JOB PURPOSE: To work as the PCN Senior Clinical Pharmacist working on PCN needs and helping to develop the current Pharmacist Tea.....
JOB PURPOSE: To work as the PCN Senior Clinical Pharmacist working on PCN needs and helping to develop the current Pharmacist Team, to work on PCN Contracts, and to further develop working practices to maximise patient health while reducing the workload of GPs. The post holder is a Senior Clinical Pharmacist, who acts within their professional boundaries, supporting and working alongside a team of Clinical Pharmacists in General Practice to develop, manage and mentor them. The post holder will be currently working at, or working towards, Advanced Clinical Practitioner level. 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 practices and undertake clinical medication reviews, including structured medication reviews (SMR), monitor electronic repeat dispensing (eRD) prescribing, evaluate prescribing in line with local and national guidelines, review emerging evidence/research and liaise with community pharmacy representatives 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 patients 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 (QOF) and enhanced services, including the Investment and Impact Fund (IIF). The post holder will ensure that the practice(s) integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload, which may involve optimising the use of digital technologies. 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 have or working towards a non-medical prescriber qualification but will be supported to develop their scope of practice in line with the needs of the PCN/practice(s) but also their own training needs analysis discussed with their line manager. Patient facing/telephone/video Long-term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. chronic obstructive pulmonary disease (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 GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement. Patient facing/telephone/video Clinical Medication Review (including SMR) Undertake clinical medication reviews with patients and make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement. SMRs will be conducted against the PCN plan and in accordance with each practice(s) specific local implementation of that plan. Patient facing/telephone/video care home medication reviews (including SMR) Undertake clinical medication reviews with patients and produce recommendations to GPs/other clinical colleagues on prescribing and monitoring or prescribe autonomously where appropriate. Work with care home staff to improve safety of medicines ordering and administration. SMRs will be conducted against the PCN plan and in accordance with each practice(s) specific local implementation of that plan. Patient facing/telephone/video domiciliary clinical medication review (including SMR) Undertake clinical medication reviews with patients and make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement. SMRs will be conducted against the PCN plan and in accordance with each practice(s) specific local implementation of that plan. SMR Lead on the development of the PCN SMR plan working collaboratively with the Clinical Pharmacists, key PCN colleagues such as Care Home Matrons and Dieticians and the ICB Medicines Management Team. Lead on collating progress reports from each practice to feedback to the PCN. 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/other clinical colleagues where appropriate. Working with colleagues (including community pharmacies) to promote the use of the Community Pharmacist Consultation Service (CPCS). Patient facing/telephone/video medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Medicine information to practice staff and patients Answer 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 Lead on coordinating at PCN level (where appropriate) and contribute at practice level to review of 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). For more information, please see the supporting documents.
