Job summary
Haywards Heath Central PCN are looking for a Clinical Pharmacist to work at Newtons Practice. The postholder will report to the GP Clinical Lead within the PCN forclinical supervision. They will also have strong working relationships with thePractice Managers and other clinicians in the network.
ABC will provide consistent employment supportthroughout the appointment.
As part of clinical duties, the successful candidateswill join the multi-disciplinary staff in providing comprehensive care and willwork with patients, carers, and families.
ABC as employerwill provide support and ensure access to the NHSE England training programmeas well as a local network of Clinical Pharmacists working in general practice.
This post is part ofthe Additional Roles Reimbursement Scheme for Primary Care Networks funded byNHS England and includes funded access to the Clinical Pharmacist TrainingPathway for any further modules required to complete the pathway.
The post holder isa Pharmacist, who acts within their professional boundaries, supporting andworking alongside a pharmacist team in general practice. In this role they willbe supported by a GP Clinical Lead who will develop, manage and mentor them.
The post holderwill work as part of a multi-disciplinary team in a patient-facing role. Thepost holder will take responsibility for areas of chronic disease managementwithin the practice and undertake clinical medication reviews to proactivelymanage patients with complex polypharmacy.
Main duties of the job
The post holderwill provide primary support to general practice staff with regards toprescription and medication queries. They will help support the repeatprescription system, deal with acute prescription requests, and medicinesreconciliation on transfer of care and systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public and socialcare needs of patient in the GP practice(s).
The post holderwill provide clinical leadership on medicines optimisation and qualityimprovement, manage some aspects of the quality and outcomes framework andenhanced services and contribute to the delivery of the local medicinesoptimisation strategy.
The post holderwill ensure that the practice integrates with community and hospital pharmacyto help utilise skill mix, improve patient outcomes, ensure better access tohealthcare and help manage workload. The role is pivotal to improving thequality of care and operational efficiencies so requires motivation and passionto deliver excellent service within general practice.
The post holderwill be supported to develop their role to become a nonmedical prescriber (ifnot already a prescriber).
About us
Alliance for Better Care CIC is a GP Federationthat unites 47 NHS GP practices across 13 Primary Care Networks in Sussex andSurrey. We support our Primary Care colleagues as well as their patients, totransform how healthcare is managed within the community. As a membership organisation, our focus is to work in partnership with ourmembers and help them to improve the provision of General Practices in thelocal area. We work with and listen to our GP Practices, PCNs, Hospitals, CommunityOrganisations and the Third Sector. These vital partnerships ensure that,together, we deliver a truly integrated approach that offers the support andexpertise needed to effectively serve our communities.
Haywards Heath Central PCN is a NHSCollaboration between two GP Practices Dolphins Practice and Newtons Practice- working together to provide enhanced access services.
Our surgery teams work closely, sharing expertise andresources to develop new services. Our vision is to continue to improve thequality of care that we provide in alignment with the needs of our patientpopulation.
Our PCN builds on the existing primary careservices and enables a greater provision of proactive, personalised and moreintegrated health and social care. We are supported by practitioners inadditional roles who allow us to create bespoke multi-disciplinary teams basedon the needs of our local population.
Job description
Job responsibilities
Primary duties andareas of responsibility
From Start of Post:
1. See (where appropriate) patients with single or multiple medicalproblems where medicine optimisation is required ( COPD, asthma)
2. Review the on-going need for each medicine, a review of monitoringneeds and an opportunity to support patients with their medicines takingensuring they get the best use of their medicines ( medicines optimisation).Make appropriate recommendations to Senior Pharmacists or GPs for medicineimprovement
3. Undertake clinical medication reviews with patients and producerecommendations for senior clinical pharmacist, nurses and/or GP on prescribingand monitoring
4. Provide patient facing clinics for those with questions, queriesand concerns about their medicines in the practice
5. Provide telephone support for patients with questions, queries andconcerns about their medicines
6. Act as a source of medicines information for all of the practiceteam and patients, (such as around doses, side effects, adverse events,possible alternatives ( around out of stocks) suggesting and recommendingsolutions
7. To reconcile medicines following discharge from hospitals,intermediate care and into care homes, including identifying and rectifyingunexplained changes and working with patients and community pharmacists toensure patients receive the medicines they need post discharge
8. Set up and manage systems to ensure continuity of medicines supplyto high-risk groups ofpatients ( those with medicine compliance aids or those in care homes)
9. Ensure that patients are referred to the appropriate healthcareprofessional for the right care. Ensuring that the addition of the pharmacistto the clinical team results in a reduction in workload for other clinicians
10. Produce and implement a practice repeat prescribing policy in linewith the recommendations Medicines Management Team
11. Manage the repeat prescribing reauthorisation process by reviewingpatient requests for repeat prescriptions and reviewing medicines reachingreview dates and flagging up those needing a review. Ensure patients haveappropriate monitoring tests in place when required
12. Support the contractual requirements to support frail patientswith their medication including medication review and some patientidentification ( patients with problematic polypharmacy)
13. Undertake clinical audits of prescribing in areas directed by theGPs, feedback the results and implement changes in conjunction with thepractice team
14. Work with MMT to support the implementation of local and nationalguidelines including NICE, Prescribing Formularies etc
15. Liaise with hospital colleagues where prescribing needs to bereturned to specialists.
16. Provide education and training to primary healthcare team ontherapeutics and medicines optimisation
17. Work with the general practice team to ensure the practice iscompliant with CQC standards where medicines are involved
18. To support public health campaigns
19. To provide specialist knowledge on all public health programmesavailable to the general public
20. Implement changes to medicines that result from MHRA alerts,product withdrawal and other local and national guidance
Role may evolve to include:
21. Review the use of medicines most commonly associated withunplanned hospital admissions and readmissions through audit and individualpatient reviews
22. Put in place changes to reduce the prescribing of these medicinesto high-risk patient groups
23. Managing caseload of patients with common/minor/self-limitingailments
24. Signposting to community pharmacy and referring to GPs or otherhealthcare professionals where appropriate
Please see full job description for further information
Person Specification
Behaviours & Values
Essential
25. Self-Motivation
26. Adaptable
Skills & Abilities
Essential
27. Ability to solve problems effectively and timely and identifies deviations from the normal pattern and when to refer to seniors or GPs when appropriate
28. Excellent interpersonal, influencing and negotiating skills
29. Excellent written and verbal communication skills
30. Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences ( patients)
31. Ability to plan, prioritise, manage, monitor, advise and review clinical and general medicine optimisation issues in core areas for long term conditions
32. Good IT skills
33. Able to obtain and analyse complex technical information
34. Able to work under pressure and challenging situations to meet deadlines
35. Produce timely and informative reports
Knowledge & Experience
Essential
36. Minimum of 2 years experience post-qualification
37. In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based medicine and healthcare
38. Good knowledge of service developments in medicines, prescribing, NHS policy and other relevant policy directives
39. A good understanding of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
40. Excellent understanding and implementation of legal, ethical, professional and organisational policies/procedures and codes of conduct
41. Good understanding of patient centred care and impact on care quality and outcomes
42. Good understanding of patients role in decisions about prescribed medicines and supporting adherence as per NICE guidance
43. Experience of multi-disciplinary team working
44. Experience of committees/working groups
45. Drug information experience
46. Experience in writing complex and high quality reports
47. Experience in audit, research and analysis of highly complex information related to improving clinical quality
Desirable
48. Experience in supervising staff
49. Experience of independent patient consultation, review and recommendations/prescribing
Research, Leadership & Management
Essential
50. Demonstrates ability to critically evaluate and review literature
51. Demonstrates ability to identify where there is a gap in the evidence base to support practice
52. Demonstrates ability to generate evidence suitable for presentation at local level
53. Demonstrates ability to apply the research evidence base into working practice
54. Demonstrates understanding of the principles of research governance
55. Demonstrates ability to work as a member of the research team
56. Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace
57. Demonstrates understanding of, and contributes to organisational vision
58. Demonstrates ability to improve quality within limitations of service
59. Reviews progress and develops clear plans to achieve results within priorities set by others
60. Demonstrates ability to motivate self to achieve goals
61. Demonstrates understanding of the implications of national priorities for the team and/or service
62. Demonstrates understanding of the process for effective resource utilisation
63. Demonstrates understanding of, and conforms to, relevant standards of practice
64. Demonstrates ability to identify and resolve risk management issues according to policy/protocol
Qualifications
Essential
65. Mandatory registration with General Pharmaceutical Council
66. Undergraduate degree in pharmacy (MPharm)
Desirable
67. Membership of the Royal Pharmaceutical Society
68. A member of or working towards Faculty membership of the Royal Pharmaceutical Society
69. Clinical diploma
70. Postgraduate Certificate in Pharmacy Practice
71. Independent prescriber