Job responsibilities
KEY
RESPONSIBILITIES
Neighbourhood team working and
Management of neighbourhood technicians
- To manage and support the neighbourhood PCN technicians in their
development and completion of the CPPE primary care education pathway and
delivery of key PCN workstreams, including IIF targets.
- Face to face support for the technician within the neighbourhood and
close working with other PCN pharmacists within the neighbourhood and wider
PCN.
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
review
- 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 aliments
- 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.
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 all
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 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
- 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).
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
- 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
- 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
simple 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.
Implementation of local and national
guidelines and formulary recommendations
- Monitor
practice prescribing against the local health economys 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.
Care Quality Commission
- Work with
the 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.
Collaborative
working relationships
The post holder
will:
-
Recognise
the roles of other colleagues within the organisation and their role to patient care
-
Demonstrate
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)
-
Demonstrate
ability to work as a member of a team
-
Recognise
personal limitations and refer to more appropriate colleague(s) when necessary
-
Actively
work toward developing and maintaining effective working relationships both
within and outside the practice and locality
-
Foster
and maintain strong links with all services across locality
-
Explore
the potential for collaborative working and takes opportunities to initiate and
sustain such relationships
-
Demonstrate
ability to integrate general practice with community and hospital pharmacy
teams
-
Liaise
with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
-
Liaise
with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
-
Liaise
with other GP Practices and staff as needed for the collective benefit of patients including but not limited to:
o
Patients
o
GP, Nurses, and other practice staff
o
Other healthcare professionals including CCG pharmacists, pharmacy
technicians, optometrists, dentists, health and social care teams and
dieticians etc
o
Locality / GP prescribing lead
o
Locality managers
o
Community nurses and other allied health professionals
o
Community and hospital pharmacy teams
o
Hospital staff with responsibilities for prescribing and medicines
optimisation
Knowledge, skills, and experience
-
Completion
of an undergraduate degree in pharmacy and registration with the General
Pharmaceutical Council
-
Minimum
of 2 years experience as a pharmacist, demonstrated within a practice
portfolio
-
Has
experience and an awareness of common acute and long-term conditions that are
likely to be seen in general practice
-
May
hold or be working towards an independent prescribing qualification.
-
Recognises
priorities when problem-solving and identifies deviations from normal pattern
and is able to refer to seniors or GPs when appropriate
-
Able
to 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 guidelines.
NB: it is
anticipated of qualification held may vary according to the level of position and the components of the role
being carried out, see person
specification that the level.
Leadership
-
Demonstrate
understanding of the pharmacy role in governance and is able to implement this
appropriately within the workplace.
-
Demonstrate
understanding of, and contributes to, the workplace vision
-
Engage
with Patient Participation Groups (PPGs) and involves PPGs in development of
the role and practices
-
Demonstrate
ability to improve quality within limitations of service
-
Review
yearly progress and develops clear plans to achieve results within priorities
set by others.
-
Demonstrate
ability to motivate self to achieve goals
-
Promote
diversity and equality in people management techniques and leads by example.
Management
-
Demonstrate
understanding of the implications of national priorities for the team and/or
service
-
Demonstrate
understanding of the process for effective resource utilisation
-
Demonstrate
understanding of, and conforms to, relevant standards of practice
-
Demonstrate
ability to identify and resolve risk management issues according to
policy/protocol
-
Follow
professional and organisational policies/procedures relating to performance
management
-
Demonstrate
ability to extend boundaries of service delivery within the team
Please see the supporting documents for more information.
