We are looking to recruit a Clinical Pharmacist for 23 hours per week. You will work as part of a multidisciplinary team to develop and run processes for repeat prescription reauthorisation, management of medicines on transfer of care, and systems for safer prescribing.
You will work directly with patients to assess and treat conditions, manage long-term conditions, as well as promote self-care. You will be part of a group of Primary Care Network (PCN) Clinical Pharmacists working under the supervision and mentoring of a Clinical Pharmacist Manager.
You will be expected to complete the accredited 18-month Primary Care Pharmacy Education Pathway provided by CPPE as part of your training and the support to obtain your Independent Prescriber Qualification. The 18-month CPPE pathway does not need to be completed if you meet a HEE (Health Education England) exemption such as completion of a Clinical Diploma.
Main duties of the job
As a Clinical Pharmacist, you will work as part of a multidisciplinary team to develop and run processes for repeat prescription reauthorisation, management of medicines on transfer of care, and systems for safer prescribing.
About us
We are a well-established forward-thinking GMS practice comprising 5 GP partners, 1 Advanced Nurse Practitioner Partner, 1 Clinical Pharmacist, 2 Emergency Care Practitioners, 2 Practice Nurses, 1 Registered Nurse Associate, and 1 HCA supported by an excellent reception/admin team.
Zetland Medical Practice is a training practice and we currently train GP registrars and medical students.
We are a SystmOne practice and a member of Redcar Coastal PCN.
Job responsibilities
Primary Responsibilities
Patient-facing Clinical Medication Review:
Undertake clinical medication reviews with patients within the practice, care homes, and/or domiciliary visits to proactively manage polypharmacy and produce recommendations for senior clinical pharmacists, nurses, and/or GP on prescribing and monitoring.
See where appropriate, patients with single or multiple medical problems where medicine optimisation is required, e.g., Respiratory, Cardiovascular, and Diabetes.
Clinics are done face to face, via telephone, home visits, and in the future, possibly video consultations.
The post holder will undertake clinics for patients or develop one-to-one relationships in order to de-prescribe where necessary or offer clinical leadership on medicines optimisation and quality improvement.
Review the ongoing need for each medicine, a review of monitoring needs, and an opportunity to support patients with their medicine adherence ensuring they get the best use of their medicines, i.e., medicines optimisation. Make appropriate recommendations to GPs for medicine improvement.
Patient-facing Care Home and Domiciliary Clinical Medication Reviews:
Undertake clinical medication reviews with patients and produce recommendations for clinicians on prescribing and monitoring. Work with care home staff to improve the safety of medicines ordering and administration.
Management of common/minor/self-limiting ailments:
Manage a caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.
Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate.
Provide patient-facing clinics and a telephone helpline for those with questions, queries, and concerns about their medicines in the practice.
Medicine information to practice staff and patients:
Answer relevant medicine-related enquiries from GPs, other 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.
Telephone medicines support:
Provide a telephone helpline for patients with questions, queries, and concerns about their medicines.
Help tackle the issue of 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.
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.
Signposting:
Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period, e.g., pathology results, common/minor ailments, acute conditions, long-term condition reviews, etc.
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.
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.
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.
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.
Implement changes to medicines that result from MHRA alerts, product withdrawal, and other local and national guidance.
Audit practices compliance against NICE technology assessment guidance.
Care Quality Commission:
Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
Collaborative Working Relationships:
Participate in the Primary Care Network Multidisciplinary Team.
Liaise with ICB colleagues including ICB pharmacists on prescribing-related matters to ensure consistency of patient care and benefit in surgeries.
Foster and maintain strong links with all services across the PCN and neighbouring networks.
Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
Recognise the roles of other colleagues within the organisation and their role in patient care.
Demonstrate use of appropriate communication to gain the cooperation of relevant stakeholders including patients, senior and peer colleagues, and other professionals, other NHS/private organisations, e.g., ICBs.
Recognise personal limitations and refer to more appropriate colleagues when necessary.
Demonstrate ability to integrate general practice with community and hospital pharmacy teams.
Liaise with other stakeholders as needed for the collective benefit of patients including but not limited to:
* Patients and their representatives.
* GP, nurses, and other practice staff.
* Other healthcare professionals including community pharmacists, pharmacy technicians, social prescribers, first contact physiotherapists, physicians associate, and paramedics.
* Community pharmacists and support staff.
* Other members of the medicines management team including pharmacists, technicians, and dieticians.
* Locality/GP prescribing lead.
* Community nurses and other allied health professionals.
* Hospital staff with responsibilities for prescribing and medicines optimisation.
Professional Development:
Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.
Review yearly progress and develop clear plans to achieve results within priorities set by others.
Participate in the delivery of formal education programmes.
Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Education, Training and Development:
Understand and demonstrate the characteristics of a role model to members of the team and/or service.
Demonstrate self-development through continuous professional development activity.
Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Ensure appropriate clinical supervision is in place to support development.
Leadership:
Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace.
Demonstrate understanding of, and contribute to, the workplace vision.
Demonstrate ability to improve quality within limitations of service.
Review yearly progress and develop clear plans to achieve results within priorities set by others.
Demonstrate ability to motivate self to achieve goals.
Promote diversity and equality in people management techniques and lead by example.
Person Specification
Qualifications
* Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council.
* Minimum of 2 years experience as a pharmacist.
* Working towards or holding an independent prescribing qualification.
Experience
* Minimum of 2 years experience as a pharmacist.
* Experience and awareness of common acute and long-term conditions that are likely to be seen in general practice.
* Experience of working within Primary Care.
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.
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