Pharmacist Primary Care

Job description

Job responsibilities

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. Additionally, to engage with medicines optimisation, MHRA, medication reviews and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services. You will also help in the management of patients and informing them of relevant investigations and actions.

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.

Responsibilities and Duties

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 GPs for medicine improvement.

Patient facing clinical medication review and relaying of resultsd and actions

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

Patient facing care home medication reviews and visits:

Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, 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 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:

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

Medicines quality improvement:

Undertake clinical audits

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

Auditing practices compliance against NICE technology assessment guidance.

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.

Person Specification

Qualifications

Essential

• Qualifications
• Degree in Pharmacy, MPharm/BPharm
• GPhC Registered
• Full driving licence
• CPPE
• IP Qualified or working toward an IP qualification
• General Practice and understanding of medicines optimisation roles
• Desired experience
• Member of the RPS
• Clinical Diploma
• Minor ailments qualification
• Clinical systems trained (SystemOne/Emis/Vision

Desirable

• Experience
• Qualifications as in pharmacy and registration with GPhC
• Experience in working in primary care would be an advantage

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

Walnut Medical Centre

Address

110 Walnut Street

Leicester

Leicestershire

LE2 7LE

Employer's website

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