We are looking to recruit a suitably qualified and registered Clinical Pharmacist under England's Additional Roles Reimbursement Scheme (ARRS) to work in our expanding multidisciplinary team (MDT) on behalf of Harthill Primary Network member practices, to be based primarily at Willerby & Swanland Surgery and Anlaby Surgery but with a requirement to work on other practice sites as required.
This is an exciting opportunity for you to enhance our team and to make your mark in primary care locally with your knowledge, skills, and experience. At this important time for General Practice and Primary Care, this is a role where you can make a tangible and quantifiable difference, one in which you are valued and gives you that strong sense of job satisfaction.
This is a new and developing role; you will hold an undergraduate degree in pharmacy, registration with the General Pharmaceutical Council (GPC) and be enrolled in, be willing to be enrolled in, or qualified from an 18-month training pathway for Primary Care or equivalent. You should have an Independent Prescribing qualification.
Main duties of the job
You will be working alongside our general practice teams as part of our new and quickly developing ARRS team across the PCN. You will undertake a variety of tasks in support of the care management of patients; processing of medication change requests via hospital discharge letters, reviewing patient and general medication queries in face-to-face clinics where appropriate, including NOMAD/dossette boxes, supporting with memory aids for patients, and undertaking structured medication reviews, opiate and amber drug monitoring reviews. You will proactively manage people with complex polypharmacy, those with chronic diseases, the frail and patients with co-morbidities. You will be involved with shared decision making.
About us
Harthill Primary Care Network (PCN) is a network of five NHS GP Practices within the Haltemprice and Market Weighton areas of the East Riding of Yorkshire which includes practices in Cottingham, Willerby, Anlaby, North Ferriby and Market Weighton. We are one of seven PCNs across the East Riding and cover a registered population of over 35,000 patients.
Yorkshire Health Partners Ltd (YHP) is managing the recruitment, employment and leadership of people under NHS England's Additional Roles Reimbursement Scheme (ARRS) for Harthill PCN.
YHP is a GP led organisation established in 2012. It currently has 22 member practices across the East Riding and Hull with a combined list size in excess of 329,188 patients. It was initially established to support independent partner led general practice by holding contracts for primary care as well as focusing on the principle of care closer to home. YHP seeks to provide a strong voice for primary care, patients, and staff, both as a separate entity, and in partnership with others.
Job responsibilities
Job Purpose
To work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using your expert knowledge of medicines for specific disease areas.
Job Summary
Working within your clinical competencies alongside general practice teams you will prescribe, be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy.
Key Areas of Responsibility
* To proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with co-morbidities (in particularly frailty, COPD, and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme).
* Deliver patient facing/remote clinical medical reviews, including long-term conditions clinics and ensure medicines optimisation. Make appropriate recommendations to Senior Pharmacists, GPs or nurses for medicine improvement and monitoring.
* Work with care home staff improving the safety of medicines ordering and administration.
* Attend and/or refer patients to multidisciplinary care conferences.
* Provide specialist expertise in the use of medicines whilst helping to address both the public and social care needs of patients at our PCNs Practices.
* Help tackle health inequalities.
* Provide training/development to primary healthcare teams on therapeutics and medicines optimisation.
* Work with general practice teams to ensure compliance with CQC standards.
Operational Management
* Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care.
* Manage common/minor/self-limiting ailments within the scope of your competence and practice.
* Provide patient facing, remote, or telephone clinics for those with questions, queries, and concerns.
* Manage medicines at discharge from hospital, including identifying and rectifying unexplained changes working closely with the patient and community pharmacists so patients receive the medications they need post discharge.
* Signpost patients to the appropriate healthcare professional for their care within an appropriate period e.g., pathology results, common or minor ailments, acute conditions, long term condition reviews etc.
* Produce and implement a repeat prescribing policy within each PCN practice.
* Manage the repeat prescribing reauthorisation process by reviewing patient requests and reviewing medicines at review dates. Ensure patients have appropriate monitoring tests in place as required.
* Implement local and national guidelines and formulary recommendations, monitoring practice prescribing against the local health economies RAG list, making recommendations for GPs. Assist practices in seeing and maintaining a practice formulary on their computer system and audit practice against the NICE technology assessment guidance.
* Work collaboratively with all partners, including PCN MDTs, CCG Pharmacists and Technicians to ensure consistent patient care, benefits and medicine optimisation.
Financial Management and Planning
* Contribute pharmaceutical advice for the development and implementation of new relevant services.
* Analyse, interpret, and present medicines data to highlight issues and risks to support and influence decision making.
Building capacity through effective leadership
* Provide leadership on person-centre medicines optimisation including ensuring prescribers in the practices conserve antibiotics in line with local antimicrobial stewardship guidance and quality improvement.
* Support further integration of general practice with wider healthcare teams to improve patients outcomes, ensure better access and help manage general practice workload.
Management of Communication
* Develop relationships and work closely with other pharmacy professionals across the PCNs and wider health care system.
* Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams and patients. Suggest and recommend appropriate solutions and provide follow up for patients to monitor the effect of any changes.
* Provide newsletters or bulletins on important prescribing messages.
* Support public health campaigns.
Risk Management and Quality Assurance
* Contribute to the Quality and Outcomes Framework and Investment and Impact Fund criteria.
* Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists including mental health and reduction of antipsychotic use in people with learning disabilities, liaison with community pharmacists and anticoagulation.
* Be part of a professional clinical network and have access to appropriate clinical supervision to include one supervision session per month by a Senior Clinical Pharmacist and an assigned GP Clinical Supervisor for support and development.
* Identify cohorts of patients at high risk of harm from medicines through pre-prepared practice searches (patient related, medicine related or both).
* Review medicines connected to unplanned hospital admissions and readmissions via audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
* Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients.
* Undertake clinical audits of prescribing in areas as directed by the GPs, feedback, and implement changes collaboratively.
* Implement changes to medicines that result from MHRA alerts, product withdrawal and other national guidance.
Management of workload and personal development
* Act on own initiative in prioritising and managing workload, delegating tasks appropriately and referring to designated Board Members in respect of clinical, managerial, and administrative areas, as necessary.
* Maintain own personal and professional development as agreed at your annual review.
* Work with your line manager to access regular clinical supervision.
* Participate in the delivery of formal education programmes.
* Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Person Specification
Values
* Working Together
* Improvement and Development
* Respect and Compassion
* Engagement and Involvement
Experience
* Demonstrates, understands, and conforms to relevant standards of practice
* Understands how the working model of Primary care, the funding structures and is creative in identifying the opportunities for partnership working as a result
* Budget and financial management acumen
* Understands the wider determinants of health
* An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
* Understands the principles of research governance
* Awareness of key relevant legislation such as but not limited to health and safety, financial regulations, employment law, commercial law, GDPR
* Knowledge of and works to policies and procedures, including but not limited to lone working, confidentiality, safeguarding, data protection
* Plans targets with colleagues and ensure delivery against key milestones including monitoring and review of general medicine optimisation issues
* Communicates clearly to drive team performance and maintain individual resilience
* Proven ability to influence others to gain acceptance for recommendations by taking an evidenced based approach
* Motivates others to play to their strengths and deliver excellence
* Encourages feedback and a transparent culture
* Can obtain, analyse, and present complex data to aid decision making within the PCN
* Manages time effectively, not being distracted by pressures, retains focus, and delivers to deadlines
* Has in depth knowledge and understanding of the principles of evidence-based healthcare
* Knowledge of IT systems to perform role effectively
* Translates strategies into operational plans in collaboration with other senior colleagues
* Building team capacity and organisational resilience
* Passionately drives organisational development
* Practices and prescribes safely and effectively in a primary care setting
* Recognises personal and professional limitations and refers to appropriate colleague
* Is emotionally intelligent and resilient
* Has a minimum of two years post qualifying experience
* Identifies and mitigates risk management issues collaboratively
Behaviours
* Leading with care
* Sharing the vision
* Engaging the team
* Influencing for results
* Evaluating information
* Inspiring shared purpose
* Connecting our service
* Developing capability
* Holding to account
Other
* Immunisation status
* Access to transport and ability to drive across the locality on a regular basis, including lone visits to patients in their own homes
Qualifications
* Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council (GPC)
* Enrolled in or qualified from an 18-month training pathway or equivalent
* Mandatory registration with the GPC
* Clinical Diploma
* Membership Primary Care Pharmacy Association (PCPA)
* Membership of the Royal Pharmaceutical Association
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.
Depending on experience DoE but Equivalent to 7-8a (not AfC)
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