Job responsibilities
Medication
Review and Optimisation:
To respond to
reception queries to amend prescriptions, re-authorise repeats, clarify doses, clarify
products, give appropriate alternatives when availability issues.
To discuss
specific patient and prescribing issues (e.g., complicated
regimes/polypharmacy, compliance difficulties, multiple adverse effects,
medication reduction regimes) with other clinicians as
necessary.
Face to face
clinics: To identify patients in need of medication review and develop the
system of patient invitation with the admin team, and see patients face-to-face
for medication reviews and to discuss specific issues, such as those described
above underSpecific
patient and prescribing issues.
To discuss
medication issues with patients as needed and appropriate by telephone, e.g.,
adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies,
queries fromreception,
queries from care homes.
Medicines
Reconciliation:
To review
secondary care requests for new medication (as communicated by discharge
summaries, outpatient letters, etc.) and raise any queries with relevant GP,
and discuss how to respond when inappropriate prescribing requests arise.
To review and
continue repeat medications for new patients who have just registered with the practice
and suggest GP medication review where appropriate.
Medicines
Information/Education:
To monitor and
inform colleagues as relevant about ongoing prescribing issues, e.g., new
guidelines (national and local), new products being asked for by secondary
care, manufacturing and supply problems, new prescribing restrictions or
contraindications, and individual and systematic errors made by colleagues.
To advise on
cost effective prescribing and prescribing budget issues.
Prescribing
Systems and Policies:
To liaise with
reception, admin, and clinical staff in discussing, developing, and
implementing medicines management systems in the practice.
To work with
the GPs and the practice manager to review, develop and implement prescribing
policies and strategies for the whole practice.
To suggest and
design audits in relation to prescribing targets, implementation of locality
policies and the Quality Outcomes Framework (QOF).
To work with
the GPs, practice manager, and data team on choosing and delivering targets for
the local Prescribing Incentive Scheme (PIS).
To monitor the
practices prescribing performance (via the CCG prescribing dashboard, progress
on the PIS, ePACT, etc.), and suggest changes to practice prescribing as
appropriate.
To support the
delivery of electronic prescribing.
Working
relationships and communication requirements:
Communicate
information to patients, carers, colleagues, and other agencies in a manner
consistent with their level of understanding, culture, background and preferred
ways of communication.
Provide
complex information to patients/carers and supporting those receiving it,
sometimes where significant barriers to understanding and acceptance exist.
This includes gaining informed consent in sensitive circumstances and
demonstrating empathy with patients, carers and families.
Practice
within a legal and ethical framework that adheres to the GPC Code and PML
policies and procedures.
Always assess
and adapt appropriately and respectfully to the home environment of patients
and carers remembering, We are guests in their home.
Demonstrate
established negotiating and influencing skills in the management of conflict
across a range of situations which may involve diffusion of hostility and
aggression, e.g., to deal with complaints sensitively, avoiding escalation,
etc.
Maintain
confidentiality of information consistent with legislation and PML policies.
Be proficient
with IT systems, compile reports, analyse data often in the context of frequent
interruption.
Registered
health professional
All staff who
are members of a professional body must comply with standards of professional
practice/conduct. It is the post holder's responsibility to ensure they are
both familiar with and adhere to these requirements.
Information
governance
PML is
committed to consistently high standards of information. All employees have an
individual responsibility to ensure that in the course of their duties, any
records that they create are of high quality, accurate and up to date and
compliant with PMLs Records Management, Freedom of Information and Health
Records policies and procedures and that the confidentiality and security of
all information is maintained in accordance with the Data Protection Act 1998.
Confidentiality
The post holder
must maintain confidentiality of information in accordance with professional
and PML policy. The post holder may access information only on a need-to-know
basis in the direct discharge of duties and divulge information only in the
proper course of duties.
Equal
opportunities
To promote and
develop the equality of opportunities in accordance with the PML Equal
Opportunities Policy.
