Job responsibilities
The post holder
will provide clinical leadership on medicines optimisation and quality
improvement in relation to prescribing. Across
the PCN Practices and PCN services they will be responsible for the following:
-
ensuring that safe systems are place with regards to
prescribing.
-
ensuring all that systems are in place to ensure
that all current national and local guidance with regards to prescribing is
introduced and followed.
-
providing leadership and coordination of prescribing
actions and targets as required from Practice contracts, QOF, PCN DES, IIF,
local contracts and any new NHS requirements that may present.
-
leading the Pharmacy team and ensure staff are
working efficiently and to their full potential.
-
ensuring effective communication within the team and
lead on team meetings and team development.
The postholder
will ensure that the Practices integrate 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 an excellent service within General Practice.
Team Leadership and Pharmaceutical
oversight of Practice and PCN
See
above.
Patient facing long-term condition
clinics
See
patients in multimorbidity clinics and in partnership
with primary healthcare colleagues and implement improvements to patients
medicines, including de-prescribing.
Manage
own caseload and run long-term condition clinics where responsible for
prescribing as an independent prescriber for conditions where medicines have a
large component (e.g., medicine optimisation for stable angina symptom control,
warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants).
Review
the ongoing need for each medicine, a review of monitoring needs and an
opportunity to support patients with the medicines they are taking ensuring
they get the best use of their medicines (i.e., medicines optimisation).
Patient facing clinical medication
review
Undertake
clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes
(as an independent prescriber) and order relevant monitoring tests.
Patient facing care home /
residential clinical medication reviews
Manage
own caseload of care home residents.
Undertake
clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing
changes (as an independent prescriber) and order relevant monitoring tests.
Work
with care home staff to improve safety of medicines ordering and
administration.
Patient facing domiciliary / home
visits
Manage
own caseload of vulnerable housebound patients at risk of hospital admission
and harm from poor use of medicines.
Implement
own prescribing changes (as an independent prescriber) order relevant
monitoring tests.
Attend
and refer patients to multidisciplinary case conferences.
Identify
key areas of need for vulnerable patients and formulating care plans.
Management of common / minor / self-limiting
ailments
Manage
a caseload of patients with common/minor/self-limiting ailments while working
within a scope of Practice and limits of competence.
Where
appropriate signpost to community pharmacy and refer to GPs or other healthcare
professionals.
Differential / undifferential
diagnosis
Manage
own caseload of patients and diagnose people with long-term and/or acute/common
conditions/ailments while remaining within scope of Practice and limits of
competence.
Be
aware of own ability and scope of Practice and thus refer to the GP and/or
other healthcare professionals where further clinical expertise and evaluation
may be needed.
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.
Extended hours
Provide
out of hours/on call/enhanced access services for the Practice and the patients
as and when required. These can include patient facing and telephone
consultations, signposting to other services and/or healthcare professionals
where appropriate, while working within a scope of Practice and limits of
competency.
Medicine information to Practice
staff and patients
Answer
all medicinerelated enquiries from GPs, other Practice
staff, other healthcare teams (e.g., community pharmacy) and patients with
queries about aspects of their medicine.
Suggest
and recommend solutions.
Provide
follow up for patients to monitor the effect of any changes made.
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 manage these
changes without referral to a GP, unless necessary.
Perform
a clinical medication review, produce a post discharge medicines care plan
including dose titration and booking of follow up tests, work 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).
Work
in partnership with hospital colleagues to proactively manage patients at high-risk
of medicine related problems before they are discharged to ensure continuity of
care.
Repeat prescribing
Manage
the repeat prescribing reauthorisation process by reviewing patient requests
for repeat prescriptions and reviewing medicines reaching review dates; make
necessary changes as an independent prescriber, and ensure patients are booked
in for necessary monitoring tests where required.
Develop
and manage new services that are built around new medicines or NICE guidance,
where new medicine/ recommendations allow the development of a new care pathway
(e.g., new oral anticoagulants for stroke prevention in atrial fibrillation).
Medicines Quality Improvement Programmes
Identify
and provide leadership on areas of prescribing and medicines optimisation.
Conduct
clinical audits and improve projects or work with colleagues such as GP
registrars, Practice Managers, PCN Manager etc.
Present
results and provide leadership on suggested changes.
Contribute
to national and local research initiatives.
Medicines safety
Identify
national and local policy and guidance that affects patient safety through the
use of medicines, including MHRA alerts, product withdrawals and emerging
evidence from clinical trials.
Manage
the process of implementing changes to medicines and guidance for
practitioners.
Collaborative working relationships
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., ICS/ PLACE).
Demonstrate
ability to lead 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.
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 ICS/ PLACE colleagues including ICS/ PLACE Pharmacists on prescribing
related matters to ensure consistency of patient care and benefit.
Liaise
with ICS/ PLACE Pharmacists and Heads of Medicines Management/ Optimisation to
benefit from peer support.
Liaise
with other stakeholders as needed for the collective benefit of patients
including but not limited to patients, GP, Nurses and other Practice staff.
For the full Job Description please see attached
