Clinical Pharmacist

Job description

Job responsibilities

Patient facing or telephone- Long-term condition Clinics

See patients (where appropriate) 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).

Patient facing or telephone - Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for nurses and/or GP on prescribing and monitoring.

Patient facing or telephone - care home medication reviews

Undertake clinical medication reviews with patients and produce recommendations for the 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 nurses and GPs on prescribing and monitoring.

Management of common/minor/self-limiting ailments

Managing caseload of 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 and Telephone Medicines support

Provide patient facing support and telephone help for patients with questions, queries and concerns about their medicines.

Medicine information to practice staff and patients

Answer relevant 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

Hospital admissions - planned and unplanned

Review the use of medicines most commonly associated with 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

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 clinical 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 economy's RAG list (RED, AMBER, GREEN)and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).

Auditing compliance against NICE technology assessment guidance.

Education and Training

If required, provide education and training to primary healthcare team on therapeutics and medicines optimisation.

Care Quality Commission

Work with practice teams to ensure they are compliant with CQC standards where medicines are involved.

Public health - To support public health campaigns.

Collaborative Working Relationships

Recognises the roles of other colleagues within the Primary Care Network and their role to patient care.

Demonstrates use of appropriate communication

Demonstrates ability to work as a member of a team.

Is able to 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.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Liaise with ICB colleagues including ICB Medicine Management Team on prescribing related matters to ensure consistency of patient care and benefit..

Leadership:

Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

Promotes diversity and equality in people management techniques and leads by example.

Management:

Demonstrates ability to identify and resolve risk management issues according to policy/protocol

Follows professional and organisational policies/procedures relating to performance management.

Education, Training and Development:

Understands and demonstrates the characteristics of a role model to members in the team and/or service.

Demonstrates self-development through continuous professional development activity; to identify areas to develop.

Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

Ensures appropriate clinical supervision is in place to support development into review and appraisal systems within the practice.

Research and Evaluation:

Demonstrates ability to critically evaluate and review.

Demonstrates ability to apply research evidence base into working place.

Person Specification

Qualifications

Essential

• Completion of an Undergraduate Degree in Pharmacy and
• Registration with the General Pharmaceutical Council.
• 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.
• Have experience and an awareness of common acute and long-term
• conditions that are likely to be seen in general practice.
• Independent prescribing qualification.

Desirable

• Experience working as a clinical pharmacist in General Practice.
• CPPE - Primary care pharmacy education pathway

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

Elm Tree Surgery

Address

22B Westbury Street

Thornaby

Stockton-on-tees

TS17 6PG

Employer's website

http://www.elmtreepractice.nhs.uk/ (Opens in a new tab)