CORE RESPONSIBILITIES 1. Working within the practice based team to take responsibility and undertake medication reviews particularly in high risk groups 2. Improve prescribing practice through educational support for all prescribers within the practice 3. You will work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas. 4. Take responsibility for the care management of patient with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple comorbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme). 5. Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the South West Barnet PCN practices and to help in tackling inequalities. 6. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change 7. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS 8. Support improvements in clinical care through practice based audit and implementing change 9. Prescribing advice to prescribers in practice e.g. temporary non availability of drugs 10. Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines 11. Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists and anticoagulation. QUALIFICATIONS & TRAINING FOR THIS JOB NB: it is anticipated that the level of qualification held may vary according to the level of position and the components of the role being carried out Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council Minimum of 5 years post graduate experience in pharmacy, as demonstrated within a practice portfolio Member of the Royal Pharmaceutical Society (RPS) Member of or working towards (through foundation) RPS Faculty membership Currently hold an independent prescribing qualification Hold a postgraduate pharmacy qualification. Have qualified from an accredited training pathway that equips the clinical pharmacists to be able to practice and prescribe safely and effectively in a primary care setting (currently the CPPE Clinical Pharmacist training pathways) Has an awareness of the breadth of common acute and long-term conditions that are likely to be seen in a general medical practice. BEHAVIOURAL COMPETENCIES AND SKILLS FOR THIS JOB EXPERT PROFESSIONAL PRACTICE Demonstrates general pharmaceutical skills and knowledge in core areas Is able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients in core areas, including disease states / long term conditions identified by local Pharmaceutical Needs Assessment Demonstrates accountability for delivering professional expertise and direct service provision as an individuals Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options. Recognises priorities when problem-solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate. Is able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct. Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance. COLLABORATIVE WORKING RELATIONSHIPS Recognises the roles of other colleagues within the organisation and their role to patient care Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs) Demonstrates ability to work as a member of a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support Liaises with other GP Practices and staff as needed for the collective benefit of patients Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system LEADERSHIP Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace Demonstrates understanding of, and contributes to, the workplace vision You will have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload Demonstrate leadership on person centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services. Through structured medication reviews, clinical pharmacists will support patients to take their medications to get the best from them, reduce waste and promote self-care. Demonstrates ability to improve quality within limitations of service Reviews last years progress and develops clear plans to achieve results within priorities set by others Demonstrates ability to motivate self to achieve goals MANAGEMENT Demonstrates understanding of the implications of national priorities for the team and/or service Demonstrates understanding of the process for effective resource utilisation Demonstrates understanding of, and conforms to, relevant standards of practice Demonstrates ability to identify and resolve risk management issues according to policy/protocol Follows professional and organisational policies/procedures relating to performance management Demonstrates ability to extend boundaries of service delivery within the team EDUCATION, TRAINING AND DEVELOPMENT Understands and demonstrates the characteristics of a role model to members in the team and/or service Demonstrates understanding of the mentorship process Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from a more experienced colleague Demonstrates self-development through continuous professional development activity Participates in the delivery of formal education programmes Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice RESEARCH AND EVALUATION Demonstrates ability to identify where there is a gap in the evidence base to support practice Demonstrates ability to critically evaluate and review literature Demonstrates ability to generate evidence suitable for presentation at local level Demonstrates ability to apply the research evidence base into working practice Demonstrates understanding of the principles of research governance Demonstrates ability to work as a member of the research team