Job responsibilities
Clinical
Predominantly involves direct
patient contact whether face to face, via telephone or video. May include
domiciliary or care home visits as required.
Competently manage and
undertake patient clinics, organising workload and processes around this to
ensure timely patient follow-ups and medicine optimisation.
Participate in and lead on
long-term condition management plans and holistic processes, within your area
of competence.
Carry out structured medication
reviews (SMRs) for patients.
Ensure that any monitoring that
is needed for the review is completed or arrange for this to be done. As
competence grows this will involve ordering and then later reviewing blood
tests.
Review and manage where
appropriate long-term conditions within your area of competence such as blood
pressure control and other cardiovascular risk factors.
Being aware of the holistic
needs of the patient. Make changes to therapy where needed. This will be in
collaboration with colleagues such as healthcare assistants, nurses and GPs.
To educate and support patients
in the use of their medicines and optimising their health. This will include
referral onto to other services as appropriate. This may also involve
supporting colleagues to run groups, and production of health promotional information
and materials.
Address day to day issues
raised by patients / staff or other HCPs in relation to medicine management.
Issues such as alternatives for out of stock items, clinical assessment of need
for items not on repeat prescription and overseeing requests for prescribing
from other professionals.
Provide support, guidance and
assistance as able to other members of the pharmacy team
Ensure clear, concise and
appropriate documentation
Identify patients suitable for
electronic repeat dispensing (eRD), discuss with them how the scheme works,
assess consent, and liaise with community colleagues to ensure appropriate
communication to allow smooth continuation of care.
Medicines reconciliation -
To reconcile medicines on the
patients, record from discharge letters and outpatient clinic letters. To
support the technicians with the more clinically challenging discharges, to
provide quality assurance of the process and to follow up any outstanding
issues to ensure reconciliation is completed in a safe and timely manner.
Assess patients new to the PCN
to review their medicines and their care. Refer into hospital services for
ongoing care as appropriate. Arrange future monitoring as needed.
Working with the PCN pharmacy
technicians if required to ensure that processes around receiving ongoing
medication supplies are understood.
Projects and quality
improvement -
Work with the PCN pharmacy
teams to collate PCN data for the optimisation of medication in key areas. To
conduct audits, searches and prepare reports with the support of the senior
clinical pharmacist. Track progress and feedback to senior members of the team
as required.
Work with the PCN pharmacy
technician and other staff in carrying out audits, identifying areas requiring
improvement. Draft action plans and lead on areas of implementation, as
necessary.
Play a key role working with
colleagues to develop PCN wide policies and protocols. Draft documents and
present these to senior colleagues adjusting and reviewing as directed.
Contribute to the dissemination and implementation of agreed processes and changes
in practice overseeing and supervising within your designated practices.
Medication safety -
To facilitate switches of
medication in line with local formulary choices or changes in practice within
your area of competence
Work with the PCN pharmacy team
to assess and give advice on medication alerts as appropriate. Where required
support dissemination and action, following us as required.
Identify areas where new or
updated policies and procedures are necessary. Produce such policies and
protocols for the practices within your scope of competence. Work with senior
colleagues in implementation of these and later assessing impact. Help with
keeping a database of when reviews of current documents are required and
ensuring the cycle of review is kept active.
Construct or use existing
searches to identify patients on high-risk medicines and ensure that monitoring
and review is carried out in line with guidelines. Flag up any deviations or
concerns with clinical colleagues.
To report Significant Events
and complaints in a timely manner to the practice leads as appropriate.
To access Eclipse and work with
colleagues to ensure that this is used appropriately to optimise outcomes for
patients and the practices.
Carry out searches for people
on medicines that require a shared care agreement (SCA). Ensure that this
agreement is documented and that the actions allocated to the GP practice are
carried out. Highlight any concerns to senior clinical colleagues as applicable.
Evidence based medicines and
medicines information -
To provide information to
colleagues in response to formal and informal enquiries. As appropriate log
information given. Access local and regional medicines information sources as
appropriate and refer to senior clinical colleagues for advice or handover as
needed.
Promote evidence-based
medicine, use of licensed medicines and clear documentation of discussions,
reasoning, and consent where medicines are used outside of usual practice.
Ensure that alternatives have been considered and therapy is appropriate. Raise
any issues with the senior clinical pharmacists or prescriber.
Training and development -
Develop and deliver training
for other staff such as doctors, nurses, and allied health professionals on
medicine related themes. Invite feedback to improve training in the practice
and disseminate good practice in all the surgeries.
Collaborate with colleagues to
develop and deliver training to non-clinical staff and patients.
Complete or have completed the
18 months CPPE PCPEP pathway (or equivalent)
To be or be willing to become
an Independent Prescriber
Complete all statutory and
mandatory training as required.
Provide support and supervision
to less experienced pharmacy staff. Aid development and facilitate competency
assessments of staff within your area of competence.
Relationships and networks-
Develop mutual working
relationships with colleagues.
Liaise with community pharmacy
colleagues as appropriate. Develop working relationships to promote
communication and cooperation. Signpost patients to the community pharmacy New
Medicines Service and Community Pharmacy Consultation Service, or other services
that may be of benefit to them.
Liaise with Integrated Care
Board (ICB) colleagues where appropriate including colleagues in the
Prescription Ordering Direct (POD) hub.
Liaise with hospital and mental
health pharmacy colleagues as well as community colleagues such as district
nurses and care home staff for advice and discussion on individual patient
care.
Participate in meetings such as
practice meetings, patient meetings and informal meetings to raise the role of
the pharmacist and promote medicines optimization.
Strategic -
Work with colleagues to
determine important outcomes and track progress towards these. Contribute to
spreadsheets or dashboards to demonstrate the work of the pharmacy team.
Help ensure that evidence is
available to facilitate regulatory oversight such as Care Quality Commission
(CQC) inspections and audits. Help with any concerns raised around medication
storage or processes relating to surgery held medicines in a timely manner.
Work with colleagues in
promoting public health schemes and promoting health equity across the PCN.
Lead on aspects of this as required by the senior team.
Work with colleagues in
promoting consistent ways of working and introducing new ways of working. Lead
on aspects of these as required by the senior team.