Job summary This is an opportunity to join our team of dedicated professionals providing services to some 12,500 patients in the rural market town of Bourne, Lincolnshire. Our existing Clinical Pharmacist is sadly leaving to explore pastures new as part of her own personal development and would be happy to talk with anyone regarding this role and the opportunities it provides. Please contact the recruiting lead to arrange this. Informal visits are also welcome. The role is practice based, managing patients face to face from your own clinical room and via the telephone. We are a total triage practice using Accurx and so patients are appropriately managed to the healthcare professional best able to meet the patient need. Assessed in August of 2023 as Outstanding by the CQC we strive to deliver high quality, responsive care for our patients while ensuring we have high staff numbers, a great range of skills mix and administrative support systems in place to ensuring this is a great place to work, even in these demanding times for General Practice. We enjoy modern, expansive and fully compliant premises. This is a senior post within our team attracting a salary of between £58,400 to £68,400 subject to experience. There is also an annual training grant, 35 days annual leave plus Bank Holidays and 2 study days. The post provides access to the NHS Pension scheme. Main duties of the job We have separated the main duties of the role into two elements; essential and desirable. Our current CP covers both elements and our new team member should do the same or there must be a willingness to train for and ultimately provide the desirable roles also. Essential: Non-medical prescriber (or willingness to train subject to a training support agreement) Previous experience in a GP setting Chronic Disease Management Oversight and management of long-term conditions, sounder understanding in asthma, COPD, diabetes, chronic kidney disease, atrial fibrillation, heart failure, and hypertension. This will include telephone and face to face appointments. Medication Safety & Governance Keeping on top of audits, using ECLIPSE and other patient safety tools to manage care Ability to conduct medication reviews and Structured medication reviews (and identifying when SMRS are needed) Aiding workflow- management of discharge summaries, patient letters Helping the team with medication queries, alternate medications and general advice Medical Education & Training Providing sessions for medical students and trainee nurses. Desirable: Knowledge of minor ailments Interpretation of blood tests: B12, Vitamin D, TSH, ACR (or more if able) Some understanding of managing contraception, pain management (non palliative), psoriasis, eczema, acne, HRT, mental health. Completion of CPPE Primary Care Education Pathway (or willingness to complete it) About us We are a Practice with a long history of innovation and development. A total triage practice since 2014 we offer same day access for our patients which we feel is both responsive and safe. This is supported by a diverse, professional clinical team comprising GPs, ANPs, Prescribing Nurses, MSK Physio's, HCAs, Wellbeing Counsellors, CPN, Social Prescribers, health and Well being Coaches and our in house ultrasound and Primary Care Surgery from our Level 3 Operating Theatre. Our GP to patient ratio is 1800 patients. Our healthcare professionals are supported by a large administrative team who, in addition to the General Practice administration, undertake clinical workflow management, repeat prescription management, clinical Audit etc ensure only essential paperwork is managed by the clinical team. In terms of our Medicines Management our CP is supported by a Dispensary Manager who is an experienced Pharmacy tech and a second Pharmacy tech as the deputy. Our aim is to deliver the best possible care for our patients, underpinned by solid systems, high staff numbers and well maintained premises. But we also do all we can look after and support our team who are essential to our success and future. Date posted 27 February 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time Reference number A1175-25-0000 Job locations 40 North Road Bourne Lincolnshire PE10 9BT Job description Job responsibilities The full job description is attached as an additional document. Primary Duties and Areas of Responsibility Patient facing long-term condition clinics See patients with single or multiple medical problems, where medicines optimisation is required (e.g. COPD, asthma, ischaemic heart disease). Review the on-going need for each medicine, ensure that monitoring is up to date, and support patients to get the most benefit from their medicines (i.e. medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for improvements in treatment regimes. 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. Patient facing care home medication reviews Undertake person-centred, clinical medication reviews with patients, and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve the safety of medicines ordering and administration. Patient facing domiciliary clinical medication review Undertake clinical medication reviews with patients, and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Management of common / minor / self-limiting ailments Managing caseload of patients with common/minor/self-limiting ailments while working within 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 within your base practice, for patients with questions, queries and concerns about their medicines. Telephone medicines support Provide a telephone helpline for patients with questions, queries and concerns about their medicines. Medicines information to practice staff and patients Answer relevant medicinesrelated enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients. Suggest and recommend solutions. Provide follow up for patients, to monitor the effect of any changes. Unplanned hospital admissions Using prescribing support tools such as Eclipse and PINCER, review the use of medicines most commonly associated with unplanned hospital admissions and readmissions, through audit and individual patient reviews. Document findings in audit reports, conduct root cause analyses for any errors, and put systems in place to address any prescribing safety issues. Management of medicines at discharge from hospital 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 highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). Signposting Ensure that patients are referred to other healthcare professionals for the required level of care within an appropriate timeframe e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc. Repeat prescribing Produce and implement a practice repeat prescribing policy, in agreement with the Senior Clinical Pharmacist. 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. Ensure patients have appropriate monitoring tests in place when required. 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. 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). Information management Analyse, interpret and present medicines data to highlight issues and risks to support clinical decision making. Medicines quality improvement Undertake clinical audits, in areas of prescribing as directed by the GPs; feed the results back to the practice team, and implement changes in conjunction with the practice team. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, as well as any prescribing safety incidents identified within your base practice, ensuring any findings are shared with the PCN pharmacy team. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys 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 practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Public health Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public. Development Opportunities : We are looking to further develop our medication review system with a desire to innovate a tiered level medication review system and the CP will have the opportunity lead a team of pharmacy techs to develop proactive recall of patients not on a chronic disease registers. Job description Job responsibilities The full job description is attached as an additional document. Primary Duties and Areas of Responsibility Patient facing long-term condition clinics See patients with single or multiple medical problems, where medicines optimisation is required (e.g. COPD, asthma, ischaemic heart disease). Review the on-going need for each medicine, ensure that monitoring is up to date, and support patients to get the most benefit from their medicines (i.e. medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for improvements in treatment regimes. 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. Patient facing care home medication reviews Undertake person-centred, clinical medication reviews with patients, and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve the safety of medicines ordering and administration. Patient facing domiciliary clinical medication review Undertake clinical medication reviews with patients, and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Management of common / minor / self-limiting ailments Managing caseload of patients with common/minor/self-limiting ailments while working within 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 within your base practice, for patients with questions, queries and concerns about their medicines. Telephone medicines support Provide a telephone helpline for patients with questions, queries and concerns about their medicines. Medicines information to practice staff and patients Answer relevant medicinesrelated enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients. Suggest and recommend solutions. Provide follow up for patients, to monitor the effect of any changes. Unplanned hospital admissions Using prescribing support tools such as Eclipse and PINCER, review the use of medicines most commonly associated with unplanned hospital admissions and readmissions, through audit and individual patient reviews. Document findings in audit reports, conduct root cause analyses for any errors, and put systems in place to address any prescribing safety issues. Management of medicines at discharge from hospital 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 highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). Signposting Ensure that patients are referred to other healthcare professionals for the required level of care within an appropriate timeframe e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc. Repeat prescribing Produce and implement a practice repeat prescribing policy, in agreement with the Senior Clinical Pharmacist. 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. Ensure patients have appropriate monitoring tests in place when required. 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. 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). Information management Analyse, interpret and present medicines data to highlight issues and risks to support clinical decision making. Medicines quality improvement Undertake clinical audits, in areas of prescribing as directed by the GPs; feed the results back to the practice team, and implement changes in conjunction with the practice team. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, as well as any prescribing safety incidents identified within your base practice, ensuring any findings are shared with the PCN pharmacy team. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys 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 practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Public health Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public. Development Opportunities : We are looking to further develop our medication review system with a desire to innovate a tiered level medication review system and the CP will have the opportunity lead a team of pharmacy techs to develop proactive recall of patients not on a chronic disease registers. Person Specification Knowledge and Skills Essential Mandatory registration with General Pharmaceutical Council. Masters degree in pharmacy (MPharm) (or equivalent). Minimum of 2 years post qualification experience. In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Familiarity with TPP System 1 Clinical System Strong IT Skills including all MS systems Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients) Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions Good IT skills Able to obtain and analyse complex technical information Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate Able to work under pressure and to meet deadlines Produce timely and informative reports Gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action when there may be significant barriers Work effectively independently and as a team member Demonstrate accountability for delivering professional expertise and direct service provision Self-motivation Adaptable In date DBS Safeguarding adult and children level 3 Immunisation Status Desirable Membership of the Royal Pharmaceutical Society A member of or working towards Faculty membership of the Royal Pharmaceutical Society Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience Independent prescriber or working towards/intent of gaining independent prescribing qualification An appreciation of the nature of GPs and general practices Capable user of TPP System 1 Clinical System Basic Life support training Information Governance completion Person Specification Knowledge and Skills Essential Mandatory registration with General Pharmaceutical Council. Masters degree in pharmacy (MPharm) (or equivalent). Minimum of 2 years post qualification experience. In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Familiarity with TPP System 1 Clinical System Strong IT Skills including all MS systems Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients) Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions Good IT skills Able to obtain and analyse complex technical information Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate Able to work under pressure and to meet deadlines Produce timely and informative reports Gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action when there may be significant barriers Work effectively independently and as a team member Demonstrate accountability for delivering professional expertise and direct service provision Self-motivation Adaptable In date DBS Safeguarding adult and children level 3 Immunisation Status Desirable Membership of the Royal Pharmaceutical Society A member of or working towards Faculty membership of the Royal Pharmaceutical Society Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience Independent prescriber or working towards/intent of gaining independent prescribing qualification An appreciation of the nature of GPs and general practices Capable user of TPP System 1 Clinical System Basic Life support training Information Governance completion 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Bourne Galletly Practice Address 40 North Road Bourne Lincolnshire PE10 9BT Employer's website https://www.galletly.co.uk/ (Opens in a new tab)