Job summary
Job Title: ClinicalPharmacist
Responsible to: PCNClinical Director & Senior Lead Pharmacist
Location: NorthEasington Primary Care Network based in Byron Medical Practice
Contract Type: Permanent
Hours: Full time, hours
Salary: Dependent onexperience
Main duties of the job
An exciting opportunity has arisen for a Clinical Pharmacistto join our growing multi-disciplinary team.
Teamwork, flexibility, enthusiasm and the ability toprioritise tasks effectively are essential skills.
About us
North Easington Primary Care Network is an innovative,dynamic PCN combining 5 local GP Practices based in Seaham, Murton and SouthHetton, with a population of over 37,000 patients. We are continually seekingnew ways tosupport and improve local healthcare services to our patient population.
We are committed to the ongoing development of our team, whichincludes mandatory and developmental training for all our staff. Team membersare encouraged to highlight any training they feel would benefit them in theachievement of their role. Pleasenote, for this role, we require the successful candidate to have completed theCPPE pathway or be currently working towards completion.
Job description
Job responsibilities
Workingwithin your clinical and professional boundaries in a patient facing role aspart of a multidisciplinary team to manage medicines on transfer of care andsystems for safer prescribing. Perform face-to-face structured medicationreviews of patients with polypharmacy; especially for those with frailty and/orwith multiple co-morbidities as well as undertaking reviews of patients withspecific long-term conditions that fall within your competency.
Work inpartnership with stake holder organisations to improve the safety and qualityof care for patients and manage medicines on transfer of care. Delivermedicines optimisation initiatives within GP practices including the provisionof specialist professional pharmaceutical advice and services to ensure thesafe and cost-effective use of medicines. This will involve work to deliver keymedicines optimisation outcomes against a set work plan. Contribute toquality improvement and clinical audit, as well as supporting aspects of the Qualityand Outcomes Framework, medicinessafety and antibiotic stewardship. You will also be required to contributetowards practice financial stability through medicines optimisation and relatedtargets in QOF.
Patient facing - long-term condition clinics
Working within the practice-based team to undertake medication reviews particularly in high-risk groups such as:
- Frail elderly
- Polypharmacy
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high-risk medicines
- STOPP/START identified patients
- Revolving door Hospital admissions
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 ( medicines optimisation).
Make appropriate recommendations to GPs for medicine improvement.
Patient facing Structured Medication Review
Undertake structured medication reviews with patients and produce recommendations for nurses and/or GPs on prescribing and monitoring.
This would be a level 3 clinical medication review looking at the patients full clinical condition, blood monitoring, interface care arrangements, social isolation etc. including reducing inappropriate polypharmacy and wasteful prescribing.
Care Home Medication Reviews
Undertake structured medication reviews and produce recommendations for nurses or GPs on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
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.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
Telephone medicines support
Provide a telephone help line for patients with questions, queries and concerns about their medicines.
Medicine information to practice staff and patients
Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams ( community pharmacy) and patients with queries about medicines.
Suggesting and recommending solutions.
Providing follow-up for patients to monitor and effect of any changes.
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 ( those with medicine compliance aids or those in care homes).
Person Specification
Experience
Essential
1. Minimum of two years post-qualification experience.
2. An appreciation of the nature of PCNs, GPs and general practices
3. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
4. Excellent interpersonal, influencing and negotiating skills
5. Excellent written and verbal communication skills
6. Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences patients
7. Good IT skills
8. Able to obtain and analyse complex technical information
9. Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
10. Able to work under pressure and to meet deadlines
11. 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
12. Work effectively independently and as a team member
13. Demonstrates accountability for delivering professional expertise and direct service provision
Desirable
14. In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
15. Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
16. Experience with GP clinical systems
Other
Essential
17. Self-Motivation
18. Adaptable
19. Ability and willingness to travel between the practices within the PCN
20. In date DBS check
21. Immunisation status
22. UK Work Permit (if required)
Desirable
23. Safeguarding adult and children level three
Qualifications
Essential
24. Mandatory registration with General Pharmaceutical Council
25. Masters degree in pharmacy (MPharm) (or equivalent)
26. Independent prescriber or working towards/intent of gaining independent prescribing qualification
27. CPPE primary care pathway training course or working towards / intent of completing
Desirable
28. Membership of the Royal Pharmaceutical Society
29. A member of or working towards Faculty membership of the Royal Pharmaceutical Society
30. Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience