Job summary
We are seeking an experienced Lead Clinical
Pharmacist to develop and expand our Primary Care Network pharmacy team. The
post holder will work across the two GP practices delivering advanced clinical
medicines optimisation, structured medication reviews, and medicines safety
leadership.
This is a senior, patient-facing role requiring autonomous practice as an
independent prescriber, with responsibility for complex patients, service
development, quality improvement and leadership within the multidisciplinary
team.
Main duties of the job
Deliver face-to-face and remote
structured medication reviews, focusing on polypharmacy multimorbidity care
home residents and vulnerable patients
Act as an independent
prescriber, implementing prescribing changes and ordering appropriate
monitoring
Lead repeat prescribing
systems, reauthorisations and medicines optimisation on transfer of care
Manage medicines reconciliation
following hospital discharge and reduce medicines-related admissions
Lead on medicines safety and
governance
Drive and deliver quality
improvement audit QOF and CQC medicines-related activity
Support population health
initiatives and cost-effective prescribing programmes
Provide expert medicines advice
and education to GPs MDT colleagues and patients
Support our Pharmacy
Technicians and the wider pharmacy team
Work collaboratively with PCN
leadership ICB pharmacists and secondary care teams
About us
This is an exciting
opportunity for a dynamic, committed pharmacist to lead, shape anddevelop our pharmacy team
in a progressive, supportive, forward thinking Primary Care Network.
Our PCN is formed of 2
practices, Wellington Medical Centre and Lister House Surgery. Wellington Medical
Centre is a partnership of 9 GP partners, 7 salaried GPs and a retained GP looking
after approximately 23,000 patients. Lister House is part of Symphony Healthcare
Services, located in Wiveliscombe serving a rural population of around 6,800
patients. In both surgeries you will work alongside a well-established,
friendly, multidisciplinary team of GPs, allied health professionals, pharmacy
technicians and administrators. We are committed to supporting learning and
development and are proud to serve our community and deliver high quality
evidence based care.
Job description
Job responsibilities
The
following is not an exhaustive list and the post holder may at times need to
undertake duties as per the needs of the PCN
Lead
Duties
Lead a team of Clinical Pharmacists and
Pharmacy Technicians and demonstrate the characteristics of a role model to
members in the team providing support
to team members and ensure there is appropriate clinical supervision in place
for all pharmacists
Undertake clinical supervision and systematic
peer caseload review of colleagues on an individual or group basis
Ensure all pharmacists are engaged with the
review and appraisal systems within the PCN
Act as a role model demonstrating effective
clinical leadership on a daily basis and promote the behaviours of being
proactive positive respectful supportive reliable and trustworthy
Conduct teaching and assessment effectively according to a learning plan with
supervision from a more experienced colleague
Understand the implications of national
priorities for the team and/or service and manage the team of Clinical
Pharmacists through these changes
Assess and monitor risk in own and others
practice acting on results thereby ensuring safe delivery of care
Follow professional and organisational
policies and procedures relating to performance management
Participate in maintaining systems for risk
assessment and minimisation including promoting a fair blame culture in
order that near misses and incidents are reported and investigated
Contribute to investigation of incidents and
complaints when required; participate in identifying lessons learnt and the
sharing of learning across the organisation
Ensure dignity privacy and cultural and religious beliefs are
respected at all times
Continually monitor standards of care through
quality markers achievement of PCN
targets and benchmarking
Be aware of local quality data and use it to
identify practice development required
Work proactively in managing change in own
speciality to improve practice and health outcomes
Identify and provide leadership on areas of
prescribing and medicines optimisation
Conduct clinical audits and
improve projects or work with colleagues such as PCN staff Practice staff etc
Present results and provide leadership on
suggested changes
Contribute to national and local research
initiatives
Clinical Responsibilities
- Conduct
patient-facing long-term condition clinics e
g COPD asthma
ensuring medicine optimisation and
ongoing medication monitoring
- Undertake
structured clinical medication reviews for patients with polypharmacy multiple comorbidities or specific clinical needs
- Carry
out medication reviews in care homes working closely with staff to improve
safety in medicines ordering and administration
- Perform
domiciliary medication reviews attending and referring patients to
multidisciplinary case conferences when appropriate
- Manage
a caseload of patients presenting with minor self-limiting conditions within clinical competence referring where needed
- Run
face-to-face and telephone clinics to support patients with
medicine-related concerns or queries
- Prescribing and Medicines Management
- Act on
acute and repeat prescription requests ensuring appropriate authorisation monitoring and safety
- Reconcile
medications following discharge from hospitals care homes or intermediate care identifying discrepancies and ensuring
continuity
- Analyse
use of high-risk medicines linked to unplanned admissions and implement
prescribing changes to reduce risk
- Monitor
and action prescribing alerts from the MHRA local medicines optimisation teams or formulary updates
- Implement
and audit practice compliance with local/national prescribing guidelines
and NICE technology appraisals
- Medicines Optimisation and Safety
- Identify
patients at risk of medicine-related harm using clinical systems and
data analysis tools
- Carry out
clinical audits and quality improvement projects in priority prescribing
areas
- Provide
advice and input into practice-level formulary decisions and maintain
formulary compliance
- Develop
and implement repeat prescribing policies including managing reauthorisations and
monitoring test requirements
- Communication and Patient Support
- Respond
to complex medicine-related queries from GPs practice staff community pharmacists and patients
- Provide
follow-up to patients after medication changes to monitor response and
manage concerns
- Support
patients post-discharge to understand and use their medicines
effectively
- Leadership and Service Development
- Provide
clinical leadership in medicines optimisation across the practice/PCN
- Contribute
to the development and implementation of services involving medicines e
g treatment pathways
- Analyse
and present prescribing data to inform decision-making and improve
safety
- Participate
in local medicines management groups or committees as needed
- Education and Training
- Deliver
education and training sessions to practice staff on therapeutics prescribing safety and medicines optimisation
- Promote a
learning culture around prescribing and medicines use within the PCN
- Care Quality Commission CQC and Governance
- Support
practices in meeting CQC requirements where medicines and prescribing
are involved
- Ensure
adherence to best practice and governance standards related to medicines
use and storage
- Public Health and Prevention
- Support
national and local public health campaigns e
g vaccinations smoking cessation
- Provide
expert advice on public health initiatives relevant to medicines and
therapeutic interventions
- Signposting and Integration
- Ensure
patients are referred to the appropriate healthcare professional or
service in a timely and effective manner
- Foster
strong links between general practice community pharmacy and hospital pharmacy teams to ensure
cohesive care and efficient skill mix utilisation
- Other
responsibilities
- To act at
all times in an anti-discriminatory manner
- To be able to plan and respond to
workload according to operational priorities
- To support the delivery of these
functions across wider locality areas where necessary
- To undertake any training required in order to maintain competency including mandatory
training
- To contribute to and work within a safe working environment
- To take responsibility for
self-development on a continuous basis undertaking on the-job training as required
- To be aware of individual
responsibilities under the Health and Safety at Work Act and identify and report as necessary any
untoward accident incident or
potentially hazardous environment
- Confidentiality
- In the course of seeking treatment patients entrust us with or allow us to gather sensitive information in relation to their
health and other matters They do so in confidence and have the right
to expect that employees will respect their privacy and act appropriately
- In the performance of the duties
outlined in this job description you
may have access to confidential information relating to patients and their carers PCN
and practice employees and other healthcare workers You may also have access to information
relating to the PCN and practices as a business organisation All such information from any
source is to be regarded as strictly confidential
- Information relating to patients carers colleagues other healthcare workers or the business of
the PCN or the practices may only be divulged to authorised persons in
accordance with the policies and procedures relating to confidentiality and
the protection of personal and sensitive data
- Health &
safety
- The post-holder must always comply
with the organisation and Practices Health and Safety policies in particular by
following agreed safe working procedures and reporting incidents using the
organisations Incident Reporting System
- The post-holder will comply with
the Data Protection Act 1984 The General Data Protection Regulations 2018
and the Access to Health
Records Act 1990
- The post-holder will comply with
all necessary training requirements relevant to the role as identified by the
organisation; in particular the post
holder must complete the specified care coordinator training delivered by the
Personalised Care Institute
- Equality and
Diversity
- The post-holder must co-operate
with all policies and procedures designed to ensure equality of employment Co-workers patients and visitors must be treated
equally irrespective of gender ethnic
origin age disability sexual orientation religion etc
- Communication
- Recognise the importance of
effective communication within the team and will strive to
- o Communicate effectively with other team members
- o Communicate effectively with patients and carers
- o Recognise peoples needs for alternative methods of
communication and respond accordingly
Job description
Job responsibilities
The
following is not an exhaustive list and the post holder may at times need to
undertake duties as per the needs of the PCN
Lead
Duties
Lead a team of Clinical Pharmacists and
Pharmacy Technicians and demonstrate the characteristics of a role model to
members in the team providing support
to team members and ensure there is appropriate clinical supervision in place
for all pharmacists
Undertake clinical supervision and systematic
peer caseload review of colleagues on an individual or group basis
Ensure all pharmacists are engaged with the
review and appraisal systems within the PCN
Act as a role model demonstrating effective
clinical leadership on a daily basis and promote the behaviours of being
proactive positive respectful supportive reliable and trustworthy
Conduct teaching and assessment effectively according to a learning plan with
supervision from a more experienced colleague
Understand the implications of national
priorities for the team and/or service and manage the team of Clinical
Pharmacists through these changes
Assess and monitor risk in own and others
practice acting on results thereby ensuring safe delivery of care
Follow professional and organisational
policies and procedures relating to performance management
Participate in maintaining systems for risk
assessment and minimisation including promoting a fair blame culture in
order that near misses and incidents are reported and investigated
Contribute to investigation of incidents and
complaints when required; participate in identifying lessons learnt and the
sharing of learning across the organisation
Ensure dignity privacy and cultural and religious beliefs are
respected at all times
Continually monitor standards of care through
quality markers achievement of PCN
targets and benchmarking
Be aware of local quality data and use it to
identify practice development required
Work proactively in managing change in own
speciality to improve practice and health outcomes
Identify and provide leadership on areas of
prescribing and medicines optimisation
Conduct clinical audits and
improve projects or work with colleagues such as PCN staff Practice staff etc
Present results and provide leadership on
suggested changes
Contribute to national and local research
initiatives
Clinical Responsibilities
- Conduct
patient-facing long-term condition clinics e
g COPD asthma
ensuring medicine optimisation and
ongoing medication monitoring
- Undertake
structured clinical medication reviews for patients with polypharmacy multiple comorbidities or specific clinical needs
- Carry
out medication reviews in care homes working closely with staff to improve
safety in medicines ordering and administration
- Perform
domiciliary medication reviews attending and referring patients to
multidisciplinary case conferences when appropriate
- Manage
a caseload of patients presenting with minor self-limiting conditions within clinical competence referring where needed
- Run
face-to-face and telephone clinics to support patients with
medicine-related concerns or queries
- Prescribing and Medicines Management
- Act on
acute and repeat prescription requests ensuring appropriate authorisation monitoring and safety
- Reconcile
medications following discharge from hospitals care homes or intermediate care identifying discrepancies and ensuring
continuity
- Analyse
use of high-risk medicines linked to unplanned admissions and implement
prescribing changes to reduce risk
- Monitor
and action prescribing alerts from the MHRA local medicines optimisation teams or formulary updates
- Implement
and audit practice compliance with local/national prescribing guidelines
and NICE technology appraisals
- Medicines Optimisation and Safety
- Identify
patients at risk of medicine-related harm using clinical systems and
data analysis tools
- Carry out
clinical audits and quality improvement projects in priority prescribing
areas
- Provide
advice and input into practice-level formulary decisions and maintain
formulary compliance
- Develop
and implement repeat prescribing policies including managing reauthorisations and
monitoring test requirements
- Communication and Patient Support
- Respond
to complex medicine-related queries from GPs practice staff community pharmacists and patients
- Provide
follow-up to patients after medication changes to monitor response and
manage concerns
- Support
patients post-discharge to understand and use their medicines
effectively
- Leadership and Service Development
- Provide
clinical leadership in medicines optimisation across the practice/PCN
- Contribute
to the development and implementation of services involving medicines e
g treatment pathways
- Analyse
and present prescribing data to inform decision-making and improve
safety
- Participate
in local medicines management groups or committees as needed
- Education and Training
- Deliver
education and training sessions to practice staff on therapeutics prescribing safety and medicines optimisation
- Promote a
learning culture around prescribing and medicines use within the PCN
- Care Quality Commission CQC and Governance
- Support
practices in meeting CQC requirements where medicines and prescribing
are involved
- Ensure
adherence to best practice and governance standards related to medicines
use and storage
- Public Health and Prevention
- Support
national and local public health campaigns e
g vaccinations smoking cessation
- Provide
expert advice on public health initiatives relevant to medicines and
therapeutic interventions
- Signposting and Integration
- Ensure
patients are referred to the appropriate healthcare professional or
service in a timely and effective manner
- Foster
strong links between general practice community pharmacy and hospital pharmacy teams to ensure
cohesive care and efficient skill mix utilisation
- Other
responsibilities
- To act at
all times in an anti-discriminatory manner
- To be able to plan and respond to
workload according to operational priorities
- To support the delivery of these
functions across wider locality areas where necessary
- To undertake any training required in order to maintain competency including mandatory
training
- To contribute to and work within a safe working environment
- To take responsibility for
self-development on a continuous basis undertaking on the-job training as required
- To be aware of individual
responsibilities under the Health and Safety at Work Act and identify and report as necessary any
untoward accident incident or
potentially hazardous environment
- Confidentiality
- In the course of seeking treatment patients entrust us with or allow us to gather sensitive information in relation to their
health and other matters They do so in confidence and have the right
to expect that employees will respect their privacy and act appropriately
- In the performance of the duties
outlined in this job description you
may have access to confidential information relating to patients and their carers PCN
and practice employees and other healthcare workers You may also have access to information
relating to the PCN and practices as a business organisation All such information from any
source is to be regarded as strictly confidential
- Information relating to patients carers colleagues other healthcare workers or the business of
the PCN or the practices may only be divulged to authorised persons in
accordance with the policies and procedures relating to confidentiality and
the protection of personal and sensitive data
- Health &
safety
- The post-holder must always comply
with the organisation and Practices Health and Safety policies in particular by
following agreed safe working procedures and reporting incidents using the
organisations Incident Reporting System
- The post-holder will comply with
the Data Protection Act 1984 The General Data Protection Regulations 2018
and the Access to Health
Records Act 1990
- The post-holder will comply with
all necessary training requirements relevant to the role as identified by the
organisation; in particular the post
holder must complete the specified care coordinator training delivered by the
Personalised Care Institute
- Equality and
Diversity
- The post-holder must co-operate
with all policies and procedures designed to ensure equality of employment Co-workers patients and visitors must be treated
equally irrespective of gender ethnic
origin age disability sexual orientation religion etc
- Communication
- Recognise the importance of
effective communication within the team and will strive to
- o Communicate effectively with other team members
- o Communicate effectively with patients and carers
- o Recognise peoples needs for alternative methods of
communication and respond accordingly
Person Specification
Qualifications
Essential
- Registered with the General Pharmaceutical Council GPhC
- Independent Prescriber
- MPharm or equivalent with postgraduate clinical qualification
Desirable
- Minimum 3 years post-qualification experience including advanced practice in primary care
Experience
Essential
- Strong leadership, communication and analytical skills
- Enthusiasm to join and develop a fantastic pharmacy team in a dynamic forward thinking PCN
- Experience in medicines optimisation, audit, governance and service development
- Proficient IT skills including EMIS and medicines safety systems
Desirable
- Minimum 3 years post-qualification experience, including advanced practice in primary care
- Experience with Clinical Systems such as EMIS
Person Specification
Qualifications
Essential
- Registered with the General Pharmaceutical Council GPhC
- Independent Prescriber
- MPharm or equivalent with postgraduate clinical qualification
Desirable
- Minimum 3 years post-qualification experience including advanced practice in primary care
Experience
Essential
- Strong leadership, communication and analytical skills
- Enthusiasm to join and develop a fantastic pharmacy team in a dynamic forward thinking PCN
- Experience in medicines optimisation, audit, governance and service development
- Proficient IT skills including EMIS and medicines safety systems
Desirable
- Minimum 3 years post-qualification experience, including advanced practice in primary care
- Experience with Clinical Systems such as EMIS
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
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).