Clinical Pharmacist

Job description

Job responsibilities

MAIN TASKS AND RESPONSIBILITIES

1. Patient Facing Clinical Services and Care

Conduct face to face and other modes of medication reviews and agree medicines care plans in agreement with patients and carers

Delivering long term conditions clinics and home visits particularly for patients with complicated medication regimes and prescribe accordingly

Consult with patients for acute illnesses within defined levels of competence and independently prescribe medication

Post assessment prescribe acute and repeat medication for patient need within areas of competency

Receive referrals and directed patients from triage services and other clinicians

Provide targeted support and pro-active review for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

Receive and resolve medicines queries from patients and other staff

Contribute to public health campaigns (e.g. flu clinics) through advice or direct 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

Promote self-management and develop patient support systems

Manage therapeutic drug monitoring system and recall of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and DMARDs etc

Support virtual and remote models of consultation and support including e-consultations, remote medication review and telehealth and telemedicine.

2. Medicines Optimisation Systems

Organize and oversee repeat prescribing, repeat dispensing, electronic prescribing and medication review systems with area of competency and post clinical assessment of patient

Provide leadership and support to prescription administrative staff

Handle prescription queries and requests directly

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

Maintain and review a Medicines Handling Policy for the practice to ensure safe processes for self-administered medicines and controlled drugs

Support the delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives

Agree and review Prescribing Formularies and Protocols and monitor compliance levels

Improve the data quality of medicines records and linking to conditions.

3. 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

Oversee use and monitoring of high risk drugs and drugs of abuse

Action and response to Drug Safety Alerts and other safety cascades.

4. Training and education and information

Participate in MDT learning activities

Participate in and contribute to MDT clinical supervision sessions and case reviews

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 Pilot scheme MDT meetings and monthly cluster pharmacist group clinical supervision and development sessions.

Actively participate in National CPPE training scheme for clinical pharmacists if required.

5. 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

Lead and participate in PDRs and other improvement activities

Contribute to the achievement of KPIs and objectives of the pilot programme

Understand a risk management approach and apply it to all activities.

6. Financial and physical resources

Manage prescribing expenditure and monitor drug budget

Prescribe cost effectively

Reduce waste

Ensure safe storage and security of medicines.

7. Governance

Agree and maintain Medication Review Policies and procedures

Agree and manage Repeat Prescribing Policy and Processes

Maintain prescribing policies within the practice to manage risk including medicines storage, preparation, administration and disposal to comply with Medicines Act 1968 and Misuse of Drugs Act 1971 and evolving legislation

Person Specification

Qualifications

Essential

• * Educated to masters level or equivalent level of experience of working at a senior level in specialist area
• * Evidence of post qualifying and continuing professional development
• * Member of General Pharmaceutical Council

Desirable

• * Extensive knowledge of medicines optimisation, acquired through post graduate diploma or equivalent experience or training plus further specialist knowledge or experience to masters level equivalent
• * GPhC Independent Prescribing Qualification

Experience

Essential

• - Must have an understanding of the background to and aims of current healthcare policy and appreciate the implications of this on planning, engagement and delivery, or clear evidence of ability to acquire and apply this rapidly
• - Experience of undertaking evidence reviews
• - Understanding of the current national policies in particular those impacting on medicines optimisation services
• - Demonstrates understanding of legal, governance and ethical frameworks within which pharmacists and primary/secondary care
• - Excellent clinical knowledge and ability to apply to practice
• - Experience of a patient focused role and consultation skills to apply knowledge in a format patients/carers can understand
• - Sound knowledge of medicines legislation and the vision for the development of clinical pharmacists within primary care
• - Ability to summarise and present information in relevant concise and proactive way
• - Good interpersonal skills
• - Ability to constructively challenge the views and practices of clinicians and managers
• - Developed communication skills for delivering key messages to a range of stakeholders both internal and external (including outside the NHS) to the organisation, some at very senior level
• - Good presentational skills for conveying complex concepts
• - Experience of communication, negotiating and influencing with a wide range of stakeholders

Desirable

• - Should have an appreciation of the new NHS architecture including the relationship between individual provider and commissioning
• - Good understanding of primary care
• - Evidence of experience in using independent prescribing
• - Project or Programme Management skills
• - Ability to use informed persuasion to influence others

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

East Cliff Practice (part of Invicta Health CIC)

Address

Montefiore Medical Centre

Dumpton Park Drive

Ramsgate

Kent

CT11 8AD

Employer's website

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