Job responsibilities
Key tasks
As
an Independent Prescriber, you will lead on day to day management of issuing
repeat medication to all patients with due regard to practice processes around
monitoring and safety, implementing own changes and arranging relevant
monitoring tests. This will be in
partnership with key clinical staff who have responsibility for specific areas
and GPs.
Assist
to develop and manage a medicines management plan and deliver patient and
pharmaceutical services as determined by practice policy and local and national
guidance
Undertake
structured medication reviews, including for an allocated care homes patients,
proactively managing patients particularly those with complex polypharmacy
especially the elderly and those with multiple co-morbidities
Support
chronic disease management and medicines optimisation
Update
and maintain accurate patient medication records on the practices clinical
system
Keeping
up-to-date with drug tariff price and category changes, checking for new or
discontinued drugs
In
association with the practice pharmacist and dispensary manager PPDM and nominated
partner, maintain and update the practice prescribers regarding the computerised
formulary, local and national guidance. supply issues and practice preferences,
to improve the quality, safety and cost-effectiveness of prescribing
Carry
out switches as required in line with practice and ICB agreed protocols,
reviewing and amending patient records and informing patients
Undertake
clinical audits of prescribing, make suggestions for improvement and
disseminate to clinical colleagues.
Assist
the PPDM to support the practice managers and GPs to ensure the practice is
compliant with CQC standards where medicines are involved
Provide
support to staff with regards to prescription and medication queries
Job responsibilities
Staff management
Provide
clinical supervision to the Dispensary team as required by PPDM in his absence
Contribute
to the recruitment and retention of dispensary staff
Support
training dispensary staff including encouraging and organising attendance at
relevant recognised courses
Patient services
Assist
in producing patient information leaflets and posters and run medicine
awareness projects throughout the year.
Liaise
with the PPDM to devise and manage public health campaigns to run at the
Practice, providing specialist knowledge on immunisation and other medicines eg
influenza campaign administering and co-ordinating clinics with management
team
Assist
PPDM and partners with the appropriate monitoring and management of their
prescribing budgets and produce quarterly reports on practice progress to the
Lead GP for monitoring medicines management
Prepare
evidence-based resources and information to support the dispensary team and all
other relevant health professionals in the implementation of rational
cost-effective prescribing.
Help
plan, develop and support the introduction of new working processes within the
practice to optimise the quality of prescribing.
Pharmaceutical services
Reduce
inappropriate poly-pharmacy and wasteful prescribing through clinical
medication review and recommendations to clinicians
Support
the identification of individuals at high risk of harm from medicines or
hospitalisation as part of the risk stratification and practice care planning
requirements when reviewing medication or
by computer searches
Contribute
to reductions in medication related hospital admissions and readmissions by
supporting patients to get the best outcomes from their medicines and
identifying and addressing medication related issues
Improve
prescribing practice through educational support within the practice
Contribute
to multidisciplinary reviews and multi morbidity reviews
Participate
in our Birthday Clinic process and manage repeat prescribing reauthorisations
by reviewing requests for medication reaching review dates ensuring compliance
Perform
dispensing review of use of medications for dispensing patients as part of the
practice procedures for monitoring patients
Reconcile
medication following hospital discharge and work with patients and hospital and
community pharmacists to ensure patients receive the medication they need post
discharge
Promote
repeat dispensing where appropriate
Promote
online repeat prescription ordering where appropriate
Respond
to patient and health care professionals medication queries
Work
with primary care professionals and
patients to implement NICE and other evidence based guidance
Support
PPDM where changes in evidence require changes in prescribing across patient
populations
Review
pathology results for patients on agreed medications
Act
as a source of medicines information for the practice team and patients
Support
PPDM to provide leadership to the practice manager and GPs to ensure the
practice is compliant with CQC standards where medicines are involved
Clinical services
Provide
medication review services to patients via telephone consultation or clinics as
required in the practice and support the PCN and PPDM Pharmacists with
medicines optimisation in residential and nursing homes, to deliver
pharmaceutical care plans that maximise cost-effective prescribing and improve
the quality of patient care.
Present
at patient group meetings or other appropriate events to give advice on the
appropriate use of medicines.
Work
with care home staff to improve safety of medicines ordering and administration
and medicines reconciliation
Promote
and optimise cost effective prescribing such as taking advantage of
manufacturing discount schemes
Clinical Governance
Support
achievement of Dispensing Services Quality Scheme - DSQS standards
Assist
in ensuring adherence to Standard Operating Procedures -SOPs
Contribute
to the development of practice policies, protocols and procedures relevant to
the department, review and update as required in association with the
management team
Keep
up to date with legislative changes with regard to prescribing and ensure
compliance
Perform
regular audit of prescribing activities
Undertake
risk management and significant event activities
Support
practice to achieve Quality Outcome Framework (QOF) with regard to medication
indicator thresholds and support the achievement of non-medication indicators
in collaboration with other departments
Support
practice to achieve medicine indicators in NHS Primary Care Network -including
Investment and Impact Fund - IIF - and CCG Clinical Excellence and Investment
Funding - CEIF- or future iterations, contracts in liaison with PPDM and PCN
colleagues
Ensure
compliance with Care Quality Commission -CQC standards
Access
Information Services Portal to analyse and interpret medicines data to
highlight issues and risks to support decision making including EPACT2
Support
PPDM to monitor practice prescribing against the local economys RAG list for
medication that should be prescribed by hospital doctors - red drugs or subject
to shared care - amber drugs. Liaise
directly with hospital colleagues where prescribing needs to be returned to
specialists
Promote
and use computer decision support tools to help remind prescribers about the
agreed formulary and local recommendations
Advise
the primary health care team on the safe and secure handling of controlled
drugs and other medicines, ensuring compliance with medicines legislation.
Effectively
communicate with the dispensary team and the wider practice through GP TeamNet
with regard to dispensary and pharmaceutical related matters
Closely
liaise with the management team with regard to all dispensary, dispensing and
prescribing matters to ensure wider implications are considered and legal or local
requirements are met
This job description is
neither exhaustive nor exclusive and will be reviewed periodically in
conjunction with the post holder. The
post holder is required to carry out any duties that may reasonably be requested
by the PPDM, partners or the practice managers.
Future Development
of Practice Pharmacist role
Support
for frailty as part of PCN work
Primary Care Networks are increasingly becoming
integral to the practice and as such you will be required to work closely with
colleagues employed under the Additional Roles Reimbursement Scheme. The PPDM will co-ordinate pharmacist roles
required regarding medicines to enable clear and effective management of
achievement of indicators.