Clinical Pharmacist

Solihull Healthcare Partnership

This job is now closed

Job summary

The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face/telephone call structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription request, while addressing both the public health and social care needs of patients in the GP practice.

The post holder will perform medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co- morbidities. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework.

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 post holder will be supported to develop their role to become a non-medical prescriber, if that qualification is not already held.

Main duties of the job

Job Role Summary

Improve patients health outcomes and efficiency of the practice team by providing direct, accessible and timely medicines expertise, including identifying areas for improvement and initiating change.

The primary contact within the practice for queries relating to medicines management, in particular around individual patient care.

Focus on individual patient care by addressing immediate and future needs to personalise care planning.

Proactively to transfer, from other clinical staff, workload relating to medicines optimisation to improve patient care and safety.

To demonstrate the effectiveness of the practice and the role through audit and data analysis.

To follow-up patients and investigations, particularly blood tests.

About us

Solihull Healthcare Partnership (SHP) is a GP Partnership which provides NHS GP services to over 55,000 patients through one individual GP practice operating from 7 surgeries across Solihull. These surgeries are as follows:

Blossomfield Surgery
Dickens Heath Medical Centre
Grove Surgery
Haslucks Green Medical Centre
Monkspath Surgery
Shirley Medical Centre
The Jacey Practice

SHPs vision statement is:

To be the most respected Primary Care provider in the Birmingham and Solihull region.

To provide local care to patients, forging a strong relationship between our multidisciplinary team within our healthcare centres and patients whilst at the same time benefitting from wider resources, of a larger organisation. We have a centralised management team that support our GP practices and provide services such as HR, IT, Finance, Governance and Communications which means our GP practice teams can concentrate their energies on providing excellent care to our patients.

Date posted

21 August 2023

Pay scheme

Other

Salary

£44,577 to £48,516 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A0040-23-0008

Job locations

Shirley Medical Centre

8 Union Road

Shirley

Solihull

West Midlands

B90 3DT

Job description

Job responsibilities

Repeat prescribing

Develop and quality-assured improved, safe and efficient repeat prescribing and medication review processes within the practice, and then to evolve and implement changes as required.

Focused and structured reviews of repeat prescriptions on an individual basis to improve quality and safety and maximise effectiveness and reduce wastage.

Medication review services via clinics in the practice, domiciliary visit and in residential and nursing homes. These may be face-to-face or notes-based reviews.

Long-Term Conditions / Chronic Disease Management

Undertake disease focused medication reviews, particularly of high-risk groups (elderly, renal/hepatic impairment, and to ensure appropriate compliance with national and local guidelines. This will be via pharmacist lead clinics, telephone and office-based notes reviews.

Ensure the care for patients taking high risk drugs e.g. DMARDs, anticoagulation, are safe and appropriate

Telephone advice to patients with LTCs on specific medicines management issues

Be familiar with, contribute to the development off and work alongside practice CCG long-term conditions pathways to ensure consistency and efficiency of systems

Provide health promotion where appropriate, including flu vaccinations.

Acute illness and pharmacist led clinics(within clinical scope and area of competence)

The initial assessment of common general practice presentations

Working through differential diagnosis and identifying serious disease and referring appropriately

Seeing patients with minor illnesses, independently diagnosing and managing the conditions

Following patients up with GP mentor support and within boundaries of safety and competency

Telephone advice to patients with acute illness queries

Minor ailment triage, with signposting and educating patients in the use of non-GP services, such as pharmacy lead minor ailments schemes minor eye complaints service, dental services, etc.

Hospital Discharge and Outpatient Letters

Review and reconcile medicines changes from secondary care organisations, in particular discharge papers and TTOs, to ensure concordance with national and local policies and to ensure optimisation of treatment and reduce inappropriate or wasteful prescribing.

Reconcile patients computer records with discharge medication and discuss discrepancies or concerns with hospital doctor/pharmacist

Ensure suggested /appropriate actions from hospital discharge/outpatients letters are followed through in practice e.g. follow-up blood tests, up-titration / down titration of medications etc.

Ensure patients are informed and aware of any changes to their medication

Practice Formulary

Manage practice formularies and IT systems to ensure appropriate selection of medication is easy and maximise by prescribers in the practice

IMT and Electronic Prescribing

Facilitate the development of electronic prescribing and increase its usage

To update and maintain accurate patient medication records on the patients clinical computer systems, including advice given and action taken in pharmacist clinics/reviews.

Safety, Risk and Governance

Ensure appropriate governance is in place regarding medicines, including leading on the response to any drug safety alerts or changes in clinical guidance.

Assist with the development of relevant medicines management guidance and/or policies.

Meet regularly with the practice prescribing lead to discuss medication issues.

To advise the primary healthcare team on the safe and secure handling of controlled drugs and other medicines, ensuring compliance with medicines legislation.

Identify and flag up risks with regard to management of medicines including clinical and financial risks.

To offer advice and guidance on adverse significant events that involve medication to ensure lessons are learned and appropriate changes made to prevent re-occurrence.

To offer advice and guidance on patient complaints that relate to medication/prescribing.

Audit and Monitoring

To plan and undertake clinical/prescribing audits to identify areas where improvement is needed, development action plans and implement appropriate changes.

To provide regular support and feedback on prescribing action plans.

Report regularly to the GP partners on the practice prescribing figures with benchmarking against other local and national data.

Analyse practice complex prescribing data to inform GPs and non-medical prescribers on their collective and individual performance.

Lead on the identification, implementation and monitoring of medicines management targets and initiatives including QOF, QIPP and CCG prescribing target.

Support the implementation of actions resulting from audit findings when necessary.

To agree all auditing and monitoring priorities in discussion with the practice.

Relationships

To provide training in medicines related issues to other members of the practice as appropriate.

To consider the skills of the reception team and develop plans for training as necessary to ensure safe and efficient prescribing processes.

Medicines Information and Awareness

Analyse and critically appraise complex information to prepare concise evidence-based summaries/advice to clinicians and nonclinical staff and patients.

Prepare evidence-based resources and information to support the health professionals in the implementation of rational cost-effective prescribing.

Present add patient group meetings or other appropriate events to give advice on the appropriate use of medicines.

Produce patient information leaflets and posters, and run medicine is aware of his projects throughout the year.

Raise awareness of out of practice schemes, such as minor ailments and schemes that promote self-care.