Wansford and KingsCliffe Practice
This job is now closed
We are looking to recruit a second clinical pharmacist in order to expand our clinical pharmacy team. We have a strong pharmacy team which includes a pharmacy technician and two medicine management co-ordinators.
This is a patient facing role and the post holder will take responsibility for areas of chronic disease management, undertake clinical medications reviews to proactively manage patients including those with complex poly-pharmacy and provide support to practice staff with prescription and medication queries.
The post holder 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 patients in the GP practices.
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.
Independent Prescribing would be an advantage.
Experience in clinical research would be beneficial but not necessary.
We have an onsite 'hybrid' pharmacy.
Main duties of the job
Patient facing long-term condition clinics.
Support GPs with medicines information and cost-effective prescribing in line with the local formulary.
Undertake clinical medication reviews with patients
Care Home Medication Reviews.
Support in-house pharmacy.
Review the use of medicines most commonly associated with unplanned hospital admissions.
Management of medicines at discharge from hospital
Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes).
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Monitor practice prescribing and make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care.
Support the blinded team in Clinical Research Studies.
We have an experienced multidisciplinary team in place including 2 paramedics, 2 ANP's, Specialist Diabetc Nurse and Specialist cardiology Nurse., Practice Nurses, HCA and Clinical Pharmacists. We also have access to Social Prescribers, Health and wellbeing coaches, Care coordinators, Pharmacy Technician and Pharmacist support through the ARRS funding scheme.
Training -We are a GP training practice and currently have an ST3 registrar and Foundation Year 2 GP.
Research -We have an active clinical research contract with the local CRN and our senior partner is the active Principal Investigator. The team is led by a Clinical Specialist Cardiologist nurse.
The core purpose of the job will be to help deliver improved primary care by improving access and improving outcomes. In particular, roles and responsibilities will be defined which would otherwise need GP input and will be prioritised as well using pharmacy expertise to maximise safety and effectiveness.
Provide expertise in clinical medicines review and address public health and social needs of patients in GP practices
Reduce inappropriate poly-pharmacy and wasteful prescribing through clinical medication review
Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues
Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service
Assist GPs by reviewing requests for prescriptions not on repeat list and medicines reaching review dates
Manage patients and health care professionals medicine queries
Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles
Manage practice formularies to improve the quality, safety and cost effectiveness of prescribing
Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety
Work with primary care professional and patients to implement NICE and other evidence based guidelines
Run clinics where medicines are the main interventions e.g. anticoagulant monitoring clinics.
Contribute to multimorbidity reviews and multidisciplinary reviews
Provide medicines information and training to Practice healthcare professionals and admin staff
Review daily Pathology results for patients on known medicines
Act as a source of medicines information for all of the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives e.g. around out of stocks)
1. Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines eg hospital discharges
2. Working within the practice based team to undertake medication reviews particularly in high risk groups such as:
- Frail elderly
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high risk medicines
- STOPP/START identified patients
- Revolving door Hospital admissions
3. Support improvements in clinical care through practice based audit and implementing change
4. Improve prescribing practice through educational support for all prescribers within the practice
5. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change
6. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS
7. Prescribing advice to prescribers in practice e.g. temporary non availability of drugs
QUALIFICATIONS & TRAINING FOR THIS JOB
Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council
Minimum of 2 years post graduate experience in pharmacy, as demonstrated within a practice portfolio
Member of the Royal Pharmaceutical Society (RPS)
Hold or be working towards a postgraduate pharmacy qualification eg Diploma in Clinical pharmacy
Member of or working towards (through foundation) RPS Faculty membership
Hold or be working towards a prescribing qualification
Has an awareness of the breadth of common acute and long term conditions that are likely to be seen in a general medical practice
BEHAVIOURAL COMPETENCIES AND SKILLS FOR THIS JOB
EXPERT PROFESSIONAL PRACTICE
Demonstrates general pharmaceutical skills and knowledge in core areas
Is able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients in core areas, including disease states / long term conditions identified by local Pharmaceutical Needs Assessment
Demonstrates accountability for delivering professional expertise and direct service provision as an individuals
Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options
Recognises priorities when problem-solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
Is able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance
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
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 GP Practices and staff as needed for the collective benefit of patients
Liaises with local GP federations and representative bodies such as LPC and LMC
Liaises with Pharmacy federations where appropriate
Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace
Demonstrates understanding of, and contributes to, the workplace vision
Demonstrates ability to improve quality within limitations of service
Reviews last years progress and develops clear plans to achieve results within priorities set by others
Demonstrates ability to motivate self to achieve goals
Demonstrates understanding of the implications of national priorities for the team and/or service
Demonstrates understanding of the process for effective resource utilisation
Demonstrates understanding of, and conforms to, relevant standards of practice
Demonstrates ability to identify and resolve risk management issues according to policy/protocol
Follows professional and organisational policies/procedures relating to performance management
Demonstrates ability to extend boundaries of service delivery within the team
EDUCATION, TRAINING AND DEVELOPMENT
Understands and demonstrates the characteristics of a role model to members in the team and/or service
Demonstrates understanding of the mentorship process
Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from a more experienced colleague
Demonstrates self-development through continuous professional development activity
Participates in the delivery of formal education programmes
Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice
RESEARCH AND EVALUATION
Demonstrates ability to critically evaluate and review literature
Demonstrates ability to identify where there is a gap in the evidence base to support practice
Demonstrates ability to generate evidence suitable for presentation at local level
Demonstrates ability to apply the research evidence base into working practice
Demonstrates understanding of the principles of research governance
Demonstrates ability to work as a member of the research team
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).