Job responsibilities
The wide scope of this role is not an expectation
of where the post holder will start but where they aim to be as they achieve
the CPPE diploma, non-medical prescribing qualification and gain associated
experience.
Patient facing long-term condition clinics
See (where appropriate) patients with
single or multiple medical problems where medicine optimisation is required
(e.g. COPD, asthma).
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
(i.e. medicines optimisation). Make appropriate recommendations to Senior
Pharmacists or GPs for medicine improvement.
Patient facing clinical medication review
Undertake clinical medication reviews
with patients and produce recommendations for senior clinical pharmacist,
nurses and/or GP on prescribing and monitoring.
Patient facing care home medication reviews
Undertake clinical medication reviews
with patients and produce recommendations for the senior clinical pharmacist,
nurses or GPs on prescribing and monitoring. Work with care home staff to
improve safety of medicines ordering and administration.
Patient facing domiciliary clinical medication
review
Undertake clinical medication reviews
with patients and produce recommendations for the senior clinical pharmacists,
nurses and GPs on prescribing and monitoring. Attend and refer patients to
multidisciplinary case conferences.
Management of common/minor/self-limiting ailments
Manage caseload of patients with
common/minor/self-limiting ailments while working within a scope of practice
and limits of competence.
Signpost to community pharmacy and
refer to GPs or other healthcare professionals where appropriate.
Patient facing medicines support
Provide patient facing clinics for
those with medicines queries.
Telephone medicines support
Provide a telephone help line for
patients with questions, queries and concerns about their medicines.
Medicine information to practice staff and patients
Answer relevant medicine-related
enquiries from GPs, other practice staff, other healthcare teams (e.g.
community pharmacy) and patients with queries about medicines. Suggest and
recommend solutions.
Provide follow up for patients to
monitor the effect of any changes.
Unplanned hospital admissions
Review the use of medicines most
commonly 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.
Management of medicines at discharge from hospital
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.
Signposting
Ensure patients are referred to the
appropriate healthcare professional for the appropriate level of care within an
appropriate period of time.
Repeat prescribing
Produce and implement a practice
repeat prescribing policy.
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.
Risk stratification
Identify 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.
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 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 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).
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.
The post holder will:
be responsible for the day-to-day
planning of personal workloads
follow departmental policies
procedures and guidelines
develop yourself and the role through
participation in clinical supervision, training and service redesign activities
contribute to a patient safety
culture through reporting and investigation of incidents and undertaking
proactive measures to improve patient safety
actively signpost patients to the
correct healthcare professional
maintain accurate clinical records of
all patient consultations and related work
review the latest guidance ensuring
the practice conforms to NICE, CQC etc.
support in the delivery of enhanced
services and other service requirements on behalf of the PCN
participate in the management of
patient complaints when requested to do so and participate in the
identification of any necessary learning brought about through clinical
incidents and near-miss events
undertake all mandatory training and
induction programmes
contribute to and embrace the
spectrum of clinical governance
attend a formal appraisal with their
manager at least every 12 months. Once a performance/training objective has
been set, progress will be reviewed on a regular basis so that new objectives
can be agreed
contribute to public health campaigns
(e.g. flu clinics) through advice or direct care
support delivery of QOF, incentive
schemes, QIPP and other quality or cost effectiveness initiatives
perform other general tasks as
assigned.
Health, Safety and Welfare
The post-holder will assist in promoting and
maintaining their own and others health, safety and security as defined in the
Companys Health & Safety Policy, to include:
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;
reporting potential risks;
reporting incidents and accidents;
ensuring correct PPE is worn for the
appropriate task;
ensuring all areas are tidy and free
from hazards;
carrying out regular housekeeping;
and
ensuring manual handling and lifting
techniques are used
This role profile is not exhaustive.
This role has supervisory responsibilities.
