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: TBC
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 earned a strong reputation for providing best practice Primary Care services at scale. We are proud that our achievements have been recognized externally, including at the recent HSJ awards for demonstrating diverse clinical leadership in primary care.
We welcome and encourage innovative ways of working to meet 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 for 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 caseload and run long-term condition clinics. Responsible for prescribing as an independent prescriber for conditions with a large medication component (e.g., medicine optimisation in respiratory disease, cardiometabolic, renal disease, and other long-term conditions).
Review ongoing need for each medicine, monitoring needs, and support patients with their medicines to ensure optimal use.
Structured Medication Reviews
Undertake structured medication reviews with specific patient groups (e.g., those with multimorbidity, polypharmacy, frailty, on addictive medications, care home residents, and medicines associated with harm). These groups are revisited annually to match local/national requirements.
Undertaking SMRs includes resolving issues autonomously, deprescribing when appropriate, and ordering relevant monitoring tests.
Care home/residential clinical medication reviews
Conduct structured medication reviews for care home residents, liaising with local PCN care home leads. Develop mechanisms to improve MDT calls with care homes.
Perform clinical medication reviews for patients with multimorbidity and polypharmacy, implementing prescribing changes as an independent prescriber and ordering monitoring tests.
Work with care home staff and community pharmacies to enhance medication safety and support pharmacy services in care homes.
Management of medicines at discharge from hospital
Reconcile medicines post-discharge, identify and rectify unexplained changes, and coordinate with patients and community pharmacists to ensure continuity of care.
Work proactively with hospital colleagues to manage high-risk patients before discharge.
Train clinical pharmacists and pharmacy technicians in medicines reconciliation and support their development to expand competencies.
Clinical advice and expertise on medicines
Respond to medicine-related inquiries from GPs, practice staff, PCN pharmacy colleagues, and patients.
Signpost to community pharmacy services and refer to GPs or other healthcare professionals as appropriate.
Implement changes from MHRA alerts, product withdrawals, and guidance.
Ensure adherence to standard operating procedures and promote reporting of medicine safety issues.
Conduct audits and quality improvement initiatives in prescribing practices.
Antibiotic Stewardship
Promote evidence-based practices and adherence to antimicrobial prescribing policies.
Identify areas for reducing inappropriate antimicrobial use.
Repeat Prescribing
Support management of repeat prescriptions, review requests, and make necessary changes as an independent prescriber.
Quality Improvement projects
Lead on clinical quality improvement projects aligned with service needs and clinical specialties.
Training & supervision
Support RPS faculty development, provide education and supervision to PCN pharmacists, technicians, and trainees, and develop training programs aligned with workforce priorities.
Person Specification
Experience
* Minimum of 3 years post-qualification experience, preferably in general practice
* Familiarity with GP systems
* Accountability for professional expertise and service delivery
* Experience with motivational interviewing and staff training
Qualifications
* Masters in pharmacy (MPharm) or equivalent
* Registered with the General Pharmaceutical Council
* Post-graduate clinical diploma or equivalent
* Membership or progression towards advanced or faculty membership of the Royal Pharmaceutical Society
Disclosure and Barring Service Check
This post is subject to DBS checks in accordance with legal requirements.
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