Job responsibilities
JOB PUROSE
As an experienced pharmacist, you will work within your
professional and clinical boundaries as part of an established
multi-disciplinary team to provide expertise and leadership in all areas of
medicine related practice in a patient facing role
To develop and deliver a PCN clinical
pharmacy service for patients in primary care encompassing general medical
practice, as well as people requiring care in their own homes or in
residential care homes.
To ensure that PCN practices integrate
with community and hospital pharmacy to help utilise skill mix, improve
patient outcomes, ensure better access to healthcare, and help manage
workload.
To provide leadership on matters
pertaining to medicines optimisation within primary care, to advise on
medicines use (risk, clinical governance, research and development,
formulary, expenditure) and to develop/audit relevant protocols and
guidelines.
To manage, support and/or teach when
appropriate, less experienced staff e.g. clincial pharmacists, pharmacy
technicians, trainee pharmacists (including acting as a trainee pharmacist
manager/tutor if required), pharmacy students and other members of the
healthcare team.
To role model compassionate and
inclusive leadership in order to shape the creation of a collective
leadership culture. This means demonstrating a consistent leadership style
which (a) engages, enables and empowers others (b) uses coaching to promote
ownership of learning and quality improvement and (c) facilitates team
working and collaboration within teams /practices and across organisational
boundaries
To manage medicines on transfer of
care and systems for safer prescribing including manage repeat prescriptions,
acute prescription requests and antibiotic stewardship, while addressing both
the public health and social care needs of patients across the primary care
network practices.
Working in partnership with various
organisations, to improve the quality and safety of care offered to our
patients. Supporting better access to medicines, clinical medicines
management, provide face to face structured medication reviews, tackling
polypharmacy and manage long term conditions.
This role is pivotal to improving the quality of care and
operational efficiencies so requires motivation and passion to deliver an
excellent service within general practice.
The employer is Sunderland GP Alliance and the post-holder is
expected to comply with the organisations employment policies and
procedures, but will have due regard to the PCNs own clinical and
information governance policies and procedures, and any other policies and
procedures necessary for the safe and effective discharge of the duties
contained within this document.
MAIN DUTIES AND RESPONSIBILITIES
Leadership and management of a PCN clinical
pharmacy team
Operational
management of team including line management of staff.
Responsible
for day-to-day organisation and scheduling of work as well as effective and
efficient deployment of resources.
To
contribute to continuous quality improvement in medicines use through input
into clinical governance and risk management issues
Patient facing long term condition clinics
See
patients in multimorbidity clinics and in partnership with primary
healthcare colleagues and implement improvements to patients medicines,
including de-prescribing, managing own case load.
Patient facing clinical medication review and support
Undertake
structured, clinical shared decision-making medication reviews with patients
and utilising your independent prescribing and order relevant monitoring with
appropriate review.
Telephone medicines support
Provide
a telephone support for patients with queries and concerns about their
medicines.
Patient facing care home/residential clinical medication
reviews
Manage
own caseload of care home residents providing a structured medication review.
Work
with care home staff to improve safety of medicines ordering and
administration
Patient facing domiciliary/home visits
Manage
own caseload of vulnerable housebound patients at risk of hospital admission
and harm from poor use of their medicines.
Attend
and refer patients to multidisciplinary case conferences. Identifying key
areas of need for vulnerable patients and formulating care plans.
Management of common/minor/self-limiting ailments
Manage
own caseload for patients with common/minor/self-limiting ailments while
working within a scope of practice and limits of competence, signposting as
appropriate.
Triage/differentiated/undifferentiated diagnosis
Ensure
that patients are referred to the appropriate clinician for the appropriate
level of care within an appropriate period of time.
Medicine information to practice staff and patients
Answer
all medicinerelated enquiries from GPs, other practice staff, other
healthcare teams (e.g. community pharmacy) and patients with queries about
medicines.
Unplanned hospital admissions
Devise
and implement practice searches to identify cohorts of patients most likely
to be at risk of an unplanned admission-re-admission from medicines
Lead
the team in managing medicinesrelated risk for readmission and patient harm.
Put in place changes to optimise prescribing of these medicines to highrisk
patient groups
Management of medicines at discharge from hospital
Reconcile
medicines following hospital discharge and upon admission to care homes,
including identifying and rectifying unexplained changes manage these changes
independently.
Work
with hospital and community colleagues to proactively manage patients at high
risk of medicine related problems before they are discharged to ensure
continuity of care.
Repeat prescribing
Produce
if necessary and implement a practice repeat prescribing policy, ensuring
promoting cost-effective use of medicines and minimising unnecessary waste.
Manage the repeat prescribing reauthorisation process.
Medicines Optimisation and Quality Improvement programmes
Lead
the team in the delivery of local and national quality or cost effectiveness
initiatives, identifying areas of prescribing for review.
Incorporate
the objectives of medicines optimisation into every day general practice.
Conduct
clinical audits and quality improvement projects, presenting results and
providing leadership on suggested changes.
Service development
Develop
and manage new services that are built around new medicines, or medicines
within NICE guidance or a local care pathway. Contribute to the achievement
of KPIs and PCN objectives.
Information management
Analyse,
interpret and present medicines data to highlight issues and risks to support
decision-making.
Medicines safety
Identify
cohorts of patients at high risk of harm from medicines following national
and local drug safety alerts e.g. MHRA.
Responsibility 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.
Manage
the process of implementing changes to medicines and guidance for
practitioners.
Provide
leadership for antibiotic stewardship.
Care Quality Commission
Provide
leadership to ensure the practice is compliant with CQC standards where
medicines are involved.
Undertake
risk assessment and ensure the management of medicines in the Practice
complies with medicines legislation.
Shared Care and Implementation of local and national guidelines
and formulary recommendations
Monitor
practice prescribing against the local health economys 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.
Public health
Support
public health campaigns.
Communication and collaborative working
The
post-holder should recognise the importance of effective communication.
It
is vital the post holder works collaboratively with their PCN clinical
director;
Recognises the roles of other colleagues
within the network 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 lead a team
Is able to recognise personal limitations
and refer to more appropriate colleague(s) when necessary.
