Job Title: Senior Clinical Pharmacist Band 8a
Employing Organisation: Haringey GP Federation
Hours of work (WTE): Full time (37.5 hours per week)
Contract: Permanent
Remuneration: Dependent on experience
Accountable to: Band 8b Lead Clinical Pharmacist
Responsible to: Director of Operations Haringey GP Federation
Interview date: 17th, 19th, and 20th April
Main duties of the job
The post holder is an experienced prescribing pharmacist who acts within their professional boundaries. They will work as part of a multidisciplinary team in a patient-facing role and lead on various workstreams for their practice and PCN which include:
1. Chronic disease management
2. Structured medication reviews for target groups
3. Improve prescribing safety through a proactive approach on high risk drugs, safety alerts and CQC compliance
The post holder will provide 7 sessions of clinical pharmacy time to a local primary care network in Haringey and 3 management sessions at the Haringey GP Federation headquarters.
About us
We are the Haringey GP Federation, a young and growing organisation working with 34 member practices in the diverse and vibrant borough of Haringey in north London.
Our vision is to support the people of Haringey to be healthier and happier. We do this by strengthening, innovating, and advocating for strong and sustainable General Practice in Haringey.
Our friendly, collaborative team has deservedly earned a strong reputation for providing best practice Primary Care services at scale. We are proud that our team's achievements have won external recognition, including at the recent HSJ awards for demonstrating professionally diverse clinical leadership in primary care.
We welcome and encourage innovative ways of working which respond to the changing needs of the population in Haringey. We are building a sustainable workforce that is fully equipped and motivated for the work we undertake and constantly seek to expand opportunities which allow development for our staff and practices alike.
Job responsibilities
Long term conditions
Review patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients' medicines, including deprescribing.
Manage own case load and run long-term condition clinics. Responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g., medicine optimisation in: respiratory disease, cardiometabolic renal disease and other long term conditions.)
Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines.
Structured Medication Reviews
Undertake structured medication reviews with specific patient groups e.g. those with multi-morbidity, polypharmacy, frailty, on addictive medications, care home residents and medicines associated with harm. These target groups would be revisited annually to match local/national requirements.
Undertaking SMRs includes autonomously resolving issues which includes deprescribing where appropriate and ordering relevant monitoring tests.
Care home/residential clinical medication reviews
Undertake structured medication reviews for care home residents and link in with local PCN care homes leads. Consider and develop mechanisms to improve MDT calls with care homes.
Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
Work with care home staff and community pharmacies to improve safety of medicines ordering and safety.
Further develop pharmacy support to care homes, making best use of the clinical and community pharmacists skills.
Management of medicines at discharge from hospital.
To 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.
To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes manage these changes without referral to a GP.
Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care.
Train clinical pharmacists and pharmacy technicians on high quality medicines reconciliation.
Support and develop pharmacy technicians to expand competencies to support this pathway.
Stay linked in with a wider systems approach to reduce medication related errors on transfer of care.
Clinical advice and expertise on medicines to practice staff, multidisciplinary teams, and patients
Answers all medicine-related enquiries from GPs, other practice staff, PCN pharmacy colleagues and patients with queries about medicines.
Signposting to community pharmacy for management of minor illness, medicines use reviews, new medicines service and other locally commissioned service. Referring to GPs or other healthcare professionals, where appropriate.
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Provide quality assurance to the lead clinical pharmacist on activity across the PCNs in this area.
Ensure all PCN pharmacists and pharmacy technicians are aware of local standard operating procedures and are adhering to gold standard management of patient safety and medicines optimisation.
Encourage reporting of medicines safety issues and clinical interventions in line with NRLS and local reporting mechanisms.
Undertake audits and quality improvement initiatives of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Antibiotic Stewardship
Promotion of evidence-based practice and interventions to encourage adherence with NCL antimicrobial prescribing policy.
Work closely with relevant leads to identify areas where a reduction in inappropriate prescribing of antimicrobials is high priority. This may include PCN leads, ICB leads and HGPF leads.
Repeat Prescribing
Support practices in the management of repeat prescriptions in line within clinical competence. Manage reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes as an independent prescriber, and order blood test monitoring tests where required.
Quality Improvement projects
Lead on quality improvement clinical projects. These are usually aligned with clinical specialty areas of interest and/or dependent on the service need.
Identify and provide leadership on audits and quality improvement projects that can be delivered at scale.
Training & supervision
To support the RPS Faculty development for clinical pharmacists.
Provide education and clinical supervision to PCN pharmacists, technicians and trainee pharmacists as part of our rolling education and training agenda.
Continue to develop this training in line with workforce training leads, PCN priorities and new asks from local and national priorities such as the quality outcomes framework, investment and impact fund and directly enhanced services.
Support PCN pharmacy staff development in accordance with our in-house pathway which includes completion of case-based discussions, peer reviews, practice clinical shadowing and completion of direct observation of practice.
Person Specification
Experience
* Minimum of 3 years post-qualification experience with some experience in a general practice setting
* Familiarity with GP systems
* Demonstrates accountability for delivering professional expertise and direct service provision
* Experience of motivational interviewing and able to train other staff
Qualifications
* Masters degree in pharmacy (MPharm) or equivalent
* Registered with General Pharmaceutical Council
* Post-graduate clinical diploma level or equivalent training/experience
* Membership of or working towards advanced or faculty membership of the Royal Pharmaceutical Society
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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