Job summary
The North Riding Primary Care Network are excited to offer an opportunity for a Clinical Pharmacist to join our expanding team. The role can be part time / full time up to 37.5 hours per week.
The post holder is a pharmacist who acts within their professional boundaries, supporting and working alongside a multi-disciplinary team in general practice. They will undertake clinical medication reviews to proactively manage patients with complex polypharmacy.
The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice(s).
They will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services. The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare, and help manage workload.
The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.
Main duties of the job
Main duties of the job
Overview:
- Clinical medication reviews with patients
- Patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
- Aid the PCN to deliver vaccination programmes as necessary.
- Telephone support for patients with questions, queries, and concerns about their medicines.
- Review the use of medicines most associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
- 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.
- Refer patients to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time
-Contribute to the production of and implement a PCN repeat prescribing policy and formulary.
-Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches.
-Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components
Please Note: This is an overview - Please see attached Job Description and Personal Specification for full details.
About us
North Riding Primary Care Network was founded in 2019 and has four member practices. We are located on the edge of the North York Moors National Park and our member practices are Ayton and Snainton Medical Practice, Ampleforth and Hovingham Surgeries, Derwent Practice and Sherburn and Rillington Medical Practice. We provide care to an overall patient population of 39,000. Each member practice has a CQC rating of good in all areas and 3 out of the 4 practices are rural dispensing practices. Our aim is to deliver high quality services for our patients, facilitated by working collaboratively, to better respond to the needs of our local population. We are building a multi-disciplinary clinical team to support our practices and offer new services to our patients.If you are interested in joining our team we would love to hear from you.
Please ask for more information if you are unfamiliar with the locality of the practices or have any concerns about travel to them. The PCN will endeavor to be flexible and accommodate successful applicants with preferred practices, where possible.
Job description
Job responsibilities
Please see associated job description for full details.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for clinical colleagues on prescribing and monitoring.
Patient facing care home medication reviews
Undertake clinical medication reviews with patients and produce recommendations for clinical colleagues on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Patient facing support
Provide patient facing clinics for those withquestions, queries and concerns about theirmedicines in the practice.
Aid the PCN to deliver vaccination programmes as necessary.
Telephone medicines support
Provide a telephone support for patients with questions, queries, and concerns about their medicines.
Medicine information to practice staffand 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 the effect of any changes
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 highrisk patient groups.
Management of medicines at dischargefrom 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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g., those with medicine compliance aids or those in care homes).
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, acuteconditions, long term condition reviews etc.
Repeat and acute prescribing
Contribute to the production of and implement a PCN repeat prescribing policy and formulary. 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. Review acute medication query requests and make recommendations to the GPs
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.
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.
Implementation of local and nationalguidelines and formularyrecommendations
Monitor practice prescribing against the local health economys 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). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the 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.
Job description
Job responsibilities
Please see associated job description for full details.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for clinical colleagues on prescribing and monitoring.
Patient facing care home medication reviews
Undertake clinical medication reviews with patients and produce recommendations for clinical colleagues on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Patient facing support
Provide patient facing clinics for those withquestions, queries and concerns about theirmedicines in the practice.
Aid the PCN to deliver vaccination programmes as necessary.
Telephone medicines support
Provide a telephone support for patients with questions, queries, and concerns about their medicines.
Medicine information to practice staffand 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 the effect of any changes
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 highrisk patient groups.
Management of medicines at dischargefrom 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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g., those with medicine compliance aids or those in care homes).
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, acuteconditions, long term condition reviews etc.
Repeat and acute prescribing
Contribute to the production of and implement a PCN repeat prescribing policy and formulary. 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. Review acute medication query requests and make recommendations to the GPs
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.
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.
Implementation of local and nationalguidelines and formularyrecommendations
Monitor practice prescribing against the local health economys 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). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the 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)
Desirable
- - Membership of the Royal Pharmaceutical Society
- - Member of or working towards Faculty membership of the Royal Pharmaceutical Society
- - Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
- - Independent prescriber or working towards/intent of gaining independent prescribing qualification
Experience
Essential
- - Evidence of continued CPD
- - An appreciation of the nature of GPs and general practices
- - An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving 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 to a variety of audiences (e.g. patients)
- - Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- - Good 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 when appropriate
- - 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
Desirable
- - Minimum of 2 years post-qualification experience.
- - In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.
Additional
Essential
- - Full Driving Licence
- - Use of own transport
- - In date DBS
- - Safeguarding adult and children level three (training will be given)
- - Basic life support training (training will be given)
- - Adaptable
Person Specification
Qualifications
Essential
- - Mandatory registration with General Pharmaceutical Council
- - Masters degree in pharmacy (MPharm) (or equivalent)
Desirable
- - Membership of the Royal Pharmaceutical Society
- - Member of or working towards Faculty membership of the Royal Pharmaceutical Society
- - Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
- - Independent prescriber or working towards/intent of gaining independent prescribing qualification
Experience
Essential
- - Evidence of continued CPD
- - An appreciation of the nature of GPs and general practices
- - An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving 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 to a variety of audiences (e.g. patients)
- - Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- - Good 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 when appropriate
- - 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
Desirable
- - Minimum of 2 years post-qualification experience.
- - In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.
Additional
Essential
- - Full Driving Licence
- - Use of own transport
- - In date DBS
- - Safeguarding adult and children level three (training will be given)
- - Basic life support training (training will be given)
- - Adaptable
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).