Clinical Pharmacist - based at Grove Medical Practice, St Ives. Cambridgeshire.
Job type: Permanent
Working Pattern: Full time - 37.5hrs per week. All flexible offers and working arrangements will be considered.
Days/Times: Working Monday to Friday variable hours to be agreed.
The successful candidate will benefit from this unique opportunity to develop effective communication and strong working relationships across our organisation and will be actively involved in how their role evolves over time.
Main duties of the job
The Clinical Pharmacist is an integral part of the team,using and sharing pharmacy expertise to support the Practices in effectivemedicines management and optimal patient care.
Underlining everything you do is therequirement to play your part in the delivery of remarkable customer servicesto our patients, internal colleagues and external stakeholders. This applies inall of your dealings. There are many elements to delivering remarkable customerservice but common throughout are requirements to listen and be responsive,always ensure patient and customer messages and requests are passed on andensure any mistakes or omissions and possible improvements that are identifiedare shared with your manager.
About us
GeneralPractice is changing and we are investing in our practice and team to ensure weprovide the highest levels of care and support to our patients.
We are awelcoming and supportive GP Practice based in the heart of historic St Ives,Cambridgeshire. We specialise intraining and encourage the continued development of our teams andcolleagues. We host GP registrars,medical and nursing students.
We are part ofSt Ives Primary Care Network and boast a diverse clinical team.
Job responsibilities
A professional and experienced Clinical Pharmacist willundertake and demonstrate:
Medication Review andOptimisation
Respond to medication queries to include clarifyingdoses and/or products and give appropriate alternatives when availabilityissues occur.
Discuss specific patient and prescribing issues (e.g.complicated regimes/polypharmacy, compliance difficulties, multiple adverseeffects, medication reduction regimes) with other clinicians as necessary.
Telephone clinics:
To discuss medication issues withpatients as needed and appropriate, e.g. adverse effects interactions,overdose inadvertent ingestion. OTC remedies, queries from care homes
To carry out medication reviews asagreed with Prescribing Lead GP.
To review and continue repeatmedications for new patients who have just registered with the Practice, andsuggest GP medication review where appropriate.
Face to face clinics:
To discuss medication issues withpatients as needed and appropriate.
To carry out medicationreviews as agreed with Prescribing Lead GP. Undertake clinical medicationreviews with patients and produce recommendations for nurses and or GP onprescribing and monitoring.
To review and continue repeatmedications for new patients who have just registered with the Practice, andsuggest GP medication review where appropriate.
Support GPs withmanagement of care home residents
Undertake clinicalmedication reviews with patients with multi-morbidity and poly-pharmacy andimplement own prescribing changes - if an independent prescriber - and orderrelevant monitoring tests
Work with care home staffto improve safety of medicines ordering and administration.
Patient facing domiciliary clinical medication review
Undertake clinical medicationreviews with patients and produce recommendations for nurses and GPs onprescribing and monitoring.
Attend and refer patientsto multidisciplinary case conferences.
Patient Facing Long-Term Conditions Clinics
According to experienceand training undertake chronic disease reviews and medicine optimisationaccording to Practice guidelines:
Hypertension - lifestyleadvice and medication optimisation
Diabetes - medicinesoptimisation, reduction of polypharmacy, with referral to GP where necessary
CHD - medicinesoptimisation, with referral to GP where necessary
Respiratory - medicinesoptimisation, with referral to GP where necessary
Chronic pain management - responding to patient or GP requests for review
Signposting
Ensure that patients are referredto the appropriate healthcare professional for the appropriate level of carewithin an appropriate period of time e.g. pathology results, common/minorailments, acute conditions, long term condition reviews etc.
To reconcile medicinesfollowing discharge from hospitals, intermediate care and into care homes,including identifying and rectifying unexplained changes and working withpatients and community pharmacists to ensure patients receive the medicinesthey need post discharge.
Set up and manage systemsto ensure continuity of medicines supply to high risk groups of patients e.g.those with medicine compliance aids or those in care homes.
Review secondary care requests fornew medication - as communicated by discharge summaries, outpatient letters,etc. - raise any queries with relevant GP and discuss how to respond wheninappropriate prescribing requests arise.
Deal with anticoagulant start/stoprequests from secondary care and contact patients who have defaulted on INRs orroutine monitoring for DOACs.
Deal with high risk diseasemodifying drugs and contact patients who have defaulted routine bloodmonitoring.
Management ofcommon, minor and self-limiting ailments
Managing caseload ofpatients with common, minor and self-limiting ailments while working within a scopeof practice and limits of competence.
Signposting to communitypharmacy and referring to GPs or other healthcare professionals whereappropriate
Unplanned AdmissionPrevention
Devise and implementPractice searches to identify cohorts of patients most likely to be at risk ofan unplanned admission and readmissions from polypharmacy.
Work with case managers,multidisciplinary - health and social care - review teams, hospital colleaguesand virtual ward teams to manage medicines.
Work with Practice team toput in place changes to reduce the prescribing of these medicines to high-riskpatient groups.
Prescribing Systems,Policies and Safety
Work with the GPs to develop andimplement safe and efficient prescribing policies and strategies for the wholePractice to maximise efficiency and reduce wastage.
Support and assist in audits inrelation to prescribing targets, implementation of locality policies and theQuality Outcomes Framework QOF.
Work with the Lead Prescribing GPson delivering targets for the local Prescribing Quality Schemes.
Monitor practiceprescribing against the local health economies RAG list and makerecommendations to GPs for medicines that should be prescribed by hospitaldoctors - red drugs - or subject to shared care - amber drugs.
Implement changes tomedicines that result from MHRA alerts, product withdrawal and other local andnational guidance.
Assist practices in seeingand maintaining a practice formulary that is hosted on the practices computersystem.
Provide newsletters orbulletins
Medicine Informationto Practice Staff and Patients
Monitor and inform colleagues asrelevant about ongoing prescribing issues, e.g. new guidelines, new products being asked for by secondary care, manufacturing andsupply problems, new prescribing restrictions or contraindications, andindividual and systematic errors made by colleagues.
Advise on cost effectiveprescribing and prescribing budget issues in collaboration with the SeniorClinical Pharmacist.
Support innovation for patienteducation.
Answers relevantmedicine-related enquiries from GPs, other practice staff, other healthcareteams e.g. community pharmacy and patients with queries about medicines.
Providing follow up forpatients to monitor the effect of any changes
Public Health
To support public healthcampaigns - provide specialist knowledge on all public health programmesavailable to the general public.
Service Development
Contribute pharmaceuticaladvice for the development and implementation of new services that havemedicinal components e.g. advice on treatment pathways and patient informationleaflets.
Care Quality Commission
Work with the generalpractice team to ensure the practice is compliant with CQC standards wheremedicines are involved.
Other Tasks
Duties may be varied fromtime to time under the direction of the line manager dependent on current andevolving practice workload and staffing levels.
Other administration and professional responsibilities:
Participate in theadministrative and professional responsibilities of the practice team
Ensure appropriate itemsof service claims are made accurately, reporting any problems to the practiceadministrator
Ensure collection andmaintenance of any required statistical information
Attend and participate inpractice meetings as required
Training and personal development:
Maintain professionalregistration with the GPhC.
If it is necessary toexpand the role to include additional responsibilities, full training will begiven.
Person Specification
Qualifications
* (MPharm) (or equivalent)
* 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.
* Work effectively independently and as a team member
* Producing timely and informative reports
Knowledge and Skills
* An appreciation of the nature
* of general practices and primary care prescribing strategies
* Able to obtain and analyse complex technical information
* Recognise priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
* Excellent interpersonal, influencing and negotiating skills
* Excellent written and verbal communication skills
* Able to influence, motivate and persuade where there may be barriers to change
* Able to plan, manage, monitor, advise and review general medicine optimisation issues in key areas for long term conditions.
* Self-Motivation
* Adaptable
* Full Driving License
* Basic life support training
* Immunisation status
* Able to work under pressure and to meet deadlines
* Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g.
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare
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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