Key duties and responsibilities 1. Patient facing medicines support Hold clinics for patients requiring medication reviews i.e., a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Provide a telephone support for patients with questions, queries, and concerns about their medicines. 2. Structured Medication Reviews (SMRs) Undertake structured medication reviews with patients with multimorbidity and polypharmacy and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. 3. Care home structured 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. 4. 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 Pharmacists or GPs for medicine improvement. 5. Patient facing Domiciliary Structured 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. 6. 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. 7. 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. 8. 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). 9. 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. 10. Signposting Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate time period e.g., pathology results, common/minor ailments, acute conditions, long term condition reviews etc. 11. Repeat prescribing 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. 12. 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). 13. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. 14. Medicines quality improvement Undertake clinical audits of prescribing in areas directed by the GPs and the PCN team, feedback the results and implement changes in conjunction with the relevant practice team. 15. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. 16. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys 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 newsletters or bulletins on important prescribing messages. 17. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. 18. Care Quality Commission Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved. 19. Public health To support public health campaigns. To provide specialist knowledge on all public health programs available to the general public. 20. Collaborative working arrangements Participate in the PCN MDT. Liaise with ICB colleagues including ICB pharmacists on prescribing related matters to ensure consistency of patient care and benefit. Liaise with colleagues including Royal Primary Care, ICB, STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit. Liaise with colleagues including ICB, 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. Explore the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients.