Job summary
Horsham Central PCN are looking for a Senior Clinical Pharmacist to join their team.
The post holder will work across the network practices with each of the practice teams and will be assigned a lead clinical and operational contact for each contract.
ABC as the employer will provide support and ensure access to the NHS England training programme as well as a local network of Clinical Pharmacists working in general practice. Dependent on recruitment the post holder will work with a further clinical pharmacist at a more junior level providing support and mentorship for this individual.
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.
This contract is a permanent position.
Main duties of the job
The post holder is an
experienced pharmacist, who acts within their professional boundaries. 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, complex structured medication reviews
and is able to proactively manage patients with complex polypharmacy,
especially for older people, people in residential care homes and those with
multiple co-morbidities.
The post holder will
provide primary support to general practice staff with regards to prescription
and medication queries. They will help support the repeat prescriptions system,
deal with acute prescription requests, medicine 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 practices.
About us
Alliance for Better Care CIC (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 the Horsham Central PCN comprising the following practices:
- Park Surgery
- Holbrook Surgery
- Orchard Surgery
- Riverside Medical Practice
Job description
Job responsibilities
Primary Duties and
Areas of Responsibility
From Start of Post
Patient
facing long-term condition clinics
- See
patients in multimorbidity
clinics and in partnership with primary healthcare colleagues and implement
improvements to patients medicines, including de-prescribing.
- Manage
own case load and run long-term condition clinics where responsible for
prescribing as an independent prescriber for conditions where medicines have
a large component (e.g. medicine optimisation for stable angina symptom
control, warfarin monitoring and dose adjustment for patients requiring longterm
anticoagulants).
- Review
the on-going need for each medicine, a review of monitoring needs and an
opportunity to support patients with their medicines ensuring they get the
best use of their medicines (i.e. medicines optimisation).
- Whilst
carrying out the above ensure document appropriately to support achievement
of relevant QOF targets.
DES
IIF target and projects
- Achieve
and work towards achieving various Impact and Investment Fund (IIF) targets
in line with the Direct Enhanced Service (DES) specification of the GP
contract.
- Patient
facing Clinical Medication Review including structured medication reviews
- Undertake
clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing
changes (as an independent prescriber) and order relevant monitoring tests.
Patient
facing care/residential home clinical medication reviews
- Future
potential to manage own caseload of care home residents. Support and work
with CCG Medicines Management (MM) Team to undertake clinical medication
reviews with patients with multimorbidity
and polypharmacy and implement own prescribing changes (as an independent
prescriber) and order relevant monitoring tests.
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
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).
- Work
in partnership with hospital and local provider colleagues (e.g. care of the
elderly doctors and clinical pharmacists) to proactively manage patients at
high risk of medicine related problems before they are discharged to ensure
continuity of care.
Managing
of common/minor/self-limiting ailments
- Managing
caseload of patients with common/minor/self-limiting ailments while working
within scope of practice and limits of competence.
- Signposting
to community pharmacy and referring to GPs or other healthcare professionals
where appropriate.
Differential/un-differential
diagnosis
- Manage
own caseload for patients and diagnose people with long term ailments while
remaining within scope of practice and limits of competence. Referring to GP
and/or other healthcare professionals where appropriate
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.
Unplanned
Hospital Admissions
- Work
with case managers, multidisciplinary (health and social care) review teams,
hospital colleagues and virtual ward teams to manage medicines-related risk for
readmission and patient harm.
- Put
in place changes to reduce the prescribing of these medicines to high-risk patient groups.
Repeat
prescribing
- Produce
and implement a practice repeat prescribing policy in line with the
recommendations from the Medicines Management Team (MMT), implement the
practices 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.
Medicines
Safety
- Identify
national and local policy and guidance that affects patient safety through
the use of medicines, including MHRA alerts, product withdrawals and emerging
evidence form clinical trials. Manage the process of implementing changes to
medicines and guidance for practitioners.
Frailty
- Take
a leading role in the contractual requirements to support frail patients with
their medication including medication review and patient identification (i.e.
patients with problematic polypharmacy)
Implementation
of local and national guidelines and formulary recommendations
- Work
with CCG MMT to implement local and national guidelines including NICE
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. Supporting more junior pharmacists in a clinical
capacity and driving improvement at a clinical level forwards. Provide
training to visiting medical, nursing, pharmacy and other healthcare students
where appropriate.
Care
Quality Commission
- Work
with the general practice team to ensure the practice is compliant with CQC
standards where medicines are involved. Undertake risk assessment and ensure
compliance with medicines legislation.
Public
Health
- To
support public health campaigns. To provide specialist knowledge on all
public health programmes available to the general public.
This role will be hybrid working from home likely 1 day per week.
Please see the attached JD for a full list of responsibilities for the role.
Job description
Job responsibilities
Primary Duties and
Areas of Responsibility
From Start of Post
Patient
facing long-term condition clinics
- See
patients in multimorbidity
clinics and in partnership with primary healthcare colleagues and implement
improvements to patients medicines, including de-prescribing.
- Manage
own case load and run long-term condition clinics where responsible for
prescribing as an independent prescriber for conditions where medicines have
a large component (e.g. medicine optimisation for stable angina symptom
control, warfarin monitoring and dose adjustment for patients requiring longterm
anticoagulants).
- Review
the on-going need for each medicine, a review of monitoring needs and an
opportunity to support patients with their medicines ensuring they get the
best use of their medicines (i.e. medicines optimisation).
- Whilst
carrying out the above ensure document appropriately to support achievement
of relevant QOF targets.
DES
IIF target and projects
- Achieve
and work towards achieving various Impact and Investment Fund (IIF) targets
in line with the Direct Enhanced Service (DES) specification of the GP
contract.
- Patient
facing Clinical Medication Review including structured medication reviews
- Undertake
clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing
changes (as an independent prescriber) and order relevant monitoring tests.
Patient
facing care/residential home clinical medication reviews
- Future
potential to manage own caseload of care home residents. Support and work
with CCG Medicines Management (MM) Team to undertake clinical medication
reviews with patients with multimorbidity
and polypharmacy and implement own prescribing changes (as an independent
prescriber) and order relevant monitoring tests.
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
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).
- Work
in partnership with hospital and local provider colleagues (e.g. care of the
elderly doctors and clinical pharmacists) to proactively manage patients at
high risk of medicine related problems before they are discharged to ensure
continuity of care.
Managing
of common/minor/self-limiting ailments
- Managing
caseload of patients with common/minor/self-limiting ailments while working
within scope of practice and limits of competence.
- Signposting
to community pharmacy and referring to GPs or other healthcare professionals
where appropriate.
Differential/un-differential
diagnosis
- Manage
own caseload for patients and diagnose people with long term ailments while
remaining within scope of practice and limits of competence. Referring to GP
and/or other healthcare professionals where appropriate
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.
Unplanned
Hospital Admissions
- Work
with case managers, multidisciplinary (health and social care) review teams,
hospital colleagues and virtual ward teams to manage medicines-related risk for
readmission and patient harm.
- Put
in place changes to reduce the prescribing of these medicines to high-risk patient groups.
Repeat
prescribing
- Produce
and implement a practice repeat prescribing policy in line with the
recommendations from the Medicines Management Team (MMT), implement the
practices 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.
Medicines
Safety
- Identify
national and local policy and guidance that affects patient safety through
the use of medicines, including MHRA alerts, product withdrawals and emerging
evidence form clinical trials. Manage the process of implementing changes to
medicines and guidance for practitioners.
Frailty
- Take
a leading role in the contractual requirements to support frail patients with
their medication including medication review and patient identification (i.e.
patients with problematic polypharmacy)
Implementation
of local and national guidelines and formulary recommendations
- Work
with CCG MMT to implement local and national guidelines including NICE
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. Supporting more junior pharmacists in a clinical
capacity and driving improvement at a clinical level forwards. Provide
training to visiting medical, nursing, pharmacy and other healthcare students
where appropriate.
Care
Quality Commission
- Work
with the general practice team to ensure the practice is compliant with CQC
standards where medicines are involved. Undertake risk assessment and ensure
compliance with medicines legislation.
Public
Health
- To
support public health campaigns. To provide specialist knowledge on all
public health programmes available to the general public.
This role will be hybrid working from home likely 1 day per week.
Please see the attached JD for a full list of responsibilities for the role.
Person Specification
Qualifications
Essential
- Masters degree in Pharmacy (MPharm)or equivalent
- Independent prescriber
Desirable
- Clinical diploma
- Completion of the CPPE PCPEP 18 month Pathway
Experience
Essential
- Mandatory registration with General Pharmaceutical Council
Desirable
- Membership of the Royal Pharmaceutical Society
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Minimum of 2 years post qualification experience, ideally within general practice
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
- An appreciation of the nature of GPs and General Practice
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
- 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)
- Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- Good IT skills, particularly with the surgery systems. SytsmONE ideally.
- Able to obtain and analyse complex technical information
- Recognise priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
- Able to work under pressure and to meet deadlines
- Produce timely and informative reports
- Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers.
- Work effectively independently and as a team member
- Demonstrates accountability for delivering professional expertise and direct service provision
Other
Essential
- Self-motivation
- Adaptable
Person Specification
Qualifications
Essential
- Masters degree in Pharmacy (MPharm)or equivalent
- Independent prescriber
Desirable
- Clinical diploma
- Completion of the CPPE PCPEP 18 month Pathway
Experience
Essential
- Mandatory registration with General Pharmaceutical Council
Desirable
- Membership of the Royal Pharmaceutical Society
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Minimum of 2 years post qualification experience, ideally within general practice
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
- An appreciation of the nature of GPs and General Practice
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
- 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)
- Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- Good IT skills, particularly with the surgery systems. SytsmONE ideally.
- Able to obtain and analyse complex technical information
- Recognise priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
- Able to work under pressure and to meet deadlines
- Produce timely and informative reports
- Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers.
- Work effectively independently and as a team member
- Demonstrates accountability for delivering professional expertise and direct service provision
Other
Essential
- Self-motivation
- Adaptable
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).
Additional information
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).
