GP Clinical Pharmacist (prescriber)

Job description

Job responsibilities

Job description

The post holder will work within their clinical competencies as part of a multi-disciplinary 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 in the GP practice.

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.

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.

Main duties of the job

Provide expertise in clinical medicines review and address public health and social needs of

patients in GP practices

Reduce inappropriate poly-pharmacy and wasteful prescribing through clinical medication

review

Reconcile medicines following hospital discharge and work with patients and community

pharmacists to ensure patients receive the medicines they need post discharge.

Contribute to reductions in medicine related hospital admissions and readmissions by

supporting patients to get the best outcomes from their medicines and identifying and

addressing medicines related issues

Interface with community and hospital pharmacy colleagues and develop referral processes

between primary care professionals including the promotion of the repeat dispensing service

Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions and medicines reaching review dates

Manage patients and health care professionals medicine queries

Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles

Manage practice formularies to improve the quality, safety and cost effectiveness of prescribing

Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety

Work with primary care professional and patients to implement NICE and other evidence based guidelines

Run clinics where medicines are the main interventions e.g. anticoagulant monitoring clinics, dependence forming medication reviews.

Contribute to multimorbidity reviews and multidisciplinary reviews

Provide medicines information and training to Practice healthcare professionals and admin staff

Review Pathology results for patients on known medicines and as part of medication review

Act as a source of medicines information for all of the practice team and patients (e.g. around

doses, side effects, adverse events, possible alternatives e.g. around out of stocks)

Working within the practice based team to undertake medication reviews particularly in high risk groups such as:

Frail elderly

Poly-pharmacy

Renal impairment

Hepatic impairment

Substance misuse

Patients on high risk medicines

STOPP/START identified patients

Revolving door Hospital admissions

Improve prescribing practice through educational support for all prescribers within the practice

Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change

Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS

Support improvements in clinical care through practice based audit and implementing change

Prescribing advice to prescribers in practice e.g. temporary non availability of drugs

Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicine

Working closely with the pharmacy team and supporting CQC Arden searches and MOIS ICB Project work

Providing support to pharmacy technicians, junior pharmacists and Lead Pharmacist

Any ad hoc duties as needed

You will be key in supporting the delivery of SMRs, LTC, high risk medication reviews, Auditing, working closely with the multidisciplinary team to respond to queries, sign prescriptions and problem solve. Your role will impact on the patients medication journey, focusing on de-prescribing, improving quality of care, and reducing medicines-related admissions. You will manage long-term conditions, support hospital discharge prescribing arrangements, provide specific advice for those on polypharmacy, and support the practices to develop the clinical pharmacist role. You will support the prescription team and ensure pharmacists in the network, and other local networks, collaborate ideas and support each other.

You will be enthusiastic and adaptable to change, with excellent clinical skills, and a good level of competence in the use of IT.

You should exhibit good organisational skills and ability to communicate effectively with a wide range of healthcare professionals and other stakeholders including patients, families, and carers.

You will be comfortable working independently and as part of multiple teams as described.

Person Specification

Experience

Essential

• Demonstrates general pharmaceutical skills and knowledge in core areas
• Is able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients in core areas, including disease states or long term conditions identified by local
• Pharmaceutical Needs Assessment
• Demonstrates accountability for delivering professional expertise and direct service provision as an individuals
• Demonstrates ability to use skills in a range of routine situations requiring analysis or
• comparison of a range of options
• Recognises priorities when problem-solving and identifies deviations from the normal pattern
• and is able to refer to seniors or GPs when appropriate
• Is able to follow legal, ethical, professional and organisational policies and procedures and codes of
• conduct
• Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance
• Collaborative Working Relationships
• Recognises the roles of other colleagues within the organisation and their role in patient care.
• Demonstrates use of appropriate communication to gain the cooperation of relevant stakeholders including patients, senior and peer colleagues, other professionals, and other NHS or private organisations, e.g., ICBs.
• Demonstrates ability to work as a member of a team.
• Is able to recognise personal limitations and refer to more appropriate colleague when necessary.
• Liaises with ICB colleagues, including ICB pharmacists, on prescribing-related matters to ensure consistency of patient care and benefit.
• Liaises with ICB pharmacists and Heads of Medicines Management/Optimisation to benefit from peer support.
• Liaises with other GP practices and staff as needed for the collective benefit of patients.

Desirable

• CPPE qualification, IP, confident in prescribing, EMIS and GP Practice experience

Qualifications

Essential

• Qualifications & Training for this job
• NB it is anticipated that the level of qualification held may vary according to the level of position
• and the components of the role being carried out
• Completion of an undergraduate degree in Pharmacy, and registration with the General
• Pharmaceutical Council
• Minimum of 1-2 years post graduate experience in pharmacy, as demonstrated within a practice portfolio
• EMIS Web Experience
• May hold a prescribing qualification with areas of specialism
• May hold or be working towards a CPPE programme
• Has an awareness of the breadth of common acute and long term conditions that are likely to be seen in a general medical practice

Desirable

• Desirable
• CPPE qualification, IP, confident in prescribing, EMIS and GP Practice experience

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

The Station Practice

Address

Station Plaza Health Centre

Station Approach

Hastings

East Sussex

TN34 1BA

Employer's website

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