Location: Bishops Close Medical Practice (Host Practice)
Contract Type: Permanent
Hours: Permanent, Part Time 18 hours per week.
Main duties of the job
Workingwithin your clinical and professional boundaries in a patient facing role aspart of a multidisciplinary team to manage medicines on transfer of care andsystems for safer prescribing. Perform face-to-face structured medicationreviews of patients with polypharmacy; especially for those with frailty and/orwith multiple co-morbidities as well as undertaking reviews of patients withspecific long term conditions that fall within your competency.
Work inpartnership with stake holder organisations to improve the safety and qualityof care for patients and manage medicines on transfer of care. Delivermedicines optimisation initiatives within GP practices including the provisionof specialist professional pharmaceutical advice and services to ensure thesafe and cost effective use of medicines. This will involve work to deliver keymedicines optimisation outcomes against a CCG set work plan. Contribute toquality improvement and clinical audit, as well as supporting aspects of the Qualityand Outcomes Framework, medicinessafety and antibiotic stewardship. You will also be required to contributetowards practice financial stability through medicines optimisation and relatedtargets in QOF.
The postholder will comply with the organisations policies and procedures. EnhancedAccess hours may be covered as part of your role, this includes a Tuesdayevening, and Saturdays 9-5, not every Saturday but there may be an amountshared with staff across the year.
About us
Sedgefield North Primary Care Network is an innovative, dynamicPCN comprising 5 local GP Practices based in Spennymoor, Ferryhill &Chilton, Sedgefield and West Cornforth with a population of over 58,000patients. We are continuallyseeking new ways to support and improve local healthcare services for ourpatient population.
Job responsibilities
Working within the practicebased team to undertake medication reviews particularly in high risk groupssuch as:
- Poly-pharmacy
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high riskmedicines
Reviewthe on-going need for each medicine, a review of monitoring needs and anopportunity to support patients with their medicines taking ensuring they getthe best use of their medicines (i.e. medicines optimisation).
Makeappropriate recommendations to GPs for medicine improvement.
Patientfacing - Clinical Medication Review
Undertake clinical structuredmedication reviews with patients and produce recommendations for nursesand/or GPs on prescribing and monitoring.
This would be a level 3 clinicalmedication review looking at the patients full clinical condition, bloodmonitoring, interface care arrangements, social isolation etc. includingreducing inappropriate polypharmacy and wasteful prescribing.
CareHome Medication Reviews
Undertakestructured medication reviews and produce recommendations for nurses or GPson prescribing and monitoring.
Workwith care home staff to improve safety of medicines ordering andadministration.
Managementof common/minor/self-limiting ailments
Managingcaseload of patients with common/minor/self-limiting ailments while workingwithin a scope of practice and limits of competence.
Signpostingto community pharmacy and referring to GPs or other healthcare professionalswhere appropriate.
Patientfacing medicines support
Providepatient facing clinics for those with questions, queries and concerns abouttheir medicines in the practice.
Providea telephone help line for patients with questions, queries and concerns abouttheir medicines.
Medicineinformation to practice staff and patients
Answersrelevant medicine-related enquiries from GPs, other practice staff, otherhealthcare teams (e.g. community pharmacy) and patients with queries aboutmedicines.
Suggestingand recommending solutions.
Providingfollow-up for patients to monitor and effect of any changes.
Unplannedhospital admissions
Reviewthe use of medicines most commonly associated with unplanned hospitaladmissions and readmissions through audit and individual patient reviews.
Put inplace changes to reduce the prescribing of these medicines to high-riskpatient groups.
Managementof medicines at discharge from hospital
Toreconcile medicines following discharge from hospitals, intermediate care andinto care homes, including identifying and rectifying unexplained changes andworking with patients and community pharmacists to ensure patients receivethe medicines they need post discharge.
Set upand manage systems to ensure continuity of medicines supply to high-riskgroups of patients (e.g. those with medicine compliance aids or those in carehomes).
Deliver medicines optimisation outcomes against a CCGworkplan dealing with cost saving initiatives, QIPP and medication safety workstreams.
Interface
Interface with community andhospital pharmacy colleagues and develop referral processes between primarycare professionals including the promotion of the repeat dispensing service
Signposting
Ensurethat patients are referred to the appropriate healthcare professional for theappropriate level of care within an appropriate period of time e.g. pathologyresults, common/minor ailments, acute conditions, long-term condition reviewsetc.
RepeatPrescribing
Participatein the repeat prescribing reauthorisation process by reviewing patientrequests for repeat prescriptions and reviewing medicines reaching reviewdates and flagging up those needing a review.
Ensurepatients have appropriate monitoring tests in place when required.
Identificationof cohorts of patients at high risk of harm from medicines throughpre-prepared practice computer searches.
Thismight include risks that are patient related, medicine related, or both.
ServiceDevelopment
Contributepharmaceutical advice for the development and implementation of new servicesthat have medicinal components (e.g. advice on treatment pathways and patientinformation leaflets).
Informationmanagement
Analyse,interpret and present medicines data to highlight issues and risks to supportdecision-making.
Medicinesquality improvement
Undertakeclinical audits of prescribing in areas directed by the GPs, feedback theresults and implement changes in conjunction with the practice team.
Implementchanges to medicines that result from MHRA alerts, product withdrawal andother local and national guidance.
Increase safe and effectiveprescribing through mechanisms such as audit. Improve quality in prescribingusing Quality Improvement methodology including the use of Plan Do Study Act(PDSA) cycles.
Implementationof local and national guidelines and formulary recommendations
Monitorpractice prescribing and make recommendations to GPs for medicines thatshould be prescribed by hospital doctors or subject to shared care.
Auditingpractices compliance against NICE guidelines.
Educationand training
Provideeducation and training to primary healthcare team on therapeutics andmedicines optimisation.
CareQuality Commission
Workwith general practice team to ensure the practice is compliant with CQCstandards where medicines are involved.
PublicHealth
Tosupport public health campaigns.
Toprovide specialist knowledge on all public health programmes available to thegeneral public.
Person Specification
Qualifications
* Mandatory registration with General Pharmaceutical Council
* Independent prescriber or working towards/intent of gaining independent prescribing qualification
* CPPE primary care pathway training course or working towards / intent of completing
* Membership of the Royal Pharmaceutical Society
* A member of or working towards Faculty membership of the Royal Pharmaceutical Society
* Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
Experience
* An appreciation of the nature of PCNs, GPs and general practices
* 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
* 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
* Minimum of two years post-qualification experience.
* In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
* Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
* Experience with GP clinical systems
Other
* Self-Motivation
* Adaptable
* Ability and willingness to travel between the practices within the PCN
* Immunisation status
* Safeguarding adult and children level three
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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