Job responsibilities
Job Title: Clinical Pharmacist Rosebank Health
Employer Details: Rosebank Health
Practice Sites: Rosebank Surgery, Kingsway Health Centre, Severnvale Surgery and Bartongate Surgery
Accountable to: Network Clinical Director
Reports to: Lead Clinical Pharmacist
Hours per week: Full time or Part time
About Rosebank Health: Rosebank Health is a Primary Care Network (PCN) covering four Gloucester practices; Rosebank Surgery, Kingsway Health Centre, Severnvale Surgery and Bartongate Surgery.
Rosebank Health recently merged with Barongate Surgery and became a PCN in its own right. Rosebank Health delivers high quality, equitable and sustainable health care to over 40000 patients. Rosebank Health is committed to our local communities and we will continue our work to provide consistent quality of care to all our patients.
Job Purpose
Medicines quality improvement
Undertake clinical audits of prescribing in areas directed by the GPs, feedback results and implement changes in conjunction with the relevant practice team.
Public Health
To support public health campaigns.
To provide specialist knowledge on all public health programmes available to the general public.
Care Quality Commission
Support the general practice teams to ensure the practice is compliant with CQC standards where medicines are involved.
Leadership
Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Demonstrate understanding of, and contributes to, the workplace vision Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role in practices. Demonstrate ability to motivate self to achieve goals.
Demonstrates ability to improve quality within limitations of service. Reviews yearly progress and develops clear plans to achieve results within priorities set by self/others. Promotes diversity and equality in people management techniques and leads by example.
Training & supervision
Provide education and training to practice teams on therapeutics and medicines optimisation.
Medicines safety
Identify national, local policy and guidance that affects patient safety through the use of medicines. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Undertake audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Supporting the Network with the delivery of QoF and Investment and Impact Fund (IFF) targets in:
1. COPD
2. Pain management
3. Mental health
4. Diabetes
5. Polypharmacy (Repeat prescribing/dispensing eRD and ETP)
6. Frailty
Management
Demonstrate understanding of the implications of national priorities for the team and/or service. Demonstrate understanding of the process for effective resource utilisation. Demonstrate understanding of, and conforms to, relevant standards of practice. Support delivery of reporting outcomes for this project.
ASK NHS GP app
Promotion and increasing uptake of the APP.
Working as part of a hub with other PCN pharmacists to manage app queries.
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)
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.
Medication review for Older People with Frailty
Undertake clinical/structured medication reviews with patients and produce recommendations for the GP on prescribing and monitoring.
Long-term condition clinics, e.g. Diabetes, Asthma, COPD, Enduring Mental Health Conditions.
See patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Make recommendations to GPs for medicine improvements.
High Risk Drug Management
Put in place protocols for managing on DMARDs and train admin/reception staff in these to optimise safe management of these patients.
Clinical advice and expertise on medicines to practice staff and patients
Answers all medicine-related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
Telephone and patient facing medicines advice.
Provide a telephone advice for patients with questions, queries and concerns about their medicines.
Antibiotic Stewardship
Promotion of evidence-based practice and interventions to prevent the development of infections to practice staff. Supporting GPs to prescribe appropriately and reduce inappropriate use of antibiotics in all patients.
Prescription request workflow
Manage the day to day request and reauthorisation of prescriptions workflow by making clinical decisions and prescribing where necessary, communicating advice and decisions to patients and practice staff, including working remotely where appropriate.
Patient-facing domiciliary/home visits
Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of their medicines.
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/ or GPs on prescribing and monitoring
Building relationships with community pharmacies
