Advanced Practitioner - Pharmacist

Job description

Job responsibilities

Job description and responsibilities

Patient facing - long-term condition clinics

Working within the practice-based team to undertake medication reviews particularly in high-risk groups.

Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation).

Make appropriate recommendations to GPs for medicine improvement.

Patient facing Structured Medication Review

Undertake structured medication reviews with patients and produce recommendations for nurses and/or GPs on prescribing and monitoring.

Reviewpatients full clinical condition, blood monitoring, interface care arrangements, social isolation etc. including reducing inappropriate polypharmacy and wasteful prescribing.

Care Home Medication Reviews

Undertake structured medication reviews and produce recommendations for nurses or GPs on prescribing and monitoring.

Work with care home staff to improve safety of medicines ordering and administration.

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.

Telephone medicines support

Medicine information to practice staff and patients

Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines.

Suggesting and recommending solutions.

Providing follow-up for patients to monitor and effect of any changes.

Management of medicines at discharge from hospital

To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.

Medicines Optimisation

Deliver medicines optimisation outcomes against a set workplan dealing with cost saving initiatives, QIPP and medication safety work streams.

Interface

Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service

Signposting

Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long-term condition reviews etc.

Repeat Prescribing

Participate in the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.

Ensure patients have appropriate monitoring tests in place when required.

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).

Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision-making.

Medicines quality improvement

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

Medicines safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

Increase safe and effective prescribing through mechanisms such as audit. Improve quality in prescribing using Quality Improvement methodology including the use of Plan Do Study Act (PDSA) cycles.

Implementation of local and national guidelines and formulary recommendations

Monitor practice prescribing and make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care.

Auditing practices compliance against NICE guidelines.

Education and training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

Care Quality Commission

Work with general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public Health

To support public health campaigns.

To provide specialist knowledge on all public health programmes available to the general public.

Person Specification

Qualifications

Essential

• Mandatory registration with General Pharmaceutical Council
• Masters degree in Pharmacy (MPharm) or equivalent
• Independent prescriber or working towards/intent of gaining independent prescribing qualification
• CPPE primary care pathway training course or working towards/intent of completing.

Experience

Essential

• Minimum of two years post-qualification experience
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understand when to refer to GPs
• Knowledge of health promotion strategies
• Understand the requirement for PGDs and associated policy
• Polite and confident, flexible and cooperative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrate the ability to communication complex and sensitive information in an understandable form
• Good IT skills
• Ability to work under pressure and to meet deadlines
• Work effectively and independently and as a team member
• Self-motivation
• Adaptable
• Willingness to travel between both practice sites
• Understand the importance of evidence-based practice

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

Thornaby & Barwick Medical Centre

Address

Thornaby Barwick Medical Group

Trenchard Avenue

Thornaby

Stockton-on-tees

Cleveland

TS170EE

Employer's website

https://www.tbmg.nhs.uk (Opens in a new tab)