Responsibilities Undertake clinical medication reviews and run poly-pharmacy clinics with patients with multi-morbidities, particularly in high risk groups (eg the frail elderly, renal impairment, hepatic impairment, multiple co-morbidities) Management of medicines of patients discharged from hospital, reconciling and identifying unexplained changes and managing these without referral to a GP. Improve prescribing practice through educational support for all prescribers within the practice Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS Support, develop and manage service improvement changes to enhance clinical care through practice based audits and appropriate guidance e.g. NICE. Prescribing advice to prescribers in practice Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines Undertake any other duties related to medicines and patient care as decided by the GP Practice.