The following describes the primary areas of responsibility for this role. The clinical areas for delivery will be agreed after discussion with PCN leads and in line with the individuals own scope of practice and experience. This may change according to the DES requirements and PCN/practice/patient needs. Patient Facing/Telephone Structured Medication Review - Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and order relevant monitoring tests according to practice protocols and policies. Review the on-going need for each medicine, review monitoring needs and support patients with their medicines taking ensuring they get the best use of their medicines (medicines optimisation). Patients Facing Medicines Support - Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Telephone Triage - Assist in medication related triaging of patients as required by the practice. Telephone Medicines Support - Provide a telephone help line for patients with questions, queries and concerns about their medicines with some bookable appointments. Medicine Information to Practice Staff and Patients - Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes. Work with case managers, multidisciplinary (health and social care) review teams and hospital colleagues to manage medicinesrelated risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Enhanced Health in Care Homes In line with the DES lead/form part of the MDT working towards EHCH Care coordinator lead Clinics As we expand the team, we are continuously enhancing our services to our partner practices by using Population Health Management approach, e.g. hypertension and diabetes management, lipid and other medicines optimisation projects. Management of Medicines at Discharge from Hospital - To reconcile medicines following discharge from hospitals, including identifying and rectifying unexplained changes. Perform a clinical medication review of medical records, produce a post-discharge medicines care plan including dose titration and booking of follow up tests, and working with patients and community pharmacists to ensure patients receive the medicines they need post-discharge. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g. those with medicine compliance aids). Signposting - Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc. Repeat Prescribing - Adhere to the repeat prescribing protocols. Medicines Quality Improvement Programmes - Identify and provide leadership on areas of prescribing and medicines optimisation. Conduct or work with other stakeholders on clinical audits and improve projects. Present results and provide leadership on suggested changes. Information Management - Undertake clinical audits of prescribing in areas directed by the PCN, feedback the results and implement changes in conjunction with the practice's teams. Medicines Safety - Adhere to national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners and ensure compliance with medicines legislation. Education and Training - Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing, pharmacy and other healthcare students where appropriate. Care Quality Commission - Provide support to the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Undertake risk assessment and management and ensure compliance with medicines legislation.