Job responsibilities
The following are the core responsibilities of the Clinical Pharmacist
delivering health services.
a.
Work as part of a
multi-disciplinary team in a patient-facing role to clinically assess and
treat patients using their expert knowledge of medicines for specific disease
areas
b.
Be a prescriber, or
completing training to become a prescriber, and work with and alongside the primary
care team
c.
Be responsible for
the care management of patients with chronic diseases and undertake clinical
medication reviews to proactively manage people with complex polypharmacy,
especially the elderly, people in care homes, those with multiple
co-morbidities (in particular frailty, COPD and asthma) and people with
learning disabilities or autism (through STOMP Stop Over Medication
Programme)
d.
Provide specialist
expertise in the use of medicines whilst helping to address both the public
health and social care needs of patients at the organisation and to help in
tackling inequalities
e.
Provide leadership on
person-centred medicines optimisation (including ensuring prescribers in the
practice conserve antibiotics in line with local antimicrobial stewardship
guidance) and quality improvement, whilst contributing to the Quality and
Outcomes Framework and enhanced services
f.
Through structured
medication reviews, support patients to take their medications to get the
best from them, reduce waste and promote self-care
g.
Have a leadership
role in supporting further integration of general practice with the wider
healthcare teams (including community and hospital pharmacy) to help to
improve patient outcomes, ensure better access to healthcare and help to manage
general practice workload
h.
Develop relationships
and work closely with other pharmacy professionals across the wider health
and social care system
i.
Take a central role
in the clinical aspects of shared care protocols, clinical research with
medicines, liaison with specialist pharmacists (including mental health and
reduction of inappropriate antipsychotic use in people with learning
difficulties), liaison with community pharmacists, and anticoagulation
j.
Be part of a
professional clinical network and have access to appropriate clinical
supervision. Appropriate clinical supervision means:
k.
Act as the point of
contact for all medicine related matters, establishing positive working
relationships
l.
Consult patients
within defined levels of competence and independently prescribe acute and
repeat medication
m. Receive referrals and directed patients from triage services and other
clinicians
n.
Receive and resolve
medicines queries from patients and other staff
o.
Provide medication
review services for patients in the PCN and during domiciliary visits to the
local nursing home
p.
Manage a therapeutic
drug monitoring system and the recall of patients taking high risk drugs,
i.e., anticoagulants, anticonvulsants and DMARDs, etc.
q.
Deliver long term
condition clinics and home visits, particularly for patients with complicated
medication regimes, and prescribe accordingly
r.
Provide
pharmaceutical consultations to patients with long term conditions as an
integral part of the multidisciplinary team
s.
Review medications
for newly registered patients
t.
Improve patient and
carer understanding of, confidence in and compliance with their medication
u.
Maintain accurate
clinical records in conjunction with extant legislation
v.
Encourage
cost-effective prescribing throughout the organisation
w. Implement and embed a robust repeat prescribing system
x.
Provide advice and
answer medication related queries from patients and staff
y.
Organise and oversee
the organisations medicines optimisation systems, including the repeat
prescribing and medication review systems
z.
Improve the quality
and effectiveness of prescribing through clinical audit and education, to
improve performance against NICE standards and clinical and prescribing
guidance.
aa. Develop yourself and the role through participation in clinical
supervision, training and service redesign activities
bb. Ensure appropriate supervision of safe storage, rotation and disposal
of vaccines and drugs. Apply infection-control measures within the practice
according to local and national guidelines
cc. Provide subject matter expertise on medication monitoring,
implementing and embedding a system
dd. Support clinicians with the management of patients suffering from drug
and alcohol dependencies
ee. Actively signpost patients to the correct healthcare professional
ff.
Manage a caseload of
complex patients and potential care institutions and to provide advice for
the GP management of more complex patients or areas such as addictive
behaviours, severe mental illness or end of life care
gg. Review the latest guidance, ensuring the organisation conforms to
NICE, CQC etc.
hh. Be aware of duties and responsibilities regarding current legislation
and adhere to practice policies and procedures on Safeguarding Adults and
Safeguarding Children
ii.
Provide targeted
support and proactive reviews for vulnerable, complex patients and those at
risk of admission and re-admission to secondary care
jj.
Provide proactive
leadership on medicines and prescribing systems to the organisation, patients
and their carers
kk. Support in the delivery of enhanced services and other service
requirements on behalf of the organisation
ll.
Participate in the
management of patient complaints when requested to do so, and participate in
the identification of any necessary learning brought about through clinical
incidents and near-miss events
mm. Undertake all mandatory training and induction programmes
nn. Contribute to and embrace the spectrum of clinical governance
oo. Attend a formal appraisal with your manager at least every 12 months.
Once a performance/training objective has been set, progress will be reviewed
on a regular basis so that new objectives can be agreed
pp. Contribute to public health campaigns (e.g., COVID-19 or flu clinics)
through advice or direct care
qq. Maintain a clean, tidy, effective working area at all times
There may be, on occasion, a requirement to carry
out other tasks, this will be dependent upon factors such as workload and
staffing levels
In addition to the primary responsibilities,
the Clinical Pharmacist has the following wider responsibilities:
a.
Support
the delivery of QOF, IIF, incentive schemes, QIPP and other quality or cost
effectiveness initiatives
b.
Agree
and review prescribing formularies and protocols, and monitor compliance levels
c.
Improve
the data quality of medicines records and linking to conditions
d.
Deliver
training, mentoring and guidance to other clinicians and staff on medicine
issues
e.
Working
in partnership with pharmacists and clinicians at local hospitals, improve the
safety and quality of prescribing after discharge from hospital admissions and
attendance
f. Provide leadership and
support to prescription administrative/dispensary staff
g.
Develop
a specialist area of interest
h.
Work
with community pharmacists, hospital pharmacists and other stakeholders in the
medicines supply chain to improve patient experience and manage incidents
i.
Support
virtual and remote models of consultation and support, including
e-consultations, remote medication review, and telehealth and telemedicine
j.
Undertake
any tasks consistent with the level of the post and the scope of the role,
ensuring that work is delivered in a timely and effective manner
k.
Duties
may vary from time to time without changing the general character of the post
or the level of responsibility