Job title: Clinical Pharmacist Reports to/responsible to: Partner GPs (Clinically) and Practice Business Manager (Administratively) Professional Responsibilities: Assist GPs to help deliver effective implementation of medicine management of patients Contribute to the development of policies / protocols / guidelines within the Practice. Use of computer for monitoring, recording, recall and management of all patient information - (Practice uses EMIS Web) Aid the Practice team with implementation of new initiatives in the delivery of medicine management services. Formulate reports as required for the Practice Management and/or GP Partners. Support the implementation of evidence-based guidelines in conjunction with the Practice team. encourage the development of integrated services within primary care to include integrated Practice based teams and multidisciplinary working. Engage in continuous professional development and promote this with other members of the team. Recognise the opportunities for working in partnership with the Primary Health Care team. Participate in an annual appraisal. Clinical Administration Medicines reconciliation Medication queries and requests Signposting Authorising repeat prescriptions Medicines information Interpreting pathology Signing prescription (if qualified) Clinical Delivery Clinical medication reviews Polypharmacy reviews Home visits Care home support Care planning Minor illness clinics Triage Support the Practice Nursing team with Long-term condition management / clinics Practice Process and Performance Best practice prescription management QOF optimisation and prevalence finding CQC support Local incentive scheme support Clinical audits Education and training of staff Prescription Management Review, manage and implement any appropriate changes to the practice repeat prescribing policy Manage the repeat prescribing reauthorization process by reviewing medications reaching review dates; make necessary changes as an independent prescriber in collaboration with the general practitioners Ensure implementation of the practice high risk drug monitoring process ensuring patients are booked in for necessary monitoring tests when required Medicines reconciliation To reconcile medicines following discharge from hospitals, intermediate care and care homes, including identifying and rectifying unexplained changes and highlighting any concerns to the GP who is the patients usual doctor. Work with community pharmacists to ensure patients receive the medication they need post discharge Ensure a post discharge medication care plan is in place including any dose titration or follow up tests Medication review and Long Term Condition management Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement clinically indicated prescribing changes as an independent prescriber, working to protocols agreed with the partnership. Visit housebound or vulnerable patients to undertake clinical medication reviews, attending multidisciplinary team meetings as required. To participate in developing pharmacist-led clinics To prescribe safe, effective and appropriate medication as defined by current legislative framework and within own scope of clinical competence. When seeing patients for medication advice, provide safe, evidence-based, cost-effective, individualised patient care. Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care. Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills. Acute/minor illness and patient medicine queries Manage caseload of patients with common/minor/self-limiting ailments while working within the scope of practice and limits of competence, referring to GP or healthcare colleagues where appropriate Provide patient facing appointments and telephone support for those with questions, queries and concerns about their medicines Answer all medicine related enquiries from GPs, other practice staff and other healthcare teams(e.g. Community nurses and pharmacy) Quality improvement, training and development Identify and act upon national and local policy and guidance that effects patient safety through the use of medicines including MRHA alerts, product withdrawal and emerging evidence from clinical trials Work with practice teams and patients to implement NICE guidelines Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles ICBprescribing advisor implementing C&H prescribing guidelines Work with ICB prescribing advisor implementing C&H prescribing guidelines ensure the practice is compliant with CQC standards where medicines are involved. Provide education and training to primary healthcare team on therapeutics and medicine optimization Research, Audit and Quality: Encourage the development of a Practice audit strategy and action plan for Primary Care. Alert other team members to issues of quality and risk Contribute to the provision of equitable, high quality services for patients in the locality. Help support the integration across primary, secondary and tertiary care services. Maintain an interest in national research initiatives and disseminate appropriate information to health professionals if asked to do so. Ensure all care is evidence based using up to date validated literature. Contribute to research and development programmes where required to improve clinical practice. Contribute to the effectiveness of the team by reflecting on own and team suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Communication: The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members, attend Practice meetings and contribute as necessary. Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly Contribution to the Implementation of Services: The post-holder will: Apply Practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their Carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data To work in accordance of all Practice written protocols Equality and Diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional Development: The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: Participation in an annual appraisal, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Annual Resus Training Safeguarding Thornton Practice is committed to safeguarding and promoting the welfare of all children and young people and vulnerable adults who attend the surgery, either as patients or when accompanying patients. The post-holder will be expected to share this commitment. If the post-holder has a concern regarding a child or young person or vulnerable adult they have a duty to act upon that concern. This may mean sharing that concern with another professional and following local and national guidance. Important Note This Job Description is flexible and the post holder will be expected to undertake any other duties appropriate to the role and grade as may be required by the GPs/Practice and Management This job description is subject to change from time to time in line withorganisational need and the post holders agreement should not unreasonably be denied. It is envisaged that part of the role will include the mentoring of our Pharmacy Technician and Prescribing clerks. Additionally the successful candidate will be encouraged and supported to undertake any further training required to ensure appropriate role development. Application via Online Application form or CV For further information or an informal chat about the role, please contact: sanjay.tanna@nhs.net