Job responsibilities
Primary
Responsibilities
Patient
facing Clinical Medication Review
Undertake clinical medication reviews with patients within
the practice, care homes and/or domiciliary visit to proactively manage
polypharmacy and produce recommendations for senior clinical pharmacist, nurses
and/or GP on prescribing and monitoring.
Patient
facing Long-term condition clinics
See (where appropriate) patients with single or multiple
medical problems where medicine optimisation is required (e.g. Respiratory,
Cardiovascular and Diabetes).
Clinics are done face to face, via telephone, home visits
and in the future, possibly video consultations.
The post holder will undertake clinics for patients or
develop one to one relationship in order to deprescribe where necessary or
offer clinical leadership on medicines optimisation and quality improvement.
Review the on-going need for each medicine, a review of
monitoring needs and an opportunity to support patients with their medicine
adherence ensuring they get the best use of their medicines (i.e. medicines
optimisation). Make appropriate recommendations to GPs for medicine
improvement.
Patient
facing Care Home and Domiciliary Clinical Medication Reviews
Undertake clinical medication reviews with patients and
produce recommendations for clinicians on prescribing and monitoring. Work with
care home staff to improve safety of medicines ordering and administration.
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.
Medicines
support
Provide patient facing clinics and a telephone helpline for
those with questions, queries, and concerns about their medicines in the
practice.
Medicine
information to practice staff and patients
Answers 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
Telephone medicines support
Provide a telephone help line for patients with questions, queries,
and concerns about their medicines.
Helping
tackle the issue of unplanned hospital admissions
Review the use of medicines most associated with unplanned
hospital admissions and re-admissions 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 e.g. pathology results, common/minor ailments, acute conditions, long
term condition reviews etc.
Repeat
prescribing
Produce and implement a repeat prescribing policy. 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).
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.
Medicines
safety
Implement changes to medicines that result from MHRA alerts,
product withdrawal and other local and national guidance.
Auditing practices compliance against NICE technology
assessment guidance.
Care
Quality Commission
Work with the general practice team to ensure the practice
is compliant with CQC standards where medicines are involved.
Collaborative
Working Relationships
Participates in the Primary Care Network Multidisciplinary
Team.
Liaises with ICB colleagues including ICB pharmacists on
prescribing related matters to ensure consistency of patient care and benefit
in surgeries.
Foster and maintain strong links with all services across
the PCN and neighbouring networks.
Explores the potential for collaborative working and takes
opportunities to initiate and sustain such relationships.
Recognises the roles of other colleagues within the
organisation and their role to patient care.
Demonstrates use of appropriate communication to gain the
co-operation of relevant stakeholders (includingpatients, senior and peer colleagues, and other
professionals, other NHS/private organisations e.g. ICBs).
Can recognise personal limitations and refer to more
appropriate colleague(s) when necessary.
Demonstrates ability to integrate general practice with
community and hospital pharmacy teams.
Liaises with other stakeholders as needed for the collective
benefit of patients including but not limited to:
Patients and their representatives.
GP, nurses, and other practice staff.
Other healthcare professionals including
community pharmacists, pharmacy technicians, social prescribers, first contact
physiotherapists, physicians associate and paramedics.
Community pharmacists and support staff
Other members of the medicines management (MM)
team including pharmacists, technicians, and dieticians
Locality/GP prescribing lead
Community nurses and other allied health professionals
Hospital staff with responsibilities for
prescribing and medicines optimisation.
Professional
Development
Work with your line manager to undertake continual personal
and professional development, taking an active part in reviewing and developing
the role and responsibilities.
Involved in one-to-one meetings with line manager monthly to
discuss targets and outcomes achieved.
Adhere to organisational policies and procedures, including
confidentiality, safeguarding, lone working, information governance, and health
and safety.
Work with your line manager to access regular clinical
supervision, to enable you to deal effectively with the difficult issues that
people present.
Review yearly progress and develop clear plans to achieve
results within priorities set by others.
Participate in the delivery of formal education programmes.
Demonstrate an understanding of current educational policies
relevant to working areas of practice and keep up to date with relevant
clinical practice.
Knowledge,
Skills and Experience Required:
Completion of an undergraduate degree in pharmacy and
registration with the General Pharmaceutical Council.
Minimum of 2 years experience as a pharmacist.
You will be expected to complete the accredited 18 month Primary care Pharmacy Education Pathway provided by CPPE.
Hold independent prescribing qualification or willingness to work towards.
Have experience and an awareness of common acute and
long-term conditions that are likely to be seen in general practice.
Recognises priorities when problem-solving and identifies
deviations from normal pattern and can refer to seniors or GPs when
appropriate.
Able to follow legal, ethical, professional, and
organisational policies/procedures and codes of conduct.
Involves patients in decisions about prescribed medicines
and supporting adherence as per NICE guidelines.
The practices use the clinical system software systmone and
EMIS.
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.
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.
Leadership:
Demonstrate understanding of the pharmacy role in governance
and can implement this appropriately within the workplace.
Demonstrate understanding of, and contributes to, the
workplace vision.
Demonstrates ability to improve quality within limitations
of service.
Reviews yearly progress and develops clear plans to achieve
results within priorities set by others.
Demonstrate ability to motivate self to achieve goals.
Promotes diversity and equality in people management
techniques and leads by example.
Please refer to attached Clinical Pharmacist job description/person specification for full details.
