Job summary The post holder is a Clinical Pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice. The post holder will work as part of a multi-disciplinary team in both a remote & patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy. The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice. The post holder will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services. The post holder will 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 operational efficiencies so requires motivation and passion to deliver excellent service within general practice. Main duties of the job Please Job Description document for full details. Conduct surgery and telephone consultations with patients with minor illnesses To plan and organize own workload, including audit and project work, and training sessions for members of the clinical pharmacy team, GP practice team To maintain registration as a pharmacist and comply with appropriate professional codes. As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation and policy developments, agree objectives and a personal development plan and participate in the appraisal process. To attend local, regional and national meetings of relevance as agreed with the post holders line manager. Medication reviews of patients with polypharmacy especially for older people and people with multiple co-morbidities. Provide advice and support for patients with self-limiting conditions Reconcile medicines following patients discharge from hospital or clinic appointments Review medications for newly registering patients Practice as an independent prescriber working within scope of practice To undertake any other duties commensurate with the post holders grade as agreed with the post holders line manager. For further details, please refer to the job description section. The practice supports professional development and training. About us We are a well-established training practice in a purpose built (newly refurbished) premises, located on the Haringey Green lanes. The practice's aim is to provide our patients with an excellent standard of patient-centered care, with clinicians and patients jointly involved in all aspects of planning and delivering care to meet patients' health and well-being needs. You will work with colleagues including a team of GPs, practice Nurse & Healthcare Assistant, administrative staff and a wide variety of other health professionals. The practice is working in a hybrid module which allows the flexibility of working from home. There is free parking available on site. You must have your covid vaccine to join as a member of the practice. Date posted 01 November 2024 Pay scheme Other Salary £40,000 to £50,000 a year Dependent on experience Contract Fixed term Duration 2 years Working pattern Full-time, Part-time, Home or remote working Reference number A0052-24-0009 Job locations 96 Umfreville Road London N4 1TL Job description Job responsibilities Long-term condition clinics: See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to GPs for medicine improvement. Clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. Care home medication reviews: Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Domiciliary clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Management of common/minor/self-limiting ailments: Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate Medicines support: Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice Telephone medicines support: Provide a telephone help line for patients with questions, queries and concerns about their medicines. Medicine information to practice staff and patients: Answers relevant medicine-related enquiries from GPs, other practice 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 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 highrisk patient groups. 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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). 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: Produce and implement a practice repeat prescribing policy. 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. Ensure patients have appropriate monitoring tests in place when required. Risk stratification: Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches Medicines quality improvement: Undertake clinical audits of prescribing in areas directed by the practice (to complete all the PQSS and QOF prescribing audits each year and it will be under practice managers direction), feedback the results and implement changes in conjunction with the practice team. Medicines safety: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Infection Control Infection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Hygiene Code (2006), Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA. Safeguarding Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and / or vulnerable adults for whom they are responsible or may come into contact with, in the job role. Other This post is subject to an enhanced level Disclosure and Barring Service (DBS) Check which will be completed during pre-employment checks. This post is also subject to Occupational Health Clearance. Job description Job responsibilities Long-term condition clinics: See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to GPs for medicine improvement. Clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. Care home medication reviews: Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Domiciliary clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Management of common/minor/self-limiting ailments: Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate Medicines support: Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice Telephone medicines support: Provide a telephone help line for patients with questions, queries and concerns about their medicines. Medicine information to practice staff and patients: Answers relevant medicine-related enquiries from GPs, other practice 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 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 highrisk patient groups. 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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). 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: Produce and implement a practice repeat prescribing policy. 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. Ensure patients have appropriate monitoring tests in place when required. Risk stratification: Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches Medicines quality improvement: Undertake clinical audits of prescribing in areas directed by the practice (to complete all the PQSS and QOF prescribing audits each year and it will be under practice managers direction), feedback the results and implement changes in conjunction with the practice team. Medicines safety: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Infection Control Infection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Hygiene Code (2006), Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA. Safeguarding Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and / or vulnerable adults for whom they are responsible or may come into contact with, in the job role. Other This post is subject to an enhanced level Disclosure and Barring Service (DBS) Check which will be completed during pre-employment checks. This post is also subject to Occupational Health Clearance. Person Specification Experience Essential 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. Good IT literacy and proficiency with the Microsoft 365 suite. Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Able to demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences. Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions Able to obtain and analyse complex technical information. Able to recognise priorities when problem solving and identify deviations from the normal pattern and is able to refer to seniors or GPs when appropriate Qualifications Essential Masters degree in pharmacy (MPharm) or equivalent Postgraduate clinical diploma level or equivalent training/experience Registered with General Pharmaceutical Council Desirable Independent Prescribing Qualification Experience Essential Minimum of 3 years post-qualification experience. Familiarity with GP systems Demonstrates accountability for delivering professional expertise and direct service provision Reliable Self-motivated Able to work autonomously Able to work under pressure to meet deadlines, whilst maintaining accuracy and attention to detail Able to work at part of a multidisciplinary team Committed to Continuous Professional Development Desirable Ability to train Junior Pharmacists Person Specification Experience Essential 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. Good IT literacy and proficiency with the Microsoft 365 suite. Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Able to demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences. Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions Able to obtain and analyse complex technical information. Able to recognise priorities when problem solving and identify deviations from the normal pattern and is able to refer to seniors or GPs when appropriate Qualifications Essential Masters degree in pharmacy (MPharm) or equivalent Postgraduate clinical diploma level or equivalent training/experience Registered with General Pharmaceutical Council Desirable Independent Prescribing Qualification Experience Essential Minimum of 3 years post-qualification experience. Familiarity with GP systems Demonstrates accountability for delivering professional expertise and direct service provision Reliable Self-motivated Able to work autonomously Able to work under pressure to meet deadlines, whilst maintaining accuracy and attention to detail Able to work at part of a multidisciplinary team Committed to Continuous Professional Development Desirable Ability to train Junior Pharmacists 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 Bridge House Medical Practice Address 96 Umfreville Road London N4 1TL Employer's website https://www.bridgehouselondon.nhs.uk/ (Opens in a new tab)