This is an excellent opportunity for a qualified Pharmacist wishing to join part of the Primary Care Team, under the Additional Roles Reimbursement Scheme.
We have a rapidly expanding team of healthcare professionals within the Practice, including GPs, Nurses, Health Care Assistants, Care Coordinators, and Clinical Pharmacists. We are also a training practice for GP Registrars and regularly have medical students with us from both the University of Oxford and University of Buckingham.
The PCN Clinical Pharmacist is an integral part of the clinical team, using and sharing pharmacy expertise to support the GPs and the whole practice in providing optimal patient care.
Main duties of the job
Please refer to the comprehensive Job description contained within this advert for the main duties of this role.
About us
The Windrush Medical Practice sits at the edge of the Cotswolds with a practice population of over 21,000 patients.
We are a well-respected, patient-centered, dispensing GP practice with an outstanding CQC rating.
Our clinical team comprises of 17 GPs, Nurse Prescribers, Nurses, Health Care Assistants, and Clinical Pharmacists, and we are looking for an additional Clinical Pharmacist to join our forward-thinking team.
The Practice participates in medical research projects which are vital in helping to improve clinical care and knowledge. We are also a Postgraduate GP Training practice.
The practice prioritizes staff wellbeing and has a dynamic, proactive wellbeing team along with an Employee Assistance Program.
Job responsibilities
Job Description
Accountable To: Primary Care Network Clinical Director
Relationships: Eynsham and Witney PCN, but based at the Windrush Medical Practice
Hours: up to Full-time
Job Purpose
The key aims for the clinical pharmacist are:
1. Increase safety and quality of prescribed medicines
2. Provide support on medicines-related issues to the whole practice team
3. Be a point of contact for patients regarding medicines queries
They should support the following clinical work:
1. Clinical Medication Review
They should also support the following practice development work:
1. Focusing on QoF, IIF and PQS Domains
2. Prescribing Safety, Clinical audit, Local Enhanced Services support
Key working relationships
Windrush Medical Practice Staff, including GPs, PCN clinical pharmacists, nurses, and other practice staff members
GP Clinical Lead(s)
PCN Clinical Director(s)
Community nurses and other allied health professionals
Secondary care clinicians.
Responsibilities underpinning the role
The following are the core responsibilities of the Clinical Pharmacist. On occasion, there may be a requirement to carry out other tasks: this will be dependent on factors such as workload and staffing levels:
1. Discuss medication issues with patients as needed and appropriate by telephone, e.g., adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies, queries from dispensary, queries from care homes.
2. Respond to dispensary queries to include, re-authorize repeats where there are queries, clarify doses, clarify products, give appropriate alternatives when availability issues.
3. Discuss specific patient and prescribing issues (e.g., complicated regimes/polypharmacy, compliance difficulties, multiple adverse effects, medication reduction regimes) with other clinicians as necessary.
4. Support the completion of pink (medication administration) forms for district nurses for GPs to sign.
5. Visit nursing homes to carry out reviews of MAR sheets/patients' medications.
6. Review secondary care requests for new medication (as communicated by discharge summaries, outpatient letters, etc.) and raise any queries with the relevant GP, and discuss how to respond when inappropriate prescribing requests arise.
7. Deal with anticoagulant start/stop requests from secondary care and contact patients who have defaulted on INRs.
8. Monitor and inform colleagues as relevant about ongoing prescribing issues, e.g., new guidelines (national and local), new products being asked for by secondary care, manufacturing and supply problems, new prescribing restrictions or contraindications, and individual and systematic errors made by colleagues.
9. Advise on cost-effective prescribing and prescribing budget issues.
10. Keep the prescribing folder on the practice intranet up to date, with admin support.
11. Train nursing home staff in medicines management.
Prescribing Systems and Policies:
1. Identify patients in need of medication review and develop the system of patient invitation with the admin team.
2. Liaise with dispensary, admin, and clinical staff in discussing, developing, and implementing medicines management systems in the practice.
3. Work with the GPs (especially the prescribing lead), Senior Clinical PCN Pharmacist, practice manager, dispensary manager, and dispensary team to review, develop and implement prescribing policies and strategies for the whole practice.
4. Suggest and design audits in relation to prescribing targets, implementation of locality policies and the Quality Outcomes Framework (QOF).
5. Work with the GPs, Senior Clinical PCN Pharmacist, practice manager, and dispensary manager on choosing and delivering targets for the local Prescribing Incentive Scheme (PIS).
6. Monitor the practices prescribing performance (via the CCG prescribing dashboard, progress on the PIS, ePACT, etc.), and suggest changes to practice prescribing as appropriate.
7. Support the delivery of electronic prescribing.
8. Work with the dispensary team, Senior Clinical PCN Pharmacist, and lead dispensing GP to maximize profitability and to perform audits.
Liaison with community and hospital pharmacies:
1. Support and advise dispensary when needed.
2. Make best use of community pharmacy medicine use reviews (MURs) for medication reviews.
3. Rationalize requests for dosette medications. Dispensary will still be responsible for ringing around re availability of products, taking initial calls, requesting new dosettes, etc.
This job description is intended as a guide to the duties and responsibilities of the post and should not be regarded as a complete list of those required to be fulfilled under the written statement of the main terms and conditions of employment.
This role profile is intended to provide a broad outline of the main responsibilities only. The post holder will need to be flexible in developing the role and in initial and ongoing discussions with their line manager.
Personal/Professional Development:
1. The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:
2. Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
3. Taking responsibility for own development, learning, and performance and demonstrating skills and activities to others who are undertaking similar work
4. Undertake and complete all statutory and mandatory training.
5. Participate in an appraisal and regular performance reviews.
6. Promote a learning environment for patients, colleagues, and other health professionals.
7. Contribute to the planning and implementation of the teaching of and support for new and existing staff in the Practice, including GP registrars, medical students, and newly-recruited Clinical Pharmacists
8. Opportunity to participate in clinical trials and support the Research Team. Training will be provided.
Quality
The post-holder will strive to maintain quality within the Practice and will:
1. Alert other team members to issues of quality and risk
2. Assess own performance and take accountability for own actions, either directly or under supervision
3. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team's performance
4. Work effectively with individuals in other agencies to meet patients' needs
5. Effectively manage own time, workload, and resources
Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
1. Communicate effectively with other team members
2. Communicate effectively with patients and carers
3. Recognize people's needs for alternative methods of communication and respond accordingly
Contribution to the Implementation of Services:
1. The post-holder will:
2. Apply Practice policies, standards, and guidance
3. Discuss with other members of the team how the policies, standards, and guidelines will affect own work
Safeguarding
Anyone who works in direct contact with patients has a duty to protect the welfare of patients. Having regular contact with patients means that you are well placed to identify and recognize when there is a potential issue and understand the processes in place to manage potential concerns.
Person Specification
Qualifications
* BSc/Grad Dip in Pharmacy Practice.
* A minimum of one year's post-qualification experience.
* Membership as a practising pharmacist with The General Pharmaceutical Council.
* Commitment towards continuing professional development in accordance with requirements of The General Pharmaceutical Council.
* Pharmacist independent prescriber registered with The General Pharmaceutical Council.
* Relevant post-registration experience of community, hospital, and/or primary care pharmacy practice.
Skills
* Good interpersonal skills with the ability to communicate effectively with a diverse range of people.
* Ability to work as part of a team and autonomously.
* Knowledge of IT systems email/word/Microsoft teams.
* Good time management skills, able to prioritize and organize workload for best effect.
* Ability to promote best practice regarding prescribing issues.
* Ability to maintain a high level of confidentiality and discretion at all times.
* Problem-solving & analytical skills.
* Ability to follow policy and procedure.
* Knowledge of EMIS used in clinical practice.
* Knowledge of audit and research.
Experience
* Expert clinical reasoning skills.
* Proven multi-disciplinary working.
* Evidence of clinical leadership.
* Evidence of research activity or skills.
* Experience of computer-based clinical systems such as EMIS Web.
Personal Qualities
* Sensitive and empathetic in distressing situations.
* Ability to work under pressure.
* Flexibility to work outside of core office hours if required.
* Clear vision of role and commitment to working in 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.
Depending on experience Not AfC - Band 6 to 7 equivalent (dependent on experience)
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