From start of post: Seeing patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing. Managing own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring longterm anticoagulants). Reviewing the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines ensuring they get the best use of their medicines (i.e. medicines optimisation). Whilst carrying out the above ensure document appropriately to support achievement of relevant QOF targets. Undertaking clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Future potential to manage own caseload of care home residents. Supporting and working with CCG Medicines Management (MM) Team to undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implementing own prescribing changes (as an independent prescriber) and ordering relevant monitoring tests. Providing patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Providing telephone support for patients with questions, queries and concerns about their medicines. Acting as a source of medicines information for all of the practice team and patients, (such as around doses, side effects, adverse events, possible alternatives, i.e. around out of stocks). Suggesting and recommending solutions. Reconciling 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. Setting up and managing systems to ensure continuity of medicines supply to highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). Working in partnership with hospital and local provider colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. 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. Managing own caseload for patients and diagnosing people with long term ailments while remaining within scope of practice and limits of competence. Referring to GP and/or other healthcare professionals where appropriate. Ensuring that patients are referred to the appropriate healthcare professional for the right care. Ensuring that the addition of the pharmacist to the clinical team results in a reduction in workload for other clinicians. Working with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Putting in place changes to reduce the prescribing of these medicines to high-risk patient groups. Producing and implementing a practice repeat prescribing policy in line with the recommendations from the Medicines Management Team (MMT), implementing the practices repeat prescribing policy. Managing 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. Ensuring patients have appropriate monitoring tests in place when required. Identifying national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Managing the process of implementing changes to medicines and guidance for practitioners. Taking a leading role in the contractual requirements to support frail patients with their medication including medication review and patient identification (i.e. patients with problematic polypharmacy). Working with CCG MMT to implement local and national guidelines including NICE etc. Liaising with hospital colleagues where prescribing needs to be returned to specialists. Providing education and training to primary healthcare team on therapeutics and medicines optimisation. Providing training to visiting medical, nursing, pharmacy and other healthcare students where appropriate. Working with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Undertaking risk assessment and ensure compliance with medicines legislation. Supporting public health campaigns. Providing specialist knowledge on all public health programmes available to the general public. Role may evolve to include: Managing own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implementing own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attending and referring patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans. Working with colleagues, identifying and providing leadership on areas of prescribing and medicines optimisation. Conducting clinical audits and medicine optimisation projects or work with colleagues such as GP registrars, practice managers etc., feedback the results and implementing changes in conjunction with the practice team. Presenting results and providing leadership on suggested changes. Contributing to national and local research initiatives. Ensuring that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology test results, common/minor ailments, acute conditions, long term condition reviews etc. Please see the full job description for further information.