Clinical Pharmacist: Anticoagulation Service/Bromleag Care Practice

Job description

Job responsibilities

Anticoagulation Service:

Manage and support patient receiving anticoagulant therapy in the community, according to national standards of practice.

Support multi-disciplinary team of staff within the community involved in supporting patients on anticoagulation therapies including DOACs, enoxaparin and VKAs.

Help to promote standardisation in initiation and maintenance of anticoagulant therapy.

Regularly review patients on warfarin (including at the outset) with regard to indication, duration, compliance, target INR, and clinical safety and liaise/refer to appropriate clinicians and/or Consultant Haematologists for medical opinion.

Assess and identify the correct regime for patients outside the therapeutic range and refer to an appropriate health professional when necessary.

Screen patients referral for DOAC initiations

Provide support in a clinic, or by telephone, for prescribing, dose adjustment and close monitoring of patients on anticoagulant treatment following agreed protocols and patient group directions

Provide specialist advice to individual patients and to other healthcare professionals on the dose of anticoagulants in accordance with agreed protocols

Assess patients condition according to INR and counsel accordingly, taking into account the relevant clinical details.

Identify and follow up patients who fail to attend for INR checks.

Support in the management of patients requiring vitamin K.

Provide anticoagulant services in line with SELICB, NICE, NPSA and other relevant guidelines.

Support the management of patients on LMWH

Participate in the domiciliary visiting service for patients on anticoagulant therapy, either in person, or by supporting ancillary staff by telephone when they are visiting the patient at home

Bromleag Care Practice:

Rationalise repeat prescriptions lists to avoid waste and duplication

Provide care-home based reviews to those residents with LTCs or complex health needs, including drug monitoring and risk versus benefit.

Provide on-call pharmacist cover for the practice as per duty rota

Contribute to the management of the prescribing budget through the promotion of safe, cost effective rational prescribing for all residents in care homes

Contribute to minimising the harms associated with the use of medicines, for example by de-prescribing

Link to local and national care home forums to support embedding best practice.

Support the education of care home staff and other relevant bodies regarding medicines management.

We are looking to recruit a motivated and experienced Pharmacist to work four days a week across our Bromleag Care Practice (2 days) and Anticoagulation Service (2 days). This is an excellent opportunity to be part of a dynamic, patient-focused environment, supporting our multi-disciplinary team (MDT) approach to deliver high-quality, safe, and effective care to a diverse patient population.

Anticoagulation Service:

This position has become available due to the expansion of our existing team to support the growth of the Anticoagulation Service and the significant positive impact on the stroke prevention scheme within Bromley and Lewisham.

The role of an Anticoagulation Pharmacist is to work within the BGPA Community Anticoagulation Service and manage patients on warfarin, as well as clinically screen incoming referrals, practise as a Pharmacist Independent Prescriber, conduct DOAC Initiation appointments and prescribe suitable Anticoagulants.

This is a part time role, for two days a week, to cover clinics across Bromley and Lewisham borough and work as a hub pharmacist supporting clinical queries.

Bromleag Care Practice:

Additionally, Bromleag Care Practice are looking to recruit a dedicated and proactive Pharmacist to join our team two days a week. This role is integral to our multi-disciplinary team (MDT) approach, enhancing the quality of care for our residents through collaborative, patient-centred medication management and clinical support.

This role offers a high level of autonomy, direct face-to-face patient interaction, and the opportunity to lead on medicines optimisation. Youll use your clinical and communication skills to carry out medication reviews, support prescribing decisions, and collaborate with GPs, patients, families, and ICB colleagues to drive safe, effective, and person-centred care.

The BGPA Anticoagulation Service is led by Clinical Pharmacists.

Their responsibilities include:

Assist in the running of the Community anticoagulation clinics across Bromley and Lewisham

Work in close liaison with the service team to assist in the achievement of short and long term objective

Facilitate anticoagulant prescriptions and ensure patients receive the correct anticoagulation medication

Promote the safe, effective and economic use of anticoagulant drugs within the community and to train other healthcare staff in anticoagulant management.

Main duties of the Bromleag Care Practice Pharmacist include:

• Provide professional advice and support to care homes on the safe prescribing, handling and administration of medicines. This includes support regarding development and implementation of medicines management processes and policies.
• Lead on the medicines aspects relating to the care of patients in care homes to optimise medicines, reduce medicines-related risks and improve adherence to taking medicines by carrying out medication assessments and reviews in identified patients.
• Medicines management with face to face dealings with patients, care home staff and relatives
• Undertake prescribing for patients within own competency according to the needs of the service.
• Resolve day-to-day medicines and prescription issues with healthcare professionals
• Help patients and care home staff to manage the patients conditions
• Lead practice repeat prescription services and deal with queries from reception staff and patients
• Present to Patients and relatives any changes to prescribing in line with NICE, best practice or in response to prescribing alerts
• Advising patients and carers of the adverse side effect of medication and potential interaction with other medication/treatments

Person Specification

Experience

Essential

• -Experience of working within multi-disciplinary teams
• -Experience of working within a pressurised environment
• -Knowledge of the changing NHS environment and structures
• -Experience of working within Primary Care

Desirable

• -Experience in Anticoagulation Service
• -Experience of EMIS GP Computer System

Qualifications

Essential

• -Masters degree in Pharmacy or equivalent qualification pre-2002
• -Registered with the General Pharmaceutical Council
• -Independent Prescribing qualification
• -Evidence of recent continuing learning/professional development

Desirable

• -Diploma in clinical/community pharmacy

Skills

Essential

• -Excellent interpersonal skills
• -Excellent communication skills
• -Ability to work on own initiative, able to plan, prioritise, make decisions and meet deadlines.
• -Ability to work well within a team
• -Good organisational skills and time management
• -Ability to deal with difficult situations with diplomacy and sensitivity
• -Confident and assertive in dealing with other healthcare professionals
• -Commitment to learning and development of themselves and others
• -Driving Licence

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

Bromley GP Alliance Ltd

Address

Kelsey Park Farmhouse

379 Croydon Road

Beckenham

BR3 3QL

Employer's website

https://bromleygpalliance.org/ (Opens in a new tab)