Key duties and responsibilities
1. Clinical assessments and Care Home MDT: Managing patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Referring to the PCN Care Home GP Lead or other healthcare professionals where appropriate. Engaging in a weekly MDT meeting, escalating any patients as necessary within an appropriate time frame.
2. Patient facing Long-term condition consultations: See, where appropriate, patients residing in Care Homes with single or multiple medical problems where medicine optimisation is required e.g. Respiratory, Cardiovascular and Diabetes. Review the ongoing 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.
3. Patient facing Care Home Medication Reviews: Undertake clinical medication reviews with patients and produce recommendations for the nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
4. Risk stratification: Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.
5. 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 high-risk patient groups.
6. Telephone/email medicines support: Provide telephone or email support for care home staff with questions, queries and concerns about residents' medicines.
7. 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 care homes and community pharmacists to ensure patients receive the medicines they need post discharge.
8. Medicine information to practice and care home staff: Answers relevant medicine-related enquiries from GPs, other network staff, other healthcare teams e.g. community pharmacy and care home staff with queries about medicines. Suggesting and recommending solutions.
9. 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 or minor ailments, acute conditions, long term condition reviews etc.
10. Repeat prescribing: Ensure an efficient repeat prescribing policy for Care Home patients is in place and adhered to. 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.
11. Service development: 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.
12. Information management: Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
13. Medicines quality improvement: Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.
14. Medicines safety: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
15. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors i.e. red drugs or subject to shared care.
16. Education and Training: Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
17. Care Quality Commission: Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
18. Public health: To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.
19. Collaborative working arrangements: Participates in the PCN Care Home MDT. Liaises with ICB colleagues including ICB pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
20. Participation in meetings: Participate and engage in monthly pharmacy team meeting to discuss workload, highlight any issues, adapt any learning from team members or Prescribing Lead, identify, plan and update any targets, and any other role relevant meetings as needed.
21. IIF: Work towards any Pharmacy related IIF targets. Work with team members and Prescribing Lead to develop and implement plans to achieve IIF targets and update PCN accordingly.
22. Professional development: Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
23. Research and Evaluation: Critically evaluate and review literature. Identify where there is a gap in the evidence base to support practice. Generate evidence suitable for presentations at practice and local level.
24. Health and Safety/Risk Management: Must comply at all times with the Health and Safety policies, in particular following safe working procedures and reporting incidents using the organisations Incident Reporting Systems.
25. Special working conditions: The post holder is required to travel independently between work sites and to attend meetings etc hosted by other agencies.
26. Miscellaneous: Work as part of the team to seek feedback, continually improve the service and contribute to business planning. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
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