Job responsibilities
KEY
RESPONSIBILITES
To provide prescribing advice and support to the practice(s), on all
medication issues.
To advise the
practice on the implications of prescribing and admission/referral data
provided by the ICB.
To implement
change in prescribing behaviour, where required, in order to promote quality,
rational, safe and cost-effective prescribing.
To promote
prescribing in line with national, and ICB guidelines and policies.
To identify and
advise on any areas of clinical risk connected with prescribing.
To undertake
medication reviews and therapeutic specific medication reviews of patients with
chronic diseases to proactively manage people with complex polypharmacy,
especially the elderly, people in care homes, those with multiple
co-morbidities (in particular frailty, COPD and asthma) and people with
learning disabilities or autism (through STOMP Stop Over Medication
Programme)
To work directly
with patients on medication issues to ensure patients take their medications to
get the best from them, reduce waste and promote self-care
To provide
leadership on person centred medicines optimisation (including ensuring
prescribers in the practice conserve antibiotics in line with local
antimicrobial stewardship guidance) and quality improvement, whilst
contributing to the quality and outcomes framework and enhanced services.
RESPONSIBILITY
FOR PATIENT CARE (including monitoring, diagnostics + investigations)
To support all practice staff on all medication issues
To update patients
medication records post hospital discharges and outpatient appointments, and
advise the GP of all issues that may arise
To implement all
monitoring requirements as detailed in agreed shared care protocols.
To be responsible
for ensuring recall systems are in place and working and for the correct
monitoring of amber drugs and those included in the Shared Care Local Enhanced
Service.
To deal with
medication queries, especially those that require follow up and problem solving
techniques.
To participate/run
medication review clinics or chronic disease management clinics as agreed with
the practice.
To reduce waste, minimise risk and improve the repeat prescribing
process.
To ensure
prescription security by introducing best practice guidelines
To resolve all
practice EPS issuesqueries and ensure that the practice maximises the benefits
of EPS.
GENERAL
PRACTICE SUPPORT
To practice and promote cost-effective, safe, evidence based prescribing.
To identify
prescribing issues within the practice, bring these to the attention of the
Lead GP and, develop an
appropriate strategy, implement
the strategy and monitor progress
To monitor
practices prescribing for known areas of increased clinical risk, and advise
the practice on appropriate measures to minimise such risk.
To ensure that all
major MHRA drug alerts are acted upon within practices over a suitable
timeframe and to advise and implement any medication changes that occur as a
result
To work closely
with the Barnsley Place Medicines Optimisation Team to monitor and advise
practices regarding their prescribing costs.
To monitor,
prescribing costs of specific drugs or therapeutic areas as agreed with the GP
practice.
COMMUNICATION
To be the first
point of contact for patients, secondary/tertiary care, community pharmacists,
ICB, staff, Nursing/Care home staff and other healthcare professionals and
patients who have queries relating to medication and repeat prescriptions.
ADMINISTRATIVE
AN CLERICAL DUTIES
To maintain comprehensive and accurate records of work undertaken for the
Practice Pharmacist projects and activities
To be able to use
MS Office programmes necessary for the role
To be able to use
the searching and administrative capabilities of the GP clinical systems.
To be able to
evidence activity and demonstrate outcomes as agreed by the practice.
To manage time
effectively to ensure all targets are met.
To carry out any
other associated tasks required to develop this role in the future as requested
by the PCN.
INFORMATION
SUPPORT AND RECORD KEEPING
To keep an accurate record of all activity undertaken within practices.
To ensure all
patient interventions are recorded on the practice computer in accordance with
the working procedures developed with the practice.
To be responsible
for keeping accurate retrievable records of all formal queries, data collection
exercises, and audits.
TRAINING AND
EDUCATION
To supervise and train practice receptionists undertaking the generation
of repeat prescriptions and to explain and inform them of any prescribing
changes being carried out.
Be willing to
undertake any training required for the role e.g. the CPPE Primary care
pharmacy education pathway
To providing
training to practice clinical/administration staff on any medicines management
issues as agreed by the practice.
PLANNING AND
ORGANISATION: FREEDOM TO ACT
To be responsible
for the organisation, planning and managing own time, within a broad agenda set
by the identified the practice.
To demonstrate
professional accountability and responsibility.
To recognise
professional and personal limitations.
To observe Health
and Safety regulations.
To observe the
principles of clinical governance.
COLLABORATIVE
WORKING ARRANGEMENTS
Participate in the PCN MDT
Foster and
maintains strong links with all services across the PCN
Explore the
potential for collaborative working and takes opportunities to initiate and
sustain such relationships
Attend Barnsley
Place Medicine Optimisation Team meetings (monthly)
Liaise with
colleagues including the ICB Medicines Optimisation Team on prescribing matters
to ensure consistency of patient care and benefit
Liaise with
colleagues in the Barnsley Place Medicines Optimisation Team to benefit from
peer support
Work with primary
care to ensure practices are compliant with CQC standards where medicines are
involved
To support public
health campaigns and to provide specialist knowledge on all public health
programmes available to the general public
KEY
RELATIONSHIPS
Liaise with other stakeholders as needed for the collective benefit of
patients, key relationships include (but are not limited to):
Patients and their
representatives
GPs, nurses and
other practice staff
Social
prescribers, first contact physiotherapists, physician associates and
paramedics
Community
pharmacists and support staff
Barnsley place Medicines
Optimisation Team including pharmacists and technicians
Locality/GP
prescribing lead
Locality Managers
Community nurses
and other allied health professionals
Hospital staff with
responsibilities for prescribing and medicines optimisation
ACCOUNTABILITY
Accountable to the Accountable Clinical Director of Barnsley PCN and to
the Clinical Directors of the Neighbourhood Networks
PROFESSIONAL
Maintain registration of General
Pharmaceutical Council
Maintain professional indemnity insurance
Be part of a professional clinical network,
working alongside the Barnsley Place Medicines Optimisation Team
Undertake continual personal and
professional development to keep up to date with relevant clinical practice
Access regular clinical supervision
Review yearly progress and develop clear
plans to achieve results within priorities set by others
Demonstrate an understanding of current
educational policies relevant to working areas of practice and keep up to date
with relevant clinical practice
Participate in the delivery of formal
education programmes
