Job responsibilities
Job Description
Job Title: Clinical
Pharmacist
Responsible To: Clinical Pharmacist Manager
Accountable To: Primary Care
Network Clinical Director
Relationships: Eynsham and
Witney PCN, but based at the Windrush Medical Practice
Hours: up to Full
time
Job Purpose
The key aims for the clinical pharmacist are:
Increase safety and quality of prescribed
medicines
Provide support on medicines related issues to
the whole practice team
Be a point of contact for patients regarding
medicines queries
They
should support the following clinical work:
Clinical Medication Review
They
should also support the following practice development work:
Focusing on QoF, IIF and PQS Domains
Prescribing Safety, Clinical audit, Local
Enhanced Services support
Key
working relationships
Patients
Windrush Medical Practice Staff,
including GPs, PCN clinical pharmacists, nurses and other practice staff
members
GP Clinical Lead(s)
PCN Clinical Director(s)
Community nurses and other allied
health professionals
Secondary care clinicians.
Responsibilities underpinning
the role
The following are the core
responsibilities of the Clinical Pharmacist. On occasion there may be a
requirement to carry out other tasks: this will be dependent on factors such as
workload and staffing levels:
To
discuss medication issues with patients as needed and appropriate by telephone,
e.g. adverse effects/interactions, overdose/inadvertent
ingestion, OTC remedies, queries from dispensary, queries from care homes.
To
respond to dispensary queries to include, re-authorise repeats where there are
queries, clarify doses, clarify products, give appropriate alternatives when availability
issues.
To
discuss specific patient and prescribing issues (e.g. complicated
regimes/polypharmacy, compliance difficulties, multiple adverse effects,
medication reduction regimes) with other clinicians as necessary.
To
support the completion of pink (medication administration) forms for district
nurses for GPs to sign.
To
visit nursing homes to carry out reviews of MAR sheets/patients medications.
Medicines Reconciliation:
To review secondary care requests for new
medication (as communicated by discharge summaries, outpatient letters, etc.) and
raise any queries with relevant GP, and discuss how to respond when
inappropriate prescribing requests arise.
To deal with anticoagulant start/stop requests
from secondary care and contact patients who have defaulted on INRs.
Medicines
Information/Education:
To monitor and inform colleagues as relevant
about ongoing prescribing issues, e.g. new guidelines (national and local), new
products being asked for by secondary care, manufacturing and supply problems,
new prescribing restrictions or contraindications, and individual and
systematic errors made by colleagues.
To
advise on cost effective prescribing and prescribing budget issues.
To
keep the prescribing folder on the practice intranet up to date, with admin
support.
To
train nursing home staff in medicines management.
Prescribing Systems and
Policies:
To identify patients in need of medication review
and develop the system of patient invitation with the admin team.
To liaise with dispensary, admin and clinical
staff in discussing, developing, and implementing medicines management systems
in the practice.
To work with the GPs (especially the prescribing
lead), Senior Clinical PCN Pharmacist, practice manager, dispensary manager and
dispensary team to review, develop and implement prescribing policies and
strategies for the whole practice.
To suggest and design audits in relation to
prescribing targets, implementation of locality policies and the Quality
Outcomes Framework (QOF).
To work with the GPs, Senior Clinical PCN
Pharmacist, practice manager, and dispensary manager on choosing and delivering
targets for the local Prescribing Incentive Scheme (PIS).
To monitor the practices prescribing performance
(via the CCG prescribing dashboard, progress on the PIS, ePACT, etc.), and
suggest changes to practice prescribing as appropriate.
To support the delivery of electronic
prescribing.
To work with the dispensary team, Senior Clinical
PCN Pharmacist and lead dispensing GP to maximize profitability and to perform
audits.
Liaison with community
and hospital pharmacies:
To support and advise dispensary when needed.
To make best use of community pharmacy medicine
use reviews (MURs) for medication reviews.
To rationalise requests for dossette medications.
Dispensary will still be responsible for ringing round re availability of products,
taking initial calls, requesting new dosettes etc.
This job description is
intended as a guide to the duties and responsibilities of the post and should
not be regarded as a complete list of those required to be fulfilled under the
written statement of the main terms and conditions of employment.
This role profile is
intended to provide a broad outline of the main responsibilities only. The post
holder will need to be flexible in developing the role and in initial and
ongoing discussions with their line manager.
Personal/Professional
Development:
The
post-holder will participate in any training programme implemented by the
Practice as part of this employment, such training to include:
Participation in an annual individual
performance review, including taking responsibility for maintaining a record of
own personal and/or professional development
Taking responsibility for own development,
learning and performance and demonstrating skills and activities to others who
are undertaking similar work
Undertake and complete all statutory and mandatory training.
Participate in an appraisal and regular performance reviews.
Promote a learning environment for patients, colleagues and other health
professionals.
Contribute to the planning and implementation of the teaching of and
support for new and existing staff in the Practice, including GP registrars,
medical students and newly-recruited Clinical Pharmacists
Opportunity to participate in clinical trials and support the Research Team. Training will be provided.
Quality
The
post-holder will strive to maintain quality within the Practice and will:
Alert other team members to issues of quality
and risk
Assess own performance and take accountability
for own actions, either directly or under supervision
Contribute to the effectiveness of the team by
reflecting on own and team activities and making suggestions on ways to improve
and enhance the teams performance
Work effectively with individuals in other
agencies to meet patients needs
Effectively manage own time, workload and
resources
Communication:
The post-holder should recognise the importance of
effective communication within the team and will strive to:
Communicate effectively with other team
members
Communicate effectively with patients and
carers
Recognise peoples needs for alternative methods
of communication and respond accordingly
Contribution
to the Implementation of Services:
The
post-holder will:
Apply Practice policies, standards and
guidance
Discuss with other members of the team how the
policies, standards and guidelines will affect own work
Safeguarding
Anyone who works in
direct contact with patients has a duty to protect the welfare of patients.
Having regular contact with patients, means that you are well placed to
identify and recognise when there is a potential issue and understand the
processes in place to manage potential concerns.