Patient Facing Long Term Condition Clinics: See where appropriate patients with single or multiple medical problems where medicine optimisation is required e.g. COPD, asthma. Review the ongoing need for each medicine, monitoring needs, and support patients with their medicines to ensure optimal use of their medicines.
Clinical Medication Review: Undertake clinical medication reviews with patients and produce recommendations for nurses and/or GPs on prescribing and monitoring.
Care Home Medication Review: Work with care home staff to improve the safety of medicines ordering and administration.
Domiciliary Clinical Medication Review: Attend and refer patients to multidisciplinary case conferences.
Management of Common/Minor/Self-Limiting Ailments: Manage a caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate.
Patient Facing Medicines Support: Provide clinics for patients with questions, queries, and concerns about their medicines.
Telephone Medicines Support: Provide a telephone help line for patients with questions, queries, and concerns about their medicines.
Medicine Information to Practice Staff and Patients: Answer relevant medicine-related enquiries from GPs, practice staff, and patients, suggesting and recommending solutions. Provide follow-up for patients to monitor the effect of any changes.
Unplanned Hospital Admissions: Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Implement changes to reduce prescribing of these medicines to high-risk patient groups.
Management of Medicines at Discharge from Hospital: Reconcile medicines following discharge from hospitals and intermediate care, including identifying and rectifying unexplained changes.
Signposting: Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care.
Repeat Prescribing: Review and update the practice repeat prescribing policy. Manage the repeat prescribing reauthorisation process.
Risk Stratification: Identify cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches.
Service Development: Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.
Information Management: Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Medicines Quality Improvement: Undertake clinical audits of prescribing in areas directed by the GPs, feedback results, and implement changes.
Medicines Safety: Implement changes to medicines that result from MHRA alerts, product withdrawal, and other local and national guidance.
Implementation of Local and National Guidelines: Monitor practice prescribing against the local health economies RAG list and make recommendations to GPs.
Education and Training: Provide education and training to the team on therapeutics and medicines optimisation.
Care Quality Commission: Work with the general practice team to ensure compliance with CQC standards where medicines are involved.
Public Health: Support public health campaigns and provide specialist knowledge on all public health programmes available to the general public.
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