Job responsibilities
Undertake clinical medication reviews with patients and produce
recommendations for Nurses and/or GP on prescribing and monitoring.
See (where appropriate) patients with single or multiple medical problems where
medicine optimisation is required
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. Make appropriate recommendations to GPs for
medicine improvement.
Risk stratification: Identification of cohorts of patients at high risk of harm
from medicines through pre-prepared practice computer searches. This might
include risks that are patient related, medicine related, or both.
Unplanned hospital admissions. Review the use of medicines most associated with
unplanned hospital admissions and readmissions through audit and individual
patient reviews. Put in place changes to reduce the prescribing of these
medicines to high-risk patient groups.
Provide medicines support for patients with questions, queries and concerns
about their medicines.
Management of medicines at the transfer of care. 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. Set up and manage systems to ensure continuity of
medicines supply to high-risk groups of patients (e.g. those with medicine
compliance aids)
Medicine information to Practice staff and patients. Answer relevant
medicine-related enquiries from GPs, the wider MDT team, other network staff
and Healthcare Teams.
Support and
work alongside the Lead PCN Clinical Pharmacist, Pharmacy Technician, Prescription Teams and Dispensary Teams supervising and advising when appropriate. Work alongside the extended PCN
Pharmacy Team to deliver the PCN shared agenda.
PROMOTE PRESCRIBING QUALITY AND SAFETY INCLUDING:
Support repeat prescribing policy within each Practice.
Manage 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.
Analyse, interpret
and present medicines data to highlight issues and risks to support decision
making. Undertake clinical audits of prescribing in areas directed by the GPs, feedback
the results and implement changes in conjunction with the relevant practice
team. Implement changes to medicines that result from MHRA alerts, product
withdrawal and other local and national guidance.
Implementation of local and national guidelines and formulary
recommendations. Monitor Practice prescribing against the local health
economy's RAG list and make recommendations to GPs for medicines that should be
prescribed by Hospital Doctors (red drugs) or subject to shared care (amber
drugs).
Liaise with colleagues including ICB Pharmacists and Pharmacy Technicians Heads
of Medicines Management/Optimisation to benefit from peer support. Foster and
maintain strong links with all services across the PCN and neighbouring
networks. Explore the potential for collaborative working and take
opportunities to initiate and sustain such relationships. Liaise with other
stakeholders as needed for the collective benefit of patients, including but
not limited to: Patients and their representatives GP, Nurses and other
Practice staff Social Prescribers, First Contact Physiotherapists, Physicians,
Associates and Paramedics and hospital staff.
PROFESSIONAL DEVELOPMENT
Work with your line Manager to undertake continual personal and
professional development, attend regular CPD sessions with the extended MDT
teams at both practices. Attend
Clinical, Prescription and Dispensary team meetings. Taking an active part in reviewing and
developing the role and responsibilities. Adhere to organisational policies and
procedures, including confidentiality, safeguarding, lone working, information
governance, and health and safety. Work with your line Manager to access
regular clinical supervision, to enable you to deal effectively with the
difficult issues that people present. Review yearly progress and develop clear
plans to achieve results within priorities set by others.
Confidentiality:
In the
course of seeking treatment, patients entrust us with, or allow us to gather,
sensitive information in relation to their health and other matters. They do so
in confidence and have the right to expect that staff will respect their
privacy and act appropriately
In the
performance of the duties outlined in this job description, the post-holder
will have access to confidential information relating to patients and their
carers, practice staff and other healthcare workers. They may also have access
to information relating to the practice as a business organisation. All such
information from any source, and held in any format, is to be regarded as
strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers
or the business of the practice may only be divulged to authorised persons in
accordance with the practice policies and procedures relating to
confidentiality and the protection of personal and sensitive data
Communication:
The post-holder should recognise the
importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognise
peoples needs for alternative methods of communication and respond accordingly
Health
& safety:
The
post-holder will assist in promoting and maintaining their own and others
health, safety and security as defined in the practice health & safety
policy, the practice health & safety manual, and the practice infection
control policy and published procedures. This will include:
Using
personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such
activities in a way that manages those risks
Making
effective use of training to update knowledge and skills
Using
appropriate infection control procedures, maintaining work areas in a tidy and
safe way and free from hazards
Actively
reporting of health and safety hazards and infection hazards immediately when
recognised
Keeping
own work areas and general / patient areas generally clean, assisting in the
maintenance of general standards of cleanliness consistent with the scope of
the job holders role Undertaking periodic infection control training
(minimum annually)
Reporting
potential risks identified
Equality
and diversity:
The
post-holder will support the equality, diversity and rights of patients, carers
and colleagues, to include:
Acting in
a way that recognises the importance of peoples rights, interpreting them in a
way that is consistent with practice procedures and policies, and current
legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and
colleagues
Behaving
in a manner which is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Special
requirements of the post:
This
job description represents an outline of the post; it provides an indication
only of the scope and range of the duties to be undertaken. The post holder may
be required to undertake other related duties not specifically mentioned above.
The job description therefore is intended to be flexible and is subject to
review and amendment following consultation between the post holder and line
manager.
