Barnet PCN5 are looking to recruit a full-time Clinical Pharmacist to its well established team (a part-time position is being advertised separately). The PCN clinical team consists of:
* Clinical Pharmacists (8 in total)
* GP
* GP Clinical Director
* Advanced Clinical Practitioner
* Practice Nurse
* HCA
The ideal candidate will have completed their Independent Prescribing course or CPPE (or both).
Main duties of the job
* Providing primary support to general practice staff with regards to prescription and medication queries, you will perform medicines reconciliation on transfer of care and implement systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the PCN.
* Working as part of a multi-disciplinary team in a patient-facing role, you will take responsibility for areas of medicines optimisation within the PCN and undertake structured clinical medication reviews to proactively manage patients with complex polypharmacy.
* Providing clinical leadership on medicines optimisation and quality improvement (QI) and managing some aspects of the quality and outcomes framework and enhanced services at practice and PCN level.
* Working with all sectors of pharmacy across the health system and its member practices to improve population health.
* Demonstrating improvement in patient outcomes and working to reduce health inequalities across the PCN contributing to improving the efficiency of general practice and delivering a best-in-class service.
About us
Barnet PCN5 is a Primary Care Network that consists of:
* Greenfields Surgery
* St Georges Surgery
* Pennine Surgery
* Dr Azim & Partners
* Phoenix Surgery
We serve a population of approximately 50,000 patients.
Job responsibilities
Medication Review and Optimisation
* To discuss medication issues with patients as needed and appropriate.
* To carry out medication reviews.
* To review and continue repeat medications for new patients who have just registered with the practice and PCN, and suggest GP medication review where appropriate.
* To discuss medication issues with patients as needed and appropriate by telephone, e.g. adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies, queries from practice and PCN dispensary, queries from care homes.
* To respond to dispensary queries to include, re-authorise repeats where there are queries, clarify doses, clarify products, give appropriate alternatives when availability issues.
* To discuss specific patient and prescribing issues (e.g. complicated regimes/polypharmacy, compliance difficulties, multiple adverse effects, medication reduction regimes) with other clinicians as necessary.
* To support the completion of medication administration forms for district nurses for GPs to sign.
Care Home Medication Reviews:
* Undertake clinical medication reviews with patients with multi-morbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
* Work with care home staff to improve safety of medicines ordering and administration.
Long Term Condition Clinics:
* Hypertension (lifestyle advice and medication initiation and optimisation)
* Diabetes (joint clinic with practice nurse, with referral to GP/community diabetes nurse specialist/secondary care diabetes advice line)
* CHD (medicines optimisation, with referral to GP where necessary)
* Respiratory (advise practice nurse, including interpretation of spirometry)
* Chronic pain management (responding to patient or GP requests for review).
* To review secondary care requests for new medication (as communicated by discharge summaries, outpatient letters, etc.) and raise any queries with relevant GP, and discuss how to respond when inappropriate prescribing requests arise.
* To deal with anticoagulant start/stop requests from secondary care and contact patients who have defaulted on INRs.
Unplanned Admission Prevention:
* Devise and implement practice/PCN searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines.
* Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines.
* Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
Person Specification
Qualifications
* Mandatory registration with General Pharmaceutical council (GPhC)
* Master degree in Pharmacy (MPharm) or equivalent
* Have completed either the Independent Prescribing course or CPPE (or both)
* Membership of the Royal Pharmaceutical Society
* Specialist knowledge acquired through postgraduate diploma or equivalent training/experience.
Experience
* Experience of working in a general practice setting.
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.
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