Job responsibilities
Patient
facing/telephone long-term condition clinics.
See (where appropriate) patients with single or multiple medical
problems where medicine optimisation is required (e.g., COPD, asthma). Review
the ongoing need for each medicine, a review of monitoring needs and an
opportunity to support patients to ensure they get the best use of their
medicines (i.e., medicines optimisation). Make appropriate recommendations to
GPs/other clinical colleagues or prescribe autonomously where appropriate for
medicine improvement.
Patient
facing/telephone clinical medication review (including SMR)
Undertake clinical medication reviews with patients
and make appropriate recommendations to GPs/other clinical colleagues or
prescribe autonomously where appropriate for medicine improvement. SMRs will be
conducted against the Lombard Medical Centre plan and in accordance with each
practice(s) specific local implementation of that plan.
Patient
facing/telephone care home medication review (including SMR)
Undertake clinical medication reviews with patients and produce
recommendations to GPs/other clinical colleagues on prescribing and monitoring
or prescribe autonomously where appropriate. Work with care home staff to
improve safety of medicines ordering and administration. SMRs will be conducted
against the Lombard Medical Centre plan and in accordance with each practice(s)
specific local implementation of that plan.
Patient facing domiciliary clinical medication review (including SMR)
Undertake clinical medication reviews with patients and make appropriate
recommendations to GPs/other clinical colleagues or prescribe autonomously
where appropriate for medicine improvement. SMRs will be conducted against the Lombard
Medical Centre plan and in accordance with each practice(s) specific local
implementation of that plan. Attend and refer patients to multidisciplinary
case conferences.
Structured
Medication Reviews
Lead on the development of the Lombard Medical Centre SMR plan working
collaboratively with the other Senior Clinical Pharmacists, Clinical
Pharmacists, key Lombard Medical Centre colleagues such as Care Home Matrons
and Dieticians and the CCG Medicines Management Team. Contribute to collating
progress reports from each practice to feedback to the Lombard Medical Centre.
Management of
common/minor/self-limiting aliments
Managing caseload for 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 a telephone help line for patients with questions, queries, and
concerns about their medicines.
Online questionnaire reviews
Complete medication reviews using the bespoke online prescribing
questionnaires.
Medicine
information to practice staff and patients
Answers all medicine-related enquiries from GPs, other practice staff,
other healthcare teams (e.g., community pharmacy) and patients with queries
about medicines. Suggesting and recommending solutions. Providing follow up for
patients to monitor the effect of any changes.
Unplanned
hospital admissions
Lead on coordinating at Lombard Medical Centre level (where appropriate)
and contribute at practice level to review the use of medicines most 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 high-risk patient groups.
Management of
medicines following 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 high-risk 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 period of time e.g.,
pathology results, common/minor ailments, acute conditions, long term condition
reviews etc.
Repeat prescribing.
Produce and implement a 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. This might include risks that are patient related, medicine
related, or both. These patients will be prioritised for a SMR as per the Lombard
Medical Centre SMR plan and each practices local implementation of the plan.
Service development.
Contribute pharmaceutical advice for the development and implementation
of new services that have medicinal components (e.g., advice on treatment
pathways and patient information leaflets). Also contribute to further
development of and recruitment to the Lombard Medical Centre Clinical Pharmacy
team including liaison with the Lombard Medical Centre Practice Director, Lead
GP, Pharmacy Technician, Prescribing admin staff and Lead Clinical Pharmacist.
Information
management
Analyse, interpret, and present medicines data to highlight issues and
risks to support decision making.
Medicine quality
improvement
Lead on coordinating at Lombard Medical Centre level (where appropriate)
and contribute at practice level to the undertaking of simple audits of
prescribing in areas directed by the GPs, feedback the results and implement
changes in conjunction with the practice team. with the practice team. Attend
weekly meetings on a variety of subject.
Medicine 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 1 drugs). Assist practices in seeing and maintaining a practice
formulary that is hosted on the practices clinical system. Auditing practices
compliance against NICE technology assessment guidance. Provide newsletters or
bulletins on important prescribing messages.
Education and
training
Provide education and training to the 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