Clinical Pharmacist - East PCN

Taurus Healthcare Limited

The closing date is 25 February 2024

Job summary

An exciting opportunity has arisen for a Clinical Pharmacist to join and strengthen the evolving east Herefordshire PCN Pharmacy Team.

We are looking for an experienced non-medical prescriber, or Pharmacist prepared to work towards this qualification.

The role will develop alongside pharmacy colleagues to support the population health priorities of the networks and the requirements of the PCN Directed Enhanced Service. The post holder will work within the GP multi-disciplinary team, in a patient-facing role, including face-to-face and telephone consultations, supporting long-term conditions effectively through structured medication reviews.

Herefordshire is a very special place to live and work. This beautiful, green county is uniquely placed with providers across the system committed to working together to improve the health and wellbeing of Herefordshire people and provide more joined up care closer to home. We are 'OneHerefordshire'.

There will be an opportunity for remote working within this role and the East Herefordshire PCN, in this instance includes:

Ledbury Health Partnership, Colwall Surgery, Cradley Surgery, Nunwell Surgery.

Part-time/flexible working will be considered.

Interviews to take place week commencing 4th March 2024.

Main duties of the job

As a senior member of the multi-disciplinary team you will be expected to provide prescribing leadership and support to practice clinicians, staff and patients, and to the PCN Leadership Team with regards to prescription and medication queries, medicines policies and procedures, QOF and local incentive schemes, audit, and medicines safety.

Clinical work at individual practices, either face to face or virtual, will include medication reviews, minor illness consultations, and reviews post discharge. There will be an opportunity to develop a special clinical interest with associated clinics.

You will have an individual GP Clinical Supervisor at your main practice with access to clinical supervision provided within a collaborative approach across system partners, e.g., other practices, PCNs and the Acute/Community Trust.

To discuss the role, ask questions or arrange an informal visit, please contact Lauren Keen, Operations Manager - East Primary Care Network (PCN) on lauren.keen@taurushealthcare.co.uk.

About us

Herefordshire General Practice and Primary Care Networks are supported by GP federation, Taurus Healthcare, to enable the best of local services and the benefits of at scale working.

You will be a part of a Herefordshire wide supportive network of pharmacists and pharmacy technicians working across primary care that has strong links with community pharmacies and secondary care.

Our PCNs are forward looking with strong relationships between practices and community providers.

We offer many employee benefits, such as:

  • Access to a generous NHS pension scheme with 20.68% employer contribution.
  • 33 to 38 days annual leave entitlement, including bank holidays, depending on service (pro-rata for part-time staff).
  • Access to the Blue Light extensive discount scheme.

We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as soon as possible.

Date posted

31 January 2024

Pay scheme

Other

Salary

£43,496.90 to £47,740.50 a year Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

S0001-24-0013

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Job description

Job responsibilities

JOB PURPOSE

The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines optimisation across the PCN. This will include structured medication reviews with direct patient contact and may include contributing to:

Enhancing Health in Care Homes

Management of long-term conditions

Minor illness

Management of medicines on transfer of care

Reviewing systems for safer prescribing

Contributing to repeat prescription authorisations and reauthorisation

Actioning acute prescription requests

Addressing both the public health and social care needs of patients

Contributing to achievement of QOF, PCN contracts and quality improvement schemes

Undertaking clinical audit

The post-holder will provide support to any clinical pharmacists employed in the PCN in the future.

The specifics of the role in each PCN will be worked up between the post-holder and the PCN.

The post holder will be supported by a GP clinical mentor and the Lead Pharmacist at Wye Valley NHS Trust. They will also engage with pharmacy colleagues across Herefordshire for peer support.

The Pharmacist will ensure that PCN 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 excellent service within general practice.

The post holder will be supported to develop their role to become a non-medical prescriber, if that qualification is not already held, and will be required to enroll on the General Practice Pharmacist Training Pathway from CPPE, unless an equivalent qualification is already held or exemption is agreed by CPPE.

MAIN RESPONSIBILITIES

Please note this is a list of options, it is not exhaustive and which options are deployed will be decided by the individual PCN, in conjunction with the clinical pharmacist. It is however mandated by NHS England that this role is patient- facing in nature.

1. Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and work within your scope of practice as an independent prescriber (where trained) to implement any necessary changes (or produce recommendations for/refer to other prescribing pharmacists, nurses and/or GPs to implement if outside your scope). These reviews could be cohort based, in care homes, polypharmacy or any other area required by the PCN, within the pharmacists competence. Home visits may be required.

2. Medicines quality improvement

Undertake clinical audits of prescribing in areas identified by yourself and agreed by the PCN or as directed by the PCN, feedback the results and implement changes in conjunction with the relevant practice team.

Identify cohorts of patients at high risk of harm from medicines through computer searches.

This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

3. Medicines safety

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

4. Leadership and management

You will be expected to contribute to the leadership of medicines-related issues for the PCN and:

Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace.

Demonstrate understanding of, and contribute to, the workplace vision

Demonstrate ability to improve quality within limitations of service

Review progress yearly and develop clear plans to achieve results within priorities set by others.

Demonstrate ability to motivate self to achieve goals

Demonstrate ability to lead a team and provide support to other clinical pharmacists

Demonstrate understanding of the implications of national priorities for the team and/or service and manage the team through these changes

Demonstrate understanding of the process for effective resource utilisation

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

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

Follow professional and organisational policies/procedures relating to performance management

Demonstrate ability to extend boundaries of service delivery within the team

Lead and mentor a team of differing abilities

5. Management of common/minor/self-limiting ailments

Managing caseload of 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.

6. Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.

7. Telephone medicines support

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

8. Management of medicines at change of care setting

Reconcile medicines following discharge from hospital or admission to intermediate care or 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).

9. Medicine information to practice staff and patients

Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare

teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes.

10. Drug monitoring

Ensure robust systems are in place for drug monitoring at each practice across the PCN, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Herefordshire Health Economy.

11. 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.

12. Repeat prescribing

Ensure each practice in the PCN has a robust repeat prescribing policy, and streamline these across the PCN where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.

13. Service development

Contribute pharmaceutical advice for the implementation and delivery of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

14. Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

15. Education and Training

Understand and demonstrate the characteristics of a role model to members in the team and/or service

Demonstrate understanding of the mentorship process

Demonstrate ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague

Demonstrate self-development through continuous professional development activity

Participate in the delivery of formal education programmes

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

16. Care Quality Commission

Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

17. Public health

Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public.

18. Special working conditions

The post holder is required to travel independently between work sites 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.

The post-holder may need to visit patients in their own home.

COMMUNICATION AND WORKING RELATIONSHIPS

Work collaboratively with their PCN Clinical Director.

Participate in the PCN MDT.

Liaise with the Lead Pharmacist to access professional support and access training and development opportunities

Liaise with ICB colleagues on prescribing related matters to ensure consistency of patient care and benefit

Engage with other GP-employed pharmacists for peer support.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Liaises with other stakeholders as needed for the collective benefit of patients, including but not limited to:

oPatients and their representatives

oGP, nurses and other practice staff

oSocial prescribers, first contact physiotherapists, physicians associates and paramedics.

oCommunity pharmacists and support staff

oLocality / GP prescribing lead

oLocality managers

oCommunity nurses and other allied health professionals

oHospital staff with responsibilities for prescribing and medicines optimisation

oCare home staff

This job description may be amended by management through consultation with the post holder in order to reflect changes in, or to, the job.

Job description

Job responsibilities

JOB PURPOSE

The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines optimisation across the PCN. This will include structured medication reviews with direct patient contact and may include contributing to:

Enhancing Health in Care Homes

Management of long-term conditions

Minor illness

Management of medicines on transfer of care

Reviewing systems for safer prescribing

Contributing to repeat prescription authorisations and reauthorisation

Actioning acute prescription requests

Addressing both the public health and social care needs of patients

Contributing to achievement of QOF, PCN contracts and quality improvement schemes

Undertaking clinical audit

The post-holder will provide support to any clinical pharmacists employed in the PCN in the future.

The specifics of the role in each PCN will be worked up between the post-holder and the PCN.

The post holder will be supported by a GP clinical mentor and the Lead Pharmacist at Wye Valley NHS Trust. They will also engage with pharmacy colleagues across Herefordshire for peer support.

The Pharmacist will ensure that PCN 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 excellent service within general practice.

The post holder will be supported to develop their role to become a non-medical prescriber, if that qualification is not already held, and will be required to enroll on the General Practice Pharmacist Training Pathway from CPPE, unless an equivalent qualification is already held or exemption is agreed by CPPE.

MAIN RESPONSIBILITIES

Please note this is a list of options, it is not exhaustive and which options are deployed will be decided by the individual PCN, in conjunction with the clinical pharmacist. It is however mandated by NHS England that this role is patient- facing in nature.

1. Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and work within your scope of practice as an independent prescriber (where trained) to implement any necessary changes (or produce recommendations for/refer to other prescribing pharmacists, nurses and/or GPs to implement if outside your scope). These reviews could be cohort based, in care homes, polypharmacy or any other area required by the PCN, within the pharmacists competence. Home visits may be required.

2. Medicines quality improvement

Undertake clinical audits of prescribing in areas identified by yourself and agreed by the PCN or as directed by the PCN, feedback the results and implement changes in conjunction with the relevant practice team.

Identify cohorts of patients at high risk of harm from medicines through computer searches.

This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

3. Medicines safety

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

4. Leadership and management

You will be expected to contribute to the leadership of medicines-related issues for the PCN and:

Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace.

Demonstrate understanding of, and contribute to, the workplace vision

Demonstrate ability to improve quality within limitations of service

Review progress yearly and develop clear plans to achieve results within priorities set by others.

Demonstrate ability to motivate self to achieve goals

Demonstrate ability to lead a team and provide support to other clinical pharmacists

Demonstrate understanding of the implications of national priorities for the team and/or service and manage the team through these changes

Demonstrate understanding of the process for effective resource utilisation

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

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

Follow professional and organisational policies/procedures relating to performance management

Demonstrate ability to extend boundaries of service delivery within the team

Lead and mentor a team of differing abilities

5. Management of common/minor/self-limiting ailments

Managing caseload of 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.

6. Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.

7. Telephone medicines support

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

8. Management of medicines at change of care setting

Reconcile medicines following discharge from hospital or admission to intermediate care or 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).

9. Medicine information to practice staff and patients

Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare

teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes.

10. Drug monitoring

Ensure robust systems are in place for drug monitoring at each practice across the PCN, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Herefordshire Health Economy.

11. 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.

12. Repeat prescribing

Ensure each practice in the PCN has a robust repeat prescribing policy, and streamline these across the PCN where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.

13. Service development

Contribute pharmaceutical advice for the implementation and delivery of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

14. Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

15. Education and Training

Understand and demonstrate the characteristics of a role model to members in the team and/or service

Demonstrate understanding of the mentorship process

Demonstrate ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague

Demonstrate self-development through continuous professional development activity

Participate in the delivery of formal education programmes

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

16. Care Quality Commission

Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

17. Public health

Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public.

18. Special working conditions

The post holder is required to travel independently between work sites 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.

The post-holder may need to visit patients in their own home.

COMMUNICATION AND WORKING RELATIONSHIPS

Work collaboratively with their PCN Clinical Director.

Participate in the PCN MDT.

Liaise with the Lead Pharmacist to access professional support and access training and development opportunities

Liaise with ICB colleagues on prescribing related matters to ensure consistency of patient care and benefit

Engage with other GP-employed pharmacists for peer support.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Liaises with other stakeholders as needed for the collective benefit of patients, including but not limited to:

oPatients and their representatives

oGP, nurses and other practice staff

oSocial prescribers, first contact physiotherapists, physicians associates and paramedics.

oCommunity pharmacists and support staff

oLocality / GP prescribing lead

oLocality managers

oCommunity nurses and other allied health professionals

oHospital staff with responsibilities for prescribing and medicines optimisation

oCare home staff

This job description may be amended by management through consultation with the post holder in order to reflect changes in, or to, the job.

Person Specification

Qualifications

Essential

  • Completion of an undergraduate degree in Pharmacy
  • Mandatory registration with the General Pharmaceutical Council
  • Demonstrates an understanding of, and conforms to, relevant standards of practice.
  • Follows professional and organisational policies/procedures relating to performance management.

Desirable

  • Holds, or working towards, an independent prescribing qualification
  • Postgraduate Diploma in Clinical Pharmacy
  • Successful completion of the CPPE General Practice Pharmacist Training Pathway
  • Membership of the Primary Care Pharmacy Association (PCPA)
  • Membership of the Royal Pharmaceutical Society

Experience

Essential

  • Qualified Pharmacist demonstrably established as practicing at an advanced level, demonstrated within a practice portfolio.
  • Experience, and awareness, of the breadth of common acute and long-term conditions that are likely to be seen in general practice.
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.

Desirable

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

Personal Qualities or Attributes

Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities.
  • 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).
  • Is able to recognise potential limitations and refer to more appropriate colleague(s) when necessary.
  • Ability to identify risk and assess/manage risk when working with individuals.
  • Able to work under pressure and meet deadlines.
  • Able to provide leadership and to 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.
  • High level of written and oral communication skills
  • Ability to work flexibly and enthusiastically within a team or own initiative.
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
  • Demonstrates leadership experience and previous experience of supervising and mentoring more junior staff.
  • Excellent interpersonal, influencing and negotiating skills.

Desirable

  • Demonstrates accountability for delivering professional expertise and direct service provision.

Other Requirements

Essential

  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions.
  • Adaptable
  • Work effectively independently and as a team player
  • Self-motivated
  • Safeguarding and other mandatory training.
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes.

Desirable

  • Immunisation status.
Person Specification

Qualifications

Essential

  • Completion of an undergraduate degree in Pharmacy
  • Mandatory registration with the General Pharmaceutical Council
  • Demonstrates an understanding of, and conforms to, relevant standards of practice.
  • Follows professional and organisational policies/procedures relating to performance management.

Desirable

  • Holds, or working towards, an independent prescribing qualification
  • Postgraduate Diploma in Clinical Pharmacy
  • Successful completion of the CPPE General Practice Pharmacist Training Pathway
  • Membership of the Primary Care Pharmacy Association (PCPA)
  • Membership of the Royal Pharmaceutical Society

Experience

Essential

  • Qualified Pharmacist demonstrably established as practicing at an advanced level, demonstrated within a practice portfolio.
  • Experience, and awareness, of the breadth of common acute and long-term conditions that are likely to be seen in general practice.
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.

Desirable

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

Personal Qualities or Attributes

Essential

  • Commitment to reducing health inequalities and proactively working to reach people from all communities.
  • 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).
  • Is able to recognise potential limitations and refer to more appropriate colleague(s) when necessary.
  • Ability to identify risk and assess/manage risk when working with individuals.
  • Able to work under pressure and meet deadlines.
  • Able to provide leadership and to 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.
  • High level of written and oral communication skills
  • Ability to work flexibly and enthusiastically within a team or own initiative.
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
  • Demonstrates leadership experience and previous experience of supervising and mentoring more junior staff.
  • Excellent interpersonal, influencing and negotiating skills.

Desirable

  • Demonstrates accountability for delivering professional expertise and direct service provision.

Other Requirements

Essential

  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions.
  • Adaptable
  • Work effectively independently and as a team player
  • Self-motivated
  • Safeguarding and other mandatory training.
  • Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes.

Desirable

  • Immunisation status.

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).

Additional information

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

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

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

Employer details

Employer name

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

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

For questions about the job, contact:

Recruitment Team

recruitment@taurushealthcare.co.uk

01432270636

Date posted

31 January 2024

Pay scheme

Other

Salary

£43,496.90 to £47,740.50 a year Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

S0001-24-0013

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Supporting documents

Privacy notice

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