Enfield Unity Primary Care Network is a large PCN representing over 158,000 patients across 17 GP Practice sites. Our aim is to improve services and outcomes for patients and staff by increasing access to healthcare, supporting multidisciplinary team working for our most unwell patients and by championing Clinical Pharmacists in the General Practice sector.
30 days annual leave plus 8 bank holidays
Professional Indemnity cover
Robust clinical supervision and support
Primary Care specific training via CPPE primary care pathway, including Independent prescribing if not already held
Peer support and team network
Support to develop clinical skills as appropriate for the role
Main duties of the job
This is an exciting opportunity for enthusiastic and forward thinking LOCAL Pharmacists to join our established and growing team in providing meaningful, patient centred support in general practice to deliver:
1. Clinical Medicine review and long term condition clinics
2. Prescription requests, queries and prescribing efficiencies
3. Safe prescribing practice and audits
The post holder will need to demonstrate:
1. Good IT skills with the ability to obtain and analyse complex technical information
2. Recognise priorities when problem solving and identify deviations from normal patterns
3. Work effectively independently and as a team member
4. Demonstrate accountability for delivering professional expertise and direct service provision.
About us
The successful applicant will be based over one or two of Enfield Unity PCN's 17 sites.
You will have a named Clinical Supervisor, and a named Senior Clinical Pharmacist for support and guidance.
Medicus Health Partners (MHP) is the lead practice for Unity PCN and will be the employing organisation. MHP is a super-partnership made up of 9 of the 17 PCN practices.
The successful applicants will have access to the training, support and governance systems in place at MHP.
The successful applicants will have the unique opportunity to help shape the development of pharmacy in general practice working closely with the PCN clinical directors and senior pharmacist colleagues.
Applications are welcome from those with existing primary care or GP practice experience, or applicants that have a keen interest to develop clinical experience in primary care.
Job responsibilities
1. See patients with single or multiple medical problems where medicine optimization is required (e.g. Respiratory, cardiovascular, Diabetes.)
2. Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimization). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
3. Clinical Medication Review: Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
4. Work with care home staff to improve safety of medicines ordering and administration.
5. Attend and refer patients to multidisciplinary case conferences.
6. Provide patient facing and telephone clinics for those with questions, queries and concerns about their medicines in the practice.
7. Medicine information to practice staff and patients: Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
8. Unplanned hospital admissions: Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
9. Management of medicines at discharge from hospital: To reconcile medicines following discharge from hospitals, intermediate care and into 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.
10. 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).
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: Implement the practice repeat prescribing policy within each PCN practice where required. Manage the repeat prescribing re-authorization process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required.
13. Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both. The clinical pharmacists will be responsible for ensuring that all drugs that require regular monitoring are prescribed in a safe manner and that all necessary tests and procedures are carried out according to guidance.
14. Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).
15. Information management: Analyze, interpret and present medicines data to highlight issues and risks to support decision-making. This will include areas practices are contracted to improve. E.g. NSAID prescribing. Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
16. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
17. Implementation of local and national guidelines and formulary recommendations.
18. Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
19. Monitor adherence to North Central London's Medication Optimization Network.
20. Auditing the practices compliance against NICE technology assessment guidance (TAG).
21. Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.
22. Auditing practices compliance against NICE technology assessment guidance.
23. Provide newsletters or bulletins on important prescribing messages.
24. Education and Training: Provide education and training to primary healthcare team on therapeutics and medicines optimization. This will include local community pharmacists.
Person Specification
Qualifications
* Specialist knowledge acquired through post-graduate diploma level or equivalent training/experience. Independent prescriber or working towards/intent of gaining independent prescribing qualification.
Experience
* Minimum of 2 years post-qualification experience. An appreciation of the nature of GPs and general practices. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing. Excellent interpersonal, influencing and negotiating skills. Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients).
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare. Is able to plan, manage, monitor, advise and review general medicine optimization issues in core areas for long term conditions.
Other
* Local to Enfield
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.
£48,000 to £55,300 a year; £55,300 for independent prescribers & CPPE.
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