Job responsibilities
We are looking to fill 2 roles:
1 is a 20 hour a week maternity cover role for 9 months and the other is a 20 hour a week permanent post.
Main Duties &
Responsibilities
Patient facing Long-term condition
Clinics. See (where appropriate)
patients with single or multiple medical problems where medicine optimisation
is required (e.g. COPD, asthma). Review the on-going need for each medicine, a
review of monitoring needs and an opportunity to support patients with their
medicines taking ensuring they get the best use of their medicines (i.e.
medicines optimisation). Make appropriate recommendations to Senior
Pharmacists or GPs for medicine improvement.
Patient facing Structured Medication Review. Undertake clinical medication
reviews with patients face to face or virtually and produce recommendations
for senior clinical pharmacist, nurses and/or GP on prescribing and
monitoring.
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.
Patient facing medicines support. Provide patient facing
clinics for those with questions, queries and concerns about their medicines
in the practice
Telephone medicines support. Provide a telephone help
line for patients with questions, queries and concerns about their medicines.
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.
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 highrisk
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 highrisk 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 of time e.g. pathology results, common/minor ailments,
acute conditions, long term condition reviews etc.
Repeat prescribing. Produce and implement a practice
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. Enhanced access to care homes ,advice on treatment pathways
and patient information leaflets).
Information management. Analyse, interpret and present
medicines data to highlight issues and risks to support decision making.
Medicines quality improvement. Undertake clinical audits
of prescribing in areas directed by the GPs, feedback the results and
implement changes in conjunction with the practice team.
Medicines safety. Implement changes to medicines that
result from MHRA alerts, product withdrawal and other local and national
guidance.
Implementation of local and national guidelines and
formulary recommendations. Monitor practice prescribing against the local health
economys RAG list and make recommendations to GPs for medicines that should
be prescribed by hospital doctors (red drugs) or subject to shared care
(amber drugs). Assist practices in seeing and maintaining a practice
formulary that is hosted on the practices computer system. Auditing
practices compliance against NICE technology assessment guidance. Provide
newsletters or bulletins on important prescribing messages.
Education and Training Provide education and training to
primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission Work with the general practice
team to ensure the practice is compliant with CQC standards where medicines
are involved.
Public health To support public health campaigns. To
provide specialist knowledge on all public health programmes available to the
general public.
Collaborative
Working 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 (including patients, senior and peer
colleagues, and other professionals, other NHS/private organisations e.g.
CCGs)
Demonstrates ability to work as a member of a team
Is able to recognise personal limitations and refer to
more appropriate colleague(s) when necessary
Actively work toward developing and maintaining effective
working relationships both within and outside the practice and locality
Foster and maintain strong links with all services across
locality
Explores the potential for collaborative working and
takes opportunities to initiate and sustain such relationships
Demonstrates ability to integrate general practice with
community and hospital pharmacy teams
Liaises with CCG colleagues including CCG Pharmacists on
prescribing related matters to ensure consistency of patient care and benefit
Liaises with CCG pharmacists and Heads of Medicines
Management/ Optimisation to benefit from peer support
Liaises with other stakeholders as needed for the
collective benefit of patients including but not limited to:
o
Patients
o
GPs, nurses and other practice staff
o
Other healthcare professionals including CCG pharmacists,
pharmacy technicians, optometrists, dentists, health and social care teams
and dieticians etc.
o
Locality / GP prescribing lead
o
Locality managers
o
Community nurses and other allied health professionals
o
Community and hospital pharmacy teams
o
Hospital staff with responsibilities for prescribing and
medicines optimisation
