Job summary An exciting opportunity is available now to work as a Clinical Pharmacist within the Clayton, Beswick and Openshaw Primary Care Network - a forward-thinking and innovative PCN made up of 7 GP practices serving a total population of 47,592 patients. The successful candidate(s) will be based within the GP practices and may be required to work across the different practices as well as the possibility of some remote/home working so flexibility is an essential part of the role. Our workforce is growing rapidly and together, these roles will embed into a multi-disciplinary team of GP's, ANPs, pharmacists, pharmacy technicians, practice nurses, mental health practitioners, social prescribers and physiotherapists providing optimal care for our community in North Manchester. We welcome applications from all applicants and will consider flexible, part-time and job-share options for the right candidate(s). Previous experience in primary care is desirable. Main duties of the job You will work as part of a multi-disciplinary team to develop and run processes for repeat prescription re-authorisation; management of medicines on transfer of care; systems for safer prescribing; clinical audits; Standard Medication Reviews and caseload management of patients with long-term conditions. You will also support the work of the practices within local Care Homes looking after the needs of these vulnerable patients. About us Clayton, Beswick and Openshaw PCN is a local Primary Care Network. We are a positive, organized, flexible, and experienced team of GP practices and we engage collaboratively within our neighbourhood to provide the best care for our communities. We are innovative and embrace new ways of working together. We are now beginning to expand our workforce and further develop our workstreams for our patient care. Date posted 23 October 2024 Pay scheme Other Salary Depending on experience Contract Fixed term Duration 2 years Working pattern Full-time, Flexible working Reference number A3632-24-0004 Job locations Florence House Medical Practice 1344 Ashton Old Rd Openshaw Greater Manchester M11 1JG Job description Job responsibilities Job responsibilities The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription request, while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN. The post holder will perform face to face medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework. This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice. The post holder will be supported to develop their role to become a non-medical prescriber if that qualification is not already held. Key duties and responsibilities: 1. Patient facing Long-term condition Clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). 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). Make appropriate recommendations to Senior Clinicians and GPs for medicine improvement. 2. Patient facing Clinical Medication Review Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. 3. Patient facing Care Home Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Form part of the Care Home MDT. 4. Patient facing Domiciliary Clinical Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. 5. Risk stratification Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both. 6.Unplanned hospital admissions Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. 7. Management of common/minor/self-limiting ailments Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. 8. Patient facing medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. 9. 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 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). 11. Medicine information to practice staff and patients Answers relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. 12. Signposting 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 results, common/minor ailments, acute conditions, long term condition reviews etc. 13. Repeat prescribing Produce and implement a repeat prescribing policy within each PCN practice. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. 14. Service development Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). 15. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. 16. Medicines quality improvement Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team. 17. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. 18. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economies RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on each practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide updates at meetings and via GP Teamnet on important prescribing messages. 19. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. 20. Care Quality Commission Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved. 21. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. 22. Collaborative working arrangements - PCN MDT. Liaises with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and benefit. Liaises with colleagues including CCG,STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit Liaises with colleagues including CCG,STP/ICS Pharmacists and Pharmacy Technicians Heads of Medicines Management/Optimisation to benefit from peer support. Foster and maintain strong links with all services across the PCN and neighbouring networks. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Job description Job responsibilities Job responsibilities The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription request, while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN. The post holder will perform face to face medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework. This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice. The post holder will be supported to develop their role to become a non-medical prescriber if that qualification is not already held. Key duties and responsibilities: 1. Patient facing Long-term condition Clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). 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). Make appropriate recommendations to Senior Clinicians and GPs for medicine improvement. 2. Patient facing Clinical Medication Review Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. 3. Patient facing Care Home Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Form part of the Care Home MDT. 4. Patient facing Domiciliary Clinical Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. 5. Risk stratification Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both. 6.Unplanned hospital admissions Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. 7. Management of common/minor/self-limiting ailments Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. 8. Patient facing medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. 9. 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 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). 11. Medicine information to practice staff and patients Answers relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. 12. Signposting 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 results, common/minor ailments, acute conditions, long term condition reviews etc. 13. Repeat prescribing Produce and implement a repeat prescribing policy within each PCN practice. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. 14. Service development Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). 15. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. 16. Medicines quality improvement Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team. 17. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. 18. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economies RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on each practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide updates at meetings and via GP Teamnet on important prescribing messages. 19. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. 20. Care Quality Commission Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved. 21. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. 22. Collaborative working arrangements - PCN MDT. Liaises with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and benefit. Liaises with colleagues including CCG,STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit Liaises with colleagues including CCG,STP/ICS Pharmacists and Pharmacy Technicians Heads of Medicines Management/Optimisation to benefit from peer support. Foster and maintain strong links with all services across the PCN and neighbouring networks. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Person Specification Experience Essential Minimum of two years experience as a pharmacist. Prior experience in hospital, general practice or CCG. Desirable Experience working in primary care with other healthcare professionals Experience in the care home sector Experience of working with CCGs Experience of providing evaluated drug information Qualifications Essential Pharmacy degree Currently registered member of the General Pharmaceutical Council (GPhC) Evidence of recent CPD and/or other professional development Desirable Post-graduate clinical qualification, diploma level or higher Completion of CPPE 18-month Primary care pharmacy education pathway. Prescribing Qualification Person Specification Experience Essential Minimum of two years experience as a pharmacist. Prior experience in hospital, general practice or CCG. Desirable Experience working in primary care with other healthcare professionals Experience in the care home sector Experience of working with CCGs Experience of providing evaluated drug information Qualifications Essential Pharmacy degree Currently registered member of the General Pharmaceutical Council (GPhC) Evidence of recent CPD and/or other professional development Desirable Post-graduate clinical qualification, diploma level or higher Completion of CPPE 18-month Primary care pharmacy education pathway. Prescribing Qualification 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Clayton, Beswick and Openshaw PCN Address Florence House Medical Practice 1344 Ashton Old Rd Openshaw Greater Manchester M11 1JG Employer's website https://www.florencehousesurgery.co.uk/ (Opens in a new tab)