Clinical Pharmacist Lipid management

Job description

Job responsibilities

Work as part of the multidisciplinary team (MDT) within the primary care to develop a tailored lipid management plan for identified patients with ASCVD.

Identification of sub-optimally treated ASCVD patients who are not achieving lipid levels as specified in local guidelines

Identification of ASCVD patients who have previously not tolerated or refused alternative lipid modification therapies

Review of treatment options of lipid management and decision on next steps in collaboration with ASCVD patients

Counsel and optimise lipid medication in ASCVD patients where appropriate

Early identification of at-risk ASCVD patients who have not had intervention in their health and wellbeing

Identification of ASCVD patients, following risk assessment review, of ASCVD patients who are sub-optimally treated for lipid management

On-going ASCVD patients support and annual review to ensure CVD outcomes improve equitably

The pharmacist should use their expertise to provide evidence-based prescribing advice to

ensure effective, appropriate, cost-effective and safe use of medicines and promote a patient-centred medicines optimization agenda for patients with lipid management and co-morbidities.

Undertake case finding and clinical medication reviews for each patient, utilizing GP computer systems. Discuss findings at the MDT so that the required actions can be built into the care plan.

Facilitate good prescribing practice within Lipid management across the primary and secondary care interface

Deal directly with patients/carers as required, to improve concordance with lipid management in order to achieve better health outcomes.

The job description and person specification are an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonably be required by their employer / line manager in other areas of medicines management such as medication reviews, repeat prescription management, providing day to day support with medication related queries, drug safety audits and CQC compliance support .

2. Key Working Relationships

Gps, practice nurses, practice managers, practice staff, healthcare professionals working in primary care

Clinicians in secondary care and the community diabetes service including consultants, dieticians, diabetic specialist nurses, diabetes pharmacists

Other members of the primary care team especially the PCN Pharmacists and Pharmacy technicians

Community pharmacies local to GP surgeries.

Care home staff

3.1 Operational

Provide DGS Health with pharmaceutical expertise to manage the implementation of national guidance and develop local guidance related to Lipid management

Help to improve prescribing outcomes and the quality of life for people with ASCVD and raised cholesterol by developing clinical audits, patient information, projects, training and educational materials

Assist the GP practice teams implement policies/guidance relating to lipid management.

Support the implementation of the local DGS prescribing formulary.

Conduct medication reviews for ASCVD patients (face-to-face or remote as appropriate), discuss options and make required prescribing changes / medication optimisation. This may include patients in Care Homes. Prescribe where appropriate within the scope of practice.

Conduct prescribing-based audit in line with DGS Health priorities. To advise practice staff on audits relating to prescribing where appropriate.

Utilise outcomes data, outpatient attendance figures and hospital admissions data to provide feedback on the effectiveness of the diabetes MDT programme.

Attend local and regional AHSN clinical network meetings and contribute the review and development of policies, drug evaluations, safety initiatives and implementation of national guidance

Proactively develop good working relationships with all stakeholders, and work collaboratively with the DGS Health Community Diabetes Service and secondary care diabetes teams

Liaise and communicate sensitively and effectively with patients and/or carers, who on occasions may be resistant to change, with the objective of optimizing patient outcomes.

3.2 Project Management

Support/ lead on lipid management projects within primary care by delivering project plans, allocating tasks as appropriate, identifying risks, issues and dependencies, considering best practice and current options and ultimately making decisions in the best interest of the project.

Pro-actively manage stakeholders, respond to and resolve conflict between different stakeholders when this arises through facilitation or other appropriate mechanisms.

Be responsible for a high standard of work supporting the delivery of lipid management projects on time, to quality standards and in a cost effective manner. Maintain the project initiation document and associated plans with regular team meetings to monitor progress and resources.

Ensure the flexibility of projects if required to meet conflicting/changing requirements.

Support other members of the DGS Health team who may be leading on CVD / diabetes / lipid management projects within DGS Health / across DGS Health member practices.

3.4 Information Management

Drafting reports summarising status on issues, appraising outcomes, and providing progress reports for the DGS Health Board / ICB / HCP

Collate as required, qualitative and quantitative information

Analyse, interpret and present data to highlight issues, risks and support decision making.

3.5 Management of lipid clinics

Oversee elements of the relating to lipid management to ensure it is effectively delivered.

Support with the coordination of the integrated MDT meeting with primary, community and secondary care colleagues

Support practices to utilise the MDT approach to best effect in managing patients within primary care, as appropriate, rather than in a secondary care setting.

Support and monitor practices in providing audits, as required, to demonstrate:

o Evidence-based prescribing for the management of lipids and reduction in cardiovascular disease risk

o Attendance of annual update in lipid management , and completion of CPD in support of GPhC revalidation

3.6 Planning and Organisation

Contribute to the strategic planning of team projects, identifying interdependencies across projects/functions, potential impacts on wider organization, resource requirements and building in contingency and adjustments as necessary.

Contribute to short, medium and long term business plans, achieving quality outcomes.

Supplementary duties and responsibilities:

Health and safety

Employees have a legal responsibility not to endanger themselves, fellow employees and others by their individual acts or omissions. The post holder is required to comply with the requirements of any policy or procedure issued in respect of minimizing the risk of injury or disease.

Data protection and confidentiality

All employees are subject to the requirements of the Data Protection Act 1998 and must maintain strict confidentiality in respect of patient, client and staff records.

Safeguarding responsibilities

The organisation takes the issues of Safeguarding Children, Adults and addressing domestic violence very seriously. All employees have a responsibility to support the organisation in our duties by:

- Undertaking mandatory training on safeguarding children and adults

- Making sure they are familiar with their and the organisations requirements under relevant legislation

- Adhering to all relevant national and local policies, procedures, practice guidance (e.g. child protection procedures and practice guidance) and professional codes

- Reporting any concerns to the appropriate authority.

Smoking and health

The organisation has a no smoking policy throughout its premises, including buildings and grounds.

Equality and diversity

The organisation is committed to promoting equal opportunities to achieve equity of access, experience and outcomes, and to recognising and valuing peoples differences. This applies to all activities as a serviceprovider, as an employer.

Information Management and Technology (IM&T)

All staff are expected to utilise the relevant national and local IM&T systems necessary to undertake their role.

Flexible working

The organisation is committed to offering flexible, modern employment practices, which recognise that all staff need to strike a sensible balance between home and work life. All requests to work flexibly will be considered.

Clinical supervision

It is mandatory for all professionally qualified staff and clinical support staff to actively participate in clinical supervision as an integral part of their professional development. Clinical supervision will be monitored via an annual Performance and Development Review (PDR).

Person Specification

Communication

Essential

• Must be able to provide and receive highly complex, clinical, sensitive or contentious information, negotiate with senior stakeholders/clinicians on difficult and controversial issues, and present complex and sensitive information
• Negotiate on difficult and controversial issues including performance and change

Management

Essential

• Must be able to prioritise own work effectively and be able to direct activities of others.
• Ability to make decisions autonomously, when required, on difficult issues, working to tight and often changing timescales
• Experience of identifying and interpreting national policy. Experience of researching best practice (globally, private and public sector), interpreting its relevance and processes/ practices which could be implemented successfully to achieve system reform (advising on policy implementation)

Qualifications

Essential

• Pharmacy degree (currently 4 year masters course) + 1 year pre-registration.
• Registered with General Pharmaceutical Council
• Relevant clinical diploma/post graduate qualification or equivalent evidence of clinical experience.
• Independent prescribing qualification
• Evidence of commitment to CPD
• Significant relevant post registration experience and specialist expertise in lipid management
• Broad clinical and pharmaceutical knowledge
• Medicines Information/ Internet resource knowledge
• Specialist knowledge of clinical pharmacy practice in primary care

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

DGS Health LTD

Address

Rectory Cottage

Springhead Road

Gravesend

Kent

DA118HN