Vernova Healthcare Community Interest Company
CHAWPCN have an exciting opportunity for an experienced Clinical Pharmacist to join our PCN which covers practices across Chelford, Handforth, Alderley Edge, Wilmslow (CHAW) Primary Care Network.
We are looking for an experienced Clinical Pharmacist who ideally is a prescriber and has completed their CPPE course to join our current team of 6 pharmacists and 2 pharmacy technicians. The role is a full-time role, working out of the PCN Hub located in Wilmslow Health Centre, face-to-face consultations in practice and very limited work from home.
Main duties of the job
The successful candidate will work across the 5 GP Practices in the PCN and will cover a range of pharmacy activity including clinical letters, patient queries, structured medication reviews, general medication reviews, and hypertension clinics.
Our aim is to provide exemplary patient care and find innovative solutions in general practice to deliver the best care we can for our patients. You will be supported in achieving this goal via our PCN Senior Clinical Pharmacist Lead and our PCN GP Trainer.
Job responsibilities
Job Purpose:
The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice. In this role they will be supported by a senior clinical pharmacist who will develop, manage and mentor them.
The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.
The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice(s).
The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilize skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies, so requires motivation and passion to deliver an excellent service within general practice.
Key duties and responsibilities
Patient facing Long term condition clinics:
See (where appropriate) patients with single or multiple medical problems where medicine optimization is required (e.g. COPD, asthma).
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 (i.e. medicines optimization).
Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
Patient facing Clinical Medication Review:
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacists, nurses, and/or GPs on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Management of common/minor/self-limiting ailments:
Managing a caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.
Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.
Patient facing medicines support:
Provide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice.
Telephone medicines support:
Provide a telephone help line for patients with questions, queries, and concerns about their medicines.
Medicine information to practice staff and patients:
Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines.
Suggest and recommend solutions. Providing follow-up for patients to monitor the effect of any changes.
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.
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 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).
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/minor ailments, acute conditions, long-term condition reviews etc.
Repeat prescribing:
Produce and implement a practice repeat prescribing policy.
Manage the repeat prescribing reauthorization process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
Ensure patients have appropriate monitoring tests in place when required.
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.
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).
Information management:
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Implement changes to medicines that result from MHRA alerts, product withdrawal, and other local and national guidance.
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 (red drugs) or subject to shared care (amber drugs).
Assist practices in seeing and maintaining a practice formulary that is hosted on the practice's computer system.
Auditing practices compliance against NICE technology assessment guidance.
Provide newsletters or bulletins on important prescribing messages.
Person Specification
Qualifications
* Experience Required:
* Minimum of 5 years post qualification experience
* Minimum of 2 years experience in primary care
* Essential Qualifications Required:
* Mandatory registration with General Pharmaceutical Council (GPhc)
* Masters degree in pharmacy (MPharm) or equivalent
* CPPE
* Membership of Royal Pharmaceutical Society
* Specialist knowledge acquired through post-graduate diploma level
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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