1.To conduct medication reviews in patients on high-risk medicines, complex medication issues and/or those with medication adherence issues or another medicines related issue. This may involve travelling to the patients normal place of residence to carry out a domiciliary assessment.2.To involve patients and their carers in decisions about their medicines to jointly develop a medicines care plan to help patients to get the best from their medicines.3.To manage complex medicines optimisation problems within the team and across the interface.4.To identify and communicate recommendations from the medicines assessment to the patients own GP & multi-disciplinary team (MDT) as appropriate. Where appropriate discuss with the secondary care prescriber and pharmacy team, and community pharmacy.5.To ensure agreed actions related to medicines are implemented and have appropriate follow up plans.6.To participate in multi-disciplinary Team (MDT) meetings, providing expert pharmaceutical advice on complex medicines related issues.7.To work with inpatient health professionals, secondary care, community health, primary care and social care services to optimise patient centred care in respect to medicines.8.To work with hospital & community pharmacy team(s) to identify and develop solutions to medicines related issues and improve communication about medicines at the interface. Please see attached job description and person specification for full details.