This is an exciting time to join Nant Dowlais as we strive to develop our service using quality improvement methodology. The successful candidate will be enthusiastic and self-motivated with a positive approach to lead on agreed clinical areas according to competencies, to also include medication reviews with patients. You will join an experienced team which holds regular team meetings and educational sessions, and you will be expected to present on medicines management aspects of general practice. It is desirable to have good knowledge of the relevant areas of the GMS contract including QAIF, and also CEPP and other Health Board medicines management programmes. The role includes line management of Repeat Prescribing Clerks. We will support you to develop your role, working in an environment that nurtures and develops quality.
Main duties of the job
Main Duties
Lead and deliver a patient-centred clinical pharmacy service as a core member of the practice team
Undertake structured medication and polypharmacy reviews to improve medicines safety, effectiveness and patient outcomes
Provide medicines optimisation for patients with long-term conditions, frailty and complex needs
Act as an independent prescriber (where qualified) in line with national and local guidance
Undertake medicines reconciliation following hospital discharge, care transitions and new patient registrations
Support repeat prescribing processes, including reauthorisation, formulary compliance and waste reduction
Lead on medicines safety initiatives, clinical audit, incident reporting and controlled drugs governance
Provide expert medicines advice to GPs, nurses, practice staff and patients
Develop and implement policies and systems to support safe, evidence-based and cost-effective prescribing
Liaise with community pharmacy, secondary care and wider health and social care partners
Contribute to public health initiatives, enhanced services and local medicines management programmes
Work autonomously across practice clinics, care homes and other settings as required
About us
Are you an experienced Pharmacist, ideally with a prescribing qualification? If so, we would really like to hear from you with a view to joining our friendly and highly skilled multidisciplinary team. Nant Dowlais Health Centre is a GP practice serving a 10,000 patient list in West Cwmbran. Led by a multidisciplinary partnership, we are seeking a Practice Pharmacist with excellent clinical knowledge and experience to be a key member of our senior team, and also work closely with the GP Prescribing Lead to lead the medicines management agenda within the practice.
Job responsibilities
Job Purpose
To improve the quality and effectiveness of medicines management
To provide patient focussed, prudent healthcare
To promote medicines safety and review polypharmacy
To develop the practice pharmacist role, becoming a core member of the practice team working effectively with other health and social care professionals delivering services to patients
Roles and Responsibilities
Responsibility for leading and delivering a specialised pharmacy service as a key member of the senior practice team
Patient Focused Roles
For independent prescribers: to work as an independent prescriber in accordance with competencies, professional standards, national guidance eg NICE, All Wales Medicines Strategy Group
Responsible for developing and managing systematic medication and polypharmacy reviews, which will take into account social and practical issues for the patient as well as clinical elements
To provide medicines optimisation in chronic disease management e.g. heart failure, chronic pain management, AF, respiratory etc.
To develop pharmaceutical care plans for individual patients as appropriate e.g.
targeting those with frequent admissions/exacerbations/frail elderly etc.
To undertake medicines reconciliation following admission or discharge and patient moving into/out of care homes and those newly registered with the practice, following up medication related issues with the patient or other professionals.
Review and action appropriate recommendations from Medicines Use
Reviews/Discharge Medication reviews identified by community pharmacists.
To work autonomously in a variety of settings including practice based clinics, care homes and patients own homes as appropriate to meet the needs of the patient
To develop triage systems to support treatment of minor ailments
To support public health and health promotion activities, including smoking cessation, administration of flu vaccinations and antibiotic campaigns
To act as the liaison with Community Pharmacy and Secondary Care Pharmacists to resolve relevant medication issues.
To resolve and action medication queries from practice staff and patients relating to prescription requests or problems identified through the repeat prescribing service.
To have direct patient contact which may include dealing with occasionally distressing or emotional circumstances, including contact and terminally ill patients and their relatives or carers.
To be accountable for own professional actions in line with local and national guidelines and medicines legislation
Improving Medicines Management and Safety
Responsibility for leading and delivering a specialised medicines management service within the practice
To review clinical correspondence from secondary care to ensure recommendations to initiate new medicines adhere to the formulary and local guidance and take necessary action where appropriate.
To deal with highly complex drug or medication related information
To review existing and develop new repeat prescribing policies including employing mechanisms to reduce medicines waste
To lead, develop and undertake clinical audit relating to medicines
To ensure appropriate management of controlled drugs within the practice and to advise the team on the safe and secure handling of controlled drugs and other medicines, ensuring compliance with medicines legislation
To lead on yellow card reporting
To undertake medicines re-authorisations as part of the repeat prescribing system
To ensure safe, evidence based and cost-effective prescribing in accordance with national and locally agreed standards and priorities, e.g. implementation of NICE guidelines, All Wales Medicines Strategy Group recommendations and Safety Agency alerts and warnings.
To target review of medicines known to cause a high number of adverse drug events and admissions e.g. hypnotics, anticoagulants, NSAIDs
To develop and implement policies to improve medicines management services e.g. establish clear recall systems to meet monitoring requirements for drugs
To investigate medicines related incidents to learn and improve practice within a culture of continuous improvement
To contribute to delivery of GMS QAIF, CEPP and other medicines management programmes
To contribute to/manage relevant enhanced services e.g. shared care drugs, anticoagulation
To make recommendations on prescribing choices, budget expenditure and risk management where appropriate, without detriment to patient care
Education and Communication
To provide professional and expert advice to GPs, nurses, practice staff and patients on all aspects of drug treatment (doses, monitoring, interactions, side effects etc)
To develop and provide expert clinical advice to clinical meetings including educational sessions for the practice team
To explore and implement ways to effectively educate and involve patients regarding their medicines
To co-ordinate and develop appropriate and educational material including producing patient information leaflets and posters
To convey complex therapeutic and clinical information to GPs, practice staff, care providers, community pharmacists, unqualified healthcare workers and patients in a suitable manner and format
Partnership Working
To develop excellent professional links with relevant health and social care colleagues including community pharmacists, community resource and domiciliary care teams, care homes, carers, acute care colleagues etc.
To network with other practice based pharmacists to share best practise
To work with health board medicines management team to ensure awareness of local and national priorities and initiatives
To contribute to the delivery of Neighbourhood Care Network (NCN) and practice delivery plans
Person Specification
Qualifications
* Masters Degree in Pharmacy (MPharm) or equivalent
* Registered with GPhC
* Member of RPS
Skills and Knowledge
* Capacity to be innovative and develop the role of a practice pharmacist
* Effective interpersonal, communication (both written and oral), presentation and influencing skills
* Basic clinical examination on skills such as taking blood pressure
* Ability to gain the confidence and credibility of a range of professionals
* Able to work under pressure and prioritise tasks to ensure urgent work is completed on time
* Able to engage rapidly with existing stakeholders and networks
* Builds credibility (personal and organisational) and rapport quickly
Experience
* Medication review and patient counselling
* Experience of primary care role working within General Practice
* Experience in undertaking clinical audit
* Experience of facilitating change to improve clinical practice
* Experience of working with clinicians and multidisciplinary/multiagency work
* Experience in running clinics
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.
Depending on experienceSalary Available on Application
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