Are
you looking for a change? Would you like to work within a supportive team of
like-minded pharmacy professionals? Are you keen to develop your role in order
to become a prescriber, advanced practitioner in long term conditions or an
ACP? Are you looking for part-time of full-time hours? Then we have the job for
you!
We
have a very exciting opportunity for a clinical pharmacist to join our dynamic,
innovative and expanding clinical pharmacy team at Musters Medical Practice.
Our
current team is made up of 15 pharmacists and 6 pharmacy technicians and we
pride ourselves on our friendly and supportive team ethos. We have excellent, robust
clinical governance procedures in place with a team of senior clinical
pharmacists and a GP lead, providing regular clinical supervision, team meetings
and training. Rushcliffe PCN consists of 11 practices which are all fully
engaged with the PCN pharmacy team and provide supportive integration of these roles
into practice. PartnersHealth is the GP federation for Rushcliffe and the
employer for all additional roles within the PCN.
Band
7 - 8A dependent on completion of IP, completion of CPPE pathway and previous
experience of working in general practice.
The clinical pharmacist will work as part of the general practice team within their clinical competencies to provide expertise in clinical medicines management across a range of aspects such as day to day medication related queries, acute prescription requests, supporting hospital discharge prescribing arrangements and follow up, actioning of MHRA alerts and targeted medication reviews, which may be done over the telephone or face to face. You will be expected to help in streamlining processes and developing protocols to allow for safer prescribing and to meet CQC expectations.
You
will act as a specialist resource to answer medicines-related queries, to
signpost to other services and to liaise with other healthcare professionals as
required. Clinical supervision and mentorship will be provided by the clinical
lead GP and the senior clinical pharmacist.
We
are looking for candidates who are enthusiastic self-starters and who are
adaptable to change. You will have excellent communication skills and be
proactive in approaching patients, carers, colleagues and other agencies as and
when needed. It is expected that you will be able to use your initiative to
gather information and to use the resources that are available to you, such as
prescribing guidelines. Being a team player is essential. A good level of
competence in use of I.T, predominantly SystmOne is required.
The successful candidate will work within a supportive practice team and the wider PCN pharmacy team, in order to deliver safe and effective use of medicines by applying their clinical, pharmaceutical and technical skills to a variety of tasks within the medicines optimisation agenda.
This role is
pivotal to improving the quality of care and operational efficiencies, so
requires motivation and passion to deliver an excellent service within general
practice.
If
you are a forward-thinking individual who is keen to develop in this role, we
want to hear from you!
For further information
or an informal discussion about the roles please contact Rebecca Dobson at
[email protected]
Job description
Job responsibilities
Clinical Pharmacist
Job Description
Responsible to: Senior Clinical Pharmacist
Accountable to:
Base:
Salary:
Job Summary:
The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacist in general practice. In this role they will be supported by a senior clinical pharmacist who will develop, manage and mentor them.
The post holder will work as part of a multi-disciplinary team in a patient facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.
The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescriptions 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 and manage some aspects of the quality and outcomes framework and enhanced services.
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 non-medical prescriber.
- Primary Duties and Areas of Responsibility
Patient facing Long-term condition clinics
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Patient facing care home medication reviews
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
Management of common/minor/self-limiting ailments
Managing caseload for 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.
Telephone medicines support
Provide a telephone help line for patients with questions, queries and concerns about their medicines.
Medicine information to practice staff and patients
Answers all medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
Unplanned hospital admissions
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
Management of medicines at discharge from hospital
To reconcile medicines following discharge from hospitals, intermediate care and into 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).
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
Produce and implement a practice repeat prescribing policy. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required.
Risk stratification
Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.
Service development
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.
Medicines quality improvement
Undertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Implementation of local and national guidelines and formulary recommendations
Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist prac8ces in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
Public health
To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.
Collaborative Working Relationships
Recognises the roles of other colleagues within the organisation and their role to patient care
Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs)
Demonstrates ability to work as a member of a team
Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
Foster and maintain strong links with all services across locality
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships
Demonstrates ability to integrate general practice with community and hospital pharmacy teams
Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
Liaises with other GP Practices and staff as needed for the collective benefit of patients including but not limited to
o Patients
o GP, nurses and other practice staff
o Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc
o Locality / GP prescribing lead
o Locality managers
o Community nurses and other allied health professionals
o Community and hospital pharmacy teams
o Hospital staff with responsibilities for prescribing and medicines optimisation