IntraHealth is seeking
an enthusiastic and proactive clinical pharmacist where the role will directly
improve patient care and support the efficient running of a general practice.
The successful
candidate will be an exceptional team player with good communication and interpersonal
skills who is enthusiastic and committed to join the practice team. The ideal candidate will also be able to work
autonomously when required.
The successful applicant for this post will be
joining us at a particularly exciting time as we develop and expand our service.
For more details of the role please view the job
description and person specification.
Working within your
clinical and professional boundaries in a patient facing role as part of a
multidisciplinary team to manage medicines on transfer of care and systems for
safer prescribing. Perform face-to-face structured medication reviews of
patients with polypharmacy; especially for those with frailty and/or with
multiple co-morbidities as well as undertaking reviews of patients with
specific long term conditions that fall within your competency.
Work in partnership with
stake holder organisations to improve the safety and quality of care for
patients and manage medicines on transfer of care. Deliver medicines
optimisation initiatives within GP practices including the provision of
specialist professional pharmaceutical advice and services to ensure the safe
and cost effective use of medicines. This will involve work to deliver key
medicines optimisation outcomes against a CCG set work plan.
Contribute to
quality improvement and clinical audit, as well as supporting aspects of the Quality
and Outcomes Framework, medicines safety and antibiotic stewardship. You will also
be required to contribute towards practice financial stability through
medicines optimisation and related targets in QOF.
The post holder will
comply with the organisation’s policies and procedures.
IntraHealth is
one of the UK’s leading provider of NHS Primary and Community Care services. We
serve a range of patients across our three divisions of Primary Care (general
practice), Pharmacy and Clinical Services which includes anticoagulation
monitoring, patient medication reviews and childhood immunisation programmes.
We also provide management and clinical support to other GP
practices and NHS bodies. We are a
well-established organisation having provided NHS services since the company
was founded in 1999. Our team is made up of GPs, Advanced Nurse Practitioners
(ANPs), nurses, pharmacists, Health Care Assistants (HCAs) and local
administration teams supported by a centralised back office function; providing
finance, HR, administration and data analysis support.
We operate NHS services across the North East, North West and
Yorkshire.
Job description
Job responsibilities
To
improve patients health outcomes and the efficiency of the Primary Care team by
providing direct, accessible and timely medicines expertise. To pro-actively
transfer workload relating to medicines optimisation issues from other clinical
staff to improve patient care, safety and free up scarce clinical staff to
spend more time on clinical care:
To
provide relevant support to the primary care team as An Independent prescriber
or clinical pharmacist
To promote safe, evidence based, cost
effective prescribing in line with CCG requirements.
To support effective management of practice prescribing budgets
To provide expert pharmaceutical
advice to practices and the medicines optimisation team
To provide prescribing support to designated practices and team members in areas such as
o
Medication review
o Implementation of prescribing changes
o Review of repeat prescribing
o Audit
To act as a training resource for the
primary care team
Practice Role
Objectives
Provide pro-active leadership on medicines and
prescribing systems to the practice multidisciplinary team, patients and their
carers
Develop and deliver patient facing services and
clinics which improve patient outcomes, reflect the needs of the practice
population and shift workload from other disciplines
Deliver direct patient consultations and prescribing
as part of the practice and cluster multidisciplinary team approach for acute
illness
Improve patient and carer understanding of, confidence
in and compliance with their medicines
Provide pharmaceutical consultations and home visits
to patients with long term conditions as an
integral part of the multidisciplinary team
Field medicines and prescribing queries from patients
and staff
Organize and oversee the practices medicines
optimisation systems including the repeat prescribing and medication review
systems
Deliver high quality medication reviews and develop
bespoke medicines treatment plans for patients (particularly the elderly,
complex patients and those at high risk of admission)
Improve the safety and quality of prescribing
following hospital admissions and attendance
Improve the quality and effectiveness of prescribing
through clinical audit and education to improve performance against NICE
standards, prescribing guidance and other clinical standards
Develop yourself and the role through participation in
clinical supervision, training and service redesign activities
Contribute to patient safety culture through reporting
and investigation of medicines related incidents and through pro-active
measures such as the Primary Care Trigger Tool or PINCER
Provide a clear and active link with community
pharmacists and other stakeholders in the medicines supply chain to improve
patient experience and manage issues
Deliver training, mentoring and guidance to other
clinicians and staff on medicines issues
Contribute to the achievement and maintenance of good
to outstanding CQC registration status.
Patient Facing
Clinical Services and Care
Manage a caseload of complex patients as required by
GP Practices
Develop specialist area(s) of interest
Conduct face to face and other modes of medication
reviews and agree medicines care plans in agreement with patients and carers
Delivering long term conditions clinics and home
visits particularly for patients with complicated medication regimes and
prescribe accordingly within competency and agreed management plans
Consult with patients for acute & long-term
illnesses within defined levels of competence and prescribe medication within
agreed management plans
Prescribe appropriate medication for patient need
within areas of competency and within agreed management plans
Provide targeted support and pro-active review for
vulnerable, complex patients and those at risk of admission and re-admission to
secondary care
Receive and resolve medicines queries from patients
and other staff
Contribute to public health campaigns (e.g. flu
clinics) through advice or direct care
Provide specific advice and support to patients in
care homes and support staff
Provide help and advice on medicines use to patients
and their carers
Promote self-management and develop patient support
systems
Manage therapeutic drug monitoring system and recall
of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and
DMARDs etc
Support virtual and remote models of consultation
and support including e-consultations, remote medication review and telehealth
and telemedicine.
Medicines Optimisation
Systems
Investigate and feedback on examples of best
practice within the field and formulate how to apply these to the practice
Organize and oversee repeat prescribing, repeat
dispensing, electronic prescribing and medication review systems
Provide leadership and support to prescription
administrative staff
Handle prescription queries and requests directly
Oversee system for reconciliation of medicines from
outpatient and discharge letters and support safe transfer of care through
liaison with hospital and community colleagues
Liaise with other stakeholders in the supply chain
such as community pharmacists and appliance contractors to handle queries and
manage supply problems
Maintain and review a Medicines Handling Policy for
the practice to ensure safe processes for self-administered medicines and
controlled drugs
Support the delivery of QOF, incentive schemes, QIPP
and other quality or cost effectiveness initiatives
Agree and review Prescribing Formularies and
Protocols and monitor compliance levels
Improve the data quality of medicines records and
linking to conditions.
Quality
Collection and review of KPI and performance
monitoring data
Monitor progress against the overall objectives of
the programme and escalate any issues
Ensure compliance with CQC and other professional
standards
Promote a culture of constant improvement and
excellence
Conduct regular clinical audits and other
improvement activities
Assess own performance regularly and make
suggestions of how to improve personal and team performance
Understand a risk management approach and apply it
to all activities.
Communication and Relationships
Support the Lead Pharmacist to deliver the individual practice
and locality action plans in line
with CCG requirements
Provide high quality, evidence based, prescribing advice to individual GPs, nurse and patients,
both
individually and in meetings.
Communicate effectively within primary care teams to gain agreement and commitment from GPs and wider team members to implement change, overcoming barriers where necessary
Establish
trusted and successful
working relationships with
GPs
and practice staff to support delivery of objectives
Discussion and recommendation regarding CCG prescribing initiatives with individual practitioners
Act as
point of
contact with any specialist
services as dictated by the action plan, e.g. care homes, community nursing services
Patient Care
Carry out computer record searches
related to prescribing initiatives
Review patient
medication records in general practice and/or care home setting
Develop protocols to enable agreed changes to be implemented
Deliver patient
consultation to implement agreed
changes where appropriate
Develop and disseminate information to patients to support medicines optimisation
Advise on appropriate drug choice
Planning and Organisation
Organise and
plan own workload in practices and adjust as
needed to meet CCG
requirements and deliver action plans
Prepare and present
summary reports for each practice regarding progress against actions
plans
and / or audit
Support practices to implement and audit
NICE and other
evidence based
guidance
Review and improve practice repeat prescribing systems and systems
for medication review
Analytical and Judgement
Download
and interpret practice
level prescribing reports e.g. IPS,
RAIDR
Identify poor prescribing issues and
provide facts and options to support remedial action
Prepare and present summary reports for audits conducted as part of agreed action plans
Promotion and review of
compliance against local CCG
formularies and prescribing guidance.
Provision of advice around effective use of electronic transfer
of prescriptions as agreed
with
the CCG
Collation of information from practices regarding patterns and trends of medicines usage
obtained through prescription searches and
audit
Policy and Service Development
Support development of
tools and resources to implement agreed initiatives, e.g. SOPs, guidance
Support development of medicines optimisation policies or guidance within
practices or
area, contributing to at scale
activities
Provide support and feedback to practices on medicines related questions from patients and practices
Support delivery of the medicines optimisation strategy,
once agreed
Financial and Physical Resources
Support effective management of practice prescribing budgets via
delivery of practice and
CCG action plans
Human Resources
Fulfill mandatory CPD requirements
Support wider team of pharmacists and technicians to deliver practice and CCG
action plans
as required by Lead Pharmacist
Information
Resources
Extract and manipulate clinical and
financial prescribing data from relevant systems (EMIS, e-PACT, RAIDR), and present to GPs in an
appropriate format
Provide appropriate high quality and cogent reports to demonstrate progress and practice
and CCG action plans
Communicate effectively via the use of electronic media
such as e-mail, Power-point, Excel or
Word
Research and Development
Develop and undertake audit
in relevant therapeutic areas