We are excited to be expanding our already well complemented team through participation in the NHSE National PCN Pilot Programme as part of Meridian Health Group Primary Care Network.
The clinical pharmacists at The Roxton Practice are an integral part of the team, using and sharing pharmacy expertise to support the practice in effective medicines management and optimal patient care.
Main duties of the job
1. Medication Review and Optimisation
2. Care Home Medication Reviews
3. Long Term Condition Clinics
4. Unplanned Admission Prevention
5. Prescribing Systems and Policies
6. Liaison with community and hospital pharmacies
7. Teaching/Training
About us
The Roxton Practice is a large partnership delivering services at three sites and across the community in North East Lincolnshire. We have over 33,000 registered patients and more than 170 staff with a strong patient focused ethos. We are looking to recruit the right individual to champion a culture of safety, quality and excellence across the organisation.
Employing over 150 staff in a variety of roles, our staff are our greatest asset. This includes front of house and administration teams, service managers and an increasingly dynamic range of clinical roles, comprising GPs, Clinical Pharmacists, ACP and ANPs, Nurses, Paramedics, Pharmacy Technicians, Dispensers and Health Care Assistants.
Job responsibilities
1. Medication Review and Optimisation:
1. Face to face clinics to discuss medication issues with patients as needed and appropriate.
2. Carry out medication reviews.
3. Review and continue repeat medications for new patients who have just registered with the practice and PCN, and suggest GP medication review where appropriate.
4. Discuss medication issues with patients as needed and appropriate by telephone, e.g. adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies, queries from practice and PCN dispensary, queries from care homes.
5. Respond to dispensary queries to include, re-authorising repeats where there are queries, clarifying doses, clarifying products, giving appropriate alternatives when availability issues arise.
6. Discuss specific patient and prescribing issues (e.g. complicated regimes/polypharmacy, compliance difficulties, multiple adverse effects, medication reduction regimes) with other clinicians as necessary.
7. Support the completion of medication administration forms for district nurses for GPs to sign.
2. Care Home Medication Reviews:
1. Manage own caseload of care home residents.
2. Undertake clinical medication reviews with patients with multi-morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
3. Work with care home staff to improve safety of medicines ordering and administration.
3. Long Term Condition Clinics:
1. According to experience and training, manage conditions such as Hypertension, Diabetes, CHD, Respiratory issues, and Chronic pain management.
2. Review secondary care requests for new medication and raise any queries with relevant GP.
3. Deal with anticoagulant start/stop requests from secondary care and contact patients who have defaulted on INRs.
4. Unplanned Admission Prevention:
1. Devise and implement practice/PCN searches to identify cohorts of patients at risk of unplanned admissions.
2. Work with multidisciplinary teams to manage medicines.
3. Monitor and inform colleagues about ongoing prescribing issues.
5. Prescribing Systems and Policies:
1. Identify patients in need of medication review and develop patient invitation systems.
2. Liaise with dispensary, admin, and clinical staff to develop and implement medicines management systems.
3. Monitor prescribing performance and suggest changes as appropriate.
6. Liaison with community and hospital pharmacies:
1. Support integration of the practice within community and hospital pharmacies.
2. Advise dispensary when needed.
Person Specification
Qualifications
* Mandatory registration with General Pharmaceutical council (GPhC)
* Master degree in Pharmacy (MPharm) or equivalent
* Membership of the Royal Pharmaceutical Society
* Specialist knowledge acquired through postgraduate diploma or equivalent training/experience.
Experience
* Intent or working towards independent prescribing qualification.
* Experience of working in a general practice setting.
Knowledge and Skills
* Excellent interpersonal skills
* Recognises priorities when problem solving and identifies deviations from the normal pattern, able to refer to senior pharmacist of GPs when appropriate.
* Able to work under pressure and meet tight deadlines.
* Produce timely and informative reports.
* Demonstrates ability to communicate complex and sensitive information in an understandable form to a variety of audiences.
* Two years post qualification experience.
* Appreciation of the nature of GPs and general practice and the nature of primary care prescribing.
Other
* Able to participate in training others
* Flexible approach to working patterns
* Enthusiastic team member
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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