Job responsibilities
Main tasks
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To liaise with the Frailty Clinical Lead and
carry-out comprehensive medication reviews for all frailty cohort patients on
discharge this may include home visiting.
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To provide frailty patients / carers or care
homes with a documented review of their medicines systems and processes. This
will support implementation of an effective national and local initiatives
surrounding medicines and medicines training.
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To work alongside pharmacists within the PCN
team to support the INT Frailty Team SMR work by doing medicines reviews/
Pre-SMR as required.
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Participate in Medicines Management team
meetings where appropriate
Main responsibilities
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Systems and Process Medication Management
Reviews
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Work collaboratively with carers and where
appropraite care home manager and senior staff.
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Undertake the systems and process review with patients
or their carers engaging with them and recording your findings for each
section.
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Give feedback and recommendations during the
process and summarise at the end of the visit the actions you are going to take
and timeframes.
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Email or provide a copy of the report and
identified guides and templates that support improvement in practice.
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Communicate with other relevant parties as
appropriate
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Share the SMR through the DCCR
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To work collaboratively across the interface
between care providers, care homes, community pharmacy and GP practice and
maintain excellent communication to ensure accurate medicines supply and stock
control systems.
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Follow up on recommendations made to ensure
changes are made to achieve the desired outcomes
Communication and working relationships-
To engage with GP services, care homes or carers
and Frailty MDT to establish your role within delivery of care for frailty
cohort patients.
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To follow processes to access relevant patient
information from GP practices and to effectively communicate clinical
interventions to the different provider organisations and ensure these
recommendations are addressed. This should be in agreement with the GP
practices and colleagues as part of collaborative working.
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To communicate sensitive information
effectively, both written and oral, in order to:
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Provide guidance and information to care homes
to provide clarity around their roles and responsibilities with regards to
managing medication, and where to access appropriate support and training.
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Provide medicines advice to patients, carers and
a variety of other healthcare professionals.
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Liaise across different healthcare settings with
relevant clinicians to help improve and ensure effective patient medication
reviews and at transfer of care across the interface.
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Work closely and collaboratively with health and
social care teams across the INT frailty network to ensure patients receive the
best care. Colleagues will include:
-Patients, their proxy, and carers
-Care Home staff
-General Practitioners (GPs) and non-medical
prescribers (NMPs)
-INT Frailty MDT
-GP Practice staff
-Primary Care Network (PCN) Staff
-Hospital clinical staff
-Community Health Services staff
-ICB Prescribing and Medicines Optimisation Team
-Community pharmacy teams
-Adult Social Care (ASC) staff
-CQC staff
-Liaise with the INT frailty lead about any
concerns or queries regarding frailty or care homes and patient safety e.g.
safeguarding.
Medication reviews/ Pre-SMR
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To ensure patients medications are reviewed and
optimised in regards to self-care treatments, where appropriate involving the
patient and/or their carers or welfare proxy.
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To use a shared decision-making consultation
model adapting to individual patient circumstance and ability e.g., dementia,
learning disability, sensory impairment.
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Recommend and implement prescribing-related
interventions e.g., rationalise prescribing in line with local and national
priorities.
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Provide information and advice to patients and
their carers (e.g., care home manager) regarding their medicines, including
promoting self-care, supporting, and reassuring patients when necessary.
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Reduce the likelihood and consequences of
patient harm from their prescribed treatments. Ensure monitoring is in place as
needed.
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Refer patients to other clinical services,
including those within relevant multidisciplinary teams including e.g., INT frailty
team MDT, community pharmacy services.
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Produce written summary of outcomes of each
clinical medication review including recommendations made and implemented. This
summary to be shared with the patients GP and community pharmacy and patients
/ care homes or care home if applicable.
Medicines Optimisation Education & Training
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To support care homes to access Adult Social
Care or ICB training to ensure appropriate medicines optimisation training for
care homes.
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Deliver elements of education around key
priorities areas agreed with the Frailty INT team service lead for example:
self-care and medication advice for care home staff
Leadership
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Support leadership within the INT frailty team
MDT team as an expert on medicines.
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Provide expert pharmaceutical input into
safeguarding incidents relating to medicines use in patient homes or care homes
when required and where appropriate
- The post holder may have tasks or responsibilities delegated
to them, appropriate to their level of competence. They may also be expected to
delegate tasks or responsibilities to other staff, as appropriate.
Flexibility
This job description is intended to provide a broad
outline of the role. The post holder may be required to carry out other duties
commensurate with their banding and competence.
Policies and procedures
The post holder is required to familiarise
themselves with all relevant INT / PCN policies and procedures and to comply
with these at all times.
Confidentiality and data protection
The post holder must maintain the
confidentiality of information about patients, staff and other health service
business and meet the requirements of the Data Protection Act (2018) and
General Data Protection Regulation (2018) at all times.
The post holder must comply with all INT and PCN
information and data protection policies at all times. The work of the INT is
of a confidential nature and any information gained by the post holder in their
role must not be communicated to other persons except where required in the
recognised course of duty.
Health, safety and wellbeing
Employees must be aware of the responsibilities
placed on them under the Health and Safety at Work Act (1974) and must follow
these in full at all times, including ensuring that they act in line with all
agreed procedures at all times in order to maintain a safe environment for
patients, visitors and colleagues.
The INT / PCN is committed to support the health
and wellbeing of all its employees. The post holder is required to familiarise
themselves with the organisations range of health and wellbeing support, share
with their team, and report stress and ill health as early as possible
Equality, diversity and inclusion
Our INT aims to grow inclusive teams in which you feel like
you belong, we encourage a culture of learning from different points of view.
We want to support you to be courageous and to overcome bias and challenge
prejudice.
Use of technology
The role will require extended use of technology including
EMIS Clinical system, Eclipse Safety System, RIO and other patient clinical
systems that support safety and contemporaneous treatment and clinical
recording.
No smoking policy
We have a no-smoking policy, in line with government
legislation. This applies to all staff, visitors and patients. It is a
condition of employment for staff that they do not smoke whilst on duty or in
uniform or anywhere on Trust premises. This includes electronic cigarettes.
Professional registration
All employees who are required to be a member of a
professional body are required to hold relevant registration and must comply
with the standards and guidelines of their professional practice, education and
conduct and must act at all times within the boundary of the code of conduct.
Infection prevention and control
Infection prevention and control is everybody's
responsibility. All staff, both clinical and non-clinical, are required to
adhere to the standard PCN/INT Infection Prevention and Control Policies and
make every effort to maintain high standards of infection prevention and
control at all times thereby reducing the burden of healthcare-associated
infections (HCAI).
Safeguarding children, young people and vulnerable adults
Our INT is committed to safeguarding and promoting the
welfare of children, young people and vulnerable adults, and expects all staff
and volunteers to share this commitment. Rigorous recruitment checks are
carried out and successful applicants may be required to undertake an Enhanced
Disclosure via the Disclosure and Barring Service (DBS).
Quality
Excellent care at the heart of the community is our INT
vision. To make sure our care meets this high standard all staff must ensure
that the three themes of quality care are provided in every encounter they have
with our patients. The three themes are safe care, effective care, and
patient-centred care.
All staff, clinical and non-clinical, are
expected to ensure that quality is a key consideration in all we do. This
includes reviewing practice and being open to feedback on our performance,
being open and honest, and seeking to identify, resolve, and appropriately
escalate issues and risks.
