Job responsibilities
JOB PURPOSE
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)
CORE RESPONSIBILITIES
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
- Poly-pharmacy
- 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
Essential
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)
Desirable
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
LEADERSHIP
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
MANAGEMENT
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