Role Delivery Specifics: 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. 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). Unplanned hospital admissions Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Repeat prescribing Produce and implement a practice repeat prescribing policy. Manage 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 to the GP. Managing requests from external agencies e.g. appliancecontractors and acute prescriptions not on repeat To assess clinically for appropriate re-issue and manage request as per usual practice procedure. If an inappropriate requests is received, patients are telephoned to discuss/check symptoms, or an appointment booked with the appropriate member of the clinical team/ yourself for a review. Telephone and patient facing medicines support Provide a telephone help line for patients with questions, queries and concerns about their medicines. Hold clinics for patients requiring face-to-face medicines use reviews (MURs) i.e. advise about medicines and adherence support. Medication review Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring. Care home medication reviews Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Domiciliary clinical medication review Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring. Long-term condition clinic See patients with single or multiple medical problem(s) where medicine optimisation is required (e.g. COPD, asthma, diabetes). Make recommendations to GPs for medicine improvements. Management of common/minor/self-limitingailments Manage patients with common/minor/self-limiting ailments while working within scope of practice and limits of competence. Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate. Differential/ Un-differential diagnosis Manage own case load for patients with long term and/or acute/common conditions and implement own prescribing changes (as an independent prescriber) while remaining within scope of practice and limits of competence. Referring to GP and/or other healthcare professionals where appropriate. Review the on-going need for any medicine/device(s) prescribed, monitoring needs and to support patients ensuring they get the best use of their medicines/device(s). Service development Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advise on treatment pathways and patient information leaflets). Care Quality Commission Work with the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved. Undertake risk assessment and management and ensure compliance with medicines legislation. Public health To contribute to public health campaigns, including flu vaccinations, and adult immunisation programmes. Cost saving programmes Undertake changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available. Medicine information to practice staff and patients Answers all medicine related enquiries from GPs, other practice staff and patients with queries about medicines. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Medicines quality improvement Undertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team. Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in setting and maintaining a practice formulary that is aligned with the Pan Mersey formulary and DNP lists and is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Medicines safety Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. Support the practice in adopting local and national medication safety strategies such as PINCER. Primary Care Network Agreement This role is part of the additional role reimbursement scheme (ARRS), led by NHS England. ARRS roles are recruited to support East Warrington Primary Care Network which comprises three GP Practices. Each individual Practice employs ARRS staff, however on occasions the Network may experience a short staff supply and therefore to ensure business continuity, you may be asked to work across the other Practices within the PCN to ensure a fair allocation and to ensure business runs smoothly for our patients. This would usually be for a short period of time until PCN business resumes to normal.