Job responsibilities
Clinical Pharmacist job description GP Direct (Sphere PCN)
You will work 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 requests, while addressing both the public health and social
care needs of patients in the GP practice(s) that make up the Sphere PCN.
You will perform face to face medication
review of patients with polypharmacy especially for older and complex patients,
people in residential care homes and those with multiple comorbidities. You
must provide leadership on quality improvement and clinical audit and manage
some aspects of the Quality and Outcomes framework. In addition to face to face
contact you will utilise other means of communication such as telephone and
video consultations.
An essential aspect of the role will be
to support complex and frail patients within the community as part of our
enhanced community service. This will include visiting patients within their
places of residence, for both acute and chronic issues and managing patients
long-term needs. Key aspects of the role include conducting structured
medication reviews, care planning, coordinating health and social care needs,
reducing hospital admissions, addressing polypharmacy, supporting with end of
life care etc.
Duties and responsibilities include, but
are not limited to;
1.
Patient facing medicines support
Holding clinics for patients requiring
face to face structured medication reviews and providing telephone support for
patients with questions and concerns about their medicines.
2.
Medication review
Undertaking structured medication
reviews with patients with multi-morbidity and polypharmacy and implementing
prescribing changes (as an independent prescriber) and ordering relevant
monitoring tests.
3.
Risk stratification
Designing, developing and implementing
computer searches to identify cohorts of patients a high risk of harm from
medicines.
Managing risk stratification tools on
behalf and working with patients and the primary care team to minimise risks.
4.
Long-term condition clinics
Seeing patients in multi-morbidity
clinics and in partnership with primary healthcare colleagues and implementing
improvements to patients medicines, including de-prescribing.
Managing own case load, running own
long-term condition clinics where responsible for prescribing as an independent
prescriber and reviewing the ongoing need for each medicine and monitoring and
support requirements.
5.
Unplanned hospital admissions
Devising and implementing practice
searches to identify cohorts of patients most likely to be at risk of an
unplanned admission and readmissions from medicines. Working with case
managers, multidisciplinary review teams, hospital colleagues and virtual ward
teams to manage medicines-related risk for readmission and patient harm and putting
in place changes to reduce the prescribing of these medicines to high-risk
patient groups.
6.
Repeat prescribing
Producing and implementing a practice
repeat prescribing policy. Managing the repeat prescribing re-authorisation
process by reviewing patient requests for repeat prescriptions and reviewing
medicines reaching review dates; making necessary changes as an independent
prescriber and ensuring patients are booked in for necessary monitoring tests
where required.
7.
Triage
Ensuring that patients are referred to
the appropriate clinician for the appropriate level of care within an
appropriate period of time.
8.
Medicines safety and quality improvement
Identifying and providing leadership on
areas of prescribing requiring improvement. Conducting audits and improvement
projects and presenting results and recommendations. Contributing to national and local research
initiatives
9.
Care home medication reviews
Managing caseload of care home residents
and undertaking clinical medication reviews with patients with multi-morbidity
and polypharmacy and implementing own prescribing changes (as an independent
prescriber) and ordering relevant monitoring tests. Working with care home
staff to improve safety of medicines ordering and administration.
10.
Domiciliary clinical medication review
Managing caseload of vulnerable
housebound patients at risk of hospital admission and harm from poor use of
medicines. Implementing prescribing changes (as an independent prescriber) and
ordering of monitoring tests.
11.
Service development
Developing and managing new services
that are built around new medicines or NICE guidance, where new
medicine/recommendations allow the development of a new care pathway.
12.
Care Quality Commission
Providing leadership to the Practice Manager
and GPs as well as PCN at large to ensure compliance with CQC standards.
13.
Population and Public Health
Devising and managing population and
public health campaigns to run within the PCN and providing specialist
knowledge on immunisation.
14.
Cost Saving Programmes
Making recommendations for and managing
pharmacy technicians to, make changes to medicines designed to save on medicine
costs where a medicine or product with lower acquisition cost is available.
15.
Medicine information to Practice Staff and Patients
Answering 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.
16.
Information Management
Analysing, interpreting and presenting
medicines data to highlight issues and risks to support decision making.
17.
Training
Providing education and training to
primary healthcare team on therapeutics and medicines optimisation. Providing training to visiting medical,
nursing and other healthcare students where appropriate.
18.
Management of medicines at discharge from hospital
Reconciling medicines following
discharge from hospitals, intermediate care and into care homes, including
identifying and rectifying unexplained changes, managing these changes without
referral to a GP, performing a clinical medication review, producing a post
discharge medicines care plan including dose titration and booking follow up
tests and working with patients and community pharmacists to ensure patients
receive the medicines they need post discharge
Setting up and managing systems to
ensure continuity of medicines supply to high-risk groups of patients. Working
in partnership with hospital colleagues to proactively manage patients at high
risk of medicine related problems before they are discharged to ensure
continuity of care.
19.
Implementation of Local and National Guidelines and Formulary Recommendations
Monitoring practice prescribing against
the local health economys RAG list for medicines that should be prescribed by
hospital doctors or subject to shared care. Liaising directly with hospital
colleagues where prescribing needs to be returned to specialists. Assisting
practices in setting and maintaining a practice formulary that is hosted on the
practices computer system. Auditing practices compliance against NICE
technology assessment guidance. Providing reminder systems, updates and
newsletters on important prescribing messages.
20.
Medicine Safety
Identifying national and local policy
and guidance that affects patient safety through the use of medicines,
including MHRA alerts, product withdrawals and emerging evidence form clinical
trials.
Collaborative
working arrangements
Working collaboratively with PCN
Recognising the roles of other
colleagues within the PCN
Communicating appropriately to gain
the co-operation of relevant stakeholders (including patients, senior and peer
colleagues, and other professionals, other NHS/private organisations e.g. CCGs)
Leading a pharmacy team
Liaising with colleagues including CCG
and STP/ICS Pharmacists on prescribing related matters to ensure consistency of
patient care and benefit and also with Heads of Medicines Management/
Optimisation to benefit from peer support
Liaising with PCN Member Practices and
neighbouring networks as needed for the collective benefit of patients
