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.