South Norfolk Healthcare CIC

PCN Clinical Pharmacist

Information:

This job is now closed

Job summary

The post holder will work within their clinical competencies as part of a multi-disciplinary team to improve the quality and safety of care offered to patients of Ketts Oak primary care network.

They will have regular contact with patients and will assist in ensuring the workload is distributed accordingly across the practice team, to assist with managing demand and ensuring patients are cared for by the most appropriate professional.

The Pharmacist will ensure that PCN Practices integrates with community and hospital pharmacy 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, requiring motivation and passion to deliver excellent service within general practice.

Main duties of the job

The clinical pharmacists will focus on managing the prescription request workflow, complex face to face medication reviews with an emphasis on seeing patients with polypharmacy, deprescribing, and opiate prescribing, and network quality activities such as sharing best practice and cross-network audit.

The Clinical Pharmacy team will develop and manage medicines optimization services within the network practices. They will provide leadership on quality improvement and clinical audit as well as managing aspects of medicines safety and antibiotic stewardship. They will also support the management of patients with long-term conditions.

About us

South Norfolk Healthcare are recruiting a PCN Clinical Pharmacist on behalf of Ketts Oak Primary Care Network, which consists of the following GP organisations:

  • Wymondham Medical Practice
  • East Harling & Kenninghall Medical Practice
  • Windmill Surgery
  • Hingham Surgery
  • Humbleyard Practice

The PCN has worked closely together as a collaborative group for several years. We have an exciting opportunity for a proactive pharmacist to join our supportive multi-disciplinary team to improve the quality of general practice within the Network by improving the patient experience, maximising safety and contributing to resilience.

Details

Date posted

18 June 2021

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

E0143-21-1436

Job locations

West Site C, Norwich Research Park

Colney Lane

Norwich

Norfolk

NR4 7UT


Wymondham Medical Practice

Postmill Close

Wymondham

Norfolk

NR18 0RF


Hingham Surgery

26-28 Hardingham Street

Hingham, Norwich

Norfolk

NR9 4JB


East Harling & Kenninghall Practice

Market Street

East Harling, Norwich

Norfolk

NR16 2AD


Humbleyard Practice

Cantley Lane, Cringleford

Norwich

Norfolk

NR4 6TA


Windmill Surgery

London Road

Wymondham

Norfolk

NR18 0AF


Job description

Job responsibilities

The main duties and responsibilities of the role include, but are not restricted too, the following:

Patient facing long terms conditions, the elderly and multimorbidities

  • Chronic Disease Management (for example, managing hypertension/Type 2 Diabetes/Asthma/COPD patients, polypharmacy review)
  • Medication reviews for Older People with Frailty (2% most vulnerable).
  • Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

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.

Risk stratification

  • Audits and medication switches as per practice and CCG priorities
  • Prescribing Safety, Clinical audit, Local Enhanced Services support
  • Focusing on QOF Domains, improving disease registers
  • Supporting the hospital, discharges and unplanned admissions
  • Medication reviews when requests have come from hospital specialists
  • Medication requests for acute items
  • Management of medicines at discharge from hospital including patient cohorts who attend with medicines related issues. E.g. Diabetic patients presenting with hypoglycemia.

Patient medications support and Patient clinical reviews

  • Minor ailments advice where appropriate
  • Manage the day to day request for prescriptions workflow by making clinical decisions and prescribing where necessary, communicating advice and decisions to patients and practice staff, including working
  • Clinical advice and expertise on medicines to practice staff and patients
  • Provide a telephone advice for patients with questions, queries and concerns about their medicines.

Medicines quality improvement and service development

  • To share the workload around medications across the practice more appropriately to support other professionals
  • Increase safety and quality of prescribed medicines
  • Provide support on medicines related issues to the whole practice team
  • Medicines reconciliation on transfer between care providers
  • Lead on prescription management (systems and processes, ensuring monitoring is being done, support clerical staff)
  • Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
  • Promotion of evidence-based practice and interventions to prevent the development of infections to practice staff. Reducing gram negative blood stream infections and inappropriate antibiotic prescribing in at risk groups.

Communication and Engagement

  • Recognises the roles of other colleagues within the organisation and their role to patient care.
  • Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs)
  • Demonstrates ability to work as a member of a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
  • Actively work toward developing and maintaining effective working relationships both within and outside the practice and network.
  • Foster and maintain strong links with all services across locality.
  • Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
  • Demonstrates ability to integrate general practice with community and hospital pharmacy teams.
  • Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
  • Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support.
  • Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses, other practice staff, CCG pharmacists, pharmacy technicians, optometrists, dentists, health & social care teams, dieticians, Locality / GP prescribing lead, CLCH Locality managers, Community nurses and other allied health professionals, community and hospital pharmacy teams, Hospital staff with responsibilities for prescribing and medicines optimisation.
  • To develop and facilitate a good working relationship with community pharmacists and other local providers of healthcare.

Delivering a quality service

  • To plan and organize own workload, including audit and project work, and training sessions for members of the practice team, patients, and carers.
  • Demonstrate understanding of the implications of national priorities for the team and/or service. Demonstrate understanding of the process for effective resource utilisation. Demonstrate understanding of, and conforms to, relevant standards of practice. Support delivery of reporting outcomes.
  • Demonstrates ability to critically evaluate and review literature. Demonstrates ability to identify where there is a gap in the evidence base to support practice.
  • To maintain registration as a pharmacist and comply with appropriate professional codes.
  • As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation and policy developments, agree objectives and a personal development plan and participate in the appraisal process.
  • To attend local, regional and national meetings of relevance as agreed with the post holders line manager.
  • To undertake any other duties commensurate with the post holders grade as agreed with the post holders line manager.
  • All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance).
  • Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Demonstrate understanding of, and contributes to, the workplace vision Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role in practices. Demonstrate ability to motivate self to achieve goals.

Education and Training

  • Provide education and training to practice teams on therapeutics and medicines optimisation.

This job profile is intended to provide an outline of the duties and responsibilities of this post and may change from time to time by agreement between Ketts Oak Primary care Network and the post holder.

Following consultation post holders may be required to do other duties commensurate with their grade and experience for short periods of time.

Job description

Job responsibilities

The main duties and responsibilities of the role include, but are not restricted too, the following:

Patient facing long terms conditions, the elderly and multimorbidities

  • Chronic Disease Management (for example, managing hypertension/Type 2 Diabetes/Asthma/COPD patients, polypharmacy review)
  • Medication reviews for Older People with Frailty (2% most vulnerable).
  • Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

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.

Risk stratification

  • Audits and medication switches as per practice and CCG priorities
  • Prescribing Safety, Clinical audit, Local Enhanced Services support
  • Focusing on QOF Domains, improving disease registers
  • Supporting the hospital, discharges and unplanned admissions
  • Medication reviews when requests have come from hospital specialists
  • Medication requests for acute items
  • Management of medicines at discharge from hospital including patient cohorts who attend with medicines related issues. E.g. Diabetic patients presenting with hypoglycemia.

Patient medications support and Patient clinical reviews

  • Minor ailments advice where appropriate
  • Manage the day to day request for prescriptions workflow by making clinical decisions and prescribing where necessary, communicating advice and decisions to patients and practice staff, including working
  • Clinical advice and expertise on medicines to practice staff and patients
  • Provide a telephone advice for patients with questions, queries and concerns about their medicines.

Medicines quality improvement and service development

  • To share the workload around medications across the practice more appropriately to support other professionals
  • Increase safety and quality of prescribed medicines
  • Provide support on medicines related issues to the whole practice team
  • Medicines reconciliation on transfer between care providers
  • Lead on prescription management (systems and processes, ensuring monitoring is being done, support clerical staff)
  • Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
  • Promotion of evidence-based practice and interventions to prevent the development of infections to practice staff. Reducing gram negative blood stream infections and inappropriate antibiotic prescribing in at risk groups.

Communication and Engagement

  • Recognises the roles of other colleagues within the organisation and their role to patient care.
  • Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs)
  • Demonstrates ability to work as a member of a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
  • Actively work toward developing and maintaining effective working relationships both within and outside the practice and network.
  • Foster and maintain strong links with all services across locality.
  • Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
  • Demonstrates ability to integrate general practice with community and hospital pharmacy teams.
  • Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
  • Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support.
  • Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses, other practice staff, CCG pharmacists, pharmacy technicians, optometrists, dentists, health & social care teams, dieticians, Locality / GP prescribing lead, CLCH Locality managers, Community nurses and other allied health professionals, community and hospital pharmacy teams, Hospital staff with responsibilities for prescribing and medicines optimisation.
  • To develop and facilitate a good working relationship with community pharmacists and other local providers of healthcare.

Delivering a quality service

  • To plan and organize own workload, including audit and project work, and training sessions for members of the practice team, patients, and carers.
  • Demonstrate understanding of the implications of national priorities for the team and/or service. Demonstrate understanding of the process for effective resource utilisation. Demonstrate understanding of, and conforms to, relevant standards of practice. Support delivery of reporting outcomes.
  • Demonstrates ability to critically evaluate and review literature. Demonstrates ability to identify where there is a gap in the evidence base to support practice.
  • To maintain registration as a pharmacist and comply with appropriate professional codes.
  • As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation and policy developments, agree objectives and a personal development plan and participate in the appraisal process.
  • To attend local, regional and national meetings of relevance as agreed with the post holders line manager.
  • To undertake any other duties commensurate with the post holders grade as agreed with the post holders line manager.
  • All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance).
  • Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Demonstrate understanding of, and contributes to, the workplace vision Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role in practices. Demonstrate ability to motivate self to achieve goals.

Education and Training

  • Provide education and training to practice teams on therapeutics and medicines optimisation.

This job profile is intended to provide an outline of the duties and responsibilities of this post and may change from time to time by agreement between Ketts Oak Primary care Network and the post holder.

Following consultation post holders may be required to do other duties commensurate with their grade and experience for short periods of time.

Person Specification

Qualifications

Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Ability to communicate with a wide range of colleagues from the NHS and other organisations and with patients using appropriate media including good written, and oral communication skills
  • Able to recognise personal limitations and refer to more appropriate colleagues when necessary
  • Ability to identify and manage risk when working with individuals
  • Ability to work under pressure and meet deadlines
  • Ability to provide leadership and finish work tasks
  • Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • Can work flexibly and enthusiastically within a team
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding lone working information governance, and health and safety
  • Mandatory registration with the General Pharmaceutical Council
  • Completion of an undergraduate degree in pharmacy
  • Working towards and independent prescribing qualification
  • Demonstrates understanding of and conforms to, relevant standards of practice
  • Follows professional and organisational policies/procedures relating to performance management
  • Minimum of 2 years post qualifying experience as a pharmacist
  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
  • An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Knowledge of IT systems, including ability to use word processing skills, emails and the internet to communicate and create plans and reports
  • Able to obtain and analyse complex technical information
  • Able to 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
  • Understand the principles of research governance
  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
  • Self-motivates
  • Ongoing up to date safeguarding and other mandatory training
  • Immunisation status
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes
  • Ability to work in different locations and help to provide cover for absent colleagues, and to take part in an extended working day in line with other general practice colleagues

Desirable

  • Demonstrates accountability for delivering professional expertise and direct service provision
  • Membership primary care pharmacy association
  • Membership of the Royal Pharmaceutical society
  • Holding an independent prescribing qualification
  • Clinical Diploma
  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare
  • Knowledge and ability to use GP IT systems such as systmone and EMIS
  • Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions
Person Specification

Qualifications

Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Ability to communicate with a wide range of colleagues from the NHS and other organisations and with patients using appropriate media including good written, and oral communication skills
  • Able to recognise personal limitations and refer to more appropriate colleagues when necessary
  • Ability to identify and manage risk when working with individuals
  • Ability to work under pressure and meet deadlines
  • Ability to provide leadership and finish work tasks
  • Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • Can work flexibly and enthusiastically within a team
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding lone working information governance, and health and safety
  • Mandatory registration with the General Pharmaceutical Council
  • Completion of an undergraduate degree in pharmacy
  • Working towards and independent prescribing qualification
  • Demonstrates understanding of and conforms to, relevant standards of practice
  • Follows professional and organisational policies/procedures relating to performance management
  • Minimum of 2 years post qualifying experience as a pharmacist
  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
  • An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Knowledge of IT systems, including ability to use word processing skills, emails and the internet to communicate and create plans and reports
  • Able to obtain and analyse complex technical information
  • Able to 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
  • Understand the principles of research governance
  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
  • Self-motivates
  • Ongoing up to date safeguarding and other mandatory training
  • Immunisation status
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes
  • Ability to work in different locations and help to provide cover for absent colleagues, and to take part in an extended working day in line with other general practice colleagues

Desirable

  • Demonstrates accountability for delivering professional expertise and direct service provision
  • Membership primary care pharmacy association
  • Membership of the Royal Pharmaceutical society
  • Holding an independent prescribing qualification
  • Clinical Diploma
  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare
  • Knowledge and ability to use GP IT systems such as systmone and EMIS
  • Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions

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).

Additional information

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).

Employer details

Employer name

South Norfolk Healthcare CIC

Address

West Site C, Norwich Research Park

Colney Lane

Norwich

Norfolk

NR4 7UT


Employer's website

https://www.snhcic.org.uk/ (Opens in a new tab)

Employer details

Employer name

South Norfolk Healthcare CIC

Address

West Site C, Norwich Research Park

Colney Lane

Norwich

Norfolk

NR4 7UT


Employer's website

https://www.snhcic.org.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

PCN Project Coordinator

Shelley Taylor

shelley.taylor10@nhs.net

07759280515

Details

Date posted

18 June 2021

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

E0143-21-1436

Job locations

West Site C, Norwich Research Park

Colney Lane

Norwich

Norfolk

NR4 7UT


Wymondham Medical Practice

Postmill Close

Wymondham

Norfolk

NR18 0RF


Hingham Surgery

26-28 Hardingham Street

Hingham, Norwich

Norfolk

NR9 4JB


East Harling & Kenninghall Practice

Market Street

East Harling, Norwich

Norfolk

NR16 2AD


Humbleyard Practice

Cantley Lane, Cringleford

Norwich

Norfolk

NR4 6TA


Windmill Surgery

London Road

Wymondham

Norfolk

NR18 0AF


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