Job summary We have established an award-nominated centralised Prescribing Hub staffed by a team of dedicated prescription clerks who deal with routine prescription requests and medicine reconciliation and are supported by several pharmacy technicians. The successful candidate will provide clinical supervision of the prescription hub on a rota basis, complete patient-centred structured medication reviews, and ensure the delivery of quality improvement projects for prescription. As part of our multi-disciplinary team, you will: have a GP partner clinical mentor and support to complete the CPPE Primary Care Pharmacy Education Pathway if not already completed, and a bespoke training package. Undertake structured medication reviews, especially to proactively manage patients with complex polypharmacy and frailty. Be a contributing team member of the pharmacy team, consisting of a Senior Clinical Pharmacist, a Senior Pharmacy Technician and three Pharmacy Technicians and respond to general practice staff regarding prescription and medication queries, ensuring safe and cost-effective medicines management for our patients. Provide clinical leadership on medicines optimisation and quality improvement including managing some aspects of the Quality and Outcomes Framework prescribing safety indicators and CCG prescribing incentive scheme. Be offered regular in-house education events to develop your clinical knowledge. Provide support and training to the prescription clerks and pharmacy technicians. Main duties of the job The purpose of the role is to: Work as a Clinical Pharmacist within professional boundaries, supporting and working alongside other members of the TMG prescribing team. Work as part of a multidisciplinary team in a patient-facing role. The post holder will undertake structured medication reviews to proactively manage patients with complex polypharmacy, especially older people, those in residential care homes, and those with multiple co-morbidities. Provide primary support to general practice staff regarding prescription and medication queries and support the Prescription Hub in dealing with prescription queries and medication reconciliation on the transfer of care. They will promote safe prescriptions and provide expertise in clinical medicine advice while addressing the patient's public and social care needs. Delivered aspects of medicines optimisation and quality improvement and managed some aspects of the Prescribing Quality Scheme, Quality and Outcomes Framework and Enhanced Services under the guidance of the Prescribing Lead and Lead Clinical Pharmacist. Ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare, and help manage workload. The role is pivotal to improving the quality of care and operation efficiencies, so motivation and passion are required to deliver excellent service within general practice. About us Tyntesfield Medical Group in North Somerset is a 13 Partner General Practice with a patient list size currently of around 33,000 split across four sites: Tower House Medical Centre, Brockway Medical Centre, Backwell Medical Centre and Long Ashton Surgery. We are a friendly and accessible team providing excellent healthcare in our community. We provide a professional, safe, supportive, and efficient working environment for everyone in the practice. We are a forward-thinking organisation with a strong emphasis on teamwork and patient-centred care. Date posted 03 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number A0519-25-0000 Job locations Brockway Medical Centre 8 Brockway Nailsea Bristol BS48 1BZ Job description Job responsibilities The Clinical Pharmacist's duties and responsibilities may include any or all items in the following list. Duties may be varied from time to time under the direction of the General Manager/Practice Partners, dependent on current and evolving Practice priorities, workload and staffing levels: Patient-facing clinical medication reviews: Undertake structured medication reviews with patients with multi-morbidity and polypharmacy. This will include patients in nursing and residential homes. Make recommendations for changes to the Lead Clinical Pharmacist or GP (or, as an independent prescriber, implement your prescribing changes within the scope of competence) and order relevant monitoring tests. Work with care home staff to improve the safety of ordering and administering medicines. Patient telephone medicines support: Provide telephone clinics for patients with questions, queries, and concerns regarding their medicines. Supervision and training: Under the guidance of the Lead Clinical Pharmacist and Prescribing Lead, support the team of Pharmacy Technicians for clinical queries, help with supervision of their clinics, take part in their education and training and help with service development for the Pharmacy Technicians clinics (and other roles(. Medicines information to practice staff and patients: Answer medicine-related enquiries from GPs, Nurses, Pharmacy Technicians and Prescribing Hub clerks, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with medicine queries. Suggest and recommend solutions and follow up, as needed, to monitor the effects of any changes instigated personally. Management of medicines at discharge from hospital: Oversee and support the prescibing hub processes for reconciling medication following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplaining changes and managing these changes. If requested, perform a clinical medication review and assist in producing a post-discharge medicines care plan, including advice on dose titration and booking follow-up tests. Assist with systems and advice to ensure continuity of medicines supply to high-risk groups patients. Risk stratification: Under the guidance of the Lead Clinical Pharmacist and Prescibing Lead, design, develop, and implement system searches to identify cohorts of patients at high risk of harm from medicines. Support the Lead Clinical Pharmacist in managing risk stratification tools on behalf of the practice. Work with patients and the primary care team to minimise risks through medicine optimisation. Service Development: Work with the Lead Clinical Pharmacist and Prescibing Lead to develop and manage new services built around new medicines or NICE guidance, where new medicines/recommendations allow the development of a new care pathway. Information management: Analyse, interpret, and present data on medicines to highlight issues and risks and support clinical decision-making. Medicines Quality Improvement programmes: Under the supervision of the Lead Clinical Pharmacist and Prescribing Lead, identify areas of prescibing and medicines optimisation, and work with the team to complete Prescribing Quality Scheme/Safety Dashboard/Eclipse Radar etc. projects throughout the year. Conduct clinical audits and improvement projects or work with colleagues such as GP registrars, practice managers, etc. Present results and provide pharmacist input on suggested changes. Medicine safety: Identify national and local policy and guidance that affects patient safety through medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trails. Manage the process of implementing any recommended changes to medicines and provide guidance for practitioners. Care Quality Commission: Support the prescribing team to ensure the practice complies with CQC standards where medicines and prescribing are involved. Undertake risk assessment and management and ensure compliance with legislation regarding medicines. Implementation of local and national guidelines and formulary recommendations: Assist the practice in implementing local and national guidelines and formulary recommendations for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Help GPs to liaise directly with hospital colleagues where prescibing needs to be returned to specialists. Audit practice's compliance against NICE technology assessment guidance. Contribute to the TMG newsletter on important prescribing messages to improve prescribers' knowledge and work with the team to develop and implement other techniques to influence the implementation of evidence. Education and Training: Provide therapeutics and medicines optimisation education and training to the primary healthcare team. Where appropriate, provide training to visiting medical, nursing, pharmacy, and other healthcare students. Public Health: Support public health campaigns. Provide specialist knowledge on all public health programmes available where applicable. Clinical Governance: To assist the practice in managing and reviewing medication safety incidents. Service Development: Support the GP Practice Team in reviewing and developing TMG services. Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships with them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients. Demonstrate ability to work as a member of a team. Recognises personal limitations and refers to more appropriate colleagues when necessary. Demonstrates ability to integrate general practice with community and hospital pharmacy teams. Liaises with CCG Pharamcists and Medicines Management team on prescribing-related matters and benefits from peer support. Demonstrates understanding of the pharmacy's role in governance and is able to implement this appropriately within the workplace. Engages with Patient Participation Groups (PPG) and involves PPGs in developing the role. Demonstrates ability to improve quality within limitations of service. Reviews yearly progress and develops clear plans to achieve results within priorities set by the practice or PCN Partners. Demonstrate ability to motivate self to achieve goals. Promotes diversity and equality in people management techniques and leads by example. Demonstrates an understanding of effective resource utilisation and the implications of national priorities for the team and services and manages the team thought these changes. Demonstrates understanding of and conforms to relevant standards of practice. Demonstrate ability to identify and resolve risk management issues according to policy/protocol. Follows professional and organisational policies/procedures relating to performance management. Demonstrate ability to extend boundaries of service delivery within the team. Demonstrates self-development through continuous professional development activity. Participates in the delivery of informal training to staff within the Practice. Engage in formal education programmes. Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with appropriate clinical training. Ensures appropriate clinical supervision is in place to support development. Enrolled into review and appraisal systems within the Practice. Job description Job responsibilities The Clinical Pharmacist's duties and responsibilities may include any or all items in the following list. Duties may be varied from time to time under the direction of the General Manager/Practice Partners, dependent on current and evolving Practice priorities, workload and staffing levels: Patient-facing clinical medication reviews: Undertake structured medication reviews with patients with multi-morbidity and polypharmacy. This will include patients in nursing and residential homes. Make recommendations for changes to the Lead Clinical Pharmacist or GP (or, as an independent prescriber, implement your prescribing changes within the scope of competence) and order relevant monitoring tests. Work with care home staff to improve the safety of ordering and administering medicines. Patient telephone medicines support: Provide telephone clinics for patients with questions, queries, and concerns regarding their medicines. Supervision and training: Under the guidance of the Lead Clinical Pharmacist and Prescribing Lead, support the team of Pharmacy Technicians for clinical queries, help with supervision of their clinics, take part in their education and training and help with service development for the Pharmacy Technicians clinics (and other roles(. Medicines information to practice staff and patients: Answer medicine-related enquiries from GPs, Nurses, Pharmacy Technicians and Prescribing Hub clerks, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with medicine queries. Suggest and recommend solutions and follow up, as needed, to monitor the effects of any changes instigated personally. Management of medicines at discharge from hospital: Oversee and support the prescibing hub processes for reconciling medication following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplaining changes and managing these changes. If requested, perform a clinical medication review and assist in producing a post-discharge medicines care plan, including advice on dose titration and booking follow-up tests. Assist with systems and advice to ensure continuity of medicines supply to high-risk groups patients. Risk stratification: Under the guidance of the Lead Clinical Pharmacist and Prescibing Lead, design, develop, and implement system searches to identify cohorts of patients at high risk of harm from medicines. Support the Lead Clinical Pharmacist in managing risk stratification tools on behalf of the practice. Work with patients and the primary care team to minimise risks through medicine optimisation. Service Development: Work with the Lead Clinical Pharmacist and Prescibing Lead to develop and manage new services built around new medicines or NICE guidance, where new medicines/recommendations allow the development of a new care pathway. Information management: Analyse, interpret, and present data on medicines to highlight issues and risks and support clinical decision-making. Medicines Quality Improvement programmes: Under the supervision of the Lead Clinical Pharmacist and Prescribing Lead, identify areas of prescibing and medicines optimisation, and work with the team to complete Prescribing Quality Scheme/Safety Dashboard/Eclipse Radar etc. projects throughout the year. Conduct clinical audits and improvement projects or work with colleagues such as GP registrars, practice managers, etc. Present results and provide pharmacist input on suggested changes. Medicine safety: Identify national and local policy and guidance that affects patient safety through medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trails. Manage the process of implementing any recommended changes to medicines and provide guidance for practitioners. Care Quality Commission: Support the prescribing team to ensure the practice complies with CQC standards where medicines and prescribing are involved. Undertake risk assessment and management and ensure compliance with legislation regarding medicines. Implementation of local and national guidelines and formulary recommendations: Assist the practice in implementing local and national guidelines and formulary recommendations for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Help GPs to liaise directly with hospital colleagues where prescibing needs to be returned to specialists. Audit practice's compliance against NICE technology assessment guidance. Contribute to the TMG newsletter on important prescribing messages to improve prescribers' knowledge and work with the team to develop and implement other techniques to influence the implementation of evidence. Education and Training: Provide therapeutics and medicines optimisation education and training to the primary healthcare team. Where appropriate, provide training to visiting medical, nursing, pharmacy, and other healthcare students. Public Health: Support public health campaigns. Provide specialist knowledge on all public health programmes available where applicable. Clinical Governance: To assist the practice in managing and reviewing medication safety incidents. Service Development: Support the GP Practice Team in reviewing and developing TMG services. Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships with them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients. Demonstrate ability to work as a member of a team. Recognises personal limitations and refers to more appropriate colleagues when necessary. Demonstrates ability to integrate general practice with community and hospital pharmacy teams. Liaises with CCG Pharamcists and Medicines Management team on prescribing-related matters and benefits from peer support. Demonstrates understanding of the pharmacy's role in governance and is able to implement this appropriately within the workplace. Engages with Patient Participation Groups (PPG) and involves PPGs in developing the role. Demonstrates ability to improve quality within limitations of service. Reviews yearly progress and develops clear plans to achieve results within priorities set by the practice or PCN Partners. Demonstrate ability to motivate self to achieve goals. Promotes diversity and equality in people management techniques and leads by example. Demonstrates an understanding of effective resource utilisation and the implications of national priorities for the team and services and manages the team thought these changes. Demonstrates understanding of and conforms to relevant standards of practice. Demonstrate ability to identify and resolve risk management issues according to policy/protocol. Follows professional and organisational policies/procedures relating to performance management. Demonstrate ability to extend boundaries of service delivery within the team. Demonstrates self-development through continuous professional development activity. Participates in the delivery of informal training to staff within the Practice. Engage in formal education programmes. Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with appropriate clinical training. Ensures appropriate clinical supervision is in place to support development. Enrolled into review and appraisal systems within the Practice. Person Specification Qualifications Essential Masters degree in pharmacy or equivalent. Independent prescriber or working towards/intent of gaining an independent prescribing qualification. Completion of PCPPE GP Pharmacist training pathway. Desirable Specialist knowledge acquired through postgraduate diploma level or equivalent training. Experience Essential Minimum of 2 years post-qualification experience. In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare. An appreciation of the nature of GPs and general practices. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing. Excellent interpersonal, influencing and negotiating skills. Excellent written and verbal communication skills. Demonstrate the ability to communicate complex and sensitive information in an understandable form to various audiences. Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long-term conditions. Good IT skills. Able to obtain and analyse complex technical information. Recognise priorities when problem-solving, identify deviations from the normal pattern, and refer to seniors or GPs when appropriate. Able to work under pressure and to meet deadlines. Work effectively independently and as a team member. Produce timely and informative reports. Gain acceptance for Recommendations and influence/motivate/ persuade the audience to comply with the recommendations/ agreed course of action where there may be significant barriers. Demonstrates accountability for delivering professional expertise and direct service provision. Desirable Experience in utilising the EMIS prescribing system. Qualifications Essential Mandatory registration with General Pharmaceutical Council. Desirable Membership of the Royal Pharmaceutical Society Membership of the Primary Care Pharmacy Association A member of or working towards Faculty membership of the Royal Pharmaceutical Society Other requirements Essential Self-Motivation. Adaptable. In-date DBS check. Basic life support training. Safeguarding adult and children level three. Full Driving Licence. Immunisation status. Desirable Information Governance toolkit completion. Person Specification Qualifications Essential Masters degree in pharmacy or equivalent. Independent prescriber or working towards/intent of gaining an independent prescribing qualification. Completion of PCPPE GP Pharmacist training pathway. Desirable Specialist knowledge acquired through postgraduate diploma level or equivalent training. Experience Essential Minimum of 2 years post-qualification experience. In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare. An appreciation of the nature of GPs and general practices. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing. Excellent interpersonal, influencing and negotiating skills. Excellent written and verbal communication skills. Demonstrate the ability to communicate complex and sensitive information in an understandable form to various audiences. Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long-term conditions. Good IT skills. Able to obtain and analyse complex technical information. Recognise priorities when problem-solving, identify deviations from the normal pattern, and refer to seniors or GPs when appropriate. Able to work under pressure and to meet deadlines. Work effectively independently and as a team member. Produce timely and informative reports. Gain acceptance for Recommendations and influence/motivate/ persuade the audience to comply with the recommendations/ agreed course of action where there may be significant barriers. Demonstrates accountability for delivering professional expertise and direct service provision. Desirable Experience in utilising the EMIS prescribing system. Qualifications Essential Mandatory registration with General Pharmaceutical Council. Desirable Membership of the Royal Pharmaceutical Society Membership of the Primary Care Pharmacy Association A member of or working towards Faculty membership of the Royal Pharmaceutical Society Other requirements Essential Self-Motivation. Adaptable. In-date DBS check. Basic life support training. Safeguarding adult and children level three. Full Driving Licence. Immunisation status. Desirable Information Governance toolkit completion. 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Tyntesfield Medical Group Address Brockway Medical Centre 8 Brockway Nailsea Bristol BS48 1BZ Employer's website https://www.tyntesfield.nhs.uk/ (Opens in a new tab)