We are seeking a PCN pharmacistwith previous experience of working in primary care to develop and manage MedicinesOptimisation services within general practice. You will be working with a verysupportive large pharmacy team of 40 pharmacists and Pharmacy Technicians. Thepost holder will work as part of a multi- disciplinary team in a patient-facingrole. They will take responsibility for areas of chronic disease managementwithin practices and undertake clinical medication reviews to proactivelymanage patients with complex polypharmacy.
Main duties of the job
The post holder will provideprimary support to general practice staff with regards to prescriptions andmedication queries. They will help support the repeat prescribing system, medicinesreconciliation, and support systems for safer prescribing. They will beexpected to provide expertise in clinical medicines advice while addressingboth public and social care needs of patients.
The post holder will provideclinical leadership on Medicines Optimisation and manage some aspects of the Qualityand Outcomes Framework and Enhanced Services. They will ensure that practicesintegrate with community and hospital pharmacy to facilitate effectivecommunication across different healthcare settings.
The role is pivotal to improvingthe quality of care and operational efficiencies so requires motivation andpassion to deliver excellent service within general practice.
About us
Islington GP Federation (IGPF) is a growing organisation representing 31 practices; we have established ourselves as a leader in new ways of working, including running Islingtons extended access primary care services (I: HUB) as well as supporting the Islington Primary Care Networks (PCNs).Our current range of services include the Extended Access Service, I: HUB, Community Ear, Nose and Throat (ENT), Integrated Community Gynaecology, practice-based pharmacists, and a range of practice support mechanisms.
IGPF works very closely with a range of partners including the regional commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals such as UCLH, Whittington Health and the London Borough of Islington.
IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub and has been working for over two years to create training and development programmes that meet the needs of staff working in primary and community care settings.IGPF runs four Islington GP practices. City Road Medical Centre is a GMS practice; two are APMS contracts and one caretaking contract.
Job responsibilities
Structured medication reviews
* Frailelderly patient with problematic Polypharmacy, renal and/ or hepatic impairment
* contraception
* LearningDisability reviews
* Ongoingcare of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome(IBS)
* Contributeto multimorbidity reviews and multidisciplinary reviews
Management of common/minor/self-limiting ailments
* Managingcaseload for patients with common/minor/self-limiting ailments while workingwithin a scope of practice and limits of competence.
* Signposting to community pharmacy and referring to GPsor other healthcare professionals where appropriate
Repeat Prescribing
* Produce and implement robust systems for repeat prescribing
* Support the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review
* Coordinate with patients and community pharmacies as appropriate
Management of medicines at discharge from hospital
* Toreconcile medicines following discharge from hospitals, intermediate care andinto care homes
* Perform a clinical medication review, produce a postdischarge medicines care plan including dose titration and booking of follow uptests and working with patients and community pharmacists to ensure patientsreceive the medicines they need post discharge
Risk Management and Patient Safety
* Responsible for design,development, and implementation of system searchesto identify cohorts of patients at high risk of harm from medicines.
* Increasequality and safety of prescribing through mechanisms such as audit and PDSAcycles
* Implementdrug withdrawals and alerts e.g. MHRA aimed at improving medicines safety
Medicine information to practice staff and patients
Deal will allmedication queries from
* Frompatients, community pharmacy, secondary care
* Fromadmin staff
Actas a source of medicines information for the practice team and patients (e.g.around doses, side effects, adverse events, possible alternatives for out ofstocks).
Care Quality Commission
* Provideleadership to the general practice teams to ensure practices are compliant withCQC standards where medicines are involved.
* Undertake risk assessment and management and ensurecompliance with medicineslegislation.
* Tocontribute to public health campaigns, including u vaccinations, and adultimmunisation programmes
Medicines quality improvement
* Identify medicine-related areas of care (including using software tools)to improve patientsafety and use ofmedicines
* Conductmedicine-related audits, significant event audit and complaint review.
* Contributeto medicine-related complaint response letters as appropriate
* Leadon use of TARGET toolkit for antimicrobial stewardship.
* Leadon stopping over-medication of people with a learning disability, autism, orboth (STOMP) and people with dementia.
* Identifynational and local policy and guidance that affects patient safety usingmedicines, including MHRA alerts, product withdrawals and emerging evidenceform clinical trials.
* Managethe process of implementing changes to medicines and guidance for practitioners.
Person Specification
Knowledge and skills
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
* Basic understanding of General Practice, primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
* Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
* Demonstrate ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
Qualifications
* Independent prescriber or working towards/intent of gaining an independent prescribing qualification.
* Specialist knowledge acquired through post- graduate diploma level or equivalent training/experience.
* Mandatory registration with General Pharmaceutical Council (GPhC).
* Membership of the Royal Pharmaceutical Society.
* Faculty membership of the Royal Pharmaceutical Society.
Experience
* Minimum of 2 years post-qualification experience.
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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