Overview
Are you a registered Pharmacist looking for your next career move? Hambleton South Primary Care Network have an exciting opportunity for a hardworking, enthusiastic and innovative Pharmacist to join our established pharmacy team.
We are looking for a motivated Part Time Pharmacist with a strong desire for professional development to join our established clinical pharmacy team of clinical pharmacists and a pharmacy technician.
The role will offer you the opportunity to build on your experience of working effectively within a multi‑disciplinary healthcare team, as you will work alongside fellow professionals, within the PCN, in support of one another.
Main duties of the job
* Work in a patient facing role to clinically assess and treat patients using your expert knowledge of medicines for specific disease areas.
* Be involved in the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially older people and those with multiple co‑morbidities.
* Deliver structured medication reviews and support patients to take their medications to get the best from them, reduce waste and promote self‑care.
* Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning disabilities), liaison with community pharmacists and anticoagulation.
* Be a prescriber, or complete training to become a prescriber, and work with and alongside the general practice team.
* Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN’s practices.
* Provide leadership on person‑centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services.
About us
The PCN Clinical Pharmacist post is suitable for registered Pharmacists already working in primary care, or those who are looking to develop their role with a move to primary care while being supported to complete the PCN CPPE training pathway. With experience of successfully supporting pharmacy professionals to make the transition to working in primary care, the Hambleton South PCN pharmacy team will not only offer comprehensive guidance and training on induction but also a framework for professional development and progression to support your career in one of the newest and most exciting sectors of pharmacy. As you build on your experience and competence there will be scope for you to shape and develop your role within our evolving and innovative primary care setting.
The role can offer:
* Competitive Salary – depending on skills and experience.
* Flexible work patterns.
* Access to the NHS Pension.
If you are interested in progressing your development and contributing to the development of innovative models of primary healthcare in North Yorkshire, we would be delighted to hear from you.
Job responsibilities
To support the PCN Practices with all aspects of medicines optimisation.
The post holder will work within their clinical competencies as part of a multi‑disciplinary team to provide expertise in clinical medicines optimisation across the PCN. This will include structured medication reviews with direct patient contact and may include contributing to:
* Management of long‑term conditions.
* Management of medicines on transfer of care.
* Reviewing systems for safer prescribing.
* Contributing to repeat prescription authorisations and reauthorisation.
* Actioning acute prescription requests.
* Addressing both the public health and social care needs of patients.
* Achievement of QOF and locally commissioned quality improvement schemes.
* Clinical audit.
The post holder will be supported by the PCN Senior Clinical Pharmacists, existing practice employed pharmacists within the PCN (where these exist), PCN Clinical Director, a GP clinical supervisor and the lead Pharmacist for North Yorkshire ICB for Hambleton, Richmondshire and Whitby locality. They will also engage with pharmacy colleagues across the ICB locality for peer support.
The post holder will be supported to develop their role to become a non‑medical prescriber, if that qualification is not already held, and will be required to enrol on the Primary Care Pharmacy Education Pathway from CPPE, unless an equivalent qualification is already held or exemption is agreed by CPPE.
Key duties and responsibilities
Patient facing Clinical Medication Review
* Undertake clinical medication reviews with patients and work within your scope of practice as a non‑medical prescriber to implement any necessary changes (or produce recommendations for/referral to other prescribing pharmacists, nurses and/or GPs to implement if outside your scope). These reviews could be cohort based, in care homes, polypharmacy or any other area required by the PCN, within the pharmacist’s competence. Home visits may be required.
* Undertake clinical audits of prescribing in areas directed by the PCN, feedback the results and implement changes in conjunction with the relevant practice team.
* Identify cohorts of patients at high risk of harm from medicines through computer searches. This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high‑risk patient groups.
* Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Management of common/minor/self‑limiting ailments
* Manage caseload of patients with common/minor/self‑limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.
Patient facing medicines support
* Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
* Provide a telephone help line for patients with questions, queries and concerns about their medicines.
Management of medicines at change of care setting
* Reconcile medicines following discharge from hospital or admission to intermediate care or care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high‑risk groups of patients (e.g. those with medicine compliance aids or those in care homes).
Medicine information to practice staff and patients
* Answer relevant medicine‑related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Provide follow‑up for patients to monitor the effect of any changes.
* Ensure robust systems are in place for drug monitoring at each practice across the PCN, streamlining these where possible.
Signposting
* Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time (e.g. pathology results, common/minor ailments, acute conditions, long‑term condition reviews etc.).
Repeat prescribing
* Ensure each practice in the PCN has a robust repeat prescribing policy, and streamline these across the PCN where possible. Contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.
* Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).
Information management
* Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Education and training
* Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
* Support pharmacist and pharmacy technician colleagues in their development.
Care Quality Commission
* Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.
Public health
* Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public.
Collaborative working arrangements
* Work collaboratively with the PCN Clinical Director and Senior Clinical Pharmacist.
* Participate in the PCN MDT.
* Liaise with the other local PCN and Practice Clinical Pharmacy teams to benefit from peer support.
* Liaise with ICB Medicines Commissioning colleagues on prescribing‑related matters to ensure consistency of patient care and benefit.
* Engage with the Leeds Practice Pharmacist and Technician Network and with the other SEL GP‑employed pharmacists for peer support.
* Foster and maintain strong links with all services across the PCN and neighbouring networks.
* Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
* Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to: patients and their representatives, GP, nurses and other practice staff, social prescribers, first contact physiotherapists, physicians, associates and paramedics, community pharmacists and support staff, locality/GP prescribing lead, locality managers, community nurses and other allied health professionals, hospital staff with responsibilities for prescribing and medicines optimisation.
* Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
* Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
* Work with your GP clinical mentor to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.
* Review yearly progress and develop clear plans to achieve results within priorities set by others. Participate in the delivery of formal education programmes.
* Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Research and Evaluation
* Critically evaluate and review literature.
* Identify where there is a gap in the evidence base to support practice.
* Generate evidence suitable for presentations at practice and local level.
* Apply research evidence base into the workplace.
Health and Safety/Risk Management
* Must comply at all times with the Health and Safety policies, in particular following safe working procedures and reporting incidents using the organisation’s incident reporting systems.
* Comply with the Data Protection Act (2018) and the Access to Health Records Act (1990).
Special working conditions
* The post holder is required to travel independently between work sites and to attend meetings etc hosted by other agencies.
* The post-holder will have contact with body fluids, i.e. wound exudates, urine etc while in clinical practice.
* The post-holder is likely to need to visit patients in their own home.
* Work as part of the team to seek feedback, continually improve the service and contribute to business planning.
* Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
* Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Equality and Diversity
* The post-holder must co‑operate with all policies and procedures designed to ensure equality of employment. Co‑workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
Respect for Patient Confidentiality
* The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
Person Specification
Qualifications
* Appropriate 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, demonstrated within a practice portfolio.
* 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 (e.g. patients).
* Is able to 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 is able to 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 when there may be significant barriers.
* Work effectively independently and as a team member.
* Demonstrate accountability for delivering professional expertise and direct service provision.
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.
* Experience of working within general practice and ability to use GP clinical systems Systm1 and EMIS.
Other
* Ability to travel around the PCN.
* Self‑motivations.
* Adaptable.
* Level 3 Safeguarding adult and children.
* Immunisation status up to date.
* Basic life support training.
* Information governance completion.
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.
#J-18808-Ljbffr