MAIN DUTIES AND RESPONSIBILITIES CLINICAL Consult with patients in multi morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including deprescribing. 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. 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). Involves patients in decisions about prescribed medicines and supports adherence as per NICE guidelines. Undertake clinical medication reviews with patients with multi morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Manage own caseload of care home residents when required. Undertake clinical medication reviews with patients with multi morbidity and polypharmacy 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. Manage own caseload of vulnerable 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. Provide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice. Provide telephone consultations for patients with questions, queries, and concerns about their medicines. Provide when required with agreement extended access 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. Answer 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. Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. 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. Reconcile medicines at transfer of care, 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. 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. 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. Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate. 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. Provide clinical pharmacist services across sector in community service where required. This requires the application of additional clinical duties that may include: Providing pharmacist support and clinical decision-making during MDTs as appropriate; contributing to patient care by providing professional advice to optimise patients medication. Ensure safe, legal, and evidence-based prescribing takes place and safe accurate administration including clinical screening for drug interactions, overdoses, or inappropriate prescribing e.g. renal, liver, cardiac impaired or pregnant patients. Providing highly specialised and complex Medicines Information (legal or clinical) to healthcare staff (PCN, ICBs, Acute Trusts and Dorset HealthCare) and other staff concerned with the care of patients, to patients themselves and their carers. This may include the provision of professional advice where opinion may differ, and advice may be challenged. Ensure accurate and timely transfer of care upon discharge identifying and following up complex and at-risk patients in the Community. Provide clinical support and professional supervision to Pharmacy Technician workforce. Liaise and work with the Dorset HealthCare Medicine Team in the creation of effective and seamless Community/Domiciliary patient care. Ensuring the proactive and reactive needs of patients and the health care system are met. MANAGERIAL Lead a team of Clinical Pharmacists and Pharmacy Technicians and demonstrate the characteristics of a role model to members in the team, providing support to team members and ensure there is appropriate clinical supervision in place for all pharmacists. Undertake clinical supervision and systematic peer caseload review of colleagues on an individual or group basis. Ensure all pharmacists are engaged with the review and appraisal systems within the PCN. Act as a role model demonstrating effective clinical leadership on a daily basis and promote the behaviours of being proactive, positive, respectful, supportive, reliable, and trustworthy. Conduct teaching and assessment effectively, according to a learning plan with supervision from a more experienced colleague. Understand the implications of national priorities for the team and/or service and manage the team of Clinical Pharmacists through these changes. Assess and monitor risk in own and others practice, acting on results, thereby ensuring safe delivery of care. Follow professional and organisational policies and procedures relating to performance management. Participate in maintaining systems for risk assessment and minimisation including promoting a fair blame culture in order that near misses and incidents are reported and investigated. Contribute to investigation of incidents and complaints when required; participate in identifying lessons learnt and the sharing of learning across the organisation. Ensure dignity, privacy, and cultural and religious beliefs are respected at all times. Continually monitor standards of care through quality markers, achievement of PCN targets, and benchmarking. Be aware of local quality data and use it to identify practice development required. Work proactively in managing change in own speciality to improve practice and health outcomes. Identify and provide leadership on areas of prescribing and medicines optimisation. Conduct clinical audits and improve projects or work with colleagues such as GPs, Registrars, Practice Managers etc. Present results and provide leadership on suggested changes. Contribute to national and local research initiatives. Please refer to the attachment for the full job description.