Overview
Clinical Pharmacist Manager role at NHS. This is an exciting opportunity to join our forward thinking practice under the Additional Roles Reimbursement Scheme. A patient facing role, the pharmacist will be expected to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas. They may be prescribers, or training to become one, and must work with and alongside the practice team to proactively support the management of people with complex polypharmacy, especially the elderly, and those with multiple co-morbidities.
Responsibilities
* Management Responsibilities
o Develop a working environment that promotes healthy, safe and effective work outcomes and enables the Pharmacist team to work effectively and provide a high quality service to patients and to work effectively with other agencies
o To provide mentorship and support to less experienced members of the Pharmacist team
o Identify the workforce that is required to provide services to meet the needs of the patient population and negotiate with the practice management team for this workforce.
o Ensure adequate cover by suitably qualified staff.
o Effectively manage own time.
o Assess own performance and take accountability for own actions, either directly or under supervision
o Allocate and co-ordinate and contribute to annual staff appraisals for team members.
o Work alongside the Practice Manager to build development plans for the Pharmacist team where appropriate
o Lead the recruitment of Pharmacist staff to meet the health and well-being needs of the practice population.
o Recognise peoples needs for alternative methods of communication and respond accordingly.
o Offer and arrange for clinical supervision to other members of the team
o Respond to patient complaints in accordance with the Practice Complaints procedure, and evaluate suggestions, referring on to the practice manager as necessary.
o Lead the team in PQS, QoF and IIF guidelines and targets.
o Work with public health initiatives, ensuring the work of the team is up to date.
o Attend, organise and participate in practice meetings as required.
o Take an active role in the future development of the integrated team being proactively involved in developing practice strategies with the management team.
o Audit areas of work for effectiveness and future planning.
o Work with IT team to utilise IT (including AI) to facilitate and automate suitable areas of prescribing
o To work with Training Development and Governance lead to ensure structures are in place to support the clinical governance of the Clinical Pharmacy team
* Medication Review And Optimisation
o To discuss medication issues with patients as needed and appropriate e.g. adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies, queries from dispensary, queries from care homes.
o To carry out medication reviews and to discuss specific issues
o To review and continue repeat medications for new patients who have just registered with the practice, and suggest GP medication review where appropriate.
o To discuss medication issues with patients as needed and appropriate by telephone, e.g. adverse effects/interactions, overdose/inadvertent ingestion, OTC remedies, queries from dispensary, queries from care homes.
o To respond to dispensary queries to include, re-authorise repeats where there are queries, clarify doses, clarify products, give appropriate alternatives when availability issues.
o To discuss specific patient and prescribing issues (e.g. complicated regimes/polypharmacy, compliance difficulties, multiple adverse effects, medication reduction regimes) with other clinicians as necessary.
* Chronic Disease Medicines Management
o According to experience and training.
o Hypertension (lifestyle advice and medication initiation and optimisation);
o Diabetes (joint clinic with practice nurse, with referral to GP/community diabetes nurse specialist/secondary care diabetes advice line);
o CHD (medicines optimisation, with referral to GP where necessary).
o Respiratory Asthma and COPD (advise practice nurse, including interpretation of spirometry)
o Chronic pain management (responding to patient or GP requests for review).
* Medicines Reconciliation
o To review secondary care requests for new medication (as communicated by discharge summaries, outpatient letters, etc.) and raise any queries with relevant GP, and discuss how to respond when inappropriate prescribing requests arise.
o To deal with anticoagulant start/stop requests from secondary care and contact patients who have defaulted on INRs.
* Medicines Information/Education
o To monitor and inform colleagues as relevant about ongoing prescribing issues, e.g. new guidelines (national and local), new products being asked for by secondary care, manufacturing and supply problems, new prescribing restrictions or contraindications, and individual and systematic errors made by colleagues.
o To advise on cost effective prescribing and prescribing budget issues.
o To support nursing home staff in medicines management.
* Prescribing Systems And Policies
o To identify patients in need of medication review including Structured Medication Reviews where indicated and develop the system of patient invitation with the admin team.
o To liaise with dispensary, admin and clinical staff in discussing, developing, and implementing medicines management systems in the practice.
o To work with the GPs (especially the prescribing lead), practice manager, dispensary manager and dispensary team to review, develop and implement prescribing policies and strategies for the whole practice.
o To suggest and design audits in relation to prescribing targets, implementation of locality policies and the Quality Outcomes Framework (QOF).
o To work with the GPs, practice manager, and dispensary manager on choosing and delivering targets for the local Prescribing Incentive Scheme (PIS).
o To monitor the practices prescribing performance (via the ICB prescribing dashboard, progress on the PIS, ePACT, etc.), and suggest changes to practice prescribing as appropriate.
o To support the delivery of electronic prescribing.
o To work with the dispensary team, Senior Clinical PCN Pharmacist and lead dispensing GP to maximize profitability and to perform audits.
* Liaison With Community And Hospital Pharmacies
o To support and advise dispensary when needed.
o To rationalise requests for dosette medications. Dispensary will still be responsible for ringing round re availability of products, taking initial calls, requesting new dosettes etc.
Qualifications
* Essential
o Masters Degree in Pharmacy or Equivalent
o Pharmacist registered with The General Pharmaceutical Council.
o Completed a General Pharmaceutical Council accredited independent prescribing course.
o Evidence of continued professional development.
o Management training/qualification
* Desirable
o Membership of the Royal Pharmaceutical Society of Great Britain
Skills
* Essential
o Good interpersonal skills with the ability to communicate effectively with a diverse range of people.
o Knowledge of IT systems email / word / Microsoft teams.
o Excellent written and verbal communication.
o Knowledge of audit and research.
o Good time management skills, able to prioritise and organise workload for best effect.
o Ability to maintain a high level of confidentiality and discretion at all times.
o Problem solving & analytical skills.
o Current knowledge of NHS five year plan, Government initiatives and NICE guidelines
o Ability to follow policy and procedure.
* Desirable
o Leadership skills
Experience
* Essential
o Ability to manage and prioritise workload.
o Good general knowledge of healthcare systems.
o Evidence of clinical leadership.
o Quality improvement knowledge and experience.
o Understanding of Clinical governance and its significance on clinical practice.
o Knowledge of national and local commissioning arrangements for medicines.
o Adaptable and innovative in approach to work.
o Able to make effective decisions.
o Experience of managing staff across a variety of grades.
o Extensive experience of communication with prescribers, nursing and other MDT staff.
* Desirable
o Experience of working in Primary care.
o Experience of computer based clinical systems such as EMIS Web.
Personal Qualities
* Essential
o Sensitive and empathetic in distressing situations.
o Ability to work under pressure.
o Flexibility to work outside of core office hours if required.
o Clear vision of role and commitment to working in Primary Care.
o Disclosure Barring Service (DBS) check.
Other Information
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 CRB) to check for any previous criminal convictions.
UK Registration: Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Windrush Medical Practice
Welch Way, Witney, Oxfordshire, OX28 6JS
Employer's website: https://www.windrushmedicalpractice.co.uk
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