Job summary
Job summary
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.
Main duties of the job
The post holder will work within
their clinical competencies as part of a multi-disciplinary team to provide
expertise in clinical medicines management, structured medication reviews,
manage long term conditions, management of medicines on transfer of care and
systems for safer prescribing and support acute prescription request, while
addressing both the public health and social care needs of patients within all
of the GP Practices within the PCN.
The post holder will perform
face to face and telephone medication review of patients with polypharmacy
especially for older people, and those with multiple comorbidities.
The post holder will provide leadership on quality
improvement and clinical audit and well as managing some aspects of the Quality
and Outcomes Framework. This role is pivotal to improving the quality of care
and operational efficiencies so requires motivation and passion to deliver an
excellent service within General Practice. The post holder will be supported to
develop their role to become a non-medical prescriber, if that qualification is
not already held.
About us
As a PCN we aim to offer and
deliver excellent, safe, co-ordinated, high quality patient care. Continuously
learning, evolving and implementing new models of care, to create inclusion and
reduce inequalities and improve outcomes. We work hard to promote a culture
where staff feel engaged, valued and recognised by the organisation and the
others they work with.
The role will include working
with and alongside, The PCN Pharmacy team, Prescription Teams and Dispensary
teams at all of the practices within the PCN.
Job description
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 Pharmacy Technician, Prescription Team and Dispensary Team
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.
Job description
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 Pharmacy Technician, Prescription Team and Dispensary Team
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.
Person Specification
Qualifications
Essential
- Maintain registration with the General Pharmaceutical Council
- Relevant undergraduate degree in pharmacy (BPharm, MPharm or equivalent)
- Independent prescriber or working towards/ intent of gaining qualification
- Minimum of 5 years post registration experience
Desirable
- Portfolio of evidence of continuous professional development and post qualifying experience
- Able to drive and has access to car or equivalent
- Knowledge/experience of EMIS Web and SystemOne
Person Specification
Qualifications
Essential
- Maintain registration with the General Pharmaceutical Council
- Relevant undergraduate degree in pharmacy (BPharm, MPharm or equivalent)
- Independent prescriber or working towards/ intent of gaining qualification
- Minimum of 5 years post registration experience
Desirable
- Portfolio of evidence of continuous professional development and post qualifying experience
- Able to drive and has access to car or equivalent
- Knowledge/experience of EMIS Web and SystemOne
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).
