Job summary
Responsible for implementing an effective medicine management system within the Practices, including cost-effective prescribing, working as an Independent Prescriber, providing advice and support for both patients and colleagues.
In addition, the post holder will also support the multi-disciplinary team in line with the strategic objectives of the PCN.
The post-holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face-to-face structured medication reviews, manage long-term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription request, whilst addressing both the public health and social care needs of patients in the GP Practice(s) that make up the PCN.
The post holder will perform face-to-face medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities.
The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework.
This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within General Practice.
Main duties of the job
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 readmission's 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
Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions 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 face to face clinics where medicines are the main interventions e.g. anticoagulant monitoring clinics.
Run normal on the day booking face to face clinics.
About us
Founded in 1937, Primrose Hill Surgery was one of the first NHS practices in Camden and the first to operate an appointment system.
Websitehttp://primrosehillsurgery.co.uk
Job description
Job responsibilities
Conduct comprehensive medication reviews and assessments to identify therapeutic needs and ensure safety and efficacy.
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Prescribe medications and treatments for specific conditions under collaborative practice agreements, while considering patient preferences, age, and medical history.
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Monitor patient progress, evaluate the outcomes of prescribed treatments, and make necessary adjustments.
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Provide patient education regarding medication usage, side effects, and potential drug interactions.
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Collaborate with doctors, nurses, and other healthcare professionals to optimize patient care.
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Maintain accurate patient records, documenting all prescriptions, assessments, and recommendations.
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Keep abreast of current medical literature, treatment guidelines, and new medications to ensure evidence-based practice.
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Respond to clinical queries from patients, caregivers, and the healthcare team regarding pharmaceutical care and drug-related issues.
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Participate in clinical audits and quality improvement initiatives.
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
. Improve prescribing practice through educational support for all prescribers within the practice
. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change
. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS
. Support improvements in clinical care through practice based audit and implementing change
. Prescribing advice to prescribers in practice e.g. temporary non availability of drugs
. Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines
Job description
Job responsibilities
Conduct comprehensive medication reviews and assessments to identify therapeutic needs and ensure safety and efficacy.
-
Prescribe medications and treatments for specific conditions under collaborative practice agreements, while considering patient preferences, age, and medical history.
-
Monitor patient progress, evaluate the outcomes of prescribed treatments, and make necessary adjustments.
-
Provide patient education regarding medication usage, side effects, and potential drug interactions.
-
Collaborate with doctors, nurses, and other healthcare professionals to optimize patient care.
-
Maintain accurate patient records, documenting all prescriptions, assessments, and recommendations.
-
Keep abreast of current medical literature, treatment guidelines, and new medications to ensure evidence-based practice.
-
Respond to clinical queries from patients, caregivers, and the healthcare team regarding pharmaceutical care and drug-related issues.
-
Participate in clinical audits and quality improvement initiatives.
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
. Improve prescribing practice through educational support for all prescribers within the practice
. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change
. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS
. Support improvements in clinical care through practice based audit and implementing change
. Prescribing advice to prescribers in practice e.g. temporary non availability of drugs
. Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines
Person Specification
Experience
Essential
- .Experience of working in a GP
- .Experience holding Clinics
Qualifications
Essential
- QUALIFICATIONS & TRAINING FOR THIS JOB NB: it is anticipated that the level of qualification held may vary according to the level of position and the components of the role being carried out 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) Member of or working towards (through foundation) RPS Faculty membership May hold or be working towards a prescribing qualification May hold or be working towards a postgraduate pharmacy 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
Desirable
- 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
Person Specification
Experience
Essential
- .Experience of working in a GP
- .Experience holding Clinics
Qualifications
Essential
- QUALIFICATIONS & TRAINING FOR THIS JOB NB: it is anticipated that the level of qualification held may vary according to the level of position and the components of the role being carried out 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) Member of or working towards (through foundation) RPS Faculty membership May hold or be working towards a prescribing qualification May hold or be working towards a postgraduate pharmacy 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
Desirable
- 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
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.