Job responsibilities
REPORTS TO: MDT Lead GP clinically, administratively to PCN
Manager
HOURS: Up to 37.5 hours
per week
Job overview
The Health Triangle
PCN is a flourishing organisation, comprising a diverse Multi-Disciplinary Team
including Doctors, Nurses, Advanced Practitioners, Paramedic Practitioners,
Clinical Pharmacists, First Contact Physiotherapists, Nursing Associates, Mental
Health Practitioner, Social Prescriber and Care Coordinators.
The PCN consists of 3
practices serving 50,000 patients spanning over Bracknell/Crowthorne and
Sandhurst. We are a friendly and innovative organisation, with a strong focus
on education and personal development.
We are delighted in
being able to offer a Clinical Pharmacist position within the PCN to join our
experienced and enthusiastic clinical team.
The PCN strives to
develop the MDT with support from the local training Hub, and with a training
practice within the PCN, there is strong support and encouragement for clinical
pharmacists to develop their skills and knowledge with both nationally recognised
programmes such as the CPPE and ACP, and local courses such as in leadership,
management of long-term conditions and minor illness. We also encourage the MDT
to pursue special interests, with some of our pharmacists leading clinics in
diabetic care and respiratory care.
Job overview
The post holder must be a registered pharmacist, who
acts within their professional boundaries, supporting and working alongside a
multidisciplinary team in general practice.
The role will include patient facing services
ranging from telephone consultations to face to face consultation.
The post holder will take responsibility for areas
of chronic disease management within the practice and undertake clinical
medication reviews to proactively manage patients with complex polypharmacy
while addressing both public and social care needs of patients in the GP
practices.
The post holder will provide primary support to
general practice staff with regards to prescription and medication queries, and
will provide support in the prescription hub, providing expert advice on
medicines, the repeat prescription system, manage acute prescription requests,
and medicines reconciliation on transfer of care and systems for safer
prescribing.
The post holder will provide clinical leadership on
medicines optimisation and quality improvement and manage some aspects of the
quality and outcomes framework and enhanced services.
The post holder will ensure that the practice
integrates with community and hospital pharmacy to help utilise skill mix,
improve patient outcomes, ensure better access to healthcare and help manage
workload.
The role is pivotal to improving the quality of care
and operational efficiencies so requires motivation and passion to deliver
excellent service within general practice.
The post holder will be supported to develop their
role to become a nonmedical prescriber.
Main Duties and
Responsibilities
Patient facing longterm condition clinics:
See (where appropriate) patients with single or
multiple medical problems where medicine optimisation is required (e.g.
hypertension, asthma).
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 GPs for medicine
improvement.
Patient facing clinical
medication review:
Undertake clinical medication reviews with patients
and produce recommendations for senior clinical pharmacist, nurses and/or GP on
prescribing and monitoring.
Patient facing care
home medication reviews:
Undertake structured medication reviews with
patients and produce recommendations for the senior clinical pharmacist,
paramedics, nurses or GPs on prescribing and monitoring.
Work with care home staff to improve safety of
medicines ordering and administration.
Patient facing
domiciliary clinical medication review:
Undertake structured medication reviews with
patients and produce recommendations for nurses and GPs on prescribing and
monitoring.
Attend and refer patients to multidisciplinary case
conferences.
Management of
common/minor/self-limiting ailments:
Managing caseload of 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.
Patient facing
medicines support:
Provide patient facing clinics for those with
questions, queries and concerns about their medicines in the practice.
Telephone medicines
support:
Provide telephone clinics for patients with
questions, queries and concerns about their medicines.
Medicine information to
practice staff and patients:
Answers relevant medicinerelated enquiries
from practice staff, other healthcare teams (e.g. community pharmacy or
district nurses) and patients with queries about medicines.
Provides recommendations on medicine optimisation
and adherence.
Offer follow up for patients to monitor the effect
of any changes.
Unplanned hospital
admissions:
Review the use of medicines commonly associated with
unplanned hospital admissions and readmissions through audit and individual
patient reviews.
Put in place changes to reduce the prescribing of
these medicines to highrisk patient groups.
Management of medicines
at discharge from hospital:
To reconcile medicines following discharge from
hospitals, intermediate care and into care homes, including identifying and
rectifying unexplained changes 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 highrisk groups of patients (e.g. those with medicine compliance aids or
those in care homes).
Signposting:
Ensure that patients are referred to the appropriate
healthcare professional for the appropriate level of care within an appropriate
timeframe, such as pathology results, common/minor ailments, acute conditions,
long term condition reviews etc.
Repeat prescribing:
Implement the practice repeat prescribing policy.
Manage the repeat prescribing reauthorisation
process by reviewing patient requests for repeat prescriptions and reviewing
medicines reaching review dates and flagging up those needing a review.
Ensure patients have appropriate monitoring tests in
place when required.
Risk stratification:
Identification of cohorts of patients at high risk
of harm from medicines through pre-prepared practice computer searches
Medicines quality
improvement:
Undertake clinical audits of prescribing in areas
directed by the GPs, feedback the results and implement changes in conjunction
with the practice team.
Medicines safety:
Implement changes to medicines that result from MHRA
alerts, product withdrawal and other local and national guidance.
Implementation of local
and national guidelines and formulary recommendations:
Monitor practice prescribing against the local
health economys RAG list and make recommendations to GPs for medicines that
should be prescribed by hospital doctors (red drugs) or subject to shared care
(amber drugs).
Assist practices in seeing and maintaining a
practice formulary that is hosted on the practices computer system.
Auditing practices compliance against NICE
technology assessment guidance.
Education and Training:
Provide education and training to primary healthcare
team on therapeutics and medicines optimisation.
Care Quality
Commission:
Work with the general practice team to ensure the
practice is compliant with CQC standards where medicines are involved.
Public health:
To support public health campaigns.
To provide specialist knowledge on all public health
programmes available to the general public.
Qualifications
/Required experience
Degree in Pharmacy, MPharm/BPharm
GPhC Registered
Full driving licence
IP Qualified or working toward an IP qualification
General Practice and understanding of medicines
optimisation roles
Desired experience
Member of the RPS
Clinical Diploma
Minor ailments qualification
Clinical systems trained (Emis)
Salary is £18.00 to £26.66
per hour.
Benefits:
Company events
Company pension
Employee discount
Flexitime
Free flu jabs
Free parking
On-site parking
Private medical
insurance
Sick pay
Store discount
Birthday day off
Schedule:
Day shift
Flexitime
Monday to Friday
Weekend availability
