Job summary This is an excellent opportunity to be part of a rapidly expanding PCN in North West London. The successful applicant will be joining an established and experienced PCN Clinical Pharmacy team and includes trainee pharmacists and pharmacy technicians. Whilst the post holder will be bringing their own experience to the role, they will receive support and training in their development as follows: Receive a robust induction process and training and support along with having a clinical supervisor Receive regular education and training sessions with the team provided internally and by external organisations Receive appropriate regular supervision via line management Continue to receive support whilst on the CPPE PCEP pathway and have the opportunity to be enrolled onto a university approved Independent Prescribing course All shortlisted applications will involve a two-stage interview process: Telephone interviews (8, 15, 22 and 25 January 2025) Face to face interviews (15 and 29 January 2025) Main duties of the job You will be supporting the Harness PCNs and its 20 GP practices to deliver quality improvement and practice deliverables. This will include population health management via long term condition reviews, SMRs and audits, medicines optimisation and reducing medicines waste. You will provide expertise in clinical pharmacy as part of a multi disciplinary team supporting in the delivery of population health management for the PCN and clinical management of patients within General Practice and community sites, including care homes and patients' homes. You will need to be self-motivated, work autonomously with minimal supervision and have excellent written and verbal communication skills. Experience of a working in a PCN or GP practice setting is essential. About us The Harness vision is to "Create Healthier Communities". Our mission To transform primary care delivery in a sustainable way, by a commitment to excellence in everything we do and by working in partnership with our patients and our communities to make a positive impact on their health and wellbeing. Our values Working in collaboration and partnership Seeing continuous improvement Valuing people Professionalism in all we do Communicating at all levels Building positive relationships Background Harness Care Ltd provides general medical services to a population of 140,000 patients residing across Brent. Our 20 GP practices work across two Primary Care Networks (Harness North PCN and Harness South PCN). Led by four PCN Clinical Directors, we work together with a range of local providers, including acute trusts, community services, social care, voluntary sector and patient participation groups, to offer more personalised, co-ordinated health and social care to our local population. In addition to our Clinical Pharmacy team, we have developed an expanding multi-disciplinary team including: Social Prescribing Link Workers Health and Wellbeing Coaches First Contact Physiotherapists Mental Health Practitioner Dieticians Care Co-ordinators Digital and Transformation Lead CVD and Diabetes Clinical Lead Management and administration support Date posted 08 November 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number U0011-24-0009 Job locations Park Royal Medical Practice Central Middlesex Hospital, Acton Lane London NW10 7NS Job description Job responsibilities Clinical duties including but not limited to Apply clinical expertise in Medication Reviews/ Structured Medication Reviews (SMR) face-to-face, remotely or within a patient's place of residence, to deliver high quality patient facing services that are centred on and tailored to each individual patient's needs Manage and deliver clinics in long term conditions in collaboration with and support from allied healthcare professionals Deliver clinics in specialist areas appropriate to clinical competence, which may include, minor ailments, frailty, elderly, renal/hepatic impairment, high-risk medications, frequent attenders in secondary care Prescribe medication within the limits of the individual professional competence Pro-actively and prospectively reduce inappropriate polypharmacy and over-diagnosis through systematic, evidence-based de-prescribing Promote the principles of public health; educate and motivate patients to make healthy lifestyle choices and access services designed to assist health improvement (e.g., smoking cessation, dietetics, rehabilitation) Discuss patients with complex needs at local MDT meetings and refer to the ICPT in line with recommendations Provide professional telephone/ email advice and support to patients and their carers Reconcile the medications of patients whose care is transferred back to primary care in a timely and effective manner, liaising with patients and community pharmacies to ensure patients receive appropriate medication post-discharge Interface between community, hospital and primary care pharmacy colleagues as patients move between care settings developing local effective communication, referral practices and procedures Proactively engage with patients whose care has been transferred to reduce potential readmission Maintain full and complete records of all patient contacts using appropriate clinical templates and SNOMED coding Provide feedback and seek advice from the primary care team for patients where the post holder has clinical concerns around competence to safely manage their medications Support the effective utilisation of the practice workforce Medicine management and repeat prescribing Review the ongoing need for medication and make suitable recommendations to the GPs and Clinical Pharmacists Manage acute requests for medication in line with the NWL ICB formulary and local agreed standard operating procedures Work with practices to ensure safe and effective systems for the repeat prescribing of medication making recommendations on the reduction of potential wastage Set up systems to ensure the effective and continuous supply of medication to high-risk patients Implement changes to medicines in line with MHRA alerts, and other local or national guidance Support practices with the implementation of appropriate NICE guidance in line with local agreements Support practices to comply with local medicine management guidelines Assess and counsel patients on effective techniques required for the use of medication delivered by devices Ensuring medication records are kept up to date with records of interventions from within and from outside the practice Administer agreed immunisations/ vaccines in line with local and national guidelines Take monitoring observations such as blood pressure, peak flow rate, urine dip stick and record in patient notes. Audit, research and risk stratification Engage with the Brent Care/Harness risk stratification procedure to identify high risk patients and those at risk of non-elective admission to hospital Participate in the effective care planning and management of high-risk patients as part of the multidisciplinary team Participate in audit activities in practices and with groups of practices to optimise the use of prescribing resource. Feedback results of clinical audit activities in areas agreed with GPs, implement recommendations and complete full audit/PDSA cycle. Engage with research activities being undertaken in the Harness Education and Research Hub Proactively identify and recall patients due for medication review ensuring all appropriate monitoring tests are performed Analyse, interpret and present prescribing information at practice and population level to support effective decision-making and change in evidence-based clinical practice PCN and Practice deliverables include but is not exhaustive to: IIF indicators MM indicators Practice monitoring (MHRA alerts, Prescribing safety alerts, emergency drugs compliance, potential missed diagnosis) Support practices with achievement of QOF and CQC compliance Assist with review of pathology results, discharge communications, letters, scans, emails and other correspondence in a timely manner. Job description Job responsibilities Clinical duties including but not limited to Apply clinical expertise in Medication Reviews/ Structured Medication Reviews (SMR) face-to-face, remotely or within a patient's place of residence, to deliver high quality patient facing services that are centred on and tailored to each individual patient's needs Manage and deliver clinics in long term conditions in collaboration with and support from allied healthcare professionals Deliver clinics in specialist areas appropriate to clinical competence, which may include, minor ailments, frailty, elderly, renal/hepatic impairment, high-risk medications, frequent attenders in secondary care Prescribe medication within the limits of the individual professional competence Pro-actively and prospectively reduce inappropriate polypharmacy and over-diagnosis through systematic, evidence-based de-prescribing Promote the principles of public health; educate and motivate patients to make healthy lifestyle choices and access services designed to assist health improvement (e.g., smoking cessation, dietetics, rehabilitation) Discuss patients with complex needs at local MDT meetings and refer to the ICPT in line with recommendations Provide professional telephone/ email advice and support to patients and their carers Reconcile the medications of patients whose care is transferred back to primary care in a timely and effective manner, liaising with patients and community pharmacies to ensure patients receive appropriate medication post-discharge Interface between community, hospital and primary care pharmacy colleagues as patients move between care settings developing local effective communication, referral practices and procedures Proactively engage with patients whose care has been transferred to reduce potential readmission Maintain full and complete records of all patient contacts using appropriate clinical templates and SNOMED coding Provide feedback and seek advice from the primary care team for patients where the post holder has clinical concerns around competence to safely manage their medications Support the effective utilisation of the practice workforce Medicine management and repeat prescribing Review the ongoing need for medication and make suitable recommendations to the GPs and Clinical Pharmacists Manage acute requests for medication in line with the NWL ICB formulary and local agreed standard operating procedures Work with practices to ensure safe and effective systems for the repeat prescribing of medication making recommendations on the reduction of potential wastage Set up systems to ensure the effective and continuous supply of medication to high-risk patients Implement changes to medicines in line with MHRA alerts, and other local or national guidance Support practices with the implementation of appropriate NICE guidance in line with local agreements Support practices to comply with local medicine management guidelines Assess and counsel patients on effective techniques required for the use of medication delivered by devices Ensuring medication records are kept up to date with records of interventions from within and from outside the practice Administer agreed immunisations/ vaccines in line with local and national guidelines Take monitoring observations such as blood pressure, peak flow rate, urine dip stick and record in patient notes. Audit, research and risk stratification Engage with the Brent Care/Harness risk stratification procedure to identify high risk patients and those at risk of non-elective admission to hospital Participate in the effective care planning and management of high-risk patients as part of the multidisciplinary team Participate in audit activities in practices and with groups of practices to optimise the use of prescribing resource. Feedback results of clinical audit activities in areas agreed with GPs, implement recommendations and complete full audit/PDSA cycle. Engage with research activities being undertaken in the Harness Education and Research Hub Proactively identify and recall patients due for medication review ensuring all appropriate monitoring tests are performed Analyse, interpret and present prescribing information at practice and population level to support effective decision-making and change in evidence-based clinical practice PCN and Practice deliverables include but is not exhaustive to: IIF indicators MM indicators Practice monitoring (MHRA alerts, Prescribing safety alerts, emergency drugs compliance, potential missed diagnosis) Support practices with achievement of QOF and CQC compliance Assist with review of pathology results, discharge communications, letters, scans, emails and other correspondence in a timely manner. Person Specification Experience Essential Experience working within a PCN or GP Practice setting Desirable Experience of working with GP clinical systems such as Emis Qualifications Essential Pharmacy Degree Registration with the General Pharmaceutical Council (GPhC) Desirable Postgraduate diploma in Clinical Pharmacy or equivalent Person Specification Experience Essential Experience working within a PCN or GP Practice setting Desirable Experience of working with GP clinical systems such as Emis Qualifications Essential Pharmacy Degree Registration with the General Pharmaceutical Council (GPhC) Desirable Postgraduate diploma in Clinical Pharmacy or equivalent 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). Employer details Employer name Harness Care Ltd Address Park Royal Medical Practice Central Middlesex Hospital, Acton Lane London NW10 7NS Employer's website https://www.harnesspcn.nhs.uk/ (Opens in a new tab)