Barnsley Primary Care Network is looking to recruit additional Clinical Pharmacists to further develop medicines optimisation services across the network, working alongside experienced colleagues as part of a multi-disciplinary team.
This post offers candidates the opportunity to develop their skills to become involved in patient-facing activities such as chronic disease management, medication reviews, supporting the management of medicines at transfer of care and improving systems for safer prescribing. You will be working alongside experienced primary care clinical pharmacists and will become part of the future primary care skill mix.
Locations for this role are yet to be confirmed, and will be based across practices in the Barnsley Borough.
Interviews will be taking place on Wednesday 11th December.
BHF are fully committed to ensuring equality, diversity, and inclusion (EDI) as this is embedded in our values. We are also a committed employer under the Disability Confident Scheme. Therefore, should you wish to discuss any reasonable adjustments or assistance you might need in the application or interview process, please contact a member of the HR team at syicb-barnsley.bhf-hrteam@nhs.net and we will be happy to help.
Please note that interviews may take place prior to the advert closing as and when suitable applications are received. If a suitable candidate is appointed the role may close early, therefore please do not hesitate to submit your application.
Main duties of the job
Candidates will have excellent written and verbal communication skills, experience of influencing others and conducting clinical medication reviews.
A full induction programme will be offered as well as ongoing training and supervision both within the PCN and working alongside Clinical Pharmacists in the Medicines Optimisation Team at Barnsley ICB. We will support candidates to develop their role, including for example becoming an independent prescriber.
The post holder will develop leadership skills on quality improvement and clinical audit as well as managing some aspects of QOF.
This role requires motivation and passion to deliver an excellent service within primary care.
For further duties of the role please refer to the attached job description.
About us
Barnsley has established one super PCN of over 250,000 patients which includes all GP practices. This is supported by six Neighbourhood Networks building on our successful and existing model of neighbourhood working; this enables us to maintain and focus on the specific needs of each local area whilst allowing integration at a wider level.
Barnsley leads the way in recognising the benefits that Clinical Pharmacists bring to patients when based in primary care. These roles have successfully delivered additional capacity and capability to the workforce; increasing access, reducing waiting times and enabling more proactive earlier interventions for more patients, particularly improving the quality of medicines related interventions and outcomes.
Job responsibilities
KEY RESPONSIBILITIES
To provide prescribing advice and support to the practice(s), on all medication issues.
To advise the practice on the implications of prescribing and admission/referral data provided by the ICB.
To implement change in prescribing behaviour, where required, in order to promote quality, rational, safe and cost-effective prescribing.
To promote prescribing in line with national, and ICB guidelines and policies.
To identify and advise on any areas of clinical risk connected with prescribing.
To undertake medication reviews and therapeutic specific medication reviews of patients with chronic diseases to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme).
To work directly with patients on medication issues to ensure patients take their medications to get the best from them, reduce waste and promote self-care.
To provide leadership on person centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services.
RESPONSIBILITY FOR PATIENT CARE (including monitoring, diagnostics + investigations)
To support all practice staff on all medication issues.
To update patients' medication records post hospital discharges and outpatient appointments, and advise the GP of all issues that may arise.
To implement all monitoring requirements as detailed in agreed shared care protocols.
To be responsible for ensuring recall systems are in place and working and for the correct monitoring of amber drugs and those included in the Shared Care Local Enhanced Service.
To deal with medication queries, especially those that require follow up and problem solving techniques.
To participate/run medication review clinics or chronic disease management clinics as agreed with the practice.
To reduce waste, minimise risk and improve the repeat prescribing process.
To ensure prescription security by introducing best practice guidelines.
To resolve all practice EPS issues/queries and ensure that the practice maximises the benefits of EPS.
GENERAL PRACTICE SUPPORT
To practice and promote cost-effective, safe, evidence based prescribing.
To identify prescribing issues within the practice, bring these to the attention of the Lead GP and develop an appropriate strategy, implement the strategy and monitor progress.
To monitor practices prescribing for known areas of increased clinical risk, and advise the practice on appropriate measures to minimise such risk.
To ensure that all major MHRA drug alerts are acted upon within practices over a suitable timeframe and to advise and implement any medication changes that occur as a result.
To work closely with the Barnsley Place Medicines Optimisation Team to monitor and advise practices regarding their prescribing costs.
To monitor prescribing costs of specific drugs or therapeutic areas as agreed with the GP practice.
COMMUNICATION
To be the first point of contact for patients, secondary/tertiary care, community pharmacists, ICB, staff, Nursing/Care home staff and other healthcare professionals and patients who have queries relating to medication and repeat prescriptions.
ADMINISTRATIVE AND CLERICAL DUTIES
To maintain comprehensive and accurate records of work undertaken for the Practice Pharmacist projects and activities.
To be able to use MS Office programmes necessary for the role.
To be able to use the searching and administrative capabilities of the GP clinical systems.
To be able to evidence activity and demonstrate outcomes as agreed by the practice.
To manage time effectively to ensure all targets are met.
To carry out any other associated tasks required to develop this role in the future as requested by the PCN.
INFORMATION SUPPORT AND RECORD KEEPING
To keep an accurate record of all activity undertaken within practices.
To ensure all patient interventions are recorded on the practice computer in accordance with the working procedures developed with the practice.
To be responsible for keeping accurate retrievable records of all formal queries, data collection exercises, and audits.
TRAINING AND EDUCATION
To supervise and train practice receptionists undertaking the generation of repeat prescriptions and to explain and inform them of any prescribing changes being carried out.
Be willing to undertake any training required for the role e.g. the CPPE Primary care pharmacy education pathway.
To provide training to practice clinical/administration staff on any medicines management issues as agreed by the practice.
PLANNING AND ORGANISATION: FREEDOM TO ACT
To be responsible for the organisation, planning and managing own time, within a broad agenda set by the identified practice.
To demonstrate professional accountability and responsibility.
To recognise professional and personal limitations.
To observe Health and Safety regulations.
To observe the principles of clinical governance.
COLLABORATIVE WORKING ARRANGEMENTS
Participate in the PCN MDT.
Foster and maintain strong links with all services across the PCN.
Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
Attend Barnsley Place Medicine Optimisation Team meetings (monthly).
Liaise with colleagues including the ICB Medicines Optimisation Team on prescribing matters to ensure consistency of patient care and benefit.
Liaise with colleagues in the Barnsley Place Medicines Optimisation Team to benefit from peer support.
Work with primary care to ensure practices are compliant with CQC standards where medicines are involved.
To support public health campaigns and to provide specialist knowledge on all public health programmes available to the general public.
KEY RELATIONSHIPS
Liaise with other stakeholders as needed for the collective benefit of patients, key relationships include (but are not limited to):
Patients and their representatives.
GPs, nurses and other practice staff.
Social prescribers, first contact physiotherapists, physician associates and paramedics.
Community pharmacists and support staff.
Barnsley Place Medicines Optimisation Team including pharmacists and technicians.
Locality/GP prescribing lead.
Locality Managers.
Community nurses and other allied health professionals.
Hospital staff with responsibilities for prescribing and medicines optimisation.
ACCOUNTABILITY
Accountable to the Accountable Clinical Director of Barnsley PCN and to the Clinical Directors of the Neighbourhood Networks.
PROFESSIONAL
Maintain registration with the General Pharmaceutical Council.
Maintain professional indemnity insurance.
Be part of a professional clinical network, working alongside the Barnsley Place Medicines Optimisation Team.
Undertake continual personal and professional development to keep up to date with relevant clinical practice.
Access regular clinical supervision.
Review yearly progress and develop clear plans to achieve results within priorities set by others.
Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Participate in the delivery of formal education programmes.
Person Specification
Deposition/Personal
* Takes responsibility for CPD, as evidenced by portfolio.
* Uses reflective practice for personal and professional development.
* Commitment to reducing health inequalities and proactively working to reach people from all communities.
* Demonstrates the use of appropriate communication to gain the cooperation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. ICBs).
* Able to recognise their personal limitations and refer to more appropriate colleagues when necessary.
* Ability to identify risk and assess/manage risk when working with individuals.
* Able to maintain effective working relationships and to promote collaborative practice with all colleagues.
* Full UK driving license and exclusive use of a car.
* Demonstrates accountability for delivering professional expertise and direct service provision.
Experience
* An appreciation of the nature of Primary Care prescribing, concepts of rational prescribing and strategies for improving prescribing.
* Up to date pharmaceutical knowledge.
* Experience and an awareness of the breadth of common acute and long-term conditions that are likely to be seen in general practice.
* Experience or clear understanding of working in Primary Care with Primary Care systems.
* Demonstrates ability to integrate general practice with community and hospital pharmacy team community groups.
* Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities.
* Understanding of confidentiality issues.
* Understands the importance of following legal, ethical, professional and organisational policies and procedures and codes of conduct.
* Ability to gain acceptance for recommendations and influence, motivate and persuade the audience to comply with recommendations and an agreed course of action where there may be significant barriers.
* Ability to identify and resolve risk management issues according to policy/protocol.
* Understand the principles of research governance.
* Experience of working in a multi-disciplinary environment.
* Experience of partnership/collaborative working and of building relationships across a variety of organisations.
* In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
* Experience of analysing ePact data.
* Understanding of READ coding and summarising processes.
* Report writing and presentation skills.
Qualifications
* Completion of an undergraduate degree in Pharmacy.
* Mandatory registration with the General Pharmaceutical Council.
* Must hold a prescribing qualification or be prepared to complete a prescribing course.
* Diploma/MSc in Prescribing Sciences/Clinical Pharmacy/Pharmacy practice or equivalent clinical experience.
* Experience of working within secondary care and knowledge of discharge processes.
* Minor ailments and triage qualification and experience.
Practical, Intellectual, Analytical and Organisational skills
* Computer literacy Working knowledge of Microsoft Office, internet and electronic diary systems.
* Ability to obtain and analyse technical information.
* Experience of managing own time, prioritisation and working to deadlines.
* Good written and verbal communication skills.
* Team player but able to work independently.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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