We are looking for a friendly, enthusiastic clinical pharmacist to join our pharmacy team at Bretton Park Healthcare. We are a dynamic, motivated and friendly team with a passion for education and development.
Main duties of the job
The post holder will work as part of the pharmacy team which includes working closely with the wider practice team and external agencies. The post holder will take responsibility for areas of medication safety and medication reviews within the practice.
The post holder will ideally be a prescriber or will be completing training to become a prescriber and will work alongside the general practice teams.
Details of the role including the main duties are included in the Job Description.
About us
Bretton Park Healthcare are two practices that work together. This was a new adventure for both sites from January 2022. We are a dynamic, motivated and friendly team with a passion for innovation, looking for new ways of working to enhance patient care. We are also a registered training practice. We have a very experienced and highly skilled clinical team of Doctors, Nurse Practitioners, Nurses, HCAs, Pharmacists, Social Prescriber, Care Coordinators who are well supported by a Practice Manager and an excellent administration team.
Job responsibilities
Job title
Line manager
Accountable to
Practice Manager, The Partners
Job summary
The post holder is a clinical pharmacist who actswithin their professional boundaries, working alongside a team of pharmacistsin general practice.
They will improve patients health outcomes and the efficiency of theprimary care team by providing direct, accessible and timely medicines andexpertise including face to face contact with patients.
The post holder will be an integral part of the general practice team,as well as part of a wider pharmacist network and multi-disciplinary team.They will work to optimise medication issues to improve patient care andsafety, and support clinical staff in the management of patients.
As part of their employment, the post holder will achievequalifications from an accredited training pathway, including independentprescribing, equipping the clinical pharmacist to be able to practise andprescribe safely and effectively in a primary care setting.
The supervision and mentorship network will be provided to support theclinical pharmacist.
Primary key responsibilities
Theclinical pharmacist in a general practice organisation has the following keyresponsibilities in relation to delivering health services.
There may be, on occasion, a requirement to carry out other tasks; this will bedependent upon factors such as workload and staffing levels.
* a. Work as part of a multi-disciplinary team in a patient-facing role to clinically assess andtreat patients using their expert knowledge of medicines for specific disease areas
* b. Be a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team
* c. Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, 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)
* d. Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the organisation and to help in tackling inequalities
* e. Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care
* f. Develop relationships and work closely with other pharmacy professionals across the wider health and social care system
* g. Provide support and guidance on 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 difficulties), liaison with community pharmacists, and anticoagulation
* h. Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means:
* i. Each clinical pharmacist must receive a regular supervision session with your line manager and/or GP clinical supervisor
* ii. Each clinical pharmacist will have access to an assigned GP clinical supervisor for support and development
* i. To consult patients within defined levels of competence and independently prescribe acute and repeat medication
* j. To receive referrals and directed patients from triage services and other clinicians
* k. To receive and resolve medicines queries from patients and other staff
* l. To provide medication review services for patients in the practice and during domiciliary visits to the local nursing home
* m. To manage a caseload of complex patients
* n. To manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs, etc.
* o. To deliver long term condition clinics and home visits, particularly for patients with complicated medication regimes, and prescribe accordingly
* p. To provide pharmaceutical consultations to patients with long term conditions as an integral part of the multidisciplinary team
* q. To review medications for newly registered patients
* r. To Assist with MHRA alerts for the practice ensure they are distributed and actioned where required and regular audits undertaken.
* s. To improve patient and carer understanding of confidence in and compliance with their medication
* t. To maintain accurate clinical records in conjunction with extant legislation
* u. To encourage cost-effective prescribing throughout the organisation
* v. To provide advice and answer medication related queries from patients and staff
* w. To provide support in regards the organisations medicines optimisation systems, including the repeat prescribing and medication review systems
* x. To improve the quality and effectiveness of prescribing through clinical audit and education, to improve performance against NICE standards and clinical and prescribing guidance.
* y. To develop yourself and the role through participation in clinical supervision, training and service redesign activities
* z. To support clinicians with the management of patients suffering from drug and alcohol dependencies
* aa. To actively signpost patients to the correct healthcare professional
* bb. To manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care
* cc. To review the latest guidance, ensuring the organisation conforms to NICE, CQC etc.
* dd. To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care
* ff. To support in the delivery of enhanced services and other service requirements on behalf of the organization
* To participate in the management of patient complaints when requested to do so, and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events
* gg. To undertake all mandatory training and induction programmes
* hh. To contribute to and embrace the spectrum of clinical governance
* ii. To attend a formal appraisal with your line manager and practice manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
* jj. To contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice or direct care
Secondary responsibilities
In addition to the primary responsibilities, the clinical pharmacist may be requested to:
* a. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives
* b. Agree and review prescribing formularies and protocols, and monitor compliance levels
* c. Improve the data quality of medicines records and linking to conditions
* d. Work with community pharmacists, hospital pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage incidents
* e. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner
* f. Duties may vary from time to time without changing the general character of the post or the level of responsibility
Person Specification
Qualifications
* GPhC registered pharmacist
* Hold or be working towards an GPhC independent prescribing qualification
Experience
* An appreciation of the nature of GPs and general practice.
* An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
* Experience and an awareness of common acute and chronic conditions that are likely to be seen in general practice
* An appreciation of the new NHS landscape, including the relationships between individual practices, PCNs and the commissioners
* Experience of pharmacy services in primary care
Skills
* Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email and face to face
* Excellent interpersonal, influencing, negotiation and organisational skills with the ability to constructively challenge the views and practices of managers and clinicians
* Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
* Clear, polite telephone manner
* Ability to promote best practice regarding all pharmaceutical matters
* Effective time management (planning and organising)
* Demonstrate personal accountability and emotional resilience, and work well under pressure
* Good clinical system IT knowledge of EMIS/SystmOne/Vision
Personal qualities and other requirements
* Ability to use own initiative, discretion and sensitivity
* Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
* Flexible and cooperative
* Ability to identify risk and assess/manage risk when working with individuals
* Sensitive and empathetic in distressing situations
* Able to provide leadership and to finish work tasks
* Problem solving and analytical skills
* Ability to maintain confidentiality
* Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety
* Flexibility to work outside core office hours
* Evidence of continuing professional development
* Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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