Clinical Pharmacist (Practice Based)

Job description

Job responsibilities

Example Duties and Responsibilities The following is a list of all possible duties and responsibilities that the post holder may undertake but the actual duties will be negotiated with the practice/s depending on the number of sessions they have commissioned and will also be based on practices needs and the Clinical Pharmacists expertise.

THE POSSIBLE DUTIES COULD INCLUDE: Patient facing long-term condition clinics See patients in multi morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing. Manage own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long term anticoagulants). 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. Patient facing clinical medication review Undertake clinical medication reviews with patients with multi morbidity and polypharmacy and implement own prescribing changes as an independent prescriber and order relevant monitoring tests. Patient facing care home/residential clinical medication reviews Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multi morbidity and polypharmacy and implement own prescribing changes as an independent prescriber and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration.

Management of common minor or self-limiting ailments Managing caseload for patients with common, minor orself-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. Differential and Undifferential diagnosis

Manage own caseload for patients and diagnose people with long term and or acute common conditions ailments while remaining within scope of practice and limits of competence. Refer to GP and 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 2 3 Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Medicine information to practice staff and patients Answer all medicine related enquiries from GPs, other practice staff, other Healthcare teams and patients. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes. Unplanned hospital admissions Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for re-admission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Management of medicines at discharge from hospital Reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes, and manage these changes without referral to a GP Perform clinical medication reviews, produce post discharge medicines care plans including dose titration and booking of follow up tests, and work 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.

Work in partnership with hospital colleagues to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Telephone triage 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 test results, common or minor ailments, acute conditions, long term condition reviews etc.

Repeat prescribing Produce and implement a practice repeat prescribing policy. Manage the repeat prescribing re-authorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required.

Risk stratification Design, develop and implement computer searches to identify cohorts of patients at high risk of harm from medicines. Responsible for management of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines optimisation. Service development Develop and manage new services that are built around new medicines or NICE guidance, where new medicine or recommendations allow the development of a new care pathways.

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

Medicines Quality Improvement programmes Identify and provide leadership on areas of prescribing and medicines optimisation. Conduct clinical audits and improve projects or work with colleagues such as GP registrars, practice managers etc. 4 Present results and provide leadership on suggested changes. Contribute to national and local research initiatives.

Medicines safety Identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Care Quality Commission Provide leadership to the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Undertake risk assessment and management and ensure compliance with medicines legislation. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economies RAG list for medicines that should be prescribed by hospital doctors - red drugs or subject to shared care - amber drugs. Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Auditing practices compliance against NICE technology assessment guidance.

Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. Education and Training Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.

Provide training to visiting medical, nursing, pharmacy and other healthcare students where appropriate. The post holder will be required to undertake the national CPPE modular training programme of 26 days in the first 18 months. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to general public.

Collaborative Working Relationships Recognise the roles of other colleagues within the Practice and their role in relation to patient care. Demonstrate use of appropriate communication to gain the co-operation of relevant stakeholders. Recognise personal limitations and refer to more appropriate colleagues 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 ICB colleagues including ICB Pharmacists on prescribing related matters to ensure consistency of patient care and benefit. Liaise with other stakeholders as needed for the collective benefit of patients.

Person Specification

Qualifications

Essential

• Experience and awareness of the breadth of common acute and long-term conditions that are likely to be seen in a general medical practice.
• Able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients across core areas, including disease states/long term conditions.
• Use skills in a range of routine situations requiring analysis or comparison of a range of options.
• Recognise 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.
• Involve patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.
• Demonstrate ability to improve quality within limitations of service.
• Review yearly progress and develop 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 lead by example.
• 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.
• Demonstrate ability to extend boundaries of service delivery within the team.
• Demonstrate self-development through continuous professional development activity.
• Participate in the delivery of formal education programmes within the practice; inspiring others to be positive in their support of continuous improvement.
• Demonstrate ability to critically evaluate and review literature.
• Demonstrate ability to identify where there is a gap in the evidence base to support practice.
• Demonstrate ability to generate evidence suitable for presentations at practice and local level.
• Demonstrate ability to apply research evidence base into working place.
• Demonstrate understanding of principles of research governance.

Desirable

• Post graduate experience in pharmacy, as demonstrated within a practice portfolio very helpful but not essential.
• Hold, or be working towards, an independent prescribing qualification, or be willing to work towards a qualification.
• Accountable for delivering professional expertise and direct service provision
• Lead and mentor a team within the practice of differing abilities.
• Education Training and Development

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

Three Valleys Health PCN

Address

St. Chads Surgery

Gullock Tyning

Midsomer Norton

Radstock

BA3 2UH

Employer's website

https://www.threevalleyshealthpcn.co.uk (Opens in a new tab)