Middlewich Road Surgery are seeking to recruit a part-time Clinical Pharmacist to work 3 full days a week.
* Practice list size is 7,358
* Single site based in the market town of Northwich, Cheshire
* EMIS Web & Docman
* Recent CQC rating 'Good'
* High QOF achievement
* Multi-disciplinary team including 6 GP's, practice nurses, HCA, MSK practitioner and care co-ordinators
* PCN team, including social prescribers, occupational therapists and paramedics.
* Low home visiting rate
* Extended hours sessions optional
* 15 minute appointments; face to face and telephone
* We are a training Practice for GP registrars and medical students.
* 3 days a week
* Training and teaching opportunities
* Flexible session start and finish times
Main duties of the job
* 3 full days a week
* training and teaching opportunities
* Flexible session start time
* 15 minute appointments
About us
About us
The practice encourages staff cohesion and support to ensure it is an enjoyable place to work, where all views are welcomed and everyone remains forward thinking in their approach.
Job responsibilities
To contribute to improve health outcomes in long term conditions as a member of the multidisciplinary primary care team.
To provide specialist knowledge and advice on pharmaceutical matters, including cost-effective prescribing and clinical guidelines for disease treatment, and to also provide evidence-based education and training for colleagues in partnership with the practice.
To practice as in independent prescriber, holding face to face consultations.
To provide advice and support for patients with self-limiting conditions.
To work to improve communication about medication-related issues between the practice and other care providers
To lead on implementation of safe and efficient repeat prescribing systems
To fulfil the requirements of the PCN DES and
To provide structured medication reviews for care home patients and other patients specified in the PCN DES, and cooperation and collaboration with other PCN pharmacists and member to fulfil the DES requirements
This list is not exhaustive and duties may vary with the requirements of the GP practice.
Main task/overview of responsibilities:
Contribute to improved health outcomes in long termconditions
Long term condition clinics
Practice as an independent non-medical prescriber, holdingclinics for long term conditions within scope of competence.
Aim to review multiple long term conditions at same clinicvisit to provide holistic care and improve patient experience.
Support patients to manage their long term conditions.
Carry out face to face clinical medication reviews forpatients on multiple medications for long term conditions.
Review if prescribing is appropriate in line with currentguidance, cost-effective and safe; identify unmet need, stopunnecessary/ineffective medicines.Implement own prescribing changes as an independent prescriber.
Quality and Outcomes Framework (QoF)
Contribute to achievement of QOF targets to improve healthoutcomes
Identify patients at high risk of chronic disease andprovide advice/treatment to reduce risk
Domiciliary visits
Identify and visit housebound patients who would benefitfrom a clinical medication review or a review of their LTC by a clinicalpharmacist.
Provide specialist knowledge and advice on pharmaceuticalmatters
Answer medical information queries from GPs, Nurses,practice staff and patients.
Education
Provide education on medicines related topics for GPs,Nurses, medical students, registrars.
Evidence-based prescribing/ Clinical guidance
Review NICE and other evidence-based guidance as it isissued, to evaluate any impact on medicines and prescribing.
Undertake regular clinical audit to support implementationof clinical guidance across the practice.
Provide regular education sessions for the clinicians atthe practice to discuss audit results and agree an action plan for improvingstandards within clinical areas.
Provide advice on suitable alternative medications in theevent of a medicine being unavailable.
Encourage cost effective prescribing within the practice,including adherence to local formulary.
Monitor the practices performance on coordinate treatment
Build good working relationships with local MedicinesManagement Team members
Provide education for the clinical team on new medicines
Drug safety
Review all safety alerts (e.g. MHRA) and ensure any actionrequired is undertaken
Unplanned Emergency Admissions
Work with the practice team to help reduce medicinesrelated emergency admissions by running regular searches to identify patientsat risk of harm from their medicines.Review these patients to reduce the risk of harm.
To provide advice and support for patients withself-limiting conditions
Provide patients with advice on treating self-limitingconditions through face to face/ telephone consultations and patientinformation leaflets/website.Conditions may include UTIs, hayfever, emergency contraception,conjunctivitis.
Improve communication about medication-related issuesbetween the practice and both the patient and other care providers
Management of medicines related information at hospitaladmission
To review communication processes between practices/hospitals/care homes/ community pharmacies at hospital admission to evaluatehow this can be improved
Management of medicines at discharge from hospital
To reconcile medicines following discharge from hospital/intermediate care; identify and rectify unexplained changes, manage thesechanges without referral to the GP; perform a clinical mediation review;produce a post-discharge medicines care plan including dose titration andbooking of follow-up test, and work with patients and community pharmaciststo ensure patients receive the medicines they need post discharge. Set up and manage systems to ensurecontinuity of medicines supply to high-risk groups of patients (e.g. thosewith medicine compliance aids).
Medication changes from clinic appointments
Reconcile medication from clinic appointmentcorrespondence, identifying any unexplained changes and rectifying these bycommunication with the secondary care provider. Ensure patients are fully aware of anychanges and that a plan for monitoring/dose titration is in place.
Community Pharmacy
Act as the practice lead contact for community pharmacyrelated projects and build effective working relationships.
Hospital Pharmacy
Act as the practice lead contact for hospital pharmacyrelated projects and build effective working relationships.
Care Homes
Ensure care home residents have an annual medicationreview by a clinical pharmacist. Anychanges agreed with the patient and/or their representative should becommunicated appropriately.
Newly registered patients
To review medications for new patients, to ensure safe,cost-effective prescribing in line with practice/local prescribing policies.
Lead on implementation of safe and efficient prescribingsystems
Repeat prescribing system
To ensure the practice repeat prescribing system is safe,efficient and helps minimise waste.
Medication monitoring
To provide specialist knowledge on medication monitoringand ensure a system for implementation is in place
To answer queries from administration staff regardingmedication requests where appropriate to save GP time
Reauthorisation of repeat medication / medication review
To re-authorise medication for future repeat prescribingwithin scope of competence as an independent prescriber
To work with practice staff to ensure a robust medicationreview policy
To identify patients suitable for repeat dispensing. Ensure this is implemented effectively byclose working with patients, prescribers and community pharmacies.
Prescribing for vulnerable patients
Review the prescribing of medication for vulnerablepatients to ensure it is appropriatee.g. weekly prescriptions for at risk-patients, monitored dosagesystems or alternative solutions to improve patient compliance
Person Specification
Qualifications
* Mandatory registration with General Pharmaceutical Council
* Masters degree in pharmacy (MPharm or equivalent)
* A member of or working towards Faculty membership of the Royal Pharmaceutical Society
* Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
* Independent prescriber or working towards/intent of gaining independent prescribing qualification.
Experience
* Minimum of 2 years post qualification experience
* An appreciation of the nature of GPs and general practice
* An appreciation of the nature of primary care prescribing, concepts of national prescribing and strategies for improving prescribing
* Excellent interpersonal, influencing and negotiating skills
* Excellent written and verbal communication skills
* Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences
* Able to obtain and analyse complex technical information
* Recognise priorities when problem solving and identify deviations from the normal pattern and be able to refer to seniors or GPs when appropriate
* Able to work under pressure and to meet deadlines
* Produce timely and informative reports
* Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
* Work effectively independently and as a team member
* Demonstrates accountability for delivering professional expertise and direct service provision
* Self-motivation
* Adaptable
* Safeguarding adult and children level 3
* In depth therapeutic and clinical knowledge and understanding
* Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
* Full driving licence
* Immunisation status
* Basic life support training
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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