This will be in conjunction with the PCN pharmacy team.
1. Medicine management: Working with the practice manager and office managers to ensure that all aspects of medicines management happen smoothly across both practice sites. Induction of new clinical and administrative staff into medicine management and safe prescribing as per the practice's protocols and policies on Teamnet. Ensuring the correct and appropriate storage of all medicines in the practice including those used for emergencies. Updating policies and practices of medicines management in conjunction with the prescribing lead.
2. Shared care monitoring: Responsible for maintaining the searches and liaising with the hospital on all shared care medications, oral anticoagulants, DOACs, and any other high-risk medicines that require monitoring. This may include supervising administrative staff in these processes. Initiating patients on DOACs. Ensuring safe policies and practices of warfarin management and carrying out necessary audits for the enhanced payment schemes.
3. New patients medication checks: Ensuring all new patients have medication reviews, recalls added and repeat prescriptions sorted in time for when needed.
4. Medicine reconciliation: Reconciling medications and handling hospital tasks and requests on selected clinic and discharge letters.
5. Medication reviews: Carrying out medication reviews on more complex patients and those who are frail and may require a face-to-face or telephone review.
6. Day-to-day tasks from patients: Dealing with on-the-day pharmacy and patient queries from reception and clinicians.
7. Medication deprescribing: Deprescribing opioids or other drugs of addiction or high-risk medication appropriately with support from the prescribing lead. Monitoring patient discharges from hospital on opioid medication.
8. Research and teaching: Contributing to & participating in research studies in the practice. Contributing to teaching medical students and registrars and nurse prescribers as and when needed. Ensuring that all nurse prescribers have regular annual prescribing audits, helping the registrar with their prescribing reviews.
9. Patient safety: Contributing to learning and significant safety incidents concerning medication in the practice. Monitoring MRHA alerts and other alerts that come from ICB or other sources, auditing areas of potential concern, and contributing to improvements in safety. Keeping the practice updated on safety and prescribing issues and disseminating this information to all prescribers at the monthly management meetings.
10. Helping with areas in the practice to achieve targets: Looking at areas of prescribing in QOF, CQC, ESDS and other LESs or DES as required to help the practice in these areas. The GP prescribing lead will provide clinical supervision in all these areas.
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