Clinical Pharmacist - Horsham Central PCN

Alliance for Better Care Ltd.

The closing date is 24 October 2021

Job summary

Horsham Central Primary Care Network is looking for a Clinical Pharmacist to work across their four practices. Practices within the network are already experienced in working with Clinical Pharmacists and this role provides a great opportunity to join a committed team as well as having access to national training through the NHS England Clinical Training Pathway and be part of a local network of clinical pharmacists.

This is a fixed term position until 31st March 2024.

Main duties of the job

The post holder will work across the practices with each of the practice teams, joining the growing pharmacist team for the Horsham Central PCN.

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries.

The post holder will provide clinical leadership on medicines optimisation and quality improvement and will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload.

About us

Alliance for Better Care Ltd (ABC) is the federation of the 44 East Surrey, Crawley, Horsham and Mid Sussex GP practices, established in 2014, and now comprising twelve Primary Care Networks. ABC provide employment and management support to Horsham Central primary care network comprising the following practices:

Park Surgery

Holbrook Surgery

Orchard Surgery

Riverside Surgery

Job description

Job responsibilities

The post holder will work across the practices with each of the practice teams, joining the growing pharmacist team for the Horsham PCN. They will be assigned a lead clinical and operational contact for each contract. ABC as employer will provide support and ensure access to the NHSE England training programme as well as a local network of Clinical Pharmacists working in general practice.

This post is part of the Additional Roles Reimbursement Scheme for Primary Care Networks funded by NHS England and includes funded access to the Clinical Pharmacist Training Pathway for any further modules required to complete the pathway.

The post holder is a Pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice. In this role they will be supported by a more Senior Clinical Pharmacist who will develop, manage and mentor them.

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice (s).

The post holder will provide clinical leadership on medicines optimisation and quality improvement, manage some aspects of the quality and outcomes framework and enhanced services and contribute to the delivery of the local medicines optimisation strategy.

The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.

The post holder will be supported to develop their role to become a nonmedical prescriber (if not already a prescriber).

Primary Duties and Areas of Responsibility

From Start of Post:

Patient facing 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 on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

Patient facing care medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice

Telephone medicines support

Provide telephone support for patients with questions, queries and concerns about their medicines

Medicine information to practice staff and patients

Act as a source of medicines information for all of the practice team and patients, (such as around doses, side effects, adverse events, possible alternatives (i.e. around out of stocks) Suggesting and recommending solutions

Management of medicines at 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 highrisk 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 right care. Ensuring that the addition of the pharmacist to the clinical team results in a reduction in workload for other clinicians

Repeat prescribing

Produce and implement a practice repeat prescribing policy in line with the recommendations Medicines Management Team. 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

Frailty

Support the contractual requirements to support frail patients with their medication including medication review and some patient identification (i.e. patients with problematic polypharmacy).

Medicines quality improvement

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

Implementation of local and national guidelines and formulary recommendations

Work with MMT to support the implementation of local and national guidelines including NICE, Surrey PAD etc. Liaise with hospital colleagues where prescribing needs to be returned to specialists

Education and Training

Provide education and training to 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

Medicines Safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance

Role May Evolve to Include

Unplanned Hospital Admissions

Review the use of medicines most commonly associated with unplanned hospital admissions and re-admissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

Managing of common/minor/self-limiting ailments

Managing caseload of patients with common/minor/self-limiting ailments Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Person Specification

Qualifications

Essential

  • Mandatory registration with General Pharmaceutical Council
  • Undergraduate degree in pharmacy (MPharm)

Desirable

  • Membership of the Royal Pharmaceutical Society
  • A member of or working towards Faculty membership of the Royal Pharmaceutical Society
  • Clinical diploma
  • Postgraduate Certificate in Pharmacy Practice
  • Independent prescriber

Experience

Essential

  • Minimum of 2 years experience post-qualification
  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based medicine and healthcare
  • Good knowledge of service developments in medicines, prescribing, NHS policy and other relevant policy directives
  • A good understanding of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Ability to solve problems effectively and timely and identifies deviations from the normal pattern and when to refer to seniors or GPs when appropriate
  • Excellent understanding and implementation of legal, ethical, professional and organisational policies/procedures and codes of conduct
  • Good understanding of patient centered care and impact on care quality and outcomes
  • Good understanding of patients role in decisions about prescribed medicines and supporting adherence as per NICE guidance
  • Excellent interpersonal, influencing and negotiating skills
  • Excellent written and verbal communication skills
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
  • Ability to plan, prioritise, manage, monitor, advise and review clinical and general medicine optimisation issues in core areas for long term conditions
  • Good IT skills
  • Able to obtain and analyse complex technical information
  • Able to work under pressure and challenging situations to meet deadlines
  • Produce timely and informative reports
  • Experience of multi-disciplinary team working
  • Experience of committees/ working groups
  • Drug information experience
  • Experience in writing complex and high-quality reports
  • Experience in audit, research and analysis of highly complex information related to improving clinical quality

Desirable

  • Experience in supervising staff
  • Experience of independent patient consultation, review recommendations/prescribing

Other requirements

Essential

  • Self-motivation
  • Adaptable
  • Full driving licence

Research and Evaluation

Desirable

  • Demonstrates ability to critically evaluate and review literature
  • Demonstrates ability to identify where there is a gap in the evidence base to support practice
  • Demonstrates ability to generate evidence suitable for presentation at local level
  • Demonstrates ability to apply the research evidence base into working practice
  • Demonstrates understanding of the principles of research governance
  • Demonstrates ability to work as a member of the research team

Leadership

Essential

  • Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace
  • Demonstrates understanding of, and contributes to organisational vision
  • Demonstrates ability to improve quality within limitations of service
  • Reviews progress and develops clear plans to achieve results within priorities set by others
  • Demonstrates ability to motivate self to achieve goals

Management

Essential

  • Demonstrates understanding of the implications of national priorities for the team and/or service
  • Demonstrates understanding of the process for effective resource utilisation
  • Demonstrates understanding of, and conforms to, relevant standards of practice

Desirable

  • Demonstrates ability to identify and resolve risk management issues according to policy/protocol

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

Alliance for Better Care Ltd.

Address

Albion Way

Horsham

West Sussex

RH121BG


Employer's website

https://abcltd.org.uk/ (Opens in a new tab)

For help with your application, contact:

Margaret Cooney

margaret.cooney@nhs.net

Date posted

01 October 2021

Pay scheme

Other

Salary

£34,880 to £44,800 a year

Contract

Fixed term

Duration

3 years

Working pattern

Full-time, Part-time

Reference number

B0141-21-7447

Job locations

Albion Way

Horsham

West Sussex

RH121BG


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