Clinical Pharmacist - Healthy Crawley PCN
The postholder will report to the GP Clinical Lead within the Primary Care Network forclinical supervision. They will also have strong working relationships with thePractice Managers and other clinicians in the network.
Alliance for Better Care will provide consistent employment supportthroughout the appointment.
As part of clinical duties, the successful candidates will join themulti-disciplinary staff in providing comprehensive care and will work withpatients, carers, and families.
ABC as employerwill provide support and ensure access to the NHSE England training programmeas well as a local network of Clinical Pharmacists working in general practice.
This post is part ofthe Additional Roles Reimbursement Scheme for Primary Care Networks funded byNHS England and includes funded access to the Clinical Pharmacist TrainingPathway for any further modules required to complete the pathway.
The post holder isa Pharmacist, who acts within their professional boundaries, supporting andworking alongside a pharmacist team in general practice. In this role they willbe supported by a GP Clinical Lead who will develop, manage and mentor them.
The post holderwill work as part of a multi-disciplinary team in a patient-facing role. Thepost holder will take responsibility for areas of chronic disease managementwithin the practice and undertake clinical medication reviews to proactivelymanage patients with complex polypharmacy.
Main duties of the job
The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice(s).
The post holder will provide clinical leadership on medicines optimisation and quality improvement, manage some aspects of the quality and outcomes framework and enhanced services and contribute to the delivery of the local medicines optimisation strategy.
The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.
The post holder will be supported to develop their role to become a nonmedical prescriber (if not already a prescriber).
About us
Alliance for Better Care (ABC) is aGP Federation uniting 77 NHS GP member practices across 98 sites within 24Primary Care Networks in Sussex and Surrey. We support our Primary Carecolleagues - and their patients - to transform how healthcare is delivered intheir communities.
We work closely with GP Practices,PCNs, Hospitals, Community Organisations, and the Third Sector. These vitalpartnerships enable us to deliver a truly integrated approach that offers thesupport and expertise needed to effectively serve our populations.
About Healthy Crawley PCN
Healthy Crawley Primary Care Networkis a NHS Collaboration between four GP Practices Furnace Green Surgery,Ifield Medical Practice, Poundhill Surgery and The Woodlands/ClerklandsPartnership - working together to provide enhanced access services.
Our surgery teams work closely, sharing expertise andresources to develop new services. Our vision is to continue to improve thequality of care that we provide in alignment with the needs of our patientpopulation.
Our Primary Care Network builds on the existing primary careservices and enables a greater provision of proactive, personalised and moreintegrated health and social care. We are supported by practitioners inadditional roles who allow us to create bespoke multi-disciplinary teams basedon the needs of our local population. Byworking together with local community services, this allows us to make supportavailable to people where it is most needed.
Job responsibilities
Primary duties andareas of responsibility
From Start of Post:
See (where appropriate) patients with single or multiple medicalproblems where medicine optimisation is required (e.g. COPD, asthma)
Review the on-going need for each medicine, a review of monitoringneeds and an opportunity to support patients with their medicines takingensuring they get the best use of their medicines (i.e. medicines optimisation).Make appropriate recommendations to Senior Pharmacists or GPs for medicineimprovement
Undertake clinical medication reviews with patients and producerecommendations for senior clinical pharmacist, nurses and/or GP on prescribingand monitoring
Provide patient facing clinics for those with questions, queriesand concerns about their medicines in the practice
Provide telephone support for patients with questions, queries andconcerns about their medicines
Act as a source of medicines information for all of the practiceteam and patients, (such as around doses, side effects, adverse events,possible alternatives (i.e. around out of stocks) suggesting and recommendingsolutions
To reconcile medicines following discharge from hospitals,intermediate care and into care homes, including identifying and rectifyingunexplained changes and working with patients and community pharmacists toensure patients receive the medicines they need post discharge
Set up and manage systems to ensure continuity of medicines supplyto highrisk groups ofpatients (e.g. those with medicine compliance aids or those in care homes)
Ensure that patients are referred to the appropriate healthcareprofessional for the right care. Ensuring that the addition of the pharmacistto the clinical team results in a reduction in workload for other clinicians
Produce and implement a practice repeat prescribing policy in linewith the recommendations Medicines Management Team
Manage the repeat prescribing reauthorisation process by reviewingpatient requests for repeat prescriptions and reviewing medicines reachingreview dates and flagging up those needing a review. Ensure patients haveappropriate monitoring tests in place when required
Support the contractual requirements to support frail patientswith their medication including medication review and some patientidentification (i.e. patients with problematic polypharmacy)
Undertake clinical audits of prescribing in areas directed by theGPs, feedback the results and implement changes in conjunction with thepractice team
Work with MMT to support the implementation of local and nationalguidelines including NICE, Prescribing Formularies etc
Liaise with hospital colleagues where prescribing needs to bereturned to specialists
Provide education and training to primary healthcare team ontherapeutics and medicines optimisation
Work with the general practice team to ensure the practice iscompliant with CQC standards where medicines are involved
To support public health campaigns
To provide specialist knowledge on all public health programmesavailable to the general public
Implement changes to medicines that result from MHRA alerts,product withdrawal and other local and national guidance
Review the use of medicines most commonly associated withunplanned hospital admissions and readmissions through audit and individualpatient reviews
Put in place changes to reduce the prescribing of these medicinesto highrisk patient groups
Managing caseload of patients with common/minor/self-limitingailments
Signposting to community pharmacy and referring to GPs or otherhealthcare professionals where appropriate
Person Specification
Qualifications
* Mandatory registration with General Pharmaceutical Council
* Membership of the Royal Pharmaceutical Society
* A member of or working towards Faculty membership of the Royal Pharmaceutical Society
* Independent prescriber
Research, Leadership and Management
* Demonstrates ability to critically evaluate and review literature
* Demonstrates ability to identify where there is a gap in the evidence base to support practice
* Demonstrates ability to generate evidence suitable for presentation at local level
* Demonstrates ability to apply the research evidence base into working practice
* Demonstrates understanding of the principles of research governance
* Demonstrates ability to work as a member of the research team
* Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace
* Demonstrates understanding of, and contributes to organisational vision
* Demonstrates ability to improve quality within limitations of service
* Reviews progress and develops clear plans to achieve results within priorities set by others
* Demonstrates ability to motivate self to achieve goals
* Demonstrates understanding of the implications of national priorities for the team and/or service
* Demonstrates understanding of the process for effective resource utilisation
* Demonstrates understanding of, and conforms to, relevant standards of practice
* Demonstrates ability to identify and resolve risk management issues according to policy/protocol
Experience
* Minimum of 2 years experience post-qualification
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based medicine and healthcare
* Good knowledge of service developments in medicines, prescribing, NHS policy and other relevant policy directives
* A good understanding of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
* Excellent understanding and implementation of legal, ethical, professional and organisational policies/procedures and codes of conduct
* Good understanding of patient centred care and impact on care quality and outcomes
* Good understanding of patients role in decisions about prescribed medicines and supporting adherence as per NICE guidance
* Experience of multi-disciplinary team working
* Experience of committees/ working groups
* Experience in writing complex and high quality reports
* Experience in audit, research and analysis of highly complex information related to improving clinical quality
* Experience in supervising staff
* Experience of independent patient consultation, review and recommendations/prescribing
Behaviours and Values
* Self-Motivation
* Adaptable
Skills and Abilities
* Ability to solve problems effectively and timely and identifies deviations from the normal pattern and when to refer to seniors or GPs when appropriate
* 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)
* Ability to plan, prioritise, manage, monitor, advise and review clinical and general medicine optimisation issues in core areas for long term conditions
* Able to obtain and analyse complex technical information
* Able to work under pressure and challenging situations to meet deadlines
* Produce timely and informative reports
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.
£42,509.63 to £49,806.81 a yearDependent on experience
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