Principal Clinical Pharmacist Prescriber INTs

Job responsibilities

Job Description subject to AFC consistency checking process

Key Result Areas & Performance:1. Provide clinical and strategic leadership for the for the core INT team developing the service to meet the needs of the PCNs and wider Lewisham INT model of care.2. To deliver patient facing care and conduct multi-morbidity reviews to improve outcomes for patients with complex needs or provide support before needs become acute.3. To provide line management of and supervision to the core INT team, including clinical pharmacist prescribers and caseworkers to ensure effective teamwork and delivery of the programmes goals.4. To lead and participate in clinical audit to support evaluation of service delivery and inform improvement.5. To work in closely with other members of the core INT team including link workers, key workers, health equity team, GPs and community groups, linking with clinicians and staff within other community and secondary teams within both health and social care to ensure a holistic and multidisciplinary approach to care maintained.6. Provide medicines management expertise and support to patients, other clinical and none-clinical staff as part of the INT model of care.7. To promote appropriate evidence-based and cost-effective prescribing and advice on de-prescribing where appropriate.8. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary team caring for patients with multi-morbidity in all settings9. To lead on the development of protocols in collaboration with key stakeholders as necessary to support service delivery.

Service Development1. To lead on the development and refinement of service delivery models within the INT programme alongside relevant commissioning and programme leads, to support effective delivery of activity across all PCNs/ Neighbourhoods.2. To work closely with colleagues and leads to promote and embed the role of the INT into local pathways of care.3. To communicate with other service leads within the community setting to ensure the INT model works effectively with existing services within primary care to achieve better outcomes for patients.4. To plan actions to continuously improve the quality of services provided to ensure a quality improvement approach is taken to medication optimisation and any service development or re-design.5. To evaluate with the programme leads, outcome measures associated with the INT service and the resource requirements for any change or service development required.

Clinical Services & Patient Care1. To act as a clinical role model to and provide direct clinical supervision to clinical prescribing pharmacists in the INT team to ensure a high-quality service is developed which improves outcomes through the provision of a patient-centred approach to the safe and clinically cost-effective use of medicines.2. To provide clinical leadership on medicines optimisation in the context of multi-morbidity across the core and wider team setting.3. To conduct patient facing and telephone consultations to review patients with complex multi-morbidity focusing on optimisation of cardiovascular disease management and improving long-term outcomes. 4. To collaborate with multidisciplinary teams (MDTs) to develop and implement individualised care plans.5. To provide clinical advice and support to other members on the INT, including complex scenarios to ensure a high standard of patient care.6. To manage complex and non-routine medicines management problems identified in patients under the INT service, making onward referrals when needed.7. To demonstrate an intuitive grasp of situations based on knowledge, expertise and understanding and to make decisions about drug therapy with limited information.8. To work with colleagues to facilitate robust communication and onward referral pathways to support seamless care for patients managed by the INT service where complex medicines and/or other needs are identified.9. To ensure efficient transfer of information related to complex medicines management needs across care interfaces and reconcile information received to ensure the safe care for patients with complex medicines management needs.10. To work as an independent prescriber and review medication to ensure that patients medicines are optimised for safety, effectiveness and cost-efficiency. in line with competency and agreed scope of practice as approved by the relevant Trust governance process.

Information & Data Management1. To develop quantitative and qualitative performance measures, co-ordinate their use and be involved in disseminating, acting on and sharing learning from information gathered.2. To co-ordinate the design, collection and evaluation of clinical audit data and participate in research projects improve the quality of care and inform best practices.3. To utilise available information from audits, national guidelines, and benchmarking data to influence practice and implement improvement in service delivery 4. To work closely with PCNs ensuring seamless integration of patient data for improved care co-ordination.

Staff Management and Education and Training1. To line manage the Clinical Prescribers with overall management of all core team members within the INT, providing supervision, guidance and support to ensure effective teamwork and delivery of goals. This will include matrix working with PCN clinical leads and business managers to effectively manage and co-ordinate team members and support appraisals, objective setting, and management of sickness absence.2. To ensure the teams activities align with the wider objectives of the INT programme, fostering a culture of collaboration and excellence.3. To oversee the personal and professional development of team members and identify the training needs and develop strategies to meet those needs.4. To identify and lead the design and delivery of education and training around the INT service including medicines optimisation in multimorbidity and cost-effective prescribing, to colleagues and more widely across the system. Training delivery will range from small communications to formal presentations.5. To participate and contribute to clinical training programmes for trainee professionals across Lewisham where exposure to the INT model would aid learning and practice.6. To evaluate and ensure continuous development of own professional knowledge and competencies by attendance at in house/external training programmes, appropriate self- educationFinancial1. To support the service lead manage the delegated staff budget for relevant aspects of the INT service and ensure that pay expenditure is maintained within allocated targets.2. To support and advise relevant leads and GP / primary care prescribers on delivering relevant local QIPP, QoF and local targets in relation to medicines optimisation.3. To provide medicines advice regarding the use of cost-effective drugs across the primary and secondary care interface to the relevant stakeholders.4. To provide a value for money service to contribute to reduction of medicines related readmission of patients with complex medicines management needs by optimising management and communication about medicines across care interfaces.5. Support the delivery of targets in the general practice setting in relation to medicines optimisation within the quality and outcomes framework and enhanced services in defined areas of multimorbidity

Research & Development1. To be responsible for shaping and participating in research and development within the INT service. 2. To encourage and co-ordinate clinical audit in medicines optimisation and multimorbidity within the workstream setting and collaborate with partners to publish the results3. To develop initiatives in the delivery of medicines optimisation within the INT model of care and develop quality standards for clinical effectiveness.4. To develop working relationship and research links with academic units to promote collaboration in practice and research around medicines optimisation in multimorbidity.

Communications and Relationships1. To communicate clearly and sensitively about patient medicines management issues both internal and external to the Trust and in the PCN setting.2. To communicate and collaborate with the multidisciplinary healthcare team including doctors, nurses, pharmacists and social care professionals on a daily basis to address the complex needs of patients with multimorbidity.3. To communicate complex and sensitive medication/ health carer elated issues to patients and relatives - including history taking, medication review and counselling, and overcoming barriers to understanding and communication such as language, hearing, visual or cognitive difficulties. Tact and persuasive skills are required when negotiating with patients to improve adherence with medication/ advice, with empathy and re-assurance necessary to address patient concerns. Communication may be either verbal in the form of face-to-face contact, over the telephone or in written form.4. To work closely with key leads of other services within primary care to develop robust referral pathways that support an improved outcomes for patients.5. To act as a link between primary and secondary care, facilitating smoother transitions for patients and promoting integrated care pathways.

Education/Qualifications

Essential

• Degree in Pharmacy
• Postgraduate Diploma in Clinical Pharmacy or General Pharmacy Practice (or equivalent)
• Registered with the GPC
• Registered and Experienced pharmacist independent prescriber

Desirable

• Other post graduate qualification relevant to pharmacy or health care practice such as management, leadership or education and training qualifications

Previous Experience

Essential

• Significant post-registration experience as a clinical pharmacist working in hospital pharmacy, or as a clinical pharmacist in GP practice or primary care
• Experience of working in primary care
• Experience of optimising medication
• Experience of multi-professional and interface working across organisations
• Demonstrable experience managing and developing services
• Evidence of change management
• Experience in line management and team leadership in a healthcare setting
• Experience in co-ordinating and leading on clinical audit

Desirable

• Experience of design and delivery of training programmes

Knowledge, Skills and Ability

Essential

• In depth knowledge of NHS clinical governance strategy, policy and current issues
• Ability to work on own initiiatve and effectively as part of a team both within own professional and a multidisciplinary environment
• Demonstrated Leadership and team management skills including ability to motivate and develop a team
• Advanced clinical knowledge of managing multi-morbidities, particularly CVD
• Ability to manage difficult and complex issues or refer appropriately
• Ability to prioritse and plan work effectively alone and for a team
• Demonstrated ability to communicate complex information effectively using clear written and spoken English and overcome barriers to understanding
• Proficient in using EMIS and other healthcare IT systems for patient management /reporting with proven computer literacy and IT skills
• Ability to supervise others and knowledge of mentorship process
• Ability to delegate appropriately
• Ability to work calmly and positively under pressure

Desirable

• Evidence of publications
• Familiarity with Integrated Care models

Personal Qualities

Essential

• Demonstrate high level of communication skills involving negotiation and co-operation using highly complex, sensitive and contentious information
• Excellent interpersonal skills including the ability to work across diverse teams and with patients
• To be able to negotiate with health professional in a diplomatic manner, including when knowledge is challenged, occassionally in an emotional atmosphere
• Flexible approach to work
• Self motivated with demonstrable willingness to learn and develop new skills
• Reliable, polite and approachable
• Knows own professional and personal limitations and seeks advice where necessary
• Demonstrable ability to inspire others and positive in support of continuous improvement
• Demonstrable ability to prioritise work and meet deadlines
• Ability to cope with challenges and changes

Other

Essential

• Able to work agreed hours
• Able and willing to travel across sites of work within the Borough
• Willing to contribute to general life and work across Trust and Partners across primary care

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).