, manage, and communicate a wide range of information,
some of which will be sensitive and complex and may involve matters relating
to individual staff or patient matters or to matters of commercial
confidence.
ENVIRONMENTAL
The post holder may be required to concentrate for sustained
periods.