Sevenfields PCN

Primary Care Clinical Pharmacist

This job is now closed

Job summary

An exciting opportunity has arisen for motivated and patient centred, senior or junior clinical pharmacists to utilise their clinical skills in the primary care setting working as part of multidisciplinary team to drive improvement and the quality of patient care through the provision of efficient, safe and effective use of medicines.

Working within the PCN setting will include development of the PCN pharmacy service to integrate working strategies to support effective delivery of activity and medicines work streams and pharmacy support across practices. This may also involve clinical supervision of pharmacy technician which provides opportunity to develop management and mentoring opportunities.

Main duties of the job

Responsibilities will include providing direct patient care and undertaking full, patient centered structured medication reviews to proactively manage people with complex polypharmacy and adherence concerns, particularly the elderly and those with multiple long term conditions. These post requires close partnership and team working to co-ordinate medicines related aspects of care across both health and social care interfaces.

The post holder will be employed by Sevenfields PCN and work with our existing Pharmacy Team of Senior Clinical Pharmacist and Pharmacy Technician in our GP Practices. Our supervision framework will ensure you get the support you need to develop and thrive with us.

The post holder will have the opportunity to undertake the Primary Care Pharmacy Education Pathway delivered by the CPPE, unless already gained or equivalent qualification held already.

Whilst experience in primary care is not essential, lots of enthusiasm and a desire to use transferable clinical skills around medicines optimisation and holistic patient care in a primary care setting is the key.

About us

Sevenfields PCN is embedded into its community with active link workers and a staff base at Goldsmiths Community Centre which also offers vaccinations and other services. We have a real passion for the health and wellbeing of our residents and have invested in four outdoor gyms for our local communities using surpluses generated by our vaccination work which was largely delivered by our active volunteer team. Our local population is somewhat older than other parts of Lewisham and contains several large care homes. It includes areas of extreme socioeconomic deprivation and the PCN is keen to find innovative ways of addressing the health challenges that accompany this. All of the GP practices in Sevenfields are shareholders (members) of our PCN Company which has a Board that provides clear leadership through strong GP practice representation. As is the case elsewhere, Primary Care in Lewisham is under pressure. The challenge for Sevenfields PCN is to work in partnership with our local practices, GP Federation and Integrated Care Board (at South East London and Place levels) across our neighbourhood to help shape and implement the transformation of Care in our locality ensuring that it can both survive and thrive while still contributing to the delivery of new models of care that are self-sustaining financially.

Date posted

10 November 2023

Pay scheme

Other

Salary

Depending on experience Band 8A

Contract

Permanent

Working pattern

Full-time

Reference number

A5587-23-0010

Job locations

Goldsmiths Community Centre

Castillon Road

London

SE6 1QD

Job description

Job responsibilities

1. To be responsible for the management of patients with long term conditions and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly and those with multiple co-morbidities (in particular frailty, COPD, asthma, diabetes and cardiovascular disease) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme);

2. Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCNs practice(s) and to help in tackling inequalities;

3. Provide leadership in the practice on medicines optimisation systems and processes and quality improvement

4. Contribute to meeting the Quality and outcomes Framework (QoF) targets, enhanced services and the Investment and Impact Fund (IIF) indicators

5. Through Structured Medication Reviews (SMRs), support to improve the patients knowledge of their conditions and associated treatments and therefore improve adherence to medication, reduce waste and promote self-care.

6. The post holder will provide support to practice staff with regards to prescription and medication queries, ensuring integration with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage GP workload.

7. Review discharge summaries and reconcile medicines at transfer of care for identified and targeted patients.

8. Provide support to improve concordance and helping patients get the best from their medicines, reducing medicines related admissions (including falls), and promoting appropriate evidence-based and cost effective prescribing. This will involve advice on de-prescribing where appropriate.

9. To deliver quality improvement, while contributing to the delivery of the general practice quality and outcomes framework or other enhanced services or prescribing workstreams.

10. Contribute to the provision of education and training on medicines optimisation and specific therapeutic areas to healthcare professionals within the PCN and to the wider ICB geography, including the PCN pharmacy professional network meetings.

11. Communicate, action and support implementation of MHRA alerts, product withdrawals and other local and national guidelines and formulary recommendations.

12. Undertake clinical audits in priority areas identified by the Medicines Optimisation Team or within the PCN and feedback results to practices and the PCN and support them in implementing recommendations.

13. Support practices and PCNs in identifying and reporting onto NRLS any incidents relating to medicines. Be involved in investigating medicines incidents and identifying and implementing any required system improvements.

14. Support setting up and implementation of shared care protocols in practice, including processes to improve monitoring of high- risk drugs.

15. Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.

16. Identify and manage cohorts of patients at high risk of harm from medicines through computer searches

17. To work with general practice colleagues, and Community Pharmacy colleagues to support implementation of safe systems for repeat prescribing and reduction of waste across the healthcare environment

18. Review, implement and support adherence to the practice repeat prescribing policy.

19. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions, flagging up those patients needing a review.

20. Ensure patients on repeat prescriptions have the required monitoring and assessments undertaken as appropriate to their condition(s) and medicines prescribed.

21. To provide support when required for junior and pre-registration pharmacists and pharmacy technicians including provision of information, informal teaching and assessment of pre-registration and diploma practitioners.

22. To support the delivery of targets in the general practice setting in relation to medicines optimisation and service delivery within quality and outcomes framework areas and enhanced services as required.

23. To provide pharmaceutical advice on the use of more cost effective drugs across the primary and secondary care interface and within the general practice setting, including the provision of advice and implementation of formulary recommendations and shared care guidance.

24. Undertake any other work supporting medicines optimisation in GP practices and the PCN commensurate with the banding of the post and which is agreed between the post holder and the manager