Role Overview
You will undertake a clinical pharmacy role within North Derbyshire PCN practices. The role involves independent prescribing, structured medication reviews, and supporting the team in medicines governance, education and training.
Responsibilities
1. Provide expertise in clinical medicines review and address the public health and social needs of patients within ND PCN member practices.
2. Provide expertise in clinical Structured Medication Reviews (SMR’s) and address the public health and social needs of patients within ND PCN member practices.
3. Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need following discharge.
4. Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues.
5. Liaise with community and hospital pharmacy colleagues and develop referral processes between primary care professionals.
6. Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions and medicines reaching review dates.
7. Manage patients and health care professionals medicine queries.
8. Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles.
9. Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety.
10. Work with primary care professional and patients to implement NICE and other evidence‑based guidelines.
11. Run clinics where medicines are the main interventions.
12. Contribute to multi‑morbidity reviews and multidisciplinary reviews.
13. Provide medicines information and training to Practice healthcare professionals and admin staff.
14. Act as a source of medicines information for all of the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives e.g. around out of stocks).
15. Working within the practice‑based team across the ND PCN member practices to undertake medication reviews particularly in high risk groups such as:
o Frail elderly
o Problematic polypharmacy
o Renal impairment
o Hepatic impairment
o Substance misuse
o Patients on high‑risk medicines
o STOPP/START identified patients
o Revolving‑door Hospital admissions
16. Improve prescribing practice through educational support for all prescribers within the ND PCN Member Practice’s.
17. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change.
18. Liaise with colleagues in community pharmacy to align support for medicines adherence.
19. Support improvements in clinical care through practice‑based audit and implementing change.
20. Reduce problematic polypharmacy and wasteful prescribing through clinical medication review.
21. Work alongside Primary Care colleagues supporting vaccination programme.
22. Support patients in managing long term health conditions such as:
o Metabolic
o Lipids
o CVD including Hypertension
o Respiratory Conditions
o Diabetes
Flexible Working
If you’re looking for flexible or predictable working arrangements, please speak to us about how we might be able to accommodate this. If it works for our service and patients, we will do our best to make it work for you.
COVID‑19 Vaccination
Chesterfield Royal Hospital NHS Foundation Trust is committed to ensuring the safety of all our staff and patients therefore encourages and supports staff to be vaccinated against COVID‑19 as this remains the best line of defence against the virus.
UK Immigration
Applications from job seekers who require sponsorship to work in the United Kingdom are welcome and will be considered alongside all other applications. From 1 January 2021, all candidates who are not UK or Republic of Ireland nationals require sponsorship unless they have permission to work via another route.
Communications
Communications throughout the application process will be via e‑mail. Please check your e‑mail account regularly. References are also requested by e‑mail (where possible). Provide an email address for all referees when completing your application form.
About the Role
Applications from pharmacists with experience in primary care are welcomed, especially those who have completed the CPPE pathway training (although this is not essential). This role is based in primary care but as part of Chesterfield Royal Hospital, RPC is uniquely placed to develop strong links between primary and secondary care pharmacy roles.
Royal Primary Care
Royal Primary Care is the leading provider of primary care services in the Midlands, rated as outstanding by the CQC and providing an award‑winning range of primary care services in North Derbyshire. Working collaboratively with a range of system providers, it has contributed to Derbyshire County population health metrics above the national average.
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