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.