We would like to offer you the opportunity to activelysupport and deliver effective patient care in our PCN.
You need to be a qualified pharmacist, and it would bedesirable if you had primary care experience.If you are an independent prescriber as well that would be great. We arehappy to train if you dont!We wouldexpect you to be a highly motivated professional, who can work autonomouslywithin your clinical scope, and the policies of the practices and PCN.You will need to provide expertise inclinical medicines across the PCN.
This is an exciting time to join the PCN with newservices developing to support our patients and practices. The role will suit someone who isforward-thinking, innovative and enthusiastic.You will need to be adaptable, self-motivated and organised.
Ifthis sounds like you, we would like to hear from you.
Main duties of the job
The ClinicalPharmacist will work as part of a multi-disciplinary team in a patient-facingrole; will take responsibility for areas of chronic disease management withinthe practices and undertake clinical medication reviews to proactively managepatients with complex polypharmacy.
The ClinicalPharmacist will provide primary support to general practice staff with regardsto prescription and medication queries. They will help support the repeatprescription system, deal with acute prescription requests, and medicinesreconciliation on transfer of care and systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public and socialcare needs of patient in the GP practice (s).
The ClinicalPharmacist will provide clinical leadership on medicines optimisation.
The ClinicalPharmacist will ensure that the practices integrate with community and hospitalpharmacy to help utilise skill mix, improve patient outcomes, ensure betteraccess to healthcare, and help manage workload. The role is pivotal toimproving the quality of care and operational efficiencies, so requiresmotivation and passion to deliver an excellent service within general practice.
The ClinicalPharmacist will be supported to develop their role to become a nonmedical prescriber.
About us
We are the Leighton-Linslade Health Connections PCN and are the primary care network for Leighton Buzzard.We work with three practices in Leighton Buzzard serving a population of c52,000.We offer various primary care support roles to help the population take ownership of their health and connect with the community.All our practices work with S1.
Job responsibilities
ClinicalDuties and Responsibilities
Patient facing Long term conditionclinics
See (where appropriate) patients withsingle or multiple medical problems where medicine optimisation is required (egCOPD, asthma).
Review the on-going need for eachmedicine, a review of monitoring needs and an opportunity to support patientswith their medicines taking ensuring they get the best use of their medicines (egmedicines optimisation).
Make appropriate recommendations to GPsfor medicine improvement.
Patientfacing Clinical Medication Review
Undertake clinical medication reviews withpatients and produce recommendations for senior clinical pharmacist, nursesand/or GP on prescribing and monitoring.
Undertake clinical medication reviews withpatients and produce recommendations for the senior clinical pharmacist, nursesor GPs on prescribing and monitoring. Work with care home staff to improvesafety of medicines ordering and administration.
Patientfacing domiciliary clinical medication review
Undertake clinical medication reviews withpatients and produce recommendations for the senior clinical pharmacists,nurses and GPs on prescribing and monitoring. Attend and refer patients tomultidisciplinary case conferences.
Managementof common/minor/self-limiting ailments
Managing caseload of patients withcommon/minor/self-limiting ailments while working within a scope of practiceand limits of competence.
Signposting to community pharmacy andreferring to GPs or other healthcare professionals where appropriate.
Patientfacing medicines support
Provide patient facing clinics for thosewith questions, queries, and concerns about their medicines in the practice.
Provide a telephone help line for patientswith questions, queries, and concerns about their medicines.
Medicineinformation to practice staff and patients
Answer relevant medicine-related enquiriesfrom GPs, other practice staff, other healthcare teams (eg community pharmacy)and patients with queries about medicines.
Suggesting and recommending solutions.
Providing follow up for patients tomonitor the effect of any changes.
Unplannedhospital admissions
Review the use of medicines most commonlyassociated with unplanned hospital admissions and readmissions through auditand individual patient reviews.
Put in place changes to reduce theprescribing of these medicines to highrisk patient groups.
Managementof medicines at discharge from hospital
To reconcile medicines following dischargefrom hospitals, intermediate care and into care homes, including identifyingand rectifying unexplained changes and working with patients and communitypharmacists to ensure patients receive the medicines they need post discharge.
Set up and manage systems to ensurecontinuity of medicines supply to highrisk groups of patients (eg those withmedicine compliance aids or those in care homes).
Signposting
Ensure that patients are referred to theappropriate healthcare professional for the appropriate level of care within anappropriate period of time eg pathology results, common/minor ailments, acuteconditions, long term condition reviews etc.
Repeatprescribing
Manage the repeat prescribingreauthorisation process by reviewing patient requests for repeat prescriptionsand reviewing medicines reaching review dates and flagging up those needing areview.
Ensure patients have appropriatemonitoring tests in place when required.
Riskstratification
Identification of cohorts of patients athigh risk of harm from medicines through pre-prepared practice computersearches. This might include risks that are patient related, medicine related,or both.
Servicedevelopment
Contribute pharmaceutical advice for thedevelopment and implementation of new services that have medicinal components (egadvice on treatment pathways and patient information leaflets).
Informationmanagement
Analyse, interpret and present medicinesdata to highlight issues and risks to support decision making.
Medicinesquality improvement
Undertake clinical audits of prescribingin areas directed by the GPs, feedback the results and implement changes inconjunction with the practice team.
Implement changes to medicines that resultfrom MHRA alerts, product withdrawal and other local and national guidance.
Implementationof local and national guidelines and formulary recommendations
Monitor practice prescribing against thelocal health economies RAG list and make recommendations to GPs for medicinesthat should be prescribed by hospital doctors (red drugs) or subject to sharedcare (amber drugs).
Assist practices in seeing and maintaininga practice formulary that is hosted on the practices computer system.
Auditing practices compliance againstNICE technology assessment guidance.
Provide newsletters or bulletins onimportant prescribing messages.
Educationand Training
Provide education and training to primaryhealthcare team on therapeutics and medicines optimisation.
CareQuality Commission
Work with the general practice team toensure the practice is compliant with CQC standards where medicines areinvolved.
Public Health
To support public health campaigns.
To provide specialist knowledge on allpublic health programmes available to the general public.
Person Specification
Experience
* Minimum of 2 years post qualification experience.
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
* An appreciation of the nature of GPs and general practice
* An appreciation of the nature of primary care prescribing, concepts of rational 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 (eg patients)
* Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
* Able to obtain and analyse complex technical information
* Recognises priorities when problem solving and identifies deviations from the normal pattern and can 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
Qualifications
* Professional Registration
* Mandatory registration with General Pharmaceutical Council
* Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
* Independent prescriber or working towards/intent of gaining independent prescribing qualification
Other
* Self-Motivation
* Adaptable
* Safeguarding adult and children level three
* Full Driving License
* Immunisation status
* Basic life support
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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