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:
Core Responsibilities
1. Patient facing long-term condition clinics: See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).
2. Review ongoing medicine needs: Review the ongoing need for each medicine, monitoring needs, and support patients with their medicines taking, ensuring they get the best use of their medicines.
3. Patient facing clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacists, nurses, and/or GPs on prescribing and monitoring.
4. Patient facing care home medication reviews: Work with care home staff to improve safety of medicines ordering and administration.
5. Patient facing domiciliary clinical medication review: Attend and refer patients to multidisciplinary case conferences.
6. Management of common/minor/self-limiting ailments: Manage caseload of patients while working within a scope of practice and limits of competence.
7. Patient facing medicines support: Provide clinics for patients with medicines queries.
8. Telephone medicines support: Provide a helpline for patients with questions, queries, and concerns about their medicines.
9. Medicine information to practice staff and patients: Answer relevant medicine-related enquiries and provide follow-up for patients to monitor the effect of any changes.
10. Unplanned hospital admissions: Review the use of medicines associated with unplanned admissions and implement changes to reduce prescribing of these medicines to high-risk patient groups.
11. Management of medicines at discharge from hospital: Reconcile medicines following discharge, ensuring continuity of medicines supply to high-risk groups.
12. Signposting: Ensure patients are referred to the appropriate healthcare professional for the appropriate level of care.
13. Repeat prescribing: Manage the repeat prescribing reauthorisation process and ensure appropriate monitoring tests are in place.
14. Risk stratification: Identify cohorts of patients at high risk of harm from medicines.
15. Service development: Contribute pharmaceutical advice for the development of new services.
16. Information management: Analyse, interpret, and present medicines data to support decision-making.
17. Medicines quality improvement: Undertake clinical audits of prescribing and implement changes.
18. Medicines safety: Implement changes that result from MHRA alerts and other guidance.
19. Education and Training: Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.
20. Care Quality Commission: Work with the general practice team to ensure compliance with CQC standards.
21. Public Health: Support public health campaigns.
22. Specialist knowledge: Work with your line manager for continual personal and professional development.
23. Secondary Responsibilities: Support delivery of QOF, incentive schemes, and undertake tasks consistent with the level of the post.
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