The post holder will workdirectly with multidisciplinary teams to improve clinical effectiveness andperson centred outcomes. The role will be based within the GP Practiceproviding support to the GPs and other healthcare professionals within theteams to improve the health of patients through the rational and safe use ofmedicines.
The post holder will contributeto the efficient working of the Practice by leading on key areas in relation tomedicines and their safe and effective use. The role will include face to faceand remote patient contact, as well as liaison with colleagues in communitypharmacy and secondary care.
Main duties of the job
Job Responsibilities
To develop and facilitate a goodworking relationship with all local providers of healthcare.
To liaise effectively with otherhealth care teams concerned with the patient care as appropriate and with allother disciplines within the practice.
To plan and organise ownworkload, including audit and project work, and training sessions for pharmacytechnician, practice team, patients, carers, etc.
To ensure that all patientinformation following consultations, and telephone encounters are recordedaccurately.
To maintain registration as apharmacist and comply with appropriate professional codes.
To maintain and developprofessional competence and expertise, keep up to date with medical/therapeuticevidence and opinion, and local and national service, legislation, and policydevelopments, agree objectives and a personal development plan and participatein the appraisal process.
To attend practice and othermeetings of relevance as required.
As appropriate to the post, tomaintain and develop professional competence and expertise, keep up to datewith medical/therapeutic evidence and opinion and local and national servicelegislation and policy developments, participate in the appraisal process andagree objectives and a personal development plan.
All employees should understandthat it is their personal responsibility to comply with all organisational andstatutory requirements.
About us
About us
Woodland Family Medical Centreis a GMS contract-holding medical practice in Stockton-on-Tees. The Practicehas been established in the local area for many years, and currently servesapproximately 12300 plus patients. We have 5 GP partners, 2 salaried GPs, 1 NP,5 practice nurses, and one HCA. Our clinical staff also includes 1 clinicalpharmacist. Woodlands Family Medical Centre is a training practice, hosting GPregistrars and FY2's on training placements.
Job responsibilities
Job responsibilities
Job Role
Management of medicines atdischarge from hospital
To reconcile medicines followingdischarge from hospitals, intermediate care and into care homes; identify, manage,and rectify changes; perform clinical medication reviews; produce apost-discharge medicines care plan including dose titration and booking offollow-up tests, and working with patients and community pharmacists to ensurepatients receive the medicines they need post discharge.
Set up and manage systems toensure continuity of medicines supply to high-risk groups of patients (e.g.those with medicine compliance aids or those in care homes).
Work in partnership withhospital colleagues (e.g. care of the elderly doctors and clinical pharmacists)to proactively manage patients at high risk of medicine-related problems beforethey are discharges to ensure continuity of care.
Design, development andimplementation of computer searches to identify cohorts of patients at highrisk of harm from medicines.
Responsibility for management ofrisk stratification tools on behalf of the practice.
Working with patients and theprimary care team to minimise risks through medicines optimisation.
Unplanned hospital admissions
Devise and implement practicesearches to identify cohorts of patients most likely to be at risk of anunplanned admission or readmissions from medicines.
Work with case managers,multidisciplinary (health and social care) review teams, hospital colleaguesand virtual ward teams to manager medicines-related risk for readmission andpatient harm.
Put in place changes to reducethe prescribing of these medicines to high-risk patient groups.
Repeat prescribing
Set up and manage electronicrepeat dispensing where appropriate.
Manage the repeat prescribingreauthorisation process by reviewing patient requests for repeat prescriptionsand reviewing medicines reaching review dates; make necessary changes as anindependent prescriber, and ensure patients are booked in for necessarymonitoring tests where required.
Telephone and patient facingmedicines support
Hold clinics for patientsrequiring face-to-face clinical medication reviews i.e. a review of the ongoingneed for each medicine, a review of monitoring needs and an opportunity tosupport patients with their medicine taking.
Medication review
Undertake clinical reviews with patientswith multi-morbidity and polypharmacy and implement own prescribing changes(including as a future independent prescriber) and order relevant monitoringtests.
Domiciliary clinical medicationreview
Manage own caseload ofvulnerable housebound patients at risk of hospital admission and harm from pooruse of medicines.
Implement own prescribingchanges (as an independent prescriber) and ordering of monitoring tests.
Attend and refer patients tomultidisciplinary case conferences.
See patients in multi-morbidityclinics and in partnership with primary healthcare colleagues and implementimprovements to patients' medicines, including de-prescribing.
Run own long term conditionclinics where responsible for prescribing as an independent prescriber forconditions where medicines have a large component (e.g. medicine optimisationfor stable angina symptom control, warfarin monitoring and dose adjustment forpatients requiring long term anticoagulants).
Develop and manage new servicesthat are built around new medicines or NICE guidance where newmedicine/recommendations allow the development of a new care pathway (e.g. neworal anticoagulants for stroke prevention in atrial fibrillation).
Care Quality Commission
Provide leadership to thepractice manager and GPs to ensure the practice is compliant with CQC standardswhere medicines are involved.
Public Health
To devise and support themanagement of public health campaigns to run at the practice alongside otherpractice colleagues.
To provide specialist knowledgeon immunisation.
Medicine information to practicestaff and patients
Answers all medicine-relatedenquiries from GPs, other practice staff and patients with queries aboutmedicines. Suggesting and recommending solutions. Providing follow up forpatients to monitor the effect of any changes.
Information management
Analyse, interpret and presentmedicines data to highlight issues and risks to support decision making.
Identify and provide leadershipon areas of prescribing requiring improvement. Either conduct own audits andimprovement projects or work with colleagues. Present results and provideleadership on suggested change.
Contribute to national and localresearch initiatives.
Training
Provide education and trainingto primary healthcare team on therapeutics and medicines optimisation.
Implementation of local andnational guidelines and formulary recommendations
Monitor practice prescribingagainst the local GMMMG formularies e.g. RAG list for medicines that should beprescribed by secondary care (red drugs) or subject to shared care (amber).
Liaise directly with hospitalcolleagues where prescribing needs to be returned to/reviewed by specialists.
Support practice use of approvedlocal and national formularies.
Auditing practices complianceagainst NICE technology assessment guidance.
Provide feedback and shareappropriate information regarding important prescribing messages to improveprescribers knowledge and work with the team to develop and implement othertechniques known to influence implementation of evidence such as audit and feedback,including contributing to PCN discussions, communications and introductions toother personnel.
Keep informed about and identifynational and local policy, safety alerts and guidance that affect patientsafety through use of medicines including MHRA/CAS alerts, product withdrawalsand emerging evidence from clinical trials.
Manage the process ofimplementing changes to medicines and guidance for practitioners.
Person Specification
Experience
* Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council.
* Minimum of one year post-graduate experience in pharmacy.
* Minimum of one year work relevant work experience in a clinical setting.
* Member of the Royal Pharmaceutical Society (RPS)
* Experience of working in primary care
* Experience of working in a GP practice
Qualifications
* Qualifications
* EssentialMasters degree in pharmacy (MPharm) (or equivalent)
* Mandatory registration with General Pharmaceutical Council
* Minimum of 2 years post qualification experience
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare
* An appreciation of the nature of primary care and the diversity that exists between general practices
* An appreciation of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
* Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
* Recognises priorities when problem solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate
* Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations agreed course of action where there may be significant barriers
* Demonstrates accountability for delivery professional expertise and direct service provision
* Can communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
* Excellent interpersonal, influencing and negotiating skills
* Excellent written and verbal communication skills
* Work effectively independently as a team member
* Membership of the Royal Pharmaceutical Society
* Independent prescriber or working towards/willing to work towards gaining independent 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.
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