Senior Experienced Clinical Pharmacist

Job responsibilities

Primary roles and responsibilities

Medication Reviews Hold clinics for patients requiring face-to-face structured medication reviews i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Provide a telephone support for patients with questions, queries, and concerns about their medicines. Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring test.

Long Term Conditions See patients in long term condition clinics and implement improvements to patient's medicines, including de-prescribing. Manage own case load, run own long-term condition clinics in conjunction with GPs and support clinical decision making when medicine management input is required Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking.

High-risk Medication

Reviews

Manage patients at risk of hospital admissions and harm from poor use of medicines. Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Attend and refer patients to multidisciplinary case meetings.

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. Ensure patients are booked in for necessary monitoring tests where required.

Management of

Medicines at Management of medicines at discharge from hospital To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and

Discharge from Hospital rectifying unexplained changes manage these changes without referral to a GP. Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.

Medicines Safety Working with patients, the network and primary care teams to minimise risks through medicines optimisation. Review national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Develop and put into place protocols for managing patients on high-risk medications and train admin/reception staff in these to optimise safe management of these patients. Design, develop and implement of clinical system searches to identify cohorts of patients at high risk of hard from medicines,

Cost Saving Make recommendations for, and manage pharmacy technicians to, make changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available.

Clinical Advice and Expertise on Medicines Answers all medicine-related enquiries from GPs and other practice staff with queries about medicines. Suggesting and recommending solutions. Provide telephone advice for patients with questions, queries and concerns about their medicines. Providing follow up for patients to monitor the effect of any changes.

Care Quality

Commission To ensure the practice(s) are compliant with CQC standards where medicines are involved.

Training Provide education and training to the Practice staff on therapeutics and medicines optimisation.

Experience

Essential

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
• Demonstrate the ability to communicate complex and sensitive information in an understandable form
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrate the ability to communicate complex and sensitive information in an understandable form
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Strong IT skills
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs
• Able to work under pressure and to meet deadlines
• Produce timely and informative reports
• Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
• Work effectively, independently and as a team member
• Demonstrates accountability for delivering professional expertise and direct service provision
• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions

Desirable

• Experience of EMIS

Qualifications

Essential

• Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council
• Mandatory registration with the General Pharmaceutical Council
• Independent prescriber
• Minimum of 3 years post--qualification experience.

Desirable

• Membership of the Royal Pharmaceutical Society
• Have worked in general practice for at least 1 year

Management

Essential

• Demonstrates understanding of, and contributes to, the workplace vision
• Demonstrates ability to improve quality within limitations of service
• Reviews last years progress and develops clear plans to achieve results within priorities set by others
• Demonstrates ability to motivate self to achieve goals
• Follows professional and organisational policies/procedures relating to performance management
• Demonstrates ability to identify and resolve risk management issues according to policy/protocol
• Demonstrates understanding of the implications of national priorities for the team and/or service

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).