Working within the practice-based team to undertake medication reviews particularly in high-risk groups such as: - Frail elderly - Polypharmacy - Renal impairment - Hepatic impairment - Substance misuse - Patients on high-risk medicines - STOPP/START identified patients - Revolving door Hospital admissions Undertake structured medication reviews with patients and produce recommendations for nurses and/or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Provide a telephone help line for patients with questions, queries and concerns about their medicines. Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions and providing follow-up for patients to monitor and effect of any changes. 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. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Deliver medicines optimisation outcomes against a set workplan dealing with cost saving initiatives, QIPP and medication safety work streams. Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long-term condition reviews etc. Participate in the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both. Analyse, interpret and present medicines data to highlight issues and risks to support decision-making. Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance and increase safe and effective prescribing through mechanisms such as audit. Improve quality in prescribing using Quality Improvement methodology including the use of Plan Do Study Act (PDSA) cycles. Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Work with general practice team to ensure the practice is compliant with CQC standards where medicines are involved.