The following are the core responsibilities of the PCN Clinical Pharmacist. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels. Clinical Practice Deliver pharmaceutical face-to-face consultations, telephone consultations, and home visits to clinically assess and treat patients with long-term conditions. Manage the acute and repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and medicines approaching review dates; and ensure patients have appointments booked for necessary monitoring tests where required. Conduct clinical medication reviews and develop medicines care plan in collaboration with patients and carers. Undertake Structured Medication Reviews (SMRs) and shared decision-making conversations with patients on complex polypharmacy regimens and care home residents to ensure effective medicines use, reduce medicine waste, and promote self-care. Provide proactive leadership and expertise on medicines and prescribing systems to the multidisciplinary team, patients and their carers. Work as a member of a multidisciplinary team to deliver safe and effective pharmaceutical interventions across the PCN. Provide advice and guidance to patients regarding medication optimisation and lifestyle, e.g. inhaler techniques. Support the implementation of national prescribing policies and the achievement of Quality and Outcomes Framework (QOF) targets/PCN DES/IIF prescribing, QIPP, GP specifications, and other medication management and cost-effectiveness initiatives. Conduct medication reconciliation following hospital discharges, clinic visits, and other transfers of care (e.g. newly registered patients, care home residents), ensuring medication changes are safely implemented in a timely manner. Address medication queries from patients and clinicians in line with agreed protocols. Collaborate with hospital and community pharmacy colleagues to address discrepancies, supply issues, and queries within competency. Work with clinical colleagues to develop suitable medicines management plans for patients e.g. de-prescribing. Use tools such as PINCER to proactively identify at risk patients whose medication regime may lead to acute episodes or increased risk. Support the design and implementation of quality improvement activities, audits and cost-saving initiatives. Provide specialist expertise to address public health and social care needs of patients, including lifestyle advice, service information, and help in tackling local health inequalities. Support initiative for antimicrobial stewardship to reduce inappropriate antibiotic prescribing. Collaborate with PCN colleagues, local community pharmacists, and community pharmacies within Acute and Community Trusts to integrate general practice. Attend local meetings that seek to improve access to medicines or repeat prescribing processes, as required. Attend and participate in clinical and multidisciplinary meetings as necessary. Communication Utilise and demonstrate sensitive communication styles to ensure patients are fully informed and give consent to treatment. Anticipate communication barriers and take proactive steps to improve communication. Act as an advocate for patients and colleagues. Ensure awareness of sources of support and guidance, and provide information in an acceptable format to all patients, recognising any difficulties, and referring where appropriate. Demonstrate the use of appropriate communication to gain the cooperation from relevant stakeholders, including patients, colleagues, other professionals, and other NHS/private organisations e.g. ICBs. Liaise with ICB colleagues including ICB Medicines Management Team (MMT) Pharmacists on prescribing-related matters to ensure consistency of benefits to patient care. Communicate effectively and sensitively with patients and carers, recognising the need for alternative communication methods to overcome different levels of understanding, cultural backgrounds, and preferred communication styles. Improve patient and carer understanding of medication compliance, and build confidence in their commitment to take prescribed medicines. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to: Patients GPs, nurses and other practice staff in the PCN Other healthcare professionals including ICB MMT pharmacists, PCN clinical pharmacists, PCN pharmacy technicians, optometrists, dentists, health and social care teams, dieticians, etc PCN clinical directors Care homes Community nurses and other allied health professionals Community and hospital pharmacy team Hospital staff with responsibilities for prescribing and medicines optimisation Quality and Safety Comply with the General Pharmaceutical Council (GPhC) Code of Conduct and ensure registration is up-to-date, documented, and checked annually within the service. Produce accurate, contemporaneous, and complete records of patient consultations, in line with legislation, policies, and procedures. Provide care that is evidence-based, working to agreed and established NSF and NICE clinical guidelines, and support others to do the same. Promote cost-effective, safe, evidence-based prescribing in accordance with local formulary, medication optimisation strategy, and national guidance. Work to agreed standards and continuously monitor and maintain the standard of care offered. Prioritise, organise, and manage own workload to maintain and promote quality. Undertake necessary training needed to ensure competencies for delivering all responsibilities. Assess the effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities. Identify national and local policies and guidance that affect patient safety through the use of medicines, including MHRA alerts, product withdrawals, and emerging evidence form clinical trials. Utilise the audit cycle as a means of evaluating the quality of the work of yourself and the team, implementing improvements where required. In partnership with other clinical teams within the ICB, collaborate on improving the quality of healthcare, responding to local and national policies and initiatives as appropriate. Evaluate patients responses to health care provision and the effectiveness of care. Use a structured framework (e.g. root-cause analysis) to manage, review, and identify learning from patient complaints, clinical incidents, and near-miss events. Assess the impact of policy implementation on care delivery. Recognise and work within own competencies, referring to appropriate colleagues when necessary. Education and Training Attend development courses offered by the ICB MMT as part of own personal and professional development. Undertake necessary training needed to ensure competencies for delivering all responsibilities. Participate in the delivery of formal education programmes i.e. national CPPE pathway, Primary Care Pharmacy Education Pathway. Support the provision of education, training, and mentoring to the pharmacy team and pharmacy trainees. With agreement and when appropriate, provide education and training to the wider primary healthcare team on therapeutics, medicines optimisation, and quality improvement. Support and participate in shared learning across the PCN, GP practices and with other stakeholders. Key Relationships Internal PCN Executive Team, PCN Clinical Directors, PCN member practices, PCN workforce. External Community Pharmacies, Care Homes, Local Providers (C&I, CNWL, RFL, LBC, UCLH), NCL ICB, NCL Federations, NCL PCNs & GP Practices, NCL STP, NHSE, CQC, PPGs.