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 reviewing medicines reaching review dates; and ensure patients are booked in for necessary monitoring tests where required. Conduct clinical medication reviews and agree medicines care plan in agreement with patients and carers. Undertake Structured Medication Reviews (SMRs) and shared decision-making conversations with complex polypharmacy patients 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 achievement of the 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), to ensure that 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 develop suitable medicines management plans for patients e.g. de-prescribing. Using 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 tseeking to improve access to medicines or repeat prescribing processes, as required. Attend and participate in clinical meetings and other multidisciplinary meetings, where necessary. Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment. Improve patient and carer understanding of compliance with their medicines, and build confidence in their commitment to take them. Communicate effectively and sensitively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communication styles. Anticipate barriers to communication and take action 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 co-operation of relevant stakeholders (including patients, colleagues and 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. 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 keep registration up-to-date, documented and checked within the service on an annual basis. Produce accurate, contemporaneous and complete records of patient consultations, consistent 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, monitor and maintain the standard of care offered. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Undertake training needed to ensure competencies for delivering all responsibilities. Assess 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 policy and guidance that affects 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 self and the team, implementing improvements where required. In partnership with other clinical teams within the ICB, collaborate on improving the quality of health care 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 and refer to a more appropriate colleague(s) when necessary. Education and Training Attend development courses offered by the ICB MMT as part of own personal and professional development. Undertake training needed to ensure competencies for delivering all responsibilities. Participate in the delivery of formal education programmes i.e. national CPPE pathway for 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.