Patient Focused and Clinical Roles Responsible for undertaking systematic medication and polypharmacy reviews, which will take into account social and practical issues for the patient as well as clinical elements.
To provide medicines optimisation in chronic disease management e.g. heart failure, chronic pain management, AF, respiratory etc.
To develop pharmaceutical care plans for individual patients as appropriate e.g. targeting those with frequent admissions/exacerbations/frail elderly/ etc.
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.
Ensure patients have appropriate monitoring tests in place when required.
To undertake medicines reconciliation following admission or discharge and patient moving into/out of care homes and those newly registered with the practice, following up medication related issues with the patient or other professionals.
To support public health and health promotion activities, including smoking cessation, administration of flu vaccinations, antibiotic awareness campaigns and screening events.
To resolve and action medication queries from practice staff and patients relating to prescription requests or problems identified through the repeat prescribing service.
To have direct patient contact which may include dealing with occasionally distressing or emotional circumstances, including contact and terminally ill patients and their relatives or carers.
To be accountable for own professional actions, in line with local, & national guidelines and medicines legislation.
Direct contribution to GMS contract performance and other enhanced service provision.
Improving Medicines Management and Safety To review clinical correspondence from secondary care to ensure recommendations to initiate new medicines adhere to the formulary and local guidance and take necessary action where appropriate.
To undertake clinical audit relating to medicines To action requests for acute prescriptions in line with practice protocols To undertake medicines re-authorisations and review as part of the repeat prescribing system.
To ensure safe, evidence base and cost-effective prescribing in accordance with national and locally agreed standards and priorities, e.g. implementation of NICE guidelines, All Wales Medicines Strategy Group recommendations and Safety Agency alerts and warnings.
To support policies to improve GP practice medicines management services e.g. establish clear drug recall systems to meet monitoring requirements for drugs To make recommendations on prescribing choices, budge expenditure and risk management where appropriate, without detriment to patient care.
Analyse, interpret and present medicines data to highlight issues and risks to support decision making Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Will be required to contribute to quality improvement and research work/project.
Education and Communication To provide professional and expert advice to GPs, nurses, practice staff and patients on all aspects of drug treatment (doses, monitoring, interactions, side-effects etc). To develop and provide expert clinical advice to clinical meetings including educational sessions for the practice staff.
To explore and implement ways to effectively educate and involve patients regarding their medicines.
Participation in HEIW Post-Registration foundation programme and to build on IP qualification.
To support the education and training of other healthcare professionals in the practice, including trainee pharmacists, GP registrars and both pharmacy and medical undergraduates.
Partnership Working To develop excellent professional links with relevant health and social care colleague, including community pharmacists, domiciliary care teams, care homes, carers, acute care colleagues etc.
To network with other practice-base pharmacists to share best practice To work closely with health board medicines management teams to ensure awareness of local and national priorities and initiatives To contribute to the delivery of cluster/collaborative and practice plans.
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