Job summary
This is an exciting opportunity for
the right person, who wants to work within a small family oriented practice.
The post holder would work mainly in the practice but would be required to
attend meetings with other clinical pharmacists within the PCN.
The post holder will work within their clinical competencies
as part of a multi-disciplinary team to provide expertise in clinical medicines
management, provide face to face structured medication reviews, manage long
term conditions, management of medicines on transfer of care and systems for
safer prescribing, manage repeat prescription authorisations and
reauthorisation, acute prescription request, while addressing both the public
health and social care needs of patients in the GP practice.
The post holder will perform telephone and face-to-face
medication review of patients with polypharmacy especially for older people,
people in residential care homes and those with multiple comorbidities. The
post holder will provide leadership on quality improvement and clinical audit
and well as managing some aspects of the Quality and Outcomes Framework. 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.
Main duties of the job
CORE RESPONSIBILITIES
1. Working within the practice based team to undertake
medication reviews particularly in high risk groups such as:
- Frail elderly
- Poly-pharmacy
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high risk medicines
- STOPP/START identified patients
- Revolving door Hospital admissions
2. Improve prescribing practice through educational support
for all prescribers within the practice
3. Lead on where changes in evidence require changes in
prescribing across patient population e.g. where a drug is withdrawn or
indications change.
4. Liaise with colleagues in community pharmacy to align
support for medicines adherence such as MUR and NMS.
5. Support improvements in clinical care through practice
based audit and implementing change.
6. Prescribing advice to prescribers in practice e.g. temporary
non-availability of drugs.
7. Ensure patient safety when they are transferred between
care providers through reconciliation of prescribed medicines.
About us
This is an exciting opportunity for the right person, who wants to work within a small family oriented General practice located in Streatham .
We are Part of South east london ICS , HBD PCN .
2 GP partners ,
Training practice with Gp registrars and foundation doctors , 1 practice nurse and 2 care cordinators and other practice support team members.
We are a friendly practice and work closely together as a team. We believe in strong work ethics and vision to deliver an excellent care to our patients. We are patient centered and staff well being is top on our priority hence offering a whole lot of support programme for our staff well being. We are quite flexible and adapt to changes quickly as they occur in primary care.
Job description
Job responsibilities
JOB PURPOSE
Provide expertise in clinical medicines review1 and
address public health and social needs of patients in GP practices
Reduce inappropriate poly-pharmacy and wasteful
prescribing through clinical medication review
Reconcile medicines following hospital discharge and work
with patients and community pharmacists to ensure patients receive the medicines
they need post discharge.
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
Interface with community and hospital pharmacy colleagues
and develop referral processes between primary care professionals including the
promotion of the repeat dispensing service
Manage the repeat prescribing reauthorisation process by
reviewing requests for repeat prescriptions and medicines reaching review dates
Manage patients and health care professionals medicine
queries
Increase quality and safety of prescribing through
mechanisms such as audit and PDSA cycles
Manage practice formularies to improve the quality, safety
and cost effectiveness of prescribing
Implement drug withdrawals and alerts e.g. MHRA aimed at
improving medicines safety
Work with primary care professional and patients to
implement NICE and other evidence based guidelines
Run clinics where medicines are the main interventions
e.g. anticoagulant monitoring clinics.
Contribute to multimorbidity reviews and multidisciplinary
reviews
Provide medicines information and training to Practice
healthcare professionals and admin staff
Review daily Pathology results for patients on known
medicines
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)
Undertake minor ailments triage: dealing with minor
ailments and triaging patients appropriately.
EXPERT PROFESSIONAL
PRACTICE
Demonstrates general pharmaceutical skills and knowledge
in core areas
Is able to plan, manage, monitor, advise and review
general pharmaceutical care programmes for patients in core areas, including
disease states / long term conditions identified by local Pharmaceutical Needs
Assessment.
Demonstrates accountability for delivering professional
expertise and direct service provision as an individuals.
Demonstrates ability to use skills in a range of routine
situations requiring analysis or comparison of a range of options.
Recognises priorities when problem-solving and identifies
deviations from the normal pattern and is able to refer to seniors or GPs when
appropriate
Is able to follow legal, ethical, professional and
organisational policies/procedures and codes of conduct.
Involves patients in decisions about prescribed medicines
and supporting adherence as per NICE guidance
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. ICS).
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.
Liaises with ICS colleagues including ICS Pharmacists on
prescribing related matters to ensure consistency of patient care and benefit.
Liaises with ICS pharmacists and Heads of Medicines
Management/ Optimisation to benefit from peer support.
Liaises with other GP and PCN Practices and staff as
needed for the collective benefit of patients
LEADERSHIP
Demonstrates understanding of the pharmacy role in
governance and is able to implement this appropriately within the workplace.
Demonstrates understanding of, and contributes to, the
workplace vision.
Demonstrates ability to improve quality within limitations
of service.
Reviews last years progress and develops clear plans to
achieve results within priorities set by others.
Demonstrates ability to motivate self to achieve goals
MANAGEMENT
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.
Follows professional and organisational
policies/procedures relating to performance management.
Demonstrates ability to extend boundaries of service
delivery within the team.
EDUCATION, TRAINING
AND DEVELOPMENT
Understands and demonstrates the characteristics of a role
model to members in the team and/or service.
Demonstrates understanding of the mentorship process.
Demonstrates ability to conduct teaching and assessment
effectively according to a learning plan with supervision from a more
experienced colleague.
Demonstrates self-development through continuous
professional development activity.
Participates in the delivery of formal education
programmes.
Demonstrates an understanding of current educational
policies relevant to working areas of practice and keeps up to date with
relevant clinical practice.
RESEARCH AND
EVALUATION
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.
Person Specification
Qualifications
Essential
- Minimum of 2 years post graduate experience in pharmacy, as demonstrated within a practice portfolio
- Member of the Royal Pharmaceutical Society (RPS)
- Member of or working towards (through foundation) RPS Faculty membership.
- May hold or be working towards a prescribing qualification.
- May hold or be working towards a postgraduate pharmacy qualification. Has an awareness of the breadth of common acute and long-term conditions that are likely to be seen in a general medical practice
Desirable
- Member of (through foundation) RPS Faculty membership.
- hold or a prescribing qualification.
- hold a postgraduate pharmacy qualification.
Experience
Essential
- Minimum of 2 years post graduate experience in pharmacy, as demonstrated within a practice portfolio
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
Prentis Medical Centre
Address
2 Prentis Road
London
SW16 1XU