ARRS Clinical Pharmacist for Carshalton PCN

Job description

Job responsibilities

Clinical Responsibilities

Long-term condition clinics

Undertake reviews for patients with single or multiple medical problems where medicine optimisation is required or an annual review is due (e.g. Respiratory, Cardiovascular or Diabetes).

Review and advise on the need to continue each medication, review any monitoring requirements and support the patient to ensure they are getting the best use out of their medications.

Manage own case load of patients, running own long-term condition clinics where appropriate

See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing.

Manage own case load, run own long term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for hypertension, asthma, diabetes and COPD) and where trained to do so.

Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking.

Clinical Medication Review

Undertake clinical medication reviews with patients (either patient facing or over the telephone).

Reduce inappropriate poly-pharmacy and wasteful prescribing.

Make appropriate recommendations on prescribing and monitoring of medications.

Management of medicines post hospital discharge

Reconcile medications following hospital discharge and outpatient clinics.

Identify any discrepancies and unexplained medication changes and work with the patients and community pharmacists to ensure patients receive the medications they need post discharge.

Ensure continuity of medicines supply to high risk groups of patients is maintained (e.g. those with compliance aids or those in care homes).

Risk stratification

Use preprepared Emis searches to identify cohorts of patients who are on high risk medications (e.g. immunosuppressants, anticonvulsants etc).

Recall patients who are overdue their routine monitoring tests and inform them to have these tests done as soon as possible.

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.

Implement drug withdrawals and alerts

Liaise with the GP surgeries to implement MHRA drug withdrawals and medication alerts to improve medicines safety.

Implement local and national guidelines and formulary recommendations

Monitor practice prescribing against local, national and formulary guidelines and make recommendations to GPs for medicines that should be prescribed only by the hospital or subject to shared care agreements.

Work with GPs and patients to implement NICE and other evidence based guidelines to improve the quality, safety and cost effectiveness of prescribing.

Medicine information to practice staff and patients

Answer relevant medicine related queries from GPs, other network staff, healthcare teams (e.g. Community pharmacy) and patients.

Suggest and recommend solutions and/or possible alternatives e.g. around out of stock medications

Signposting

Ensure patients are referred to the appropriate healthcare professional if you are not the correct person to deal with their query/condition.

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.

Education and Training

Provide education and training to the broader primary healthcare team on medicines optimisation.

Care Quality Commission

Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

Public Health

Support public health campaigns and provide specialist knowledge on all public health programmes available to the general public.

Person Specification

Qualifications

Essential

• Professional knowledge acquired through vocational masters degree in pharmacy degree
• Postgraduate diploma (or working towards) or equivalent evidence of clinical knowledge, competence and achievements in practice.
• Registration with the General Pharmaceutical Council (GPhC)
• Evidence of commitment to and able to demonstrate CPD including Management qualification /professional development
• Independent Pharmacist Prescriber accreditation or willing to work towards.

Desirable

• Proven post graduate experience as a clinical pharmacist
• Membership with the Royal
• Pharmaceutical Society of Great Britain
• Training in safe guarding vulnerable adults and children

Experience

Essential

• Minimum 2 years post-qualification experience in a hospital, community or general practice setting.
• Knowledge of the breadth of common acute and long term conditions that are likely to be seen in general practice
• Experience of collaborative working and of building relationships across a variety of organisations
• Able to undertake medication or medicine use reviews, and offer patient counselling
• Experience of facilitating change to improve clinical practice
• Experience in undertaking clinical audit

Desirable

• Working knowledge of IT NHS.
• Experience of IT applications in primary care including Emis

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

Sutton Primary Care Networks

Address

Thomas Wall Centre

52 Benhill Avenue

Sutton

Surrey

SM1 4DP

Employer's website

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