Job responsibilities
- Clinical medication reviews
for patients within the PCN with single or multiple long term conditions where
medicines optimisation is required
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To reconcile medicines following discharge from hospitals or intermediate care
and working with patients and community pharmacists to ensure patients receive
the medicines they need post-discharge and to reduce risk of readmission.
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To be involved in multidisciplinary clinical meetings within the PCN where
appropriate
- Work as part of a multi-disciplinary
team in a patient facing role to clinically assess and treat patients using
their expert knowledge of medicines for specific disease areas
- Be a prescriber, or completing
training to become prescribers, and work with and alongside the general
practice team
- Be responsible for the care
management of patients with chronic diseases and undertake clinical medication
reviews to proactively manage people with complex polypharmacy, especially
older people, people in care homes, those with multiple co-morbidities (in
particular frailty, COPD and asthma) and people with learning disabilities or
autism (through STOMP Stop Over Medication Programme)
- 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
- Provide leadership on person-centred
medicines optimisation (including ensuring prescribers in the practice conserve
antibiotics in line with local antimicrobial stewardship guidance) and quality
improvement, whilst contributing to the quality and outcomes framework and
enhanced services
- Through structured medication
reviews, support patients to take their medications to get the best from them,
reduce waste and promote selfcare
- Have a leadership role in supporting
further integration of general practice with the wider healthcare teams
(including community and hospital pharmacy) to help improve patient outcomes,
ensure better access to healthcare and help manage general practice workload
- Develop relationships and work
closely with other pharmacy professionals across PCNs and the wider health and
social care system;
- Take a central role in the clinical
aspects of shared care protocols, clinical research with medicines, liaison
with specialist pharmacists (including mental health and reduction of
inappropriate antipsychotic use in people with learning disabilities), liaison
with community pharmacists and anticoagulation;
- Contribute to the provision of
out of hours/on call/extended services for the practice and the patients. These can include patient facing
and telephone consultations, signposting to other services and/or healthcare
professionals where appropriate, while working within scope of practice and
limits of competency
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To manage repeat prescription requests, resolving queries where possible within
scope of practice. To ensure patients have appropriate monitoring tests in
place when required.
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Implement changes to medicines in line with MHRA alerts, product withdrawal or
shortage and other local or national guidance
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To maintain full and complete records of all patient contacts using appropriate
clinical templates and coding
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To undertake a proactive role in audit and quality improvement implementing
recommendations where appropriate.
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Provide independent information to patients with regard to medicines and
prescribing changes, initiating further support from other healthcare
professionals where appropriate
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Participate in review and setting of policies relating to medicines management
and prescribing and help ensure practices prescribe in accordance with local
guidelines and formulary
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To identify areas of clinical risk at network level and make recommendations to
support the introduction of new working practices that will optimise the
quality of prescribing and make more efficient use of network resources.
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To monitor network practices prescribing against the local health economy and
make recommendations for GPs or amend within scope of practice, based on
findings.
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To maintain own clinical and professional competence and be responsible for own
continuous professional development
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Work with practices to ensure full compliance with Care Quality Commission
standards for safe and effective care
Working Relationships:
- Patients and carers where appropriate
GPs,
nurses and other practice staff including practice pharmacists
- GP
prescribing leads
- CCG
pharmacists and medicines management team
Secondary
Care and interface Pharmacists
- Community Nurses and other allied health professionals
- Community Pharmacists and support staff
- To
work as a flexible member of the PCN providing support to other team members
when necessary
- To
take an active role in the development and embedding of the PCNs culture,
values and reputation as providers of high quality services
- Encourage supporting staff to collaborate through sharing information and
intelligence across different activities
Non-Medical Prescribing
If employed in a prescribing
capacity, the post-holder must only prescribe within their scope of practice.
Upon qualification as an NMP and following the addition of the postholder to
the ICB NMP register, prescribing will form part of the role of the post-holder.
The NMP must maintain knowledge and skills and prescribe within their scope of
clinical competencies. The NMP is required to comply with organisational NMP
governance processes including the LSC ICB NMP framework. The NMP must operate
within local and national prescribing guidance.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others
health, safety and security as defined in the practice Health & Safety
Policy, to include:
Using personal security systems within the workplace according to practice
guidelines
Identifying the risks involved in work activities and undertaking such
activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a
tidy and safe way and free from hazards
Reporting potential risks identified
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients,
carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting
them in a way that is consistent with Practice procedures and policies, and
current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and
colleagues
Behaving in a manner which is welcoming to and of the individual, is non judgmental
and respects their circumstances, feeling priorities and rights.
Personal/Professional Development:
The post-holder will participate in any training programme implemented by the
PCN as part of this employment, such training to include:
Participation in an annual individual performance review, including taking
responsibility for maintaining a record of own personal and/or professional
development
Taking responsibility for own development, learning and performance and
demonstrating skill and activities to others who are undertaking similar work
Training may need to be undertaken outside of normal practice hours, and off
site.
Quality and Governance:
The post-holder will strive to maintain quality within the PCN and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly
or under supervision.
Work
effectively with individuals in other agencies
Effectively manage own time, workload and resources
Confidentiality:
In the course of seeking
treatment, patients entrust us with, or allow us to gather, sensitive
information in relation to their health and other matters. They do so in
confidence and have the right to expect that staff will respect their privacy
and act appropriately
In the performance of the
duties outlined in this Job Description, the post-holder may have access to
confidential information relating to patients and their carers, practice staff
and other healthcare workers. They may also have access to information relating
to the practice as a business organisation. All such information from any
source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers
or the business of the practice may only be divulged to authorised persons in
accordance with the practice policies and procedures relating to
confidentiality and the protection of personal and sensitive data This job
description is not intended to be a complete list of duties and
responsibilities, but is a guide for information to the role. The job
description will be periodically reviewed in light of the developing work
requirements. The post-holder will be expected to contribute towards that
revision.
This job description is not intended to be a
complete list of duties and responsibilities, but is a guide for information to
the role. The job description will be periodically reviewed in light of the
developing work requirements. The post-holder will be expected to contribute
towards that revision
The successful candidate
will automatically be enrolled onto the NHS pension scheme.
