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 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 practice and undertake clinical medication reviews to
proactively manage patients with complex polypharmacy.
The
post holder will provide primary support to general practice staff with regards
to prescription and medication queries. They will help support the repeat
prescriptions system, deal with acute prescription requests, and medicines
reconciliation on transfer of care and systems for safer prescribing, providing
expertise in clinical medicines advice while addressing both public and social
care needs of patient in the GP practice(s).
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 practice 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 so requires
motivation and passion to deliver excellent service within general practice.
The
post holder will be supported to develop their role to become a non-medical
prescriber.
PRIMARY DUTIES AND AREAS OF RESPONSIBILITY:
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
Managing
caseload for patients with common/minor/self-limiting ailments while working
within a scope of practice and limits of competence. Signposting to community
pharmacy and referring to GPs or other healthcare professionals where
appropriate.
Patient facing
medicines support
Provide
patient facing clinics for those with questions, queries and concerns about
their medicines in the practice.
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
Answers
all medicine-related enquiries from GPs, other practice staff, other
healthcare teams (e.g. community pharmacy) and patients with queries about
medicines. Suggesting and recommending solutions. Providing 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
To
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 (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.
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
Identification
of 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 (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
simple audits of prescribing in areas directed by the GPs, feedback the
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
To
support public health campaigns. To provide specialist knowledge on all
public health programmes available to the general public.
Please download the supporting documentation for full role details and to assist with your application.
