The successful candidate will be responsible for implementing an effective medicine management system at Bridge Medical Centre. You will be expected to work to achieve cost-effective prescribing, work as an independent prescriber, provide advice and support for both patients and colleagues, and undertake all duties expected within the changing role over time.
Main duties of the job
The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, patient-facing structured medication reviews, manage long-term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription requests, while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN. In this role, they will be supported by senior and lead clinical pharmacists who will develop, manage, and mentor them.
This role is pivotal to improving the quality of care and operational efficiencies, so it requires motivation and passion to deliver an excellent service within general practice. The post holder will be supported to develop their role to become a non-medical prescriber if that qualification is not already held.
Job responsibilities
1. Patient facing medicines support: Hold clinics for patients requiring medication reviews, stratifying the need for technical reviews, medicines adherence reviews (including polypharmacy reviews), focal long-term condition/clinical reviews (see section 3) or holistic long-term condition/clinical reviews (structured medication reviews). Provide support for patients with questions, queries, and concerns about their medicines.
2. Care home structured medication reviews: Undertake clinical medication reviews with patients, care home staff, and the aging well team, produce recommendations for the multidisciplinary team on prescribing and monitoring. Work with care home staff to improve the safety of medicines ordering and administration.
3. Patient facing Domiciliary Structured Medication Reviews: Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses, and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
4. Unplanned hospital admissions: Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
5. Management of medicines at discharge from hospital: To reconcile medicines following discharge from hospitals, intermediate care, and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post-discharge.
6. Medicine information to practice staff and patients: Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g., community pharmacy), and patients with queries about medicines. Suggesting and recommending solutions. Providing follow-up for patients to monitor the effect of any changes.
7. Signposting: Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate time period (e.g., pathology results, common/minor ailments, acute conditions, long-term condition reviews, etc.).
8. Repeat prescribing: Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
9. Information management: Analyse, interpret and present medicines data to highlight issues and risks to support decision-making. Undertake clinical audits of prescribing in areas directed by the GPs and the PCN team.
10. Education and Training: Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.
11. Public health: To support public health campaigns. To provide specialist knowledge on all public health programs available to the general public.
Person Specification
Qualifications
* Awareness of common acute and long-term conditions that are likely to be seen in general practice.
* Excellent interpersonal, influencing & negotiating skills.
* Demonstrate the ability to communicate complex and sensitive information in an understandable form to various audiences (e.g., patients).
* An appreciation of GPs and the general practice environment.
* Knowledge of IT systems, including the ability to use word processing skills, emails & internet.
* Able to obtain and analyse complex technical information.
* Recognises priorities when problem-solving and identifies deviations from the normal pattern.
* Able to work under pressure and meet deadlines.
* Experience of working in Primary Care.
* In-depth therapeutic & clinical knowledge.
* Experience of collaborative working and building relationships across a variety of organisations.
Other
* Adaptable and self-motivated.
* Able to recognise personal limitations and refer to more suitable colleagues when appropriate.
* Ability to identify and manage risk when working with individuals.
* Appropriate Immunisation Status.
* Meets DBS reference standards and has a clear criminal record.
* Access to own transport and ability to travel across the locality on a regular basis.
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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