Clinical Pharmacist

Central London Healthcare

Information:

This job is now closed

Job summary

Central London Healthcare (CLH) is the General Practice Federation for the Westminster area, covering 33 GP practices. CLH currently employs a team of 20 Clinical Pharmacists and we are looking to expand the team to cover more practices in Westminster and further increase the support as well as being an integral member of the multi-disciplinary practice teams. Practices will provide GP clinical supervision for these roles. This role involves a training course with the Centre for Postgraduate Pharmacy Education (CPPE) and also Independent Prescribing qualification. This role will involve working across up to four General Practices in Westminster and committing to a training programme including independent study outside of working hours. We are looking to recruit full-time 10 sessions per week (5 days) . Working hours will be between 8am-6:30pm.

Main duties of the job

The clinical pharmacists will provide expertise in medication reviews, support patients to manage long-term conditions through medicines optimisation and improve patient care by increasing communication between general practice, community and hospital pharmacy.

Working across multiple practices, you will need to be flexible and adaptable to different working environments. Have the ability to manage relationships with key stakeholders and think on your feet. The best Pharmacists take good practice and learning, then implement this across all the GP practices.

Independent Prescribing qualification is desirable and salary will be reviewed once qualification gained. If qualification already gained this will be reviewed upon successful completion of probation period.

About us

We are a small, lively and fast moving central London healthcare organisation who provides a single point of access for Secondary Care, Dermatology and Cardiology referrals. Also patient centred care planning and support practices with providing the practice in partnership services to patients. What we do makes a difference to patients and GPs, and our aim is to improve and expand our services to patients whilst maintaining our high levels of quality.

Job description

Job responsibilities

The wide scope of this role is not an expectation of where the post holder will start but where they aim to be at the end of the development programme.

Patient facing long-term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).

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.

Patient facing clinical medication review Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

Patient facing care home medication reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

Patient facing domiciliary clinical medication review Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.

Management of common/minor/self-limiting ailments manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate

Patient facing medicines support

Provide patient facing clinics for those with medicines queries

Telephone medicines support

Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Medicine information to practice staff and patients

Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions.

Provide follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions 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 high risk patient groups.

Management of medicines at discharge from hospital

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 high risk groups of patients.

Signposting ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

Repeat prescribing produce and implement a practice 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.

Risk stratification identify cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

Service development contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

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 results and implement changes in conjunction with the practice team.

Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

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.

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

Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public health Support public health campaigns. Provide specialist knowledge on all public health programmes available where applicable.

Collaborative Working Relationships Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships within them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients

Recognises personal limitations and refer to more appropriate colleagues when necessary

Demonstrates ability to integrate general practice with community and hospital pharmacy teams

Liaises with CCG Pharmacists and Medicines Management team on prescribing related matters and to benefit from peer support

Leadership Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role

Demonstrates ability to improve quality within limitations of service

Reviews yearly progress and develops clear plans to achieve results within priorities set by others

Promotes diversity and equality in people management techniques and leads by example

Management Demonstrates understanding of effective resource utilisation and the implications of national priorities for the team and service

Demonstrates understanding of, and conforms to, relevant standards of practice

Demonstrates ability to identify and resolve risk management issues according to policy/protocol

Follows professional and organisational policies/procedures relating to performance management

Demonstrates ability to extend boundaries of service delivery within the team

Education, Training and Development

Demonstrates self-development through continuous professional development activity; working alongside senior clinical pharmacist to identifying areas to develop.

Participates in the delivery of formal education programmes including the CPPE course

Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

Ensures appropriate clinical supervision is in place to support development. Enrolled into review and appraisal systems within the practice.

Health and Safety/Risk Management The post -holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990). The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Equality and Diversity The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally.

Special Working Conditions The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc. hosted by other agencies.

The post-holder will have contact with body fluids i.e. wound exudates; urine etc. while in clinical practice.

Job Description Agreement This job description is intended as a guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

Indemnity Insurance Clinical Pharmacists need to have their own indemnity insurance that covers all activities they will do in general practice. This may change over time and it is the pharmacists responsibility to ensure they are appropriately covered.

Person Specification

Qualifications

Essential

  • Mandatory registration with General Pharmaceutical Council (GPhC)
  • Masters degree in pharmacy (MPharm) (or equivalent) Minimum of 2 years post-qualification experience

Desirable

  • Membership of the Royal Pharmaceutical Society
  • A member of or working towards Faculty 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 Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
  • Good IT skills Able to obtain and analyse 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
  • Work effectively independently and as a team member
  • Demonstrates accountability for delivering professional expertise and direct service provision
  • Self-motivation
  • Adaptable
  • In date DBS Safeguarding adult and Children level three Immunisation status Basic life support training

Desirable

  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
  • Produce timely and informative reports Information Governance toolkit completion

Other

Desirable

  • SystmOne experience

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).

Employer details

Employer name

Central London Healthcare

Address

1b Harewood Row

London

NW1 6SE


Employer's website

https://www.centrallondonhealthcare.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Tom James

clh.recruitment@nhs.net

02075358300

Date posted

03 May 2022

Pay scheme

Other

Salary

£47,154 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0121-22-3224

Job locations

1b Harewood Row

London

NW1 6SE


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