Job responsibilities
Clinical
pharmacists will have a key role in supporting delivery of the new Network
Contract DES Service specifications, for the PCN. For the new Structured
Medications Review and Optimisation requirements this will include tackling
over-medication of patients, including inappropriate use of antibiotics,
withdrawing medicines no longer needed through NHS-led programmes such as low
priority prescribing and medicines optimisation more widely. For Enhanced
Health in Care Homes residents will benefit from regular clinical-pharmacy led
medicines reviews. They will take responsibility for areas of chronic disease
management and undertake clinical medication reviews to proactively manage
patients.
Support
to the PCN with regard to prescription and medication queries.
Manage
acute prescription requests, medicines reconciliation on transfer of care and
systems for safer prescribing.
Ensure that the PCN interacts with community and
hospital pharmacies serving the localities to improve patient outcomes, ensure
better access to healthcare and help manage workload.
Adhere
to quality governance systems, processes across the Practices and their
activities; managing data collection to support data requirements/claims;
ensuring information governance standards are implemented and maintained.
Attend
training courses identified as essential or beneficial to the role and take
responsibility for identifying own learning needs.
Ensure
all significant events are reported and discussed as appropriate and facilitate
a full understanding of clinical governance requirements within the practices
RESPONSIBILITIES&
ACCOUNTABILITIES
See patients in multi-morbidity clinics, in partnership with primary healthcare
colleagues and implement improvements to patients medicines, including
de-prescribing.
Manage
own case load and run long-term condition clinics where responsible for
prescribing as an independent prescriber for conditions where medicines have a
large component (e.g. diabetic and thyroid clinics).
Undertake
clinical medication reviews with patients with multi-morbidity and polypharmacy
and implement own prescribing changes (as an independent prescriber) and order
relevant monitoring tests.
Manage
own caseload of care home residents. Undertake clinical medication reviews with
patients and work with care home staff to improve safety of medicines ordering
and administration.
Implement
own prescribing changes (as an independent prescriber) and ordering of
monitoring tests.
Work
with case managers, multidisciplinary (health and social care) review teams,
hospital colleagues and virtual ward teams to manage medicines-related risk for
readmission and patient harm.
Put
in place changes to reduce the prescribing of these medicines to high-risk
patient groups
Perform
a clinical medication review, produce a post discharge medicines care plan
including dose titration, booking follow up tests and working with patients and
community pharmacists to ensure patients receive the medicines they need post
discharge.
Produce
and implement a network wide repeat prescribing policy. Manage the repeat
prescribing reauthorisation process by reviewing patient requests for repeat
prescriptions and reviewing medicines reaching review dates; make necessary
changes as an independent prescriber, and ensure patients are booked in for
necessary monitoring tests where required.
Design,
develop and implement system searches to identify cohorts of patients at high
risk of harm from medicines.
Responsible
for management of risk stratification tools on behalf of the PCN. Work with
patients and the PCN to minimise risks through medicines optimisation.
Identify
and provide leadership on areas of prescribing and medicines optimisation.
Conduct clinical audits and improve projects or work with colleagues such as GP
registrars, practice managers etc. Present results and provide leadership on
suggested changes. Contribute to national and local research initiatives.
Identify
national and local policy and guidance that affects patient safety through the
use of medicines, including MHRA alerts, product withdrawals and emerging
evidence form clinical trials. Manage the process of implementing changes to
medicines and guidance for practitioners.
Monitor
practice prescribing against the local health economy’s RAG list for medicines
that should be prescribed by hospital doctors (red drugs) or subject to shared
care (amber drugs).
Provide
education and training to the PCN on therapeutics and medicines optimisation.
Provide training to visiting medical, nursing, pharmacy and other healthcare
students where appropriate.
Support
public health campaigns. Provide specialist knowledge on all public health
programmes available where applicable.
Attend regular staff meetings and maintain a presence within the practice. The post holder will be expected to deliver a high quality,
diverse, patient-centred service.
KEY
RELATIONSHIPS The Clinical Pharmacist will link with a variety of key
stakeholders
ADDITIONAL
INFORMATION: Health and Safety at Work Act: The Clinical Pharmacist is required
to take reasonable care for the safety and health of themselves and others who
may be affected by their acts; and to co-ordinate with management in the
promotion and maintenance of health and safety measures.
