Job responsibilities
Professional
Responsibilities:
- Assist
GPs to help deliver effective implementation of medicines management for
patients
- Contribute
to the development of policies / protocols / guidelines within the Practice.
- Use
of computer for monitoring, recording, recall and management of all patient
information - (Practice uses EMIS Web)
- Aid
the Practice team with implementation of new initiatives in the delivery of medicine
management services.
- Formulate
reports as required for the Practice Management and/or GP Partners.
- Support the implementation of evidence-based guidelines in conjunction
with the Practice team
Encourage
the development of integrated services within primary care to include
integrated Practice based teams and multidisciplinary working.
Engage in continuous professional development and promote this with other members of the team.
Recognise the opportunities for working in partnership with the Primary Health Care team.
Participate in an annual appraisal
Main
Duties:
Clinical
Administration
- Medication
queries and acute requests
- Support
the practice medicines management team with medicines reconciliation
- Signposting
- Authorising
repeat prescriptions
- Medicines
information
- Interpreting
pathology
- Signing
prescriptions (when qualified)
Clinical
Delivery
Leadership
and Integration
- Leading
on medicines management
- Integration
with community pharmacy
- Integration
with hospital pharmacy
- Leading
on QOF domains where appropriate
Practice
Process and Performance
- Best
practice prescription management
- QOF
optimisation and prevalence finding
- CQC
support
- Local
incentive scheme support
- Clinical
audits
- Education
and training of staff
Prescription
Management
- Review,
manage and implement any appropriate changes to the practice repeat prescribing
policy
- Manage
the repeat prescribing reauthorization process by reviewing medications
reaching review dates; make necessary changes as an independent prescriber in
collaboration with the general practitioners
- Ensure
implementation of the practice high risk drug monitoring process ensuring
patients are booked in for necessary monitoring tests when required
Medicines
reconciliation (with support from the practice medicines management team)
- To
reconcile medicines following discharge from hospitals, intermediate care and
care homes, including identifying and rectifying unexplained changes and
highlighting any concerns to the GP who is the patients usual doctor.
-
Work
with community pharmacists to ensure patients receive the medication they need
post discharge
Ensure
a post discharge medication care plan is in place including any dose titration
or follow up tests
Medication
review and Long Term Condition management
- Undertake
clinical medication reviews with patients with multi-morbidity and polypharmacy
and implement clinically indicated prescribing changes as an independent
prescriber, working to protocols agreed with the partnership.
- Visit
housebound or vulnerable patients to undertake clinical medication reviews,
attending multidisciplinary team meetings as required.
- To
prescribe safe, effective and appropriate medication as defined by current
legislative framework and within own scope of clinical competence.
- When
seeing patients for medication advice, provide safe, evidence-based,
cost-effective, individualised patient care.
- Offer
a holistic service to patients and their families, developing where appropriate
an on-going plan of care/support, with an emphasis on prevention and self-care.
- Promote
health and well-being through the use of health promotion, health education,
screening and therapeutic communication skills.
Acute/minor
illness and patient medicine queries
- Provide
patient facing appointments and telephone support for those with questions,
queries and concerns about their medicines
- Answer
all medicine related enquiries from GPs, other practice staff and other
healthcare teams(e.g. Community nurses and pharmacy)
Quality
improvement, training and development
- Identify
and act upon national and local policy and guidance that effects patient safety
through the use of medicines including MRHA alerts, product withdrawal and
emerging evidence from clinical trials
- Work
with practice teams and patients to
implement NICE guidelines
- Increase
quality and safety of prescribing through mechanisms such as audit and PDSA
cycles
- Work
with CCG medicines optimisation team to deliver local objectives
- Ensure
the practice is compliant with CQC standards where medicines are involved.
- Provide
education and training to primary healthcare team on therapeutics and medicine
optimisation
Research, Audit and
Quality:
- Undertake
audits as requested by the CCG and encourage the
development of a Practice audit strategy and action plan for Primary Care.
Alert other team members to issues of quality and risk
- Contribute
to the provision of equitable, high quality services for patients in the
locality.
- Help
support the integration across primary, secondary and tertiary care services.
- Maintain
an interest in national research initiatives and disseminate appropriate
information to health professionals if asked to do so.
- Ensure
all care is evidence based using up to date validated resources.
- Contribute
to research and development programmes where required to improve clinical
practice.
- Contribute
to the effectiveness of the team by reflecting on own and team suggestions on
ways to improve and enhance the teams performance
- Work
effectively with individuals in other agencies to meet patients needs
- Effectively manage
own time, workload and resources
Communication:
The post-holder should recognize the
importance of effective communication within the team and will strive to:
- Communicate
effectively with other team members
- Lead the monthly Prescribing meeting, contribute to and attend
other Practice meetings as necessary.
- Communicate
effectively with patients and carers
- Recognise
peoples needs for alternative methods of communication and respond accordingly
Contribution to the
Implementation of Services:
The post-holder will:
- Apply
Practice policies, standards and guidance
- Discuss
with other members of the team how the policies, standards and guidelines will
affect own work
- Participate
in audit where appropriate
Confidentiality
- In the course of seeking treatment, patients
entrust us with, or allow us to gather, sensitive information in relation to
their health and other matters. They do
so in confidence and have the right to expect that staff will respect their
privacy and act appropriately
- In the performance of the duties outlined in
this job description, the post-holder may have access to confidential
information relating to patients and their Carers, Practice staff and other
healthcare workers. They may also have
access to information relating to the Practice as a business
organisation. All such information from any source is to be regarded as
strictly confidential
- Information relating to patients, carers,
colleagues, other healthcare workers or the business of the Practice may only
be divulged to authorised persons in accordance with the Practice policies and
procedures relating to confidentiality and the protection of personal and
sensitive data
- To work in accordance of all Practice written
protocols
Equality and Diversity:
The post-holder will support the
equality, diversity and rights of patients, carers and colleagues, to include:
- Acting
in a way that recognizes the importance of peoples rights, interpreting them
in a way that is consistent with Practice procedures and policies, and current
legislation
- Respecting
the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving
in a manner which is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Personal/Professional
Development:
The post-holder will participate in any
training programme implemented by the Practice as part of this employment, such
training to include:
- Participation
in an annual appraisal, including taking responsibility for maintaining a
record of own personal and/or professional development
- Taking
responsibility for own development, learning and performance and demonstrating
skills and activities to others who are undertaking similar work
- Annual
Resus Training
Safeguarding
Thornton Practice is committed to
safeguarding and promoting the welfare of all children and young people and
vulnerable adults who attend the surgery, either as patients or when
accompanying patients. The post-holder
will be expected to share this commitment.
If the post-holder has a concern
regarding a child or young person or vulnerable adult they have a duty to act
upon that concern. This may mean sharing
that concern with another professional and following local and national
guidance.
Important Note
This Job Description is flexible and the
post holder will be expected to undertake any other duties appropriate to the
role and grade as may be required by the GPs/Practice and Management
This job description is subject to change
from time to time in line with organisational need and the post holders
agreement should not unreasonably be denied.