Job responsibilities
Job Summary
Rutland Health PCN is a group of four high achieving
practices based in the rural county of Rutland comprising of Empingham Medical
Centre, Oakham Medical Practice, Uppingham Surgery and Market Overton and
Somerby Surgeries. Working with our 42,000 patients, we work collaboratively
with Rutland County Council and community services to focus on local health
needs and population health.
The Rutland Health Primary Care Network (PCN) Clinical
pharmacist will work as part of a multi-disciplinary team and have a key role
in supporting the PCN to deliver the Network Contract DES specifications. You will
complement and support the existing team of pharmacists - introducing new
ideas, network working, and developing clinical special interests. You will be working within your set practice of
Uppingham Surgery, supporting the surgery to deliver highly effective, safe
patient care.
For the Structured
Medications Review and Optimisation requirements this will include tackling
over-medication of patients, including inappropriate use of antibiotics,
withdrawing medicines no longer needed through NHS-led programmes such as low
priority prescribing, and medicines optimisation more widely. The post holder
will be required to work enhanced access hours of 6.30pm 8pm one day per
week. You will have access to CPPE and IP training if you do not already hold
these qualifications.
The post
holder will help ensure that the PCN practices integrate 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.
Key Objectives:
-
Provide pro-active leadership on medicines and prescribing systems to the practice multidisciplinary team, patients and their carers
- Develop and deliver patient facing services and clinics which improve patient outcomes, reflect the needs of the practice population and shift workload from other disciplines
- Improve patient and carer understanding of, confidence in, and compliance with their medicines
- Provide pharmaceutical consultations and home visits to patients with long term conditions as an integral part of the multidisciplinary team
- Deliver high quality medication reviews and develop bespoke medicines treatment plans for patients (particularly the elderly, complex patients and those at high risk of admission)
- Improve the safety and quality of prescribing following hospital admissions and attendance
- Improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards, prescribing guidance and other clinical standards
- Develop yourself and the role through participation in clinical supervision, training and service redesign activities
- Provide a clear and active link with community pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage issues
- Deliver training, mentoring and guidance to other clinicians and staff on medicines issues
Job responsibilities:
Patient Facing Clinical Services
& Care
-
Work in a patient facing role to clinically assess and treat patients
using their expert knowledge of medicines for specific disease areas
- Take responsibility for the care management of patients with chronic
diseases and undertake clinical medication reviews to proactively manage people
with complex polypharmacy, especially the elderly, people in care homes, those
with multiple long term conditions (in particular COPD and asthma) and people
with learning disabilities or autism (through STOMP - Stopping Over Medication
Programme)
- Conduct face to face and other
modes of medication reviews and agree medicines care plans in agreement with patients and carers
- Deliver long term conditions clinics and home visits particularly
for patients with complicated medication regimes and prescribe accordingly
- Prescribe acute and repeat medication for patient need within areas of competency
- Provide targeted support and pro-active review for vulnerable, complex patients and those at risk of admission and re-admission to secondary care
- Provide specific advice and support to patients in care homes and support staff
- Provide help and advice on medicines use to patients and their carers
Medicines Optimisation Systems
-
Provide leadership on person centred medicines optimisation.
- Through
structured medication reviews, support patients to take their medications to
get the best from them, reduce waste and promote self-care
- Oversee system for reconciliation
of medicines from outpatient and discharge letters and support safe transfer of care through liaison with hospital and community colleagues
- Liaise with other stakeholders
in the supply chain such as community pharmacists and appliance contractors to handle queries and manage supply problems
- Take a central 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) and anticoagulation
Safety
- Report medicines related incidents, contribute to investigations and root
cause analyses
- Participate in serious incident investigations and multidisciplinary case
reviews
- Report Adverse Drug Reactions and promote reporting by MDT
- Action and respond to Drug Safety Alerts and other safety cascades.
Training, Education &
Information
-
Develop and deliver education sessions and training to clinical and non-clinical staff on medicines issues
- Deliver education and support to individual patients and patient support groups on medicines
- Provide ad-hoc medicines advice to doctors and other clinicians
- Assess emergent clinical evidence and develop strategies for implementation in practice
- Horizon scan for new drugs and provide information to the MDT on their introduction
- Provide advice on cost effective prescribing and supply issues
- Provide teaching and support to medical students, GP trainees and other trainee healthcare professionals
- Actively participate in National CPPE training scheme for clinical pharmacists
Quality
- Ensure compliance with CQC and other professional standards
- Promote a culture of constant improvement and excellence
- Conduct regular clinical audits and other improvement activities
- Assess own performance regularly and make suggestions of how to improve personal and team performance
Financial & Physical
Resources
- Prescribe cost effectively
- Reduce waste
- Ensure safe storage and security of medicines
Health & Safety
Assist in promoting and maintaining your own and others health, safety
and security as defined in the Practice Health and Safety policy. Ensure that any hazards in your working area
are reported immediately to your line manager.
Confidentiality
Ensure patient and Practice information is kept
confidential and secure at all times, in accordance with the Information
Security and Confidentiality protocols.
Performance/Professional Development
Participate in;
- Training sessions to ensure administrative, clinical and
computer skills are kept up to date with current technology and practice.
- Regular appraisal meetings.
- Regular team meetings.
- Comply with the General Pharmaceutical Council
Re-validation process
Equality & Diversity
Support the equality, diversity and rights of patients,
carers and colleagues according to Practice protocol.
Working with Patients
-
Work in partnership with our patients to help them achieve
better health outcomes.
- Offer a polite, friendly and efficient level of customer
service to all our patients.
- Provide specialist expertise in the use of medicines while helping to
address both the public health and social care needs of patients in the network
and help in tackling inequalities.
Dignity and Respect
Treat patients, colleagues and visitors with dignity and
respect at all times.
Feedback
Listen to feedback from patients and colleagues whether
this is a complaint, comment or compliment and if it cannot be dealt with
immediately, ensure it is reported to a member of the Practice Management Team.
Key Working Relationships
& Communications
Key working relationships include:
- General Practitioners and other
practice clinicians (Frequent/ Daily)
- Patients and carers (Frequent/ Daily)
- Practice Management team
- PCN Clinical
Pharmacists
- Local community
Pharmacies
- Secondary care pharmacy departments
- Secondary Care departments where relevant
- Primary healthcare team e.g., community nurses
- Care Homes
- Healthcare
providers including NHS, third sector and voluntary
Equal opportunities policy
The PCN and its practices are committed to enabling everyone working with
us to achieve their full potential in an environment characterised by dignity
and mutual respect, and recognises that everyone is different and values the
unique contribution that individual experience, knowledge and skills can make.
Everyone working in the practices and wider PCN should be treated fairly
and valued equally. All employment
conditions should fit in with the needs of those who work in it, regardless of
age, disability, race, nationality, ethnic or national origin, gender, religion,
beliefs, sexual orientation, domestic circumstances, social and employment
statues or political affiliation.
Any member of staff wishing to make a complaint should follow the guidelines
laid out in their contracts.
This job description is not all
encompassing. Over time and as you develop; the emphasis of the job may change
without changing the general character of the job. Your duties may be reviewed
from time to time and revised and updated in consultation with you to reflect
appropriate changes.
