Job summary
We are looking to recruit to the post of Clinical Pharmacist, to work within our Primary Care Network multidisciplinary healthcare team.
Practice Based Pharmacist role within a PCN based model.
The successful candidate will do all their hours in one practice which is stable, high achieving, low staff turnover and superbly run with lots of support available.
Main duties of the job
The role will include a variety of pre-planned, screened, differentiated work only (no acute illness or complex medical problems) and training given where needed examples of this work but not exhaustive:
- Medicines management signing the prescription
- Changing medications as per hospital letter instruction, dose change for lipids etc
- Dealing with Out of Stock issues
- Reviewing long term health conditions
- Vaccinations
- Patient queries
- Structured Medication Reviews
- B12 injection - potentially
- NHS Health Checks
- Work to meet targets simple appointments avoiding multiple complex problems
The post-holder will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied, and sometimes challenging environment is essential.
The successful candidate will have excellent interpersonal and communication skills, and be organised, patient and empathetic. They will have experience of working in health, social care or other support roles including direct contact with people, families or carers.
About us
Bilston Family Practice is a small, friendly and supportive team made up of 2 GP partners, 1 salaried GP, nursing staff, first contact physiotherapist and a small team of admin staff.
We have a very high staff satisfaction and retention rate and believe in providing a positive, supportive and rewarding environment for all staff.
We are an EMIS practice with approx 4000 patients.
Work is all conducted from one site with staff parking available onsite.
More information about the practice can be found on our website www.bilstonfamilypractice.nhs.uk
Date posted
04 October 2024
Pay scheme
Other
Salary
£40,000 to £50,000 a year Depending on experience
Contract
Permanent
Working pattern
Full-time
Reference number
A1344-24-0001
Job locations
Bilston Health Centre
Prouds Lane
Bilston
WV14 6PW
Job description
Job responsibilities
Job Scope
The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice.
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 care homes 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 addressing both public and social care needs of patient in the GP practice (s).
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 an excellent service within general practice.
The post holder will be supported to develop their role to become a nonmedical prescriber.
This role will be a first point of contact for enhanced health in care homes and will facilitate referrals into a further supportive Multidisciplinary Team (MDT) and onward referrals for further care
The role involves you working very closely with the appointed clinical pharmacists as well as the Multidisciplinary Team (MDT) and a caseload of patients, including care home based patients within Unity Practices. The role is pivotal in ensuring all our patients receive the best possible care and service.
Key duties and responsibilities
Patient facing Long term condition clinics
See (where appropriate) patients 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).
Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
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
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice
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 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
Unplanned hospital admissions
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
Put in place changes to reduce the prescribing of these medicines to highrisk 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 highrisk 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
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 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 economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
Auditing practices compliance against NICE technology assessment guidance.
Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the general 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 the general public.
Collaborative Working Relationships
Recognises the roles of other colleagues within the organisation 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 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.
Foster and maintain strong links with all services across locality.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
Demonstrates ability to integrate general practice with community and hospital pharmacy teams.
Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support.
Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses and other practice staff.
Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc.
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
Job Scope
The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice.
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 care homes 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 addressing both public and social care needs of patient in the GP practice (s).
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 an excellent service within general practice.
The post holder will be supported to develop their role to become a nonmedical prescriber.
This role will be a first point of contact for enhanced health in care homes and will facilitate referrals into a further supportive Multidisciplinary Team (MDT) and onward referrals for further care
The role involves you working very closely with the appointed clinical pharmacists as well as the Multidisciplinary Team (MDT) and a caseload of patients, including care home based patients within Unity Practices. The role is pivotal in ensuring all our patients receive the best possible care and service.
Key duties and responsibilities
Patient facing Long term condition clinics
See (where appropriate) patients 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).
Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
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
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice
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 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
Unplanned hospital admissions
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
Put in place changes to reduce the prescribing of these medicines to highrisk 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 highrisk 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
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 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 economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
Auditing practices compliance against NICE technology assessment guidance.
Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the general 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 the general public.
Collaborative Working Relationships
Recognises the roles of other colleagues within the organisation 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 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.
Foster and maintain strong links with all services across locality.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
Demonstrates ability to integrate general practice with community and hospital pharmacy teams.
Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support.
Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses and other practice staff.
Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc.
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
Qualifications
Essential
- Mandatory registration with General Pharmaceutical Council
- Masters degree in pharmacy (MPharm) (or equivalent)
- Minimum of 2 years postqualification experience.
- An appreciation of the nature of GPs and general practices
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
- Excellent interpersonal, influencing and negotiating skills
- Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- Good IT skills
- Able to obtain and analyse complex technical information
- Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
- Able to work under pressure and to meet deadlines
- Produce timely and informative reports
- Gain acceptance for recommendations and influence/motivate/ persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
- Work effectively independently and as a team member
- Demonstrates accountability for delivering professional expertise and direct service provision
- Self-Motivation
- Adaptable
- In date CRB
- Safeguarding adult and children level three
- Immunisation status
- Basic life support training
Desirable
- Membership of the Royal Pharmaceutical Society
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
- Independent prescriber or working towards/intent of gaining independent prescribing qualification
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
- Excellent written and verbal communication skills
- Demonstrate the ability to communicate complex and sensitive
- information in an understandable form to a variety of audiences (e.g.
- patients)
- Full Driving License
- Information Governance toolkit completion
Person Specification
Qualifications
Essential
- Mandatory registration with General Pharmaceutical Council
- Masters degree in pharmacy (MPharm) (or equivalent)
- Minimum of 2 years postqualification experience.
- An appreciation of the nature of GPs and general practices
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
- Excellent interpersonal, influencing and negotiating skills
- Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- Good IT skills
- Able to obtain and analyse complex technical information
- Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
- Able to work under pressure and to meet deadlines
- Produce timely and informative reports
- Gain acceptance for recommendations and influence/motivate/ persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
- Work effectively independently and as a team member
- Demonstrates accountability for delivering professional expertise and direct service provision
- Self-Motivation
- Adaptable
- In date CRB
- Safeguarding adult and children level three
- Immunisation status
- Basic life support training
Desirable
- Membership of the Royal Pharmaceutical Society
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
- Independent prescriber or working towards/intent of gaining independent prescribing qualification
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
- Excellent written and verbal communication skills
- Demonstrate the ability to communicate complex and sensitive
- information in an understandable form to a variety of audiences (e.g.
- patients)
- Full Driving License
- Information Governance toolkit completion
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
Bilston Family Practice
Address
Bilston Health Centre
Prouds Lane
Bilston
WV14 6PW
Employer's website
Employer details
Employer name
Bilston Family Practice
Address
Bilston Health Centre
Prouds Lane
Bilston
WV14 6PW
Employer's website
For questions about the job, contact:
Date posted
04 October 2024
Pay scheme
Other
Salary
£40,000 to £50,000 a year Depending on experience
Contract
Permanent
Working pattern
Full-time
Reference number
A1344-24-0001
Job locations
Bilston Health Centre
Prouds Lane
Bilston
WV14 6PW
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