We are looking torecruit a suitably qualified and registered Clinical Pharmacist under EnglandsAdditional Roles Reimbursement Scheme (ARRS) to work in our expandingmultidisciplinary team (MDT) on behalf of Harthill Primary Network member practices,to be based primarily at Willerby & Swanland Surgery and Anlaby Surgery butwith a requirement to work on other practice sites as required.
This is an excitingopportunity for you to enhance our team and to make your mark in primary carelocally with your knowledge, skills, and experience. At this important time forGeneral Practice and Primary Care, this is a role where you can make a tangibleand quantifiable difference, one in which you are valued and gives you thatstrong sense of job satisfaction.
Main duties of the job
This is a new anddeveloping role; you will hold an undergraduate degree in pharmacy, registrationwith the General Pharmaceutical Council (GPC) and be enrolled in, be willing tobe enrolled in, or qualified from an 18-month training pathway for Primary Careor equivalent. You should have anIndependent Prescribing qualification[EA(WS1][EA(WS2].
You will be workingalongside our general practice teams as part of our new and quickly developingARRS team across the PCN. You will undertake a variety of tasks in support of thecare management of patients; processing of medication change requests viahospital discharge letters, reviewing patient and general medication queries inface to face clinics where appropriate, including NOMAD/dossette boxes, supportingwith memory aids for patients, and undertaking structured medication reviews,opiate and amber drug monitoring reviews.You will proactively manage people with complex polypharmacy, those withchronic diseases, the frail and patients with co-morbidities. You will be involved with shared decisionmaking
About us
Harthill Primary Care Network (PCN) is a network of five NHS GPPractices within the Haltemprice and Market Weighton areas of the East Ridingof Yorkshire which includes practices in Cottingham, Willerby, Anlaby, NorthFerriby and Market Weighton. We are oneof seven PCNs across the East Riding and cover a registered population of over35,000 patients
Yorkshire HealthPartners Ltd (YHP) is managing the recruitment, employment and leadership ofpeople under NHS Englands Additional Roles Reimbursement Scheme (ARRS) forHarthill PCN.
YHP is a GP ledorganisation established in 2012. It currently has 22member practices across the East Riding and Hull with a combined listsize in excess of 329,188patients. It was initially established to support independent partnerled general practice by holding contracts for primary care as well as focusingon the principle of care closer to home. YHP seek to provide a strong voice forprimary care, patients, and staff, both as a separate entity, and inpartnership with others
Job responsibilities
To proactively managepeople with complex polypharmacy, especially the elderly, people in care homes,those with co-morbidities (in particularly frailty, COPD, and asthma) andpeople with learning disabilities or autism (through STOMP Stop OverMedication Programme).
Deliver patientfacing and remote clinical medical reviews, including long-term conditions clinics andensure medicines optimisation. Make appropriate recommendations to SeniorPharmacists, GPs or nurses for medicine improvement and monitoring.
Work with care homestaff improving the safety of medicines ordering and administration.
Attend and/or referpatients to multidisciplinary care conferences.
Provide specialistexpertise in the use of medicines whilst helping to address both the public andsocial care needs of patients at our PCNs Practices.
Help tackle health inequalities.
Provide training/developmentto primary healthcare teams on therapeutics and medicines optimisation.
Work with generalpractice teams to ensure compliance with CQC standards.
OperationalManagement
Through structuredmedication reviews, support patients to take their medications to get the bestfrom them, reduce waste and promote self-care.
Managecommon/minor/self-limiting ailments within the scope of your competence andpractice.
Provide patientfacing, remote, or telephone clinics for those with questions, queries, andconcerns.
Manage medicines atdischarge from hospital, including identifying and rectifying unexplainedchanges working closely with the patient and community pharmacists so patientsreceive the medications they need post discharge.
Signpost patients tothe appropriate healthcare professional for their care within an appropriate periode.g., pathology results, common/minor ailments, acute conditions, long termcondition reviews etc.
Produce and implementa repeat prescribing policy within each PCN practice.
Manage the repeatprescribing reauthorisation process by reviewing patient requests and reviewingmedicines at review dates. Ensure patients have appropriate monitoring tests inplace as required.
Implement local andnational guidelines and formulary recommendations, monitoring practiceprescribing against the local health economys RAG list, making recommendationsfor GPs. Assist practices in seeing and maintaining a practice formulary ontheir computer system and audit practice against the NICE technology assessmentguidance.
Work collaboratively with all partners, including PCN MDTs, CCG Pharmacistsand Technicians to ensure consistent patient care, benefits and medicineoptimisation.
FinancialManagement and Planning
Contributepharmaceutical advice for the development and implementation of new relevant services.
Analyse, interpret,and present medicines data to highlight issues and risks to support andinfluence decision making.
Buildingcapacity through effective leadership
Provide leadership onperson-centre medicines optimisation including ensuring prescribers in thepractices conserve antibiotics in line with local antimicrobial stewardshipguidance and quality improvement.
Support furtherintegration of general practice with wider healthcare teams to improve patientsoutcomes, ensure better access and help manage general practice workload.
Managementof Communication
Develop relationshipsand work closely with other pharmacy professionals across the PCNs and widerhealth care system.
Answer relevantmedicine-related enquiries from GPs, other network staff, other healthcareteams and patients. Suggest and recommend appropriate solutions and providefollow up for patients to monitor the effect of any changes.
Provide newslettersor bulletins on important prescribing messages.
Support public healthcampaigns.
RiskManagement and Quality Assurance
Contribute to the Qualityand Outcomes Framework and Investment and Impact Fund criteria.
Take a central rolein the clinical aspects of shared care protocols, clinical research withmedicines, liaison with specialist pharmacists including mental health andreduction of antipsychotic use in people with learning disabilities, liaisonwith community pharmacists and anticoagulation.
Be part of aprofessional clinical network and have access to appropriate clinicalsupervision to include one supervision session per month by a Senior Clinical Pharmacistand an assigned GP Clinical Supervisor for support and development.
Identify cohorts ofpatients at high risk of harm from medicines through pre-prepared practicesearches (patient related, medicine related or both).
Review medicinesconnected to unplanned hospital admissions and readmissions via audit andindividual patient reviews. Put in place changes to reduce the prescribing ofthese medicines to high-risk patient groups.
Set up and managesystems to ensure continuity of medicines supply to high-risk groups ofpatients.
Undertake clinicalaudits of prescribing in areas as directed by the GPs, feedback, and implementchanges collaboratively.
Implement changes tomedicines that result from MHRA alerts, product withdrawal and other nationalguidance.
Managementof workload and personal development
Act on own initiative in prioritising andmanaging workload, delegating tasks appropriately and referring to designatedBoard Members in respect of clinical, managerial, and administrative areas, asnecessary.
Maintain own personal and professionaldevelopment as agreed at your annual review.
Work with your line manager to access regularclinical supervision.
Participate in the delivery of formal educationprogrammes.
Demonstrate an understanding of currenteducational policies relevant to working areas of practice and keep up to datewith relevant clinical practice.
Person Specification
Experience
* Demonstrates, understands, and conforms to relevant standards of practice
* Understands how the working model of Primary care, the funding structures and is creative in identifying the opportunities for partnership working as a result
* Budget and financial management acumen
* Understands the wider determinants of health
* An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
* Understands the principles of research governance
* Awareness of key relevant legislation such as but not limited to health and safety, financial regulations, employment law, commercial law, GDPR,
* Knowledge of and works to policies and procedures, including but not limited to lone working, confidentiality, safeguarding, data protection,
* Plans targets with colleagues and ensure delivery against key milestones including monitoring and review of general medicine optimisation issues
* Communicates clearly to drive team performance and maintain individual resilience
* Proven ability to influence others to gain acceptance for recommendations by taking an evidenced based approach
* Motivates others to play to their strengths and deliver excellence
* Encourages feedback and a transparent culture
* Can obtain, analyse, and present complex data to aid decision making within the PCN
* Manages time effectively, not being distracted by pressures, retains focus, and delivers to deadlines
* Has in depth knowledge and understanding of the principles of evidence-based healthcare
* Knowledge of IT systems to perform role effectively
* Translates strategies into operational plans in collaboration with other senior colleagues
* Building team capacity and organisational resilience
* Passionately drives organisational development
* Practices and prescribes safely and effectively in a primary care setting
* Recognises personal and professional limitations and refers to appropriate colleague
* Is emotionally intelligent and resilient
* Has a minimum of two years post qualifying experience
* Identifies and mitigates risk management issues collaboratively
Behaviours
* Leading with care
* Sharing the vision
* Engaging the team
* Influencing for results
* Evaluating information
* Inspiring shared purpose
* Connecting our service
* Developing capability
* Holding to account
Qualifications
* Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council (GPC)
* Enrolled in or qualified from an 18-month training pathway or equivalent
* Mandatory registration with the GPC
* Clinical Diploma
* Membership Primary Care Pharmacy Association (PCPA)
* Membership of the Royal Pharmaceutical Association
Values
* Working Together
* Improvement and Development
* Respect and Compassion
* Engagement and Involvement
Other
* Immunisation status
* Access to transport and ability to drive across the locality on a regular basis, including lone visits to patients in their own homes
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.
Depending on experiencebased on 7-8a - not AfC role but will depend on experience
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