Job responsibilities
Patient
facing - long-term condition clinics
Working within the practice
based team to undertake medication reviews particularly in high risk groups
such as:
- Frail elderly
- Poly-pharmacy
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high risk
medicines
- STOPP/START identified
patients
-
Revolving door Hospital admissions
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 GPs for medicine improvement.
Patient
facing - Clinical Medication Review
Undertake clinical structured
medication reviews with patients and produce recommendations for nurses
and/or GPs on prescribing and monitoring.
This would be a level 3 clinical
medication review looking at the patients full clinical condition, blood
monitoring, interface care arrangements, social isolation etc. including
reducing inappropriate polypharmacy and wasteful prescribing.
Care
Home Medication Reviews
Undertake
structured medication reviews and produce recommendations for nurses or GPs
on prescribing and monitoring.
Work
with care home staff to improve safety of medicines ordering and
administration.
Management
of common/minor/self-limiting ailments
Managing
caseload of patients with common/minor/self-limiting ailments while working
within a scope of practice and limits of competence.
Signposting
to community pharmacy and referring to GPs or other healthcare professionals
where appropriate.
Patient
facing medicines support
Provide
patient facing clinics for those with questions, queries and concerns about
their medicines in the practice.
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
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 and 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
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 high-risk
groups of patients (e.g. those with medicine compliance aids or those in care
homes).
Medicines
Optimisation
Deliver medicines optimisation outcomes against a CCG
workplan dealing with cost saving initiatives, QIPP and medication safety work
streams.
Interface
Interface with community and
hospital pharmacy colleagues and develop referral processes between primary
care professionals including the promotion of the repeat dispensing service
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, acute conditions, long-term condition reviews
etc.
Repeat
Prescribing
Participate
in 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
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.
Increase safe and effective
prescribing through mechanisms such as audit. Improve quality in prescribing
using Quality Improvement methodology including the use of Plan Do Study Act
(PDSA) cycles.
Implementation
of local and national guidelines and formulary recommendations
Monitor
practice prescribing and make recommendations to GPs for medicines that
should be prescribed by hospital doctors or subject to shared care.
Auditing
practices compliance against NICE guidelines.
Education
and training
Provide
education and training to primary healthcare team on therapeutics and
medicines optimisation.
Care
Quality Commission
Work
with 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.
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