Clinical Pharmacist - General Practice

Job description

Job responsibilities

Main Responsibilities: (not exhaustive)

Responsible for providing the 'Best' Customer Service to patients and clinicians and to ensure the effective running of the service. The role requirements are as follows, but are not limited to these points only and may be amended or new items added at the request of and Management:

See (where appropriate) patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including deprescribing

Will be responsible for actively prescribing within a defined area and for a defined group of Service-users

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. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants)

Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation)

Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests

Work with care home staff to improve safety of medicines ordering and administration.

Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines

Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests

Attend and refer patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans

Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate

Manage own caseload for patients and diagnosis people with long term and/or acute/common conditions/ailments while remaining within scope of practice and limits of competence

Referring to GP and/or other healthcare professionals where appropriate.

Provide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice

Provide a telephone help line for patients with questions, queries, and concerns about their medicines

Provide out of hours/ on call/ extended services for the practice and the patients. These can include patient facing and telephone consultations

Signposts to other services and /or healthcare professionals where appropriate, whilst working within a scope of practice and limits of competency

Use practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines

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

To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes manage these changes without referral to a GP

Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge

Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes)

Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care

Ensure that patients are referred to the appropriate healthcare professional; for the appropriate level of care within an appropriate period of time e.g. pathology test results, common/ minor ailments, acute conditions, long term condition reviews etc

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 when required

Working with patients and the primary care team to minimise risks through medicines optimisation

Analyse, interpret and present medicines data to highlight issues and risks to support decision-making

Conduct clinical audits and improve projects or work with colleagues such as GP registrars, practice managers etc

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

Support the practice and undertake risk assessment and management and ensure compliance with medicines legislation

Monitor practice prescribing against the local health economys RAG list for medicines 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. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system

To provide specialist knowledge on all public health programmes available to general public

General information:

The practice has robust health and safety policies, which you should ensure you are aware of. Staff are reminded of their responsibility to take care of their own personal safety and others whilst at work. In addition, no person shall interfere with, or misuse anything provided in the interests of health, safety, and welfare. Any employee who does so will be liable to serious disciplinary action including dismissal.

All employees of MyHealth are reminded of the need to treat all information, particularly clinical and management information, as confidential. Failure to respect this requirement may lead to disciplinary action.

This Job Description will be reviewed each year as part of the annual appraisal process, to ensure that it reflects the responsibilities of the post. No changes will be made without full consultation with the post holder.

Person Specification

Knowledge

Desirable

• Special interest in respiratory care

Qualifications

Essential

• Qualified Pharmacist - GPhC registration

Desirable

• Independent Prescriber Qualification - Recognised by the GPhC

Experience

Desirable

• Working within General practice

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

MyHealth

Address

Southfields Road

Strensall

York

North Yorkshire

YO32 5UA

Employer's website

https://myhealthgroup.co.uk/ (Opens in a new tab)