Overview
To provide a comprehensive pharmacy service to patients of the CLICK Primary Care Network.
The post holder will work within their competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription requests, while addressing both the public health and social care needs of patients in the GP practices that make up the Primary Care Network.
The post holder will undertake medication reviews of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit as well as managing some aspects of the Quality and Outcomes Framework and the Primary Care Network Direct Enhanced Service Specifications.
Main duties of the job
* Patient Facing Clinical Medication Reviews
* Patient Facing Care Home Medication Reviews
* Patient Facing Domiciliary Clinical Medication Reviews
* Unplanned hospital admissions
* Management of common, minor and self-limiting ailments
* Patient facing medicines support
* Telephone medicines support
* Management of medicines at discharge from hospital
* Medicine information to practice staff and patients
* Signposting
* Repeat prescribing
* Information management
* Implementation of local and national guidelines and formulary recommendations
* Provide education and training to primary healthcare team on therapeutics and medicines optimisation
* Ensure practices are compliant with CQC standards where medicines are involved
* Support public health campaigns
* Collaborative working arrangements
About us
CLICK (Chard, Ilminster and Langport) Primary Care Network (PCN) is located in South Somerset with 5 GP practices and a diverse population spread across town and rural locations. CLICK has a population size of around 50,000 patients.
Currently led under the Clinical Director leadership of Dr Christoph Kollmeier.
The PCN is made up of:
* Langport Surgery
* The Meadows (Ilminster)
* Churchview (Ilminster)
As a PCN we are forward thinking, innovate and driven to deliver the best patient care for our population. This includes health population management, and this role ties in with supporting that and tracking the improvements we can make to patients lives.
Job responsibilities
Key relationships:
* The patients, doctors, prescribers and practice teams within the Primary Care Network
* Somerset ICB Practice Support Pharmacists and Medicines Management Team
* Local Community Pharmacists
* Other professionals, other NHS/private organisations e.g. ICB and the general public
Key duties and responsibilities
* See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
* Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GPs on prescribing and monitoring.
* Undertake clinical medication reviews with patients in care homes and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
* Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
* Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches.
* 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.
* Manage a caseload of patients with common, minor or self-limiting ailments while working within a scope of practice and limits of competence. Signpost to community pharmacy and refer to GPs or other healthcare professional where appropriate.
* Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
* Provide telephone support for patients with questions, queries and concerns about their medicines.
* Reconcile medicines following discharge from hospital, 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.
* Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines, suggesting and recommending solutions. Provide follow up for patients to monitor the effect of any changes.
* 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.
* Produce and implement a repeat prescribing policy within each PCN practice. 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. Ensure patients have appropriate monitoring rests in place when required.
* Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.
* Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
* Monitor practice prescribing against the local health economy's RAG list and make recommendations for GPs for medicines that should be prescribed by hospital doctors or subject to shared care. Assist practices in seeing and maintaining a practice formulary. Provide newsletters or bulletins on important prescribing messages.
* Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
* Work with general practice teams to ensure practices are compliant with CQC standards where medicines are involved.
* Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public.
* Participate in the Primary Care Network multi-disciplinary team. Liaise with colleagues including ICB, STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit. Foster and maintain strong links with all services across the PCN and neighbouring networks. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
* Liaise with other stakeholders as needed for the collective benefit of patients.
Person Specification
Other
* Meet DBS reference standards and has a clear criminal record, in line with law on spent conviction.
* Adaptable and self-motivated.
* Safeguarding Level 3 and other mandatory training.
* Immunisation status.
* Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes.
* Participate in the provision of Extended Hours outside of core practice hours.
Qualifications
* Mandatory registration with the General Pharmaceutical Council.
* Completion of an Undergraduate degree in pharmacy - MPharm - or equivalent.
* Independent prescriber or working towards, intent. of gaining independent prescribing qualification.
* Demonstrates an understanding of, and conforms to, relevant standards of practice.
* Follows professional and organisational policies and procedures relating to performance management.
* Completed or prepared to undertake Primary Care Pharmacy Education Pathway - PCPEP.
* Membership of the Royal Pharmaceutical Society.
* Membership of the Primary Care Pharmacy Association - PCPA.
* Clinical Diploma.
Experience
* Experience and an awareness of the breadth of common acute and long-term conditions that are likely to be seen in general practice.
* Demonstrates ability to integrate general practice within community and hospital pharmacy teams and community groups.
* Experience of partnership - collaborative working and of building relationships across a variety of organisations.
* An appreciation of the nature of GPs and general practices.
* An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
* Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities.
* Knowledge of IT systems, including the ability to use word processing skills, emails and the internet to create simple plans and reports.
* Able to obtain and analyse complex technical information.
* Able to gain acceptance for recommendations and influence, motivate and persuade the audience to comply with the recommendations or agreed course of action where there may be significant barriers.
* Able to identify and resolve risk management issues according to policy or protocol.
* Minimum of 2 years experience as a pharmacist, demonstrated within a practice portfolio.
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
* Familiarity with EMIS Clinical System.
* Familiarity with Somerset ICB prescribing formularies.
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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