Clinical Pharmacist - Rossendale PCN (Band 7) 30 hours
The post holder will work within their clinical competencies to provide specialist pharmaceutical support to all practices of the PCN including working with members of the wider healthcare team to improve care and support safe and effective prescribing.
Moving between practices within the PCN, the role will have a patient facing element either face to face or telephone -including chronic disease management, repeat prescription management and structured medication reviews. This will also include the management and review of patients with polypharmacy.
The post holder will need to be proactively involved in quality improvement and audit as well as managing some aspects of the Quality and Outcomes Framework. The post holder will be supported to help develop the role and work to improve the care and outcomes for the patients across the PCN.
Main duties of the job
* Clinical medication reviews for patients within the PCN with single or multiple long term conditions where medicines optimisation is required
* To reconcile medicines following discharge from hospitals or intermediate care and working with patients and community pharmacists to ensure patients receive the medicines they need post-discharge and to reduce risk of readmission.
* To be involved in multidisciplinary clinical meetings within the PCN where appropriate
* Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas
* Be a prescriber, or completing training to become prescribers, and work with and alongside the general practice team
* Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially older people, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme)
* Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN's practice(s) and to help in tackling inequalities
About us
The East Lancashire Alliance is a network of 9 PCNs covering 48 GP practices covering a population of over 390,000 patients across East Lancashire. Patients are at the heart of everything we do and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected at a time when they may be feeling vulnerable. The Alliance are proud to represent our member practices and to champion our Primary Care Partners, by working with local general practice and other system partners in the provision of patient centered, local healthcare services.
Each practice has a close-knit team of staff who collectively seek to improve the health of their patient populations.
East Lancashire is one of the world's most innovative, original and exciting places to live and work. From the beauty of the surrounding countryside, to the heart of the vibrant inner Towns and Villages with great shopping, entertainment and dining options. Wherever you go you will experience a great northern welcome with people famed for their warmth, humour and generosity.
Job responsibilities
* Clinical medication reviews for patients within the PCN with single or multiple long term conditions where medicines optimisation is required
* To reconcile medicines following discharge from hospitals or intermediate care and working with patients and community pharmacists to ensure patients receive the medicines they need post-discharge and to reduce risk of readmission.
* To be involved in multidisciplinary clinical meetings within the PCN where appropriate
* Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas
* Be a prescriber, or completing training to become prescribers, and work with and alongside the general practice team
* Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially older people, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme)
* Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN's practice(s) and to help in tackling inequalities
* Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services
* Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote selfcare
* Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload
* Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system;
* Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning disabilities), liaison with community pharmacists and anticoagulation;
* Contribute to the provision of out of hours/on call/extended services for the practice and the patients. These can include patient facing and telephone consultations, signposting to other services and/or healthcare professionals where appropriate, while working within scope of practice and limits of competency
* To manage repeat prescription requests, resolving queries where possible within scope of practice. To ensure patients have appropriate monitoring tests in place when required.
* Implement changes to medicines in line with MHRA alerts, product withdrawal or shortage and other local or national guidance
* To maintain full and complete records of all patient contacts using appropriate clinical templates and coding
* To undertake a proactive role in audit and quality improvement implementing recommendations where appropriate.
* Provide independent information to patients with regard to medicines and prescribing changes, initiating further support from other healthcare professionals where appropriate
* Participate in review and setting of policies relating to medicines management and prescribing and help ensure practices prescribe in accordance with local guidelines and formulary
* To identify areas of clinical risk at network level and make recommendations to support the introduction of new working practices that will optimise the quality of prescribing and make more efficient use of network resources.
* To monitor network practices prescribing against the local health economy and make recommendations for GPs or amend within scope of practice, based on findings.
* To maintain own clinical and professional competence and be responsible for own continuous professional development
* Work with practices to ensure full compliance with Care Quality Commission standards for safe and effective care
Working Relationships:
* Patients and carers where appropriateGPs,nurses and other practice staff including practice pharmacists
* GP prescribing leads
* CCG pharmacists and medicines management teamSecondaryCare and interface Pharmacists
* Community Nurses and other allied health professionals
* Community Pharmacists and support staff
* To work as a flexible member of the PCN providing support to other team members when necessary
* To take an active role in the development and embedding of the PCNs culture, values and reputation as providers of high quality services
* Encourage supporting staff to collaborate through sharing information and intelligence across different activities
Non-Medical Prescribing
If employed in a prescribing capacity, the post-holder must only prescribe within their scope of practice. Upon qualification as an NMP and following the addition of the postholder to the ICB NMP register, prescribing will form part of the role of the post-holder. The NMP must maintain knowledge and skills and prescribe within their scope of clinical competencies. The NMP is required to comply with organisational NMP governance processes including the LSC ICB NMP framework. The NMP must operate within local and national prescribing guidance.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & SafetyPolicy, to include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Reporting potential risks identified
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non judgmental and respects their circumstances, feeling priorities and rights.
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