Clinical Pharmacist

Job description

Job responsibilities

Please read the supporting documentation before applying this for this role for full role details and to assist with your application.

-

Neighbourhood team working and management of neighbourhood technicians

To manage and support the neighbourhood PCN technicians in their development and completion of the CPPE primary care education pathway and delivery of key PCN workstreams, including IIF targets.

Face to face support for the technician within the neighbourhood and close working with other PCN pharmacists within the neighbourhood and wider PCN.

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 review

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 aliments

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.

Medicine’s 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.

Medicine’s 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 economy’s 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 practice’s computer system. Auditing practice’s 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.

Collaborative working relationships

The post holder will:

• Recognise the roles of other colleagues within the organisation and their role to patient care
• Demonstrate 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)
• Demonstrate ability to work as a member of a team
• 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 locality
• Foster and maintain strong links with all services across locality
• Explore the potential for collaborative working and takes opportunities to initiate and sustain such relationships
• Demonstrate ability to integrate general practice with community and hospital pharmacy teams
• Liaise with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
• Liaise with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
• Liaise with other GP Practices and staff as needed for the collective benefit of patients

Person Specification

Qualifications

Essential

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your GPhC professional registration.

Personal qualities

Essential

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

Experience

Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and skills

Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

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

Primary Integrated Community Services

Address

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY

Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)