Senior Clinical Pharmacist - Horsham Central PCN
Alliance for Better Care CIC
This job is now closed
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.
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
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.
- 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
- 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.
- 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.
- 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.
- 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.
- 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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).