Job responsibilities
Islington GP Federation is
looking to recruit clinical pharmacists to support patient care in Primary Care
Networks in line with the new Network Contract Directed Enhanced Service (DES)
Specification.
We are seeking a PCN pharmacist
with previous experience of working in primary care to develop and manage Medicines
Optimisation services within general practice. You will be working with a very
supportive large pharmacy team of 40 pharmacists and 5 Pharmacy Technicians. The
post holder will work as part of a multi- disciplinary team in a patient-facing
role. They will take responsibility for areas of chronic disease management
within practices and undertake clinical medication reviews to proactively
manage patients with complex polypharmacy.
The post holder will provide
primary support to general practice staff with regards to prescriptions and
medication queries. They will help support the repeat prescribing system, medicines
reconciliation, and support systems for safer prescribing. They will be
expected to provide expertise in clinical medicines advice while addressing
both public and social care needs of patients.
The post holder will provide
clinical leadership on Medicines Optimisation and manage some aspects of the Quality
and Outcomes Framework and Enhanced Services. They will ensure that practices
integrate with community and hospital pharmacy to facilitate effective
communication across different healthcare settings.
The role is pivotal to improving
the quality of care and operational efficiencies so requires motivation and
passion to deliver excellent service within general practice.
The post holder will be supported to
complete the Primary
care pharmacy education pathway with CPPE and develop their role to become a non-medical prescriber.
Patient facing activities
Structured Medication reviews
Frail elderly patient with problematic Polypharmacy, renal and/ or
hepatic impairment
Patients on high risk medicines
STOPP/START identified patients
Revolving door Hospital admissions
LTC: Diabetes, Hypertension, Asthma, COPD
contraception
Learning Disability reviews
Rheumatoid arthritis reviews
Musculoskeletal pain management, e.g. osteoarthritis
Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable
bowel syndrome IBS
Contribute to multimorbidity reviews and multidisciplinary reviews
Management of common/minor/self- limiting ailments
Managing caseload for 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
Repeat prescribing
Produce and implement robust systems for repeat prescribing
Support the management of repeat prescribing reauthorization process
by reviewing complex patient requests for repeat prescriptions and reviewing
medicines overdue a review
Coordinate with patients and community pharmacies as appropriate
Management of medicines at
discharge from hospital
To reconcile medicines following discharge from hospitals,
intermediate care and into care homes
Perform a clinical medication review, produce a
post discharge medicines care plan including dose titration and booking of
follow up tests and working with patients and community pharmacists to ensure
patients receive the medicines they need post
discharge
Risk Management and Patient Safety
Responsible for high risk drug monitoring
Responsible for design, development, and implementation of system searches to identify
cohorts of patients at high
risk of harm from medicines.
Increase quality and safety of prescribing through mechanisms such as
audit and PDSA cycles
Implement drug withdrawals and alerts e.g. MHRA aimed at improving
medicines safety
Medicine information to practice staff and patients
Deal will all
medication queries from
From patients, community pharmacy, secondary care
From admin staff
From clinicians
Act as a source of medicines information for the
practice team and patients e.g. around doses, side effects, adverse events, possible
alternatives for out of stocks
Care Quality Commission
Provide leadership to the general practice teams to ensure practices
are compliant with CQC standards where medicines are involved.
Undertake risk assessment and management and
ensure compliance with medicines legislation.
Public health
To contribute to public health campaigns, including u vaccinations,
and adult immunisation programmes
Cost saving programs
Promote evidence based, cost
effective prescribing
Lead on compliance with medicines formulary
Training
Provide education and training to primary
healthcare team on procedures around medicines as appropriate
Medicines quality improvement
Identify medicine-related areas
of care including using software tools to improve patient
safety and use of
medicines.
Conduct medicine-related audits, significant event audit and complaint
review.
Contribute to medicine-related complaint response letters as
appropriate
Lead on use of TARGET toolkit for antimicrobial stewardship.
Lead on stopping over-medication of people with a learning disability,
autism, or both STOMP and people with dementia.
Medicines safety
Identify national and local policy and guidance that affects patient
safety using medicines, including MHRA alerts, product withdrawals and
emerging evidence form clinical trials.
Manage the process of implementing changes to medicines and guidance
for practitioners.
Behavioural Competencies and skills for the role:
Expert Professional Practice
Demonstrates
general pharmaceutical skills and knowledge in core areas
Demonstrates
accountability for delivering professional expertise and direct service
provision as an individual
Demonstrates
ability to use skills in a range of routine situations requiring analysis or
comparison of a range of options
Recognises
priorities when problem-solving and identifies deviations from the normal
pattern and can refer to seniors or GPs when appropriate
Can
follow legal, ethical, professional, and organisational policies/procedures and
codes of conduct
Involves
patients in decisions about prescribed medicines and supporting adherence as
per NICE guidance
Collaborative working relationships
Recognises
the roles of other colleagues within the organisation and their role to patient
care
Demonstrates
use of appropriate communication to gain the co-operation of relevant
stakeholders including patients, senior and peer colleagues, and other
professionals, other NHS/private organisations e.g. CCGs
Demonstrates
ability to work as a member of a team
Can
recognise personal limitations and refer to more appropriate colleague(s) when
necessary
Liaises
with CCG colleagues including CCG Pharmacists on prescribing related matters to
ensure consistency of patient care and benefit
Liaises
with other GP Practices and staff as needed for the collective benefit of
patients
Leadership
Demonstrates understanding of
the pharmacy role in governance and can implement this appropriately within the
workplace
Demonstrates understanding of,
and contributes to, the workplace vision
Demonstrates ability to improve
quality within limitations of service
Reviews last years progress and
develops clear plans to achieve results within priorities set by others
Demonstrates ability to motivate
self to achieve goals
Management
Demonstrates
understanding of the implications of national priorities for the team and/or
service
Demonstrates
understanding of the process for effective resource utilisation
Demonstrates
understanding of, and conforms to, relevant standards of practice
Demonstrates
ability to identify and resolve risk management issues according to
policy/protocol
Follows
professional and organisational policies/procedures relating to performance
management
Demonstrates
ability to extend boundaries of service delivery within the team
Education, Training and Development
Understands
and demonstrates the characteristics of a role model to members in the team
and/or service
Demonstrates
self-development through continuous professional development activity
Participates
in the delivery of formal education programmes
Key working relationships
Patients
GP, nurses, and other practice
staff
Members of the Medicines Management
team including pharmacists, technicians, and dieticians
Locality / GP prescribing leads
and clinical directors
Community nurses and other
allied health professionals
Community pharmacists and
support staff
Hospital staff with
responsibilities for prescribing and medicines optimization
Codes of Conduct
Pharmacists must comply with the
Code of Professional Conduct set by the General Pharmaceutical Council and
Islington GP Federation
Equal Opportunities
Islington GP Federation is
committed to an equal opportunities policy that affirms that all staff should
be afforded equality of treatment and opportunity in employment irrespective of
sexuality, marital status, race, religion/belief, ethnic origin, age, or
disability. All staff are required to observe this policy in their behaviour to
fellow employees.
Confidentiality
All employees are required to
observe the strictest confidence regarding any patient/client information that
they may have access to, or accidentally gain knowledge of, in the course of
their duties.
