The clinical pharmacist will be responsible for Reconcile the medications of patients whose care is transferred back to primary care in a timely and effective manner and ensure clinical records are updated. Liaise with patients and other providers to ensure patients receive appropriate medication on discharge. Proactively engage with patients to help reduce potential readmission by preforming polypharmacy reviews. Update patient medication records in line with incoming clinical correspondence To respond to medication queries from patients and staff in a professional manner referring to the appropriate clinician in accordance with protocols and personal and professional boundaries. Provide support to patients to maximise the benefit from their medication Provide telephone support for patients with medication queries Provide professional telephone and written advice and support to patients and their carers To maintain full and complete records of all patient contacts using appropriate clinical templates and coding