Advanced Clinical Pharmacist

Downing Drive Surgery

The closing date is 04 October 2024

Job summary

See full job description attached.

The Advanced Clinical Pharmacist will play a vital role in delivering patient-centered care within a multi-disciplinary team. Using advanced clinical skills, including independent prescribing, they will assess, diagnose, and manage patients with various conditions, including minor illnesses and chronic diseases.

This role ensures safe and effective medication use, promotes self-care, and supports continuity of care for high-risk groups, such as those with polypharmacy and long-term conditions. The ACP will lead medicines optimisation, clinical governance, and quality improvement, collaborating across primary, community, and hospital settings.

Working closely with the practice pharmacist and technician, the ACP will enhance medication management, support audits, and improve patient outcomes. They will also assist GPs and ANPs in assessing and treating minor ailments, improving access to timely care.

This role is part of the Additional Roles Reimbursement Scheme (ARRS) within the PCN and involves in-practice work.

Main duties of the job

See full job description attached.

Work as part of a multi-disciplinary team to assess and treat patients using expert knowledge of medicines, focusing on chronic disease management and medication reviews. Take responsibility for patients with complex polypharmacy, especially the elderly, those in care homes, or with multiple co-morbidities, and support programs like STOMP.

Provide specialist advice on medicines, tackle health inequalities, and contribute to Quality and Outcomes Framework (QOF) and Enhanced Services. Develop and optimize care pathways to improve efficiency and safety, and collaborate with the nursing team to streamline chronic disease management.

Lead integration efforts with wider healthcare teams, ensure safe and effective prescribing through audits, and support medication management post-hospital discharge. Offer mentorship to pharmacy staff, engage in clinical supervision, and stay current on pharmaceutical care. Additionally, support diabetes management services where applicable

About us

Downing Drive Surgery is located in Evington, Leicester, and serves approximately 6,800 patients. We are a very friendly practice that prides itself on delivering high-quality, patient-centered care in a welcoming and supportive environment. Our dedicated team consists of GPs, an advanced clinical practitioner, a pharmacist and pharmacy technician, nurses, and administrative staff, all working together to ensure the best possible outcomes for our patients.

We actively promote teamwork and continuous professional development, ensuring that our staff are well-supported and empowered to grow in their roles. With a strong focus on both patient care and staff wellbeing, we strive to maintain a positive atmosphere where everyone feels valued.

Our practice is involved in various local healthcare initiatives and services, which include chronic disease management, minor surgeries, and health promotion clinics. We also work closely with other healthcare providers and specialists to ensure comprehensive and seamless care for our patients.

We take pride in being part of the Evington community, fostering strong relationships with our patients and offering services that are tailored to meet their needs.

Date posted

18 September 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A2818-24-0002

Job locations

155 Downing Drive

Evington

Leicester

LE5 6LP


Job description

Job responsibilities

Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.

Be responsible for the care management of patients with chronic diseases and undertake medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (frailty, COPD, and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme).

Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN and to help in tackling inequalities.

Provide person-centred medicines optimisation and quality improvement, whilst contributing to the Quality and Outcomes Framework (QOF), Impact and Investment Fund (IIF) and Enhanced Services.

Develop new pathways when necessary and work with existing ones, such as AccuRx, to improve efficiency, safety, and quality of care.

Work with the nursing team to create a coherent chronic disease review system by aligning recalls and medication reviews and identifying and eliminating duplication of work to improve efficiency and patient care.

Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care.

Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare, and help manage general practice workload.

Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system.

Take a leadership role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists and anticoagulation; and

Be part of a professional clinical network and have access to appropriate clinical supervision.

High risk drug monitoring and get involved in audits, set by ICB/NHSE or towards borough wide aims and targets. Run searches for local and national medication alerts/shortages.

Do appropriate database searches, in keeping MHRA and NICE alerts/ guidance to support safe patient care.

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Support the pharmacist team to provide clinical medication review in care homes.

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

Management of medicines at discharge from hospital.

Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients.

Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Collaborate with the practices current pharmacist and pharmacy technician to ensure cohesive pharmaceutical service delivery.

Provide training and mentorship to pharmacy staff and students, an stay current with developments in pharmaceutical care and minor ailments.

Work alongside the GP and Advanced Nurse Practitioner to support the assessment and treatment of minor ailments, providing timely and efficient care.

Desired (not essential): Support our Practice by contributing to the Enhanced Diabetes Services and support our patients in managing their diabetic health. If you have the relevant expertise, assist in upskilling other clinical staff on diabetes care.

Job description

Job responsibilities

Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.

Be responsible for the care management of patients with chronic diseases and undertake medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (frailty, COPD, and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme).

Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN and to help in tackling inequalities.

Provide person-centred medicines optimisation and quality improvement, whilst contributing to the Quality and Outcomes Framework (QOF), Impact and Investment Fund (IIF) and Enhanced Services.

Develop new pathways when necessary and work with existing ones, such as AccuRx, to improve efficiency, safety, and quality of care.

Work with the nursing team to create a coherent chronic disease review system by aligning recalls and medication reviews and identifying and eliminating duplication of work to improve efficiency and patient care.

Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care.

Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare, and help manage general practice workload.

Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system.

Take a leadership role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists and anticoagulation; and

Be part of a professional clinical network and have access to appropriate clinical supervision.

High risk drug monitoring and get involved in audits, set by ICB/NHSE or towards borough wide aims and targets. Run searches for local and national medication alerts/shortages.

Do appropriate database searches, in keeping MHRA and NICE alerts/ guidance to support safe patient care.

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Support the pharmacist team to provide clinical medication review in care homes.

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

Management of medicines at discharge from hospital.

Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients.

Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Collaborate with the practices current pharmacist and pharmacy technician to ensure cohesive pharmaceutical service delivery.

Provide training and mentorship to pharmacy staff and students, an stay current with developments in pharmaceutical care and minor ailments.

Work alongside the GP and Advanced Nurse Practitioner to support the assessment and treatment of minor ailments, providing timely and efficient care.

Desired (not essential): Support our Practice by contributing to the Enhanced Diabetes Services and support our patients in managing their diabetic health. If you have the relevant expertise, assist in upskilling other clinical staff on diabetes care.

Person Specification

Qualifications

Essential

  • Masters degree in pharmacy
  • Independent prescriber
  • Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience - minor ailments

Experience

Essential

  • Minimum of 2 years post qualification experience.
  • An appreciation of the nature of GPs and general practices.
  • An appreciation of the nature of primary care prescribing, concepts of rational Excellent interpersonal, influencing and negotiating skills.
  • Excellent written and verbal communication skills.
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g., patients).
  • Can plan, manage, monitor, advise and review general medicine optimisation.

Desirable

  • Enhanced Diabetes skills
Person Specification

Qualifications

Essential

  • Masters degree in pharmacy
  • Independent prescriber
  • Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience - minor ailments

Experience

Essential

  • Minimum of 2 years post qualification experience.
  • An appreciation of the nature of GPs and general practices.
  • An appreciation of the nature of primary care prescribing, concepts of rational Excellent interpersonal, influencing and negotiating skills.
  • Excellent written and verbal communication skills.
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g., patients).
  • Can plan, manage, monitor, advise and review general medicine optimisation.

Desirable

  • Enhanced Diabetes skills

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).

Additional information

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

Downing Drive Surgery

Address

155 Downing Drive

Evington

Leicester

LE5 6LP


Employer's website

https://www.downingdrivesurgery.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Downing Drive Surgery

Address

155 Downing Drive

Evington

Leicester

LE5 6LP


Employer's website

https://www.downingdrivesurgery.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Practice Manager

Katie Billson

katie.billson@nhs.net

01162413801

Date posted

18 September 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A2818-24-0002

Job locations

155 Downing Drive

Evington

Leicester

LE5 6LP


Supporting documents

Privacy notice

Downing Drive Surgery's privacy notice (opens in a new tab)