We are looking for a motivated and enthusiastic Clinical Pharmacist to join our friendly, patient-focused practice team.
The successful candidate will be an experienced pharmacist who, acting within their professional boundaries, will provide care for the patients through medication reconciliation, prescribing, and review as appropriate. Room to develop acute or chronic management of patients is also encouraged.
Non-medical prescribing is preferred, as well as experience working in primary care, although not essential to apply.
You will benefit from:
* Assigned GP for supervision/support
* Planned coffee break during the day with the rest of the team
* Teaching atmosphere with a strong emphasis on this.
Main duties of the job
* Acute prescription requests
* Prescribing and follow up
* Actioning of MHRA alerts
* Targeted medication reviews which may be done over the telephone or face to face - Review the ongoing 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 optimisation). Make appropriate recommendations to GPs for medicine improvement.
* Answers all 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.
You will be required to demonstrate:
* Evidence of ongoing Personal Development
* Ability to work in a team
* Knowledge of and experience of managing long-term conditions
* Prescribing Qualification
About us
You will be joining a team of 5 GP partners, 3 Salaried GPs, Nurse Practitioners, a team of Practice Nurses and HCAs, who are supported by Management, Admin and Reception staff.
We are a friendly practice, offering a supportive and collaborative team environment, where we encourage learning, development, and personal growth. Elm Tree Surgery is an active member of Stockton PCN supported by Clinical pharmacists, First Contact Practitioners, Social prescribers, a Health & Wellbeing Coach, and a Mental Health practitioner.
Recently voted 96% for patient satisfaction, making us one of the highest rated in the region and nationally, as well as one of the highest rated for Google reviews. We have a strong ethos of patient care, providing great quality care as well as brilliant access to our patients.
We also pride ourselves with the support we can provide, with multiple GPs on site at all times, there will always be someone who can give advice, discuss a case or review a patient with yourself if required.
We will also set aside time for debriefing throughout the day so that any queries and teaching can take place depending on the applicants' wants/needs.
We are a SystmOne Practice.
Job responsibilities
Patient facing or telephone - Long-term condition Clinics
See patients (where appropriate) with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the ongoing 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 optimisation).
Patient facing or telephone - Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for nurses and/or GP on prescribing and monitoring.
Patient facing or telephone - care home medication reviews
Undertake clinical medication reviews with patients and produce recommendations for the nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the nurses and GPs on prescribing and monitoring.
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.
Patient facing medicines support and Telephone Medicines support
Provide patient facing support and telephone help for patients with questions, queries, and concerns about their medicines.
Medicine information to practice staff and patients
Answer 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.
Hospital admissions - planned and unplanned
Review the use of medicines most commonly associated with 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.
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. 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).
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.
Repeat prescribing
Manage the repeat prescribing reauthorization 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.
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.
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).
Information management
Analyse, interpret, and present medicines data to highlight issues and risks to support decision-making.
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results, and implement changes in conjunction with the practice team.
Implement changes to medicines that result from MHRA alerts, product withdrawal, and other local and national guidance.
Implementation of local and national guidelines and formulary recommendations
Monitor practice prescribing against the local health economy's RAG list (RED, AMBER, GREEN) and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
Auditing compliance against NICE technology assessment guidance.
Education and Training
If required, provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with practice teams to ensure they are compliant with CQC standards where medicines are involved.
Public health - To support public health campaigns.
Collaborative Working Relationships
Recognises the roles of other colleagues within the Primary Care Network and their role to patient care. Demonstrates use of appropriate communication. Demonstrates ability to work as a member of a team. Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary. Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Liaise with ICB colleagues including ICB Medicine Management Team on prescribing related matters to ensure consistency of patient care and benefit.
Leadership:
Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Promotes diversity and equality in people management techniques and leads by example.
Management:
Demonstrates ability to identify and resolve risk management issues according to policy/protocol. Follows professional and organisational policies/procedures relating to performance management.
Education, Training and Development:
Understands and demonstrates the characteristics of a role model to members in the team and/or service. Demonstrates self-development through continuous professional development activity; to identify areas to develop. Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice. Ensures appropriate clinical supervision is in place to support development into review and appraisal systems within the practice.
Research and Evaluation:
Demonstrates ability to critically evaluate and review. Demonstrates ability to apply research evidence base into working place.
Person Specification
Qualifications
* Completion of an Undergraduate Degree in Pharmacy
* Registration with the General Pharmaceutical Council.
* Able to follow legal, ethical, professional, and organisational policies/procedures and codes of conduct.
* Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.
* Have experience and an awareness of common acute and long-term conditions that are likely to be seen in general practice.
* Experience working as a clinical pharmacist in General Practice.
* May hold or be working towards an independent prescribing qualification.
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.
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