Clinical Pharmacist

Hungerford Surgery

The closing date is 31 May 2024

Job summary

We are looking for a motivated and forward-thinking clinical pharmacist to join our GP practices across the network. The Clinical Pharmacist will be a patient facing role with plenty of opportunity to utilise your clinical skills to improve the health of the local community; this will include managing long-term conditions, supporting hospital discharge prescribing arrangements, providing specific advice for those on multiple medications, clinical audits to improve patient care, and supporting the GP practices involved to develop the clinical pharmacist role.

Clinical supervision and mentorship will be provided. We are looking for candidates who are enthusiastic and adaptable to change, with excellent clinical skills and a good level of competence in use of I.T. Candidates should exhibit good organisational skills and ability to communicate effectively with a wide range of healthcare professionals and other stakeholders including patients, families and carers.

Main duties of the job

Clinical Pharmacist in a general practice organisation has the following key responsibilities in relation to delivering health services. These key responsibilities are based on those outlined in the Network Contract Direct Enhanced Service Contract Specification 2023/24 PCN Requirements.

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  • 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 a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team
  • Be responsible 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 co-morbidities (in particular 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 organisation and to help in tackling inequalities
  • Provide leadership on person-centred medicines optimisation and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services
  • Other duties may be included in role

About us

There is a really nice atmosphere at Hungerford Surgery. We have a brilliant Pharmacy team who are there to support a Clinical Pharmacist in their role. There are huge amounts of support and mentorship within the practice, and also help from others in the same role across the PCN (Primary Care Network). Everyone wants you to succeed.

Date posted

14 March 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A3556-24-0000

Job locations

The Croft

Hungerford

Berkshire

RG17 0HY


Job description

Job responsibilities

Other duties within the role include:

  • 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 the wider health and social care system
  • 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), liaison with community pharmacists and anticoagulation
  • Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means:

a) Each clinical pharmacist must receive a minimum of one supervision session per month by a senior clinical pharmacist

b) The senior clinical pharmacist must receive a minimum of one supervision session every three months by a GP clinical supervisor

c) Each clinical pharmacist will have access to an assigned GP clinical supervisor for support and development

d) A ratio of one senior clinical pharmacist to no more than five junior clinical pharmacists, with appropriate peer support and supervision in place

  • To act as the point of contact for all medicine related matters, establishing positive working relationships
  • To consult patients within defined levels of competence and independently prescribe acute and repeat medication
  • To receive referrals and directed patients from triage services and other clinicians
  • To receive and resolve medicines queries from patients and other staff
  • To provide medication review services for patients in the practice and during domiciliary visits to the local nursing home
  • To manage a caseload of complex patients
  • To manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs etc.
  • To deliver long term conditions clinics and home visits particularly for patients with complicated medication regimes and prescribe accordingly
  • To provide pharmaceutical consultations to patients with long term conditions as an integral part of the multidisciplinary team
  • To review medications for newly registered patients
  • To improve patient and carer understanding of confidence in and compliance with their medication
  • To encourage cost-effective prescribing throughout the organisation
  • To implement and embed a robust repeat prescribing system
  • To provide advice and answer medication related queries from patients and staff
  • To organise and oversee the organisations medicines optimisation systems including the repeat prescribing and medication review systems
  • To improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards and clinical and prescribing guidance.
  • To develop yourself and the role through participation in clinical supervision, training and service redesign activities
  • To ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. To apply infection-control measures within the practice according to local and national guidelines
  • To provide subject matter expertise on medication monitoring, implementing and embedding a system
  • To support clinicians with the management of patients suffering from drug and alcohol dependencies
  • To actively signpost patients to the correct healthcare professional
  • To manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care
  • To review the latest guidance ensuring the organisation conforms to NICE, CQC etc.
  • To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care
  • To handle prescription queries and requests directly
  • To provide proactive leadership on medicines and prescribing systems to the organisation, patients and their carers
  • To support in the delivery of enhanced services and other service requirements on behalf of the organisation
  • To participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events
  • To undertake all mandatory training and induction programmes
  • To contribute to and embrace the spectrum of clinical governance
  • To attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
  • To contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice or direct care
  • To maintain a clean, tidy, effective working area at all times.

Job description

Job responsibilities

Other duties within the role include:

  • 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 the wider health and social care system
  • 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), liaison with community pharmacists and anticoagulation
  • Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means:

a) Each clinical pharmacist must receive a minimum of one supervision session per month by a senior clinical pharmacist

b) The senior clinical pharmacist must receive a minimum of one supervision session every three months by a GP clinical supervisor

c) Each clinical pharmacist will have access to an assigned GP clinical supervisor for support and development

d) A ratio of one senior clinical pharmacist to no more than five junior clinical pharmacists, with appropriate peer support and supervision in place

  • To act as the point of contact for all medicine related matters, establishing positive working relationships
  • To consult patients within defined levels of competence and independently prescribe acute and repeat medication
  • To receive referrals and directed patients from triage services and other clinicians
  • To receive and resolve medicines queries from patients and other staff
  • To provide medication review services for patients in the practice and during domiciliary visits to the local nursing home
  • To manage a caseload of complex patients
  • To manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs etc.
  • To deliver long term conditions clinics and home visits particularly for patients with complicated medication regimes and prescribe accordingly
  • To provide pharmaceutical consultations to patients with long term conditions as an integral part of the multidisciplinary team
  • To review medications for newly registered patients
  • To improve patient and carer understanding of confidence in and compliance with their medication
  • To encourage cost-effective prescribing throughout the organisation
  • To implement and embed a robust repeat prescribing system
  • To provide advice and answer medication related queries from patients and staff
  • To organise and oversee the organisations medicines optimisation systems including the repeat prescribing and medication review systems
  • To improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards and clinical and prescribing guidance.
  • To develop yourself and the role through participation in clinical supervision, training and service redesign activities
  • To ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. To apply infection-control measures within the practice according to local and national guidelines
  • To provide subject matter expertise on medication monitoring, implementing and embedding a system
  • To support clinicians with the management of patients suffering from drug and alcohol dependencies
  • To actively signpost patients to the correct healthcare professional
  • To manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care
  • To review the latest guidance ensuring the organisation conforms to NICE, CQC etc.
  • To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care
  • To handle prescription queries and requests directly
  • To provide proactive leadership on medicines and prescribing systems to the organisation, patients and their carers
  • To support in the delivery of enhanced services and other service requirements on behalf of the organisation
  • To participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events
  • To undertake all mandatory training and induction programmes
  • To contribute to and embrace the spectrum of clinical governance
  • To attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
  • To contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice or direct care
  • To maintain a clean, tidy, effective working area at all times.

Person Specification

Qualifications

Essential

  • Masters Degree in Pharmacy (MPharm) or equivalent
  • Registered with GPhC
  • Member of RPS
  • Specialist knowledge through a Postgraduate Diploma and qualifications (e.g. clinical, community, therapeutics) or equivalent
  • Evidence of recent and relevant Continuing Professional Development
  • Independent prescriber status or a commitment to undertake the course

Experience

Essential

  • Experience in Clinical Pharmacy for 1 year (required).
  • Experience in General Practice.
Person Specification

Qualifications

Essential

  • Masters Degree in Pharmacy (MPharm) or equivalent
  • Registered with GPhC
  • Member of RPS
  • Specialist knowledge through a Postgraduate Diploma and qualifications (e.g. clinical, community, therapeutics) or equivalent
  • Evidence of recent and relevant Continuing Professional Development
  • Independent prescriber status or a commitment to undertake the course

Experience

Essential

  • Experience in Clinical Pharmacy for 1 year (required).
  • Experience in 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).

Additional information

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

Hungerford Surgery

Address

The Croft

Hungerford

Berkshire

RG17 0HY


Employer's website

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

Employer details

Employer name

Hungerford Surgery

Address

The Croft

Hungerford

Berkshire

RG17 0HY


Employer's website

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

For questions about the job, contact:

Practice Operations Manager

Loren Franklin

lorenfranklin@nhs.net

01488689044

Date posted

14 March 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A3556-24-0000

Job locations

The Croft

Hungerford

Berkshire

RG17 0HY


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