Practice based Clinical Pharmacist

The Avenue Surgery

The closing date is 19 May 2025

Job summary

The Avenue Surgery is seeking an enthusiastic and forward-thinking clinical pharmacist to join our like minded team. The successful individual will play an important role in working with the current pharmacy team to ensure excellent standards of repeat prescribing, medication reviews, medicine optimisation and contributing to improving the quality of care to our practice patient population. the pharmacist will be in a patient facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas.

The individual will be required to enrol and complete the PCCE pathway and will be supported to develop thier role to become a non-medical prescriber(if not already qualified).

Main duties of the job

Primary duties include:

* Patient facing clinics dealing with LTC, clinical medication review, care home medication and domiciliary medication reviews.

* Management of common/minor/self limiting ailments and patient medicines support.

* Management of medication at discharge for hospital, review of unplanned hospital admissions.

* Repeat prescribing, risk stratification and service development and medicines safety.

* Ensuring that all local and national guidelines are implemented and formulary recommendations are followed.

About us

The Avenue Surgery is a non-dispensing, training practice, caring for circ.18500 patients in and around the semi-rural town of Warminster, Wiltshire which is within an easy commute to the cities of Bath and Salisbury.

The practice is led by 8 GP partners and a hard working team of both clinical and administration staff. The team are very committed to the surgery vision to provide a service that works with, and for, the community to meet the widest range of care, health promotion and education for our patients and staff members.

Date posted

30 April 2025

Pay scheme

Other

Salary

Depending on experience Dependent on experience and subject to ARRS funding per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A1160-25-0001

Job locations

14 The Avenue

Warminster

Wiltshire

BA12 9AA


Job description

Job responsibilities

Clinical Practice Based Pharmacist

Role Details

Job Title

Clinical Practice based Pharmacist

Salary / Grade

Dependant on experience and subject to ARRS funding per annum

Hours per week

Part time hours

21 - 30 hours per week

Reports to

GP Partner prescribing lead

Primary Location/ Base

The Avenue Surgery

Job Summary

The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside the pharmacy team within the practice. In this role they will be supported by the senior GP partner prescribing lead.

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription 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 address in both public and social care needs of patients in the practice.

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 post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within the practice.

The post holder will be supported to develop their role to become a non-medical prescriber.

PRIMARY DUTIES AND AREAS OF RESPONSIBILITY

Patient facing long term condition clinics

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required.

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, making appropriate recommendations to GPs for medicine improvement including IIF/ QOF requirements.

Patient facing clinical medication review

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

Patient facing care home medication

Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring including IIF/QOF requirements.

Work with he 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 GP on prescribing and monitoring including IIF/QOF requirements.

Attend and refer patients to multidisciplinary meetings.

Management of common/ minor/self-limiting ailments.

Managing caseload of patients with common/ minor/self-limiting ailments while working within the scope of practice and limits of competence.

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Patient medicines support

Provide patient facing clinics/ telephone support for those with questions, queries or concerns about their medicines in the practice.

Medicine information to practice staff and patients

Answer relevant medicine related enquiries from practice staff, other healthcare teams (community pharmacy).

Suggesting and recommending solutions.

Providing follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions

Review the use of medicines most commonly associated with unplanned hospital admission and readmission through audit and individual patient reviews.

Put in place 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 hospital, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure the patient receive the medicines they need post discharge.

Set up and manage systems to ensure continuity of medicines supply to high risk groups of patients.

Signposting

Ensure that patients are referred to appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

Repeat prescribing

Produce and implement a practice repeat prescribing policy.

Manage the repeat prescribing reauthorisation process by reviewing patient requests 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.

Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

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 economys RAG list and make recommendations to GP.

Assist practice in seeing and maintaining a practice formulary that is hosted on the practice computer system.

Auditing practices compliance against NICE guidance.

Education and training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

CQC

Work with practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public health

To support public health campaigns.

To provide specialist knowledge on all public health programmes available to practice patients.

HEALTH & SAFETY

  • The post-holder will manage their own and others health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures.
  • Comply with Practice health and safety policies by following agreed safe working procedures.
  • Awareness and compliance with national standards of infection control, hygiene, regulatory / contractual / professional requirements, and good practice guidelines.
  • Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
  • Reporting incidents using the organisations Incident Reporting System.

CONFIDENTIALITY

  • Maintain confidentiality of information, always acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality.
  • Maintain an awareness of the Freedom of Information Act.

EQUALITY AND DIVERSITY

  • The post-holder will support, promote, and maintain the Practices Equality & Diversity Policy.
  • No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.
  • The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families.

JOB DESCRIPTION AGREEMENT

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

Job description

Job responsibilities

Clinical Practice Based Pharmacist

Role Details

Job Title

Clinical Practice based Pharmacist

Salary / Grade

Dependant on experience and subject to ARRS funding per annum

Hours per week

Part time hours

21 - 30 hours per week

Reports to

GP Partner prescribing lead

Primary Location/ Base

The Avenue Surgery

Job Summary

The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside the pharmacy team within the practice. In this role they will be supported by the senior GP partner prescribing lead.

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription 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 address in both public and social care needs of patients in the practice.

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 post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within the practice.

The post holder will be supported to develop their role to become a non-medical prescriber.

PRIMARY DUTIES AND AREAS OF RESPONSIBILITY

Patient facing long term condition clinics

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required.

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, making appropriate recommendations to GPs for medicine improvement including IIF/ QOF requirements.

Patient facing clinical medication review

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

Patient facing care home medication

Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring including IIF/QOF requirements.

Work with he 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 GP on prescribing and monitoring including IIF/QOF requirements.

Attend and refer patients to multidisciplinary meetings.

Management of common/ minor/self-limiting ailments.

Managing caseload of patients with common/ minor/self-limiting ailments while working within the scope of practice and limits of competence.

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Patient medicines support

Provide patient facing clinics/ telephone support for those with questions, queries or concerns about their medicines in the practice.

Medicine information to practice staff and patients

Answer relevant medicine related enquiries from practice staff, other healthcare teams (community pharmacy).

Suggesting and recommending solutions.

Providing follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions

Review the use of medicines most commonly associated with unplanned hospital admission and readmission through audit and individual patient reviews.

Put in place 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 hospital, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure the patient receive the medicines they need post discharge.

Set up and manage systems to ensure continuity of medicines supply to high risk groups of patients.

Signposting

Ensure that patients are referred to appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

Repeat prescribing

Produce and implement a practice repeat prescribing policy.

Manage the repeat prescribing reauthorisation process by reviewing patient requests 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.

Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

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 economys RAG list and make recommendations to GP.

Assist practice in seeing and maintaining a practice formulary that is hosted on the practice computer system.

Auditing practices compliance against NICE guidance.

Education and training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

CQC

Work with practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public health

To support public health campaigns.

To provide specialist knowledge on all public health programmes available to practice patients.

HEALTH & SAFETY

  • The post-holder will manage their own and others health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures.
  • Comply with Practice health and safety policies by following agreed safe working procedures.
  • Awareness and compliance with national standards of infection control, hygiene, regulatory / contractual / professional requirements, and good practice guidelines.
  • Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
  • Reporting incidents using the organisations Incident Reporting System.

CONFIDENTIALITY

  • Maintain confidentiality of information, always acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality.
  • Maintain an awareness of the Freedom of Information Act.

EQUALITY AND DIVERSITY

  • The post-holder will support, promote, and maintain the Practices Equality & Diversity Policy.
  • No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.
  • The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families.

JOB DESCRIPTION AGREEMENT

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

Person Specification

Experience

Essential

  • * Have experience and an awareness of common acute and long term conditions that are likely to be seen in general practice.
  • * Experience at a high level of competency with computers.
  • * Experience with working as part of a multi-disciplinary team.

Desirable

  • * Has previous experience working within a GP environment.
  • * Has working knowledge of TPP Systemone computer system.

Qualifications

Essential

  • * Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council.
  • * Enroll and complete the PCCE pathway as a PCN requirement.
  • * Minimum of 2 years experience as a pharmacist, demonstrating within a practice portfolio.
  • * May hold or be willing to work towards an independent prescribing qualification.
Person Specification

Experience

Essential

  • * Have experience and an awareness of common acute and long term conditions that are likely to be seen in general practice.
  • * Experience at a high level of competency with computers.
  • * Experience with working as part of a multi-disciplinary team.

Desirable

  • * Has previous experience working within a GP environment.
  • * Has working knowledge of TPP Systemone computer system.

Qualifications

Essential

  • * Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council.
  • * Enroll and complete the PCCE pathway as a PCN requirement.
  • * Minimum of 2 years experience as a pharmacist, demonstrating within a practice portfolio.
  • * May hold or be willing to work towards an independent prescribing qualification.

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).

Additional information

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

The Avenue Surgery

Address

14 The Avenue

Warminster

Wiltshire

BA12 9AA


Employer's website

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

Employer details

Employer name

The Avenue Surgery

Address

14 The Avenue

Warminster

Wiltshire

BA12 9AA


Employer's website

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

For questions about the job, contact:

Practice Manager

Craig Adams

craig.adams2@nhs.net

01985224630

Date posted

30 April 2025

Pay scheme

Other

Salary

Depending on experience Dependent on experience and subject to ARRS funding per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A1160-25-0001

Job locations

14 The Avenue

Warminster

Wiltshire

BA12 9AA


Privacy notice

The Avenue Surgery's privacy notice (opens in a new tab)