The post holder will work as part of a multi-site, multi-disciplinary team in a patient-facing role. The post holder will take responsibility for managing targeted areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex poly-pharmacy.
The post holder will provide support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, provide expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice(s).
Main duties of the job
Repeat prescribing review Practice repeat prescribing policies. Oversee the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions, reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. Reduce inappropriate poly-pharmacy and wasteful prescribing and address public health and social needs of patients through clinical medication review. This would be a level 3 medication review looking at the patients full clinical condition e.g. blood monitoring, interface care arrangements, social isolation. Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues. Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service.
Manage Practice formularies to improve the quality, safety and cost effectiveness of prescribing. Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety.
Job responsibilities
The post holder will work as part of a multi-disciplinary team in a patient-facing role. They will take responsibility for managing targeted areas of chronic disease management within the practice and undertake medication reviews to proactively manage patients with complex poly-pharmacy.
The post holder will provide support to general practice staff with regards to prescription and medication queries. They will deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, provide expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice(s).
The post holder will work across a number of practices providing clinical guidance on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.
Key Responsibilities:
The post holder will provide support to meet the individual needs of Practices. Responsibilities may vary across Practices and can include:
* Ensure patients have appropriate monitoring tests in place when required.
* Reduce inappropriate poly-pharmacy and wasteful prescribing and address public health and social needs of patients through clinical medication review. This would be a level 3 medication review looking at the patients full clinical condition e.g. blood monitoring, interface care arrangements, social isolation.
* Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
* Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues.
* Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service.
* Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions and medicines reaching review dates.
* Manage patients, Practice staff and other health care professionals medicine queries.
* Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles.
* Manage Practice formularies to improve the quality, safety and cost effectiveness of prescribing.
* Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety.
* Work with primary care professionals and patients to implement NICE and other evidence based guidelines.
* Be involved in clinics where medicines are the main interventions e.g. anticoagulant monitoring clinics, high risk drug monitoring.
* Contribute to patient facing multi-morbidity long term condition reviews and multi-disciplinary reviews.
* Review daily Pathology results for patients on known medicines (if required)
* Act as a source of medicines information for all of the Practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives if stock issues).
* Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
* Signposting to community pharmacy and referring to GPs or other healthcare professionals, where appropriate.
* Undertake Patient facing domiciliary and care home medication reviews 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.
The jobholder may be required at any time to undertake any work up to and/or at a level consistent with existing responsibilities.
Person Specification
Qualifications
* MPharm (4 years) or equivalent.
* Membership of the General Pharmaceutical Council of GB (1 year pre-registration training).
* Maintains clinical and professional competence and CPD
* Postgraduate qualification in clinical pharmacy (1 or 2 years) or equivalent experience.
* Membership of the Royal Pharmaceutical Council of GB.
Knowledge
* Advanced knowledge of the clinical use of drugs.
* Good knowledge of the pathophysiology of common disease states.
* Good understanding of medicine management issues.
* Thorough knowledge of the Law and Ethics relevant to Medicines.
* Knowledge of key drivers within the NHS.
* Understanding of biochemical and haematological data.
Experience
* Experience in clinical pharmacy.
* Experience of working with other healthcare professionals.
* Experience of Clinical Audit.
* Experience of community and Hospital Pharmacy.
* Experience of working within a PCN in Primary Care.
* Minimum 5 year post-registration experience with at least 2 years in Primary Care.
* NHS Smoking Cessation Advisor.
* Experience of teaching and training to other healthcare staff.
* Awareness of financial management or budgetary reporting on medicines.
* Experience of Providing evaluated drug information.
Skills
* Ability to apply clinical knowledge appropriately in a variety of practice settings or patient groups.
* Excellent written and verbal communication skills and attention to detail.
* Good organisational skills.
* Effective time management and the ability to prioritise.
* Ability to work on own or as part of a team and liaise with other professionals.
* Good computer skills, including Microsoft Word, Excel, and Email, and ePACT.
* Diplomatic.
* Able to support other team members.
* Familiar with EMIS Web GP computer system.
* Able to interpret Prescribing data.
* Evidence of successful project management.
Personal Attributes
* High degree of responsibility and initiative.
* Commitment to continuing professional development.
* Neat and professional appearance.
* Flexibility in working arrangements.
* Willing to accept professional responsibility.
* Adaptable to changes in working environment and practices.
* Ability to handle conflict appropriately.
* Ability to remain composed and professionally effective in all circumstances.
* Consideration and discretion in sensitive patient situations.
* To use a VDU for significant amounts of time.
* Ability to handle manage change effectively.
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.
£49,000 to £53,000 a year Depending on experience
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