Job responsibilities
JOB DESCRIPTION
Job Title:
Primary Care Network Senior Clinical
Pharmacist
Responsible to:
GP Practice Leads, Clinical Supervisor,
Greenwich Health Federation
Pay range:
£44,000-£51,000 (equivalent to Agenda for Change Band 8a)
Location:
Woolwich (Head Office)/Plumstead (Practice Sites), South East London
Hours of work:
40 hours
Key Relationships:
The GP Federation, The PCN, Local practices, Providers
Greenwich Health
Greenwich Health is committed to providing quality
of care to our patients whilst building resilience for General Practice and
delivering services and programmes of work to deliver care at scale to the
Greenwich Population.
Job Summary
The
post holder will be employed by Greenwich Health the GP Federation in
Greenwich. Greenwich has 6 primary care networks (PCNs) with list sizes of
between 30-80,000 patients. The Post holder will work for one of these PCN, a
grouping of 6 practices. Unusually the post holder will be working across two
member practices with a combined list of 10,000.
The post holder will work as part of a multi-disciplinary team
in a patient-facing role.
Proactively manage patients with co-morbidities in the area of
chronic disease management within the practice.
The post holder will provide primary support to general practice
staff with regards to prescription and medication queries. They will help
support the repeat prescriptions system, deal with acute prescription requests,
and medicines reconciliation on transfer of care and systems for safer
prescribing, providing expertise in clinical medicines advice while addressing
both public and social care needs of patient in the GP practices.
The post holder will provide clinical leadership on medicines
optimisation and quality improvement and manage some aspects of the quality and
outcomes framework and enhanced services.
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.
Individual
Responsibilities
The post holder
is expected to:
Adhere to organisation policies and procedures
and relevant legislation including the requirements of any professional bodies.
Maintain satisfactory personal performances and professional
standards and to achieve agreed objectives for their role.
Attend mandatory training as identified by the
organisation.
Participate in a Performance Appraisal Scheme
and to contribute to their own development and the development of any staff they
are responsible for appraising.
Responsible to have professional indemnity
suitable for the range of work undertaking.
Responsible to have authorisation for making
changes to prescribing records within the practice. This may be by written
agreement or GP signature for specific audits.
Working Relationships:
Patients and carers where appropriate
GPs, nurses and other practice staff including
practice pharmacists
GP prescribing leads
CCG pharmacists and medicines management team
Secondary Care and interface Pharmacists
Community Nurses and other allied health
professionals
Community Pharmacists and support staff
The post holder
is expected to work as a flexible member of the PCN providing support to other
team members when necessary and to take an active role in the development and
embedding of the PCNs culture, values and reputation as providers of high
quality services.
Health & Safety
The post-holder
will assist in promoting and maintaining their own and others health, safety
and security as defined in the practice Health & Safety Policy, to include:
Using personal security systems within the
workplace according to practice guidelines
Identifying the risks involved in work
activities and undertaking such activities in a way that manages those risks
Making effective use of training to update
knowledge and skills
Using appropriate infection control procedures,
maintaining work areas in a tidy and safe way and free from hazards Reporting
potential risks identified
Equality and Diversity:
The post-holder will support the
equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance
of peoples rights, interpreting them in a way that is consistent with Practice
procedures and policies, and current legislation
Respecting the privacy, dignity, needs and
beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and
of the individual, is non-judgmental and respects their circumstances, feeling
priorities and rights.
Personal/Professional
Development:
The post-holder
will participate in any training programme implemented by the PCN as part of
this employment, such training to include:
Participation in an annual individual
performance review, including taking responsibility for maintaining a record of
own personal and/or professional development
Taking responsibility for own development,
learning and performance and demonstrating skill and activities to others who
are undertaking similar work
Training may need to be undertaken outside of
normal practice hours, and off site.
The PCN have
invested in support from an organisation called Soar Beyond. Soar Beyond
specialise in supporting the creation of teams of pharmacists across a network
of practices. It is supported by a web platform called SMART which assesses
pharmacist competency levels in a range of different disease areas and is
backed up by training programmes to develop the individual where there might be
gaps that the individual and the PCN would like to be filled. Currently the
team is working towards competency in Diabetes management and the PCN is
implementing a pharmacist led Diabetes pathway to be used across practices.
Quality and Governance:
The post-holder
will strive to maintain quality within the PCN, and will:
Alert other team members to issues of quality
and risk
Assess own performance and take accountability
for own actions, either directly or under supervision.
Work effectively with individuals in other
agencies
Effectively manage own time, workload and
resources
Confidentiality:
In the course
of seeking treatment, patients entrust us with, or allow us to gather,
sensitive information in relation to their health and other matters. They do so in confidence and have the right
to expect that staff will respect their privacy, act appropriately and in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Patient facing
Clinical Medication Review
Undertake clinical medication reviews with patients with
multimorbidity and poly-pharmacy and implement own prescribing changes (as
an independent prescriber) and order relevant monitoring tests
Patient facing
medicines support
Provide patient
facing clinics for those with questions, queries and concerns about their
medicines in the practice.
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 manage these changes without referral to a GP.
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 and working with patients and
community pharmacists to ensure patients receive the medicines they need post
discharge.
Work in partnership with hospital colleagues (e.g. care of the
elderly doctors and clinical pharmacists) to proactively manage patients at
high risk of medicine related problems before they are discharged to ensure
continuity of care.
Patient facing Longterm condition
Manage own case load and run long-term condition clinics where
responsible for prescribing as an independent prescriber (if suitably
qualified)
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).
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
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
Devise and implement practice searches to identify cohorts of
patients most likely to be at risk of an unplanned admission and readmissions
from medicines.
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/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; make necessary changes as an independent prescriber, and ensure
patients are booked in for necessary monitoring tests where required.
Information management
Analyse, interpret and present medicines data to highlight
issues and risks to support decision making.
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.
