Job summary We are excited to offer a unique opportunity to join our dynamic team as a Clinical Pharmacist, working alongside our experienced Clinical Pharmacist Partner. This additional role is integral to enhancing the quality of care for our patients, focusing on operational efficiency and patient outcomes. If you are passionate about making a real difference in patient care and enjoy a multi-disciplinary approach to healthcare, we want to hear from you Main duties of the job As a Clinical Pharmacist, you will play a pivotal role in chronic disease management, providing clinical medication reviews, particularly for patients with complex polypharmacy, older individuals, those in residential care, and those with co-morbidities. You will be at the forefront of improving the quality of care and optimising medication use. Key duties include: Delivering patient-facing services as part of a multi-disciplinary team. Taking responsibility for chronic disease management and clinical medication reviews. Offering clinical expertise to manage polypharmacy and reduce medication-related risks. Supporting general practice staff with prescription and medication queries, including repeat prescriptions and acute medication requests. Leading efforts in medicines optimisation, quality improvement, and adherence to safe prescribing practices. Providing leadership and guidance on the quality and outcomes framework, as well as enhanced services. Collaborating with community and hospital pharmacies to improve patient outcomes, streamline access to care, and help manage the practice workload. About us We are a busy and well-established practice located in a growing market town in South Norfolk, offering a vibrant community, great local amenities, and proximity to Norwich and the coast. Our practice is part of the Breckland Alliance PCN, working alongside two other local practices. You will be joining a dedicated clinical team that includes GPs, paramedics, advanced nurse practitioners, practice nurses, and healthcare assistants. At our practice, we pride ourselves on fostering a supportive and collaborative environment. We enjoy working with and supporting the learning of future healthcare professionals, including trainee nursing associates, paramedics, and physician associates. Our modern, purpose-built, and spacious facility allows us to adapt our services to meet the needs of our growing patient list. Date posted 13 March 2025 Pay scheme Other Salary Depending on experience Depending on experience Contract Permanent Working pattern Full-time, Flexible working Reference number A4083-25-0000 Job locations Watton Medical Practice 24 Gregor Shanks Way Watton Thetford Norfolk IP25 6FA Job description Job responsibilities Primary Duties and Areas of Responsibility Long-term condition Clinics See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing. Manage own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants). 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). Clinical Medication Review Undertake clinical medication reviews with patients with multi morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests Patient facing care home medication reviews Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multi morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Patient facing domiciliary clinical medication review Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans. Management of common/minor/self-limiting ailments Managing caseload for 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. Differential/ Undifferential diagnosis Manage own caseload for patients and diagnosis people with long term and/or acute/common conditions/ailments while remaining within scope of practice and limits of competence. Referring to GP and/or other healthcare professionals where appropriate Patient facing 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. Extended Hours /Out of Hours/On call services Provide out of hours/on call/extended services for the practice and the patients. These can include patient facing and telephone consultations Signposts to other services and/or healthcare professionals where appropriate, while working within a scope of practice and limits of competency. 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 Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. (Utilisation of Eclipse Live software) Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk 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 manage these changes without referral to a GP. Perform a clinical medication review, 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 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 high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Telephone triage 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 test 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required. Risk stratification Design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Responsibility for management of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines optimisation. Service development Develop and manage new services that are built around new medicines or NICE guidance, where a new medicine / recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation). Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Medicines Quality Improvement programmes Identify and provide leadership on areas of prescribing and medicines optimisation. Conduct clinical audits and improve projects or work with colleagues such as GP registrars, practice managers etc. Present results and provide leadership on suggested changes. Contribute to national and local research initiatives. Medicines safety Identify 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. Care Quality Commission Provide leadership 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. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys TAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. 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. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. Job Description Agreement This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice. This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder. Job description Job responsibilities Primary Duties and Areas of Responsibility Long-term condition Clinics See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing. Manage own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants). 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). Clinical Medication Review Undertake clinical medication reviews with patients with multi morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests Patient facing care home medication reviews Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multi morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Patient facing domiciliary clinical medication review Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans. Management of common/minor/self-limiting ailments Managing caseload for 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. Differential/ Undifferential diagnosis Manage own caseload for patients and diagnosis people with long term and/or acute/common conditions/ailments while remaining within scope of practice and limits of competence. Referring to GP and/or other healthcare professionals where appropriate Patient facing 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. Extended Hours /Out of Hours/On call services Provide out of hours/on call/extended services for the practice and the patients. These can include patient facing and telephone consultations Signposts to other services and/or healthcare professionals where appropriate, while working within a scope of practice and limits of competency. 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 Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. (Utilisation of Eclipse Live software) Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk 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 manage these changes without referral to a GP. Perform a clinical medication review, 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 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 high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Telephone triage 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 test 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required. Risk stratification Design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Responsibility for management of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines optimisation. Service development Develop and manage new services that are built around new medicines or NICE guidance, where a new medicine / recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation). Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Medicines Quality Improvement programmes Identify and provide leadership on areas of prescribing and medicines optimisation. Conduct clinical audits and improve projects or work with colleagues such as GP registrars, practice managers etc. Present results and provide leadership on suggested changes. Contribute to national and local research initiatives. Medicines safety Identify 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. Care Quality Commission Provide leadership 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. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys TAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. 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. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. Job Description Agreement This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice. This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder. Person Specification Qualifications Essential Registration with General Pharmaceutical Council Masters degree in pharmacy (Mpharm or equivalent) Minimum 2 years post-qualification experience Desirable Independent prescriber Experience of working in general practice environment An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Person Specification Qualifications Essential Registration with General Pharmaceutical Council Masters degree in pharmacy (Mpharm or equivalent) Minimum 2 years post-qualification experience Desirable Independent prescriber Experience of working in general practice environment An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing 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 Watton Medical Practice Address Watton Medical Practice 24 Gregor Shanks Way Watton Thetford Norfolk IP25 6FA Employer's website https://www.wattonmedicalpractice.co.uk (Opens in a new tab)