A key job role for PCN Clinical Pharmacists is to undertake structured medication reviews, ensuring patients have appropriate monitoring tests in place, maximising QoF achievements, when required for patients: a. in care homes, b. with complex and problematic polypharmacy, specifically those on 10 or more medications, c. on medicines commonly associated with medication errors, d. with severe frailty, e. who are particularly isolated or housebound or who have had recent hospital admissions and/or falls, f. using particularly addictive pain management medication. Domiciliary Clinical Medication Reviews to address polypharmacy and improve concordance. Patients identified as requiring extra support with their medication or those with questions, queries and concerns about their medication. Other duties are not limited to, but may include: Telephone consultations and multimedia contacts will also be undertaken where appropriate Work to collaborate in a common framework for medication standards agreed by all PCN practices to ensure equity, clarity and consistency for all patients and health and social care staff. Work to maximise GP practice incomes through pro-active involvement in QoF and Healthier Fylde Coast Contract to achieve targets through high quality clinical reviews and data analysis. Identify cohorts of patients at high risk of harm from medicines - this might include risks that are patient related, medicine related, or both. 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 high-risk patient groups. Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Contribute to the implementation of changes that result from MHRA alerts, product withdrawal and other local and national guidance. Contribute to the implementation of local and national guidelines and formulary recommendations, monitor practice prescribing and make recommendations to GPs. Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved. Provide specialist knowledge on all public health programmes available to the general public.