Primary Care Network Community Pharmacist (NCP)

Ealing GP Federation

Information:

This job is now closed

Job overview

A unique post has arisen for a driven, ambitious pharmacist in an innovative new post Primary Care Network Community Pharmacist (NCP).

Caring for South Central Ealing Primary Care Network patients, largely from community pharmacies, with full remote access to medical notes, training and prescribing rights, you will deliver structured medicines reviews, enhanced health in care homes and other PCN services embedded in and employed by the community pharmacies.

This post is fully funded by the PCN ARRS scheme and is expected to run for the life of the PCN (minimum of two years). We are very enthusiastic about this unique integrated post and are looking for a pharmacist who can help develop this new model of collaboration between community pharmacy, general practice and PCN for the benefit of patients.

The role is pivotal to improving the quality of care and operational efficiencies; requires motivation and passion to deliver excellent service within the community pharmacy setting.

Main duties of the job

You are a pharmacist, who acts within their professional boundaries and can work alongside a team of pharmacists in general practice. You will be supported by a senior clinical pharmacist and pharmacists to help you develop.

The post holder will:

  • Work as part of a multi-disciplinary team
  • Take responsibility for areas of chronic disease management within the network
  • Contribute to patient health, undertake structured medication reviews and proactively optimise medication for those with complex polypharmacy
  • Provide clinical leadership on medicines optimisation and quality improvement
  • Ensure practices integrate with community pharmacies to utilise skill mix, improve patient outcomes and access to healthcare.
  • Support communication between practices and community pharmacies
  • Support the repeat prescription system, deal with medication queries, and medicines reconciliation on transfer of care and systems.
  • Be supported to develop their role to become a non-medical prescriber.

About us

The post holder will be supported by a prize winning team of established primary care and community pharmacists and supportive GPs.

South Central Ealing are a long established network of five GP practices with good inter practice relationships looking to improve the health and outcomes of patients in our network.

The post holder will be employed and be accountable to Harbs / Remedy Pharmacy and the South Central Ealing Primary Care Network

Job description

Job responsibilities

Job Summary

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 senior clinical pharmacist and the pharmacists at the host site 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 network, contribute to improving the health of patients and undertake structured medication reviews to proactively optimise medication for patients with complex polypharmacy in the community pharmacy setting.

The post holder will facilitate lines of communication between the network practices and applicable community pharmacies to help support the repeat prescription system, deal with medication queries, and medicines reconciliation on transfer of care and systems for safer prescribing.

The post holder will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.

The post holder will ensure that the practices integrate with community pharmacies 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 the community pharmacy setting.

The post holder will be supported to develop their role to become a non- medical prescriber.

Key Duties, Patient Facing:

-Long-term condition clinics

Where appropriate patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma and Hypertension).

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.

- Structured Medication Review

Undertake structured medication reviews with patients and escalating where necessary for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

- Care home medication reviews

Undertake clinical medication reviews with patients and escalating where necessary for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring.

Work with care home staff to improve safety of medicines ordering, storage, recording administration and disposal.

Patient facing domiciliary clinical medication review

Undertake clinical medication reviews with patients in their own homes and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring.

Delivering various aspects (not exclusive) of the Network Contract Directed Enhanced Service (DES) as required by the network. Relevant pages:

https://www.england.nhs.uk/wp-content/uploads/2020/03/update-to-the-gp-contract-agreement-v2-updated.pdf

- Unplanned hospital admissions

Proactively search for and review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.

Put in place changes to reduce the prescribing of these medicines to highrisk patient groups.

- Management of medicines at discharge from hospital

To review and 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 appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc. Attend and refer patients to multidisciplinary case conferences.

- Risk stratification

Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches and review where appropriate.

- Service development

This is a new and unique role and post, the post holder will be supported to develop and maximise the impact of the service. Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

- Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

- 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

Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).

Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.

Auditing practices compliance against NICE technology assessment guidance.

Provide newsletters or bulletins on important prescribing messages and inform Network surgeries about medicine stock shortages in community pharmacies.

- Education and Training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

- Research and development

The post holder will engage and collaborate with partners both internal and external to audit, collect data, evaluate, analyse and publish findings and research into this role

- 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 knowledge on all public health programmes available to the general public.

Person Specification

Qualifications

Essential

  • Mandatory registration with General Pharmaceutical Council.
  • Masters degree in pharmacy (MPharm) or equivalent.

Desirable

  • Membership of the Royal Pharmaceutical Society.
  • Specialist knowledge acquired through post- graduate diploma level or equivalent training/experience.
  • Independent prescriber or working towards/intent of gaining independent prescribing qualification.

Experience

Essential

  • An appreciation of the nature of GPs and general practices.
  • 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 issues in core areas for long term conditions.
  • term conditions.
  • Good IT skills & able to obtain and analyse complex complex technical information.
  • Recognises 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.
  • 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.

Desirable

  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
  • Produce timely and informative reports.

Other

Essential

  • Self-Motivation
  • Adaptable
  • In date CRB
  • Safeguarding adult and children level three
  • Immunisation status
  • Basic life support training

Desirable

  • Full Driving License
  • Information Governance toolkit completion

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.

Tier 2 Certificate of Sponsorship

Applications from job seekers who require current Tier 2/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.

From 6 April 2017, Tier 2/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.

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

Ealing GP Federation

Address

Hillview Surgery

179c Bilton Road

Greenford

London

UB6 7HQ


Employer's website

http://www.ealinggp.com/

Date posted

22 May 2020

Pay scheme

Other

Salary

Negotiable

Contract

Fixed-Term

Duration

2 days

Working pattern

Full-time

Reference number

E0047-20-4934

Job locations

Hillview Surgery

179c Bilton Road

Greenford

London

UB6 7HQ


193 South Ealing Road

London

W5 4RH


83 Greenford Avenue

London

W7 1LJ


Supporting documents

For help with your application, contact:

Mitesh Shah

mitesh.shah5@nhs.net

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