The Clinical Pharmacist's duties and responsibilities may include any or all items in the following list. Duties may be varied from time to time under the direction of the General Manager/Practice Partners, dependent on current and evolving Practice priorities, workload and staffing levels: Patient-facing clinical medication reviews: Undertake structured medication reviews with patients with multi-morbidity and polypharmacy. This will include patients in nursing and residential homes. Make recommendations for changes to the Lead Clinical Pharmacist or GP (or, as an independent prescriber, implement your prescribing changes within the scope of competence) and order relevant monitoring tests. Work with care home staff to improve the safety of ordering and administering medicines. Patient telephone medicines support: Provide telephone clinics for patients with questions, queries, and concerns regarding their medicines. Supervision and training: Under the guidance of the Lead Clinical Pharmacist and Prescribing Lead, support the team of Pharmacy Technicians for clinical queries, help with supervision of their clinics, take part in their education and training and help with service development for the Pharmacy Technicians clinics (and other roles(. Medicines information to practice staff and patients: Answer medicine-related enquiries from GPs, Nurses, Pharmacy Technicians and Prescribing Hub clerks, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with medicine queries. Suggest and recommend solutions and follow up, as needed, to monitor the effects of any changes instigated personally. Management of medicines at discharge from hospital: Oversee and support the prescibing hub processes for reconciling medication following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplaining changes and managing these changes. If requested, perform a clinical medication review and assist in producing a post-discharge medicines care plan, including advice on dose titration and booking follow-up tests. Assist with systems and advice to ensure continuity of medicines supply to high-risk groups patients. Risk stratification: Under the guidance of the Lead Clinical Pharmacist and Prescibing Lead, design, develop, and implement system searches to identify cohorts of patients at high risk of harm from medicines. Support the Lead Clinical Pharmacist in managing risk stratification tools on behalf of the practice. Work with patients and the primary care team to minimise risks through medicine optimisation. Service Development: Work with the Lead Clinical Pharmacist and Prescibing Lead to develop and manage new services built around new medicines or NICE guidance, where new medicines/recommendations allow the development of a new care pathway. Information management: Analyse, interpret, and present data on medicines to highlight issues and risks and support clinical decision-making. Medicines Quality Improvement programmes: Under the supervision of the Lead Clinical Pharmacist and Prescribing Lead, identify areas of prescibing and medicines optimisation, and work with the team to complete Prescribing Quality Scheme/Safety Dashboard/Eclipse Radar etc. projects throughout the year. Conduct clinical audits and improvement projects or work with colleagues such as GP registrars, practice managers, etc. Present results and provide pharmacist input on suggested changes. Medicine safety: Identify national and local policy and guidance that affects patient safety through medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trails. Manage the process of implementing any recommended changes to medicines and provide guidance for practitioners. Care Quality Commission: Support the prescribing team to ensure the practice complies with CQC standards where medicines and prescribing are involved. Undertake risk assessment and management and ensure compliance with legislation regarding medicines. Implementation of local and national guidelines and formulary recommendations: Assist the practice in implementing local and national guidelines and formulary recommendations for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Help GPs to liaise directly with hospital colleagues where prescibing needs to be returned to specialists. Audit practice's compliance against NICE technology assessment guidance. Contribute to the TMG newsletter on important prescribing messages to improve prescribers' knowledge and work with the team to develop and implement other techniques to influence the implementation of evidence. Education and Training: Provide therapeutics and medicines optimisation education and training to the primary healthcare team. Where appropriate, provide training to visiting medical, nursing, pharmacy, and other healthcare students. Public Health: Support public health campaigns. Provide specialist knowledge on all public health programmes available where applicable. Clinical Governance: To assist the practice in managing and reviewing medication safety incidents. Service Development: Support the GP Practice Team in reviewing and developing TMG services. Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships with them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients. Demonstrate ability to work as a member of a team. Recognises personal limitations and refers to more appropriate colleagues when necessary. Demonstrates ability to integrate general practice with community and hospital pharmacy teams. Liaises with CCG Pharamcists and Medicines Management team on prescribing-related matters and benefits from peer support. Demonstrates understanding of the pharmacy's role in governance and is able to implement this appropriately within the workplace. Engages with Patient Participation Groups (PPG) and involves PPGs in developing the role. Demonstrates ability to improve quality within limitations of service. Reviews yearly progress and develops clear plans to achieve results within priorities set by the practice or PCN Partners. Demonstrate ability to motivate self to achieve goals. Promotes diversity and equality in people management techniques and leads by example. Demonstrates an understanding of effective resource utilisation and the implications of national priorities for the team and services and manages the team thought these changes. Demonstrates understanding of and conforms to relevant standards of practice. Demonstrate ability to identify and resolve risk management issues according to policy/protocol. Follows professional and organisational policies/procedures relating to performance management. Demonstrate ability to extend boundaries of service delivery within the team. Demonstrates self-development through continuous professional development activity. Participates in the delivery of informal training to staff within the Practice. Engage in formal education programmes. Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with appropriate clinical training. Ensures appropriate clinical supervision is in place to support development. Enrolled into review and appraisal systems within the Practice.