Medicine information to PCN, practice staff and patients Answer medicine related enquiries from PCN, GPs & practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes. Patient facing clinical medication review Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Review the on-going 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 medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice as appropriate and with safety in mind during the pandemic. Telephone medicines support Provide a telephone help line for patients with questions, queries and concerns about their medicines. Patient facing care home/residential clinical medication reviews Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Patient facing domiciliary/home visits Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests when appropriately qualified to do so. Attend and refer patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans. Service development To work with the SCP and team to develop and manage new services across the PCN that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation). Risk stratification Assist with design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines across the PCN. Assist the SCP with the management of risk stratification tools on behalf of the PCN. Work with patients, SCP and CPs across the PCN and primary care teams to minimise risks through medicines optimisation. Information management To assist SCP and CP team to analyse, interpret and present medicines and risks to support decision-making across the PCN. Use of data to highlight issues. Medicines Quality Improvement programmes Work with the SCP and CP team to identify and provide support on areas of prescribing and medicines optimisation, including QOF and QI requirements. Conduct appropriate clinical audits and projects or work with colleagues such as SCP, CPs, GP registrars, and practice managers across the PCN etc. Present results and provide leadership on suggested changes. Assist CP team to contribute to national and local research initiatives. Care Quality Commission Assist SCP and CP team provide leadership to the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Undertake appropriate risk assessments and management and ensure compliance with medicines legislation. Implementation of local and national guidelines and formulary recommendations Assist with monitoring practice prescribing against the local health economys RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system. Work with SCP and CP team to suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Assist SCP and CP team with auditing at both practice and PCN level compliance against NICE technology assessment guidance. Provide updates on PCN intranet on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. Supervision Work with SCP to ensure that PCN Pharmacy Technicians also receive appropriate supervision, mentoring, appraisal process and access to relevant training & development programmes. Education and Training Assist SCP and CP team provide education and training to primary healthcare teams across the PCN on therapeutics and medicines optimisation. Assist with providing training to visiting medical, nursing, pharmacy and other healthcare students where appropriate. Public health To assist SCP and CP team with supporting public health campaigns across the PCN. To assist SCP and CP team with providing specialist knowledge on all public health programmes available to general public across the PCN. Unplanned hospital admissions Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. 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 manage these changes without referral to a GP. Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge 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). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Telephone triage 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 test results, common/minor ailments, acute conditions, long term condition reviews etc. Other information While we are happy to consider flexible working, PCNs need to provide patients with enhanced access and you may therefore on occasion be required to work weekday evenings 18:30 20:00.