MAIN RESPONSIBILITIES & DUTIES Conduct detailed medicines reconciliation including an assessment of patients adherence to treatments prescribed- where appropriate. Any discrepancies should be evaluated and discussed with the relevant prescriber and referred to the Clinical Pharmacist for further advice or clarification. Resolve where appropriate medication adherence issues (e.g., changing administration times) under supervision. As determined by the PCN, support medication reviews and medicines reconciliation for new care home patients and synchronising medicines for patient transfers between care settings, linking with local community pharmacies. Support the Clinical Pharmacist in Structure Medication Reviews (SMR) i.e., organise necessary monitoring tests prior to SMR. Provide expertise to address both the public health and social care needs of patients, including lifestyle advice, service information and help in tackling local health inequalities. Manage shared care protocols and liaise with Clinical Pharmacists for more complex patients. To provide pharmaceutical support and deal with medication queries to integrated services including rest homes as appropriate. To contribute to patient care by providing professional advice within competence. This may involve advising on complex situations where there are a range of options/solutions. Advice may be related to the legal framework for the management of medicines, or it may be clinical relating to medicines optimisation to ensure patient compliance with their medication. Counsel patients and their relatives/carers on how to manage their medicines, identify administration or adherence problems and provide supportive information to promote concordance, where appropriate. Support initiatives for antimicrobial stewardship to reduce inappropriate antibiotic prescribing locally. Record all significant interventions (where there is a risk of harm to patients) via the Ulysses system. Discuss interventions with prescribers and the multi-disciplinary team as appropriate and follow up outcomes with relevant clinical staff. To attend MDT meetings and contribute to admission avoidance work. To support care home service managers with medicines optimisation for care home residents. Carry out home visits to support patients and their Carers with managing medication. Please see the attached document for the full job description.