Four Elms Medical centre

GP Pharmacist

The closing date is 22 March 2026

Job summary

We are looking for a motivated and patient-focused Clinical Pharmacist to join our multidisciplinary team. With a diverse patient list of 16,000, you will play a central role in delivering high-quality pharmaceutical care, improving medication safety, and supporting long-term condition management. You will work alongside GPs, PAs, nurses, HCAs, mental health practitioners, physiotherapists, and our broader cluster colleagues to deliver highquality, patientcentred care. This is an excellent opportunity to develop advanced clinical skills, lead on medicines optimisation, and play a key role in transforming access and quality within primary care.

Main duties of the job

We also operate a separate GP Practice (Ringland Medical Centre) in Newport. Whilst this role if based in Cardiff at the Four Elms Medical Centre, the role holder would provide remote support and cross cover during period of annual leave or sickness absence for the clinical Pharmacist based in Ringland Medical Centre. On occasion, the role holder may be asked to travel to Ringland Medical Centre in Newport.

About us

What We Offer

A supportive and welcoming team culture

Opportunities to complete or extend Independent Prescribing and advanced practice training

Protected CPD time

Strong mentorship from senior clinicians

Involvement in quality improvement, service development, and cluster level initiatives

NHS pension and full NHS employment benefits

Details

Date posted

13 March 2026

Pay scheme

Other

Salary

£48,527 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

A4471-26-0006

Job locations

Sterling Close

Ffordd Pengam, Pengam Green

Cardiff

CF24 2HB


Cardiff Royal Infirmary

Newport Road

Cardiff

CF24 0SZ


Ringland Medical Practice

Ringland Circle

Newport

Gwent

NP19 9PS


Job description

Job responsibilities

Management of the Prescribing team and system

Manage the prescribing team, including prescribe clerk and other admin staff involvement in the preparation of prescriptions

Manage the system for repeat and acute prescription requests, including optimising efficiency and safety

Clinical Pharmacist-Led Clinics

  • Undertake structured medication reviews (SMRs) and clinical medication reviews
  • Conduct post-discharge reviews and medicines reconciliation for patients returning from secondary care, ensuring continuity and safety.
  • Support GP and nurse led clinics for long-term condition (LTC) management, including but not limited to hypertension, diabetes, COPD, asthma, atrial fibrillation, heart failure, and chronic kidney disease.

Medicines Optimisation

  • Lead on medicines optimisation across the practice, ensuring patients receive the best possible outcomes from their medicines.
  • Review and implement national and local prescribing guidance, engaging with UHB requirements for QI and (Medicines Management Incentive Scheme (MMIS)
  • Identify and manage high-risk medicines (e.g., lithium, methotrexate, warfarin, DMARDs) and ensure appropriate monitoring and recall(s) are in place.
  • Support the management of drug safety alerts, MHRA communications, and medicine recalls in a timely and systematic manner.
  • Lead on antimicrobial stewardship initiatives, reviewing antibiotic prescribing data and implementing improvement strategies.
  • Collaborate with community pharmacies, secondary care, and UHB colleagues to improve medicines pathways and reduce waste.

Consultation and Clinical Assessment

  • Conduct comprehensive clinical assessments using history-taking, clinical examination (where trained), and interpretation of investigations.
  • Use clinical decision-support tools and point-of-care testing where appropriate.
  • Provide expert advice and second opinions to other clinicians regarding medicines, drug interactions, and therapeutic decisions.
  • Manage enquiries from patients, carers, and clinical colleagues relating to medicines, safety concerns, and therapeutic options.

Quality Improvement and Clinical Governance

  • Lead pharmacy-related quality improvement projects and clinical audits, presenting findings and recommendations to the wider practice team.
  • Contribute to the practice's clinical governance framework, significant event reviews, and repeat prescribing policies.
  • Lead on/participate in QI projects both national and local
  • Monitor and report prescribing data using audit+/EMIS reporting and other tools to identify outliers and opportunities for improvement.
  • Develop and maintain practice-level prescribing policies, protocols, and standard operating procedures (SOPs).
  • Actively participate in HIW inspections and other quality and regulatory processes.

Digital and Data

  • Use clinical IT systems, including EMIS Web, proficiently to manage patient records, produce prescriptions, and document consultations.
  • Utilise population health management tools to identify at-risk cohorts and support proactive care planning.
  • Support digital transformation initiatives relating to electronic prescribing, repeat prescribing, and online consultation services.

Independent Prescribing

  • Practise as an independent prescriber within scope of competence and relevant clinical area(s), in accordance with GPhC standards and the practice prescribing policy.
  • Conduct face-to-face and remote consultations for acute and long-term conditions, issuing prescriptions independently where appropriate.
  • Manage and review prescriptions for complex patients with multi-morbidities, including the initiation, continuation, and cessation of medicines.
  • Participate in prescribing audits and peer review processes to assure the quality and safety of independent prescribing practice.

Manage practice interactions with local community pharmacies

Establish and maintain good working relationships with our local community pharmacies

Proactively address issues around the ordering of repeat medications to ensure systems are safe and support patients access to essential medication

Create a system to minimise the impact of unavailable medications

Job description

Job responsibilities

Management of the Prescribing team and system

Manage the prescribing team, including prescribe clerk and other admin staff involvement in the preparation of prescriptions

Manage the system for repeat and acute prescription requests, including optimising efficiency and safety

Clinical Pharmacist-Led Clinics

  • Undertake structured medication reviews (SMRs) and clinical medication reviews
  • Conduct post-discharge reviews and medicines reconciliation for patients returning from secondary care, ensuring continuity and safety.
  • Support GP and nurse led clinics for long-term condition (LTC) management, including but not limited to hypertension, diabetes, COPD, asthma, atrial fibrillation, heart failure, and chronic kidney disease.

Medicines Optimisation

  • Lead on medicines optimisation across the practice, ensuring patients receive the best possible outcomes from their medicines.
  • Review and implement national and local prescribing guidance, engaging with UHB requirements for QI and (Medicines Management Incentive Scheme (MMIS)
  • Identify and manage high-risk medicines (e.g., lithium, methotrexate, warfarin, DMARDs) and ensure appropriate monitoring and recall(s) are in place.
  • Support the management of drug safety alerts, MHRA communications, and medicine recalls in a timely and systematic manner.
  • Lead on antimicrobial stewardship initiatives, reviewing antibiotic prescribing data and implementing improvement strategies.
  • Collaborate with community pharmacies, secondary care, and UHB colleagues to improve medicines pathways and reduce waste.

Consultation and Clinical Assessment

  • Conduct comprehensive clinical assessments using history-taking, clinical examination (where trained), and interpretation of investigations.
  • Use clinical decision-support tools and point-of-care testing where appropriate.
  • Provide expert advice and second opinions to other clinicians regarding medicines, drug interactions, and therapeutic decisions.
  • Manage enquiries from patients, carers, and clinical colleagues relating to medicines, safety concerns, and therapeutic options.

Quality Improvement and Clinical Governance

  • Lead pharmacy-related quality improvement projects and clinical audits, presenting findings and recommendations to the wider practice team.
  • Contribute to the practice's clinical governance framework, significant event reviews, and repeat prescribing policies.
  • Lead on/participate in QI projects both national and local
  • Monitor and report prescribing data using audit+/EMIS reporting and other tools to identify outliers and opportunities for improvement.
  • Develop and maintain practice-level prescribing policies, protocols, and standard operating procedures (SOPs).
  • Actively participate in HIW inspections and other quality and regulatory processes.

Digital and Data

  • Use clinical IT systems, including EMIS Web, proficiently to manage patient records, produce prescriptions, and document consultations.
  • Utilise population health management tools to identify at-risk cohorts and support proactive care planning.
  • Support digital transformation initiatives relating to electronic prescribing, repeat prescribing, and online consultation services.

Independent Prescribing

  • Practise as an independent prescriber within scope of competence and relevant clinical area(s), in accordance with GPhC standards and the practice prescribing policy.
  • Conduct face-to-face and remote consultations for acute and long-term conditions, issuing prescriptions independently where appropriate.
  • Manage and review prescriptions for complex patients with multi-morbidities, including the initiation, continuation, and cessation of medicines.
  • Participate in prescribing audits and peer review processes to assure the quality and safety of independent prescribing practice.

Manage practice interactions with local community pharmacies

Establish and maintain good working relationships with our local community pharmacies

Proactively address issues around the ordering of repeat medications to ensure systems are safe and support patients access to essential medication

Create a system to minimise the impact of unavailable medications

Person Specification

Qualifications

Essential

  • GPhC registered Pharmacist with a minimum of 2 years experience

Desirable

  • Independent Prescriber qualification (or willingness to train)

Experience

Essential

  • An appreciation of the nature of GPs and general practice. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Strong clinical knowledge and commitment to evidence based practice
  • Excellent communication and teamwork skills
  • Ability to work independently and manage a varied workload
  • Understanding of the primary care environment and NHS Wales structure
  • Motivated to develop advanced clinical practice skills

Desirable

  • Experience in general practice or primary care
  • Experience of using EMIS clinical system
  • Experience conducting clinical medication reviews
  • Understanding of QIF, QI, AWMSG guidance, and local prescribing priorities
  • Experience supporting long term conditions management
  • Ability to speak Welsh
Person Specification

Qualifications

Essential

  • GPhC registered Pharmacist with a minimum of 2 years experience

Desirable

  • Independent Prescriber qualification (or willingness to train)

Experience

Essential

  • An appreciation of the nature of GPs and general practice. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Strong clinical knowledge and commitment to evidence based practice
  • Excellent communication and teamwork skills
  • Ability to work independently and manage a varied workload
  • Understanding of the primary care environment and NHS Wales structure
  • Motivated to develop advanced clinical practice skills

Desirable

  • Experience in general practice or primary care
  • Experience of using EMIS clinical system
  • Experience conducting clinical medication reviews
  • Understanding of QIF, QI, AWMSG guidance, and local prescribing priorities
  • Experience supporting long term conditions management
  • Ability to speak Welsh

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Four Elms Medical centre

Address

Sterling Close

Ffordd Pengam, Pengam Green

Cardiff

CF24 2HB


Employer's website

https://fourelmsmedicalcentres.co.uk/ (Opens in a new tab)

Employer details

Employer name

Four Elms Medical centre

Address

Sterling Close

Ffordd Pengam, Pengam Green

Cardiff

CF24 2HB


Employer's website

https://fourelmsmedicalcentres.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Helen Coulthard

helen.coulthard@wales.nhs.uk

02920030540

Details

Date posted

13 March 2026

Pay scheme

Other

Salary

£48,527 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

A4471-26-0006

Job locations

Sterling Close

Ffordd Pengam, Pengam Green

Cardiff

CF24 2HB


Cardiff Royal Infirmary

Newport Road

Cardiff

CF24 0SZ


Ringland Medical Practice

Ringland Circle

Newport

Gwent

NP19 9PS


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