Clinical Pharmacist inPapworth Everard inPapworth Everard PUBLISHED 25 DEC 2023
Huntingdon PCN rl3m10F6
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1.
Patient facing Long-term condition Clinics
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the on-going 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 Pharmacists or GPs for medicine improvement.
2.
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.
3.
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. Manage therapeutic drug monitoring system and recall of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and DMARDs etc.
4.
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.
5.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
6.
Telephone medicines support
Provide a telephone help line for patients with questions, queries and concerns about their medicines.
7.
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).
8.
Medicine information to practice staff and patients
Answer relevant medicine-related enquiries from GPs, other network 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.
9.
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.
10.
Repeat prescribing
Produce and implement a repeat prescribing policy within each PCN practice. 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.
11.
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).
12.
Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
13.
Medicines quality improvement
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.
14.
Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
15.
Implementation of local and national guidelines and formulary recommendations
Monitor practice prescribing against the local health economy's 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 practices in seeing and maintaining a practice formulary that is hosted on each practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
16.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
17.
Care Quality Commission
Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.
18.
Public health
To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.
19.
Collaborative working arrangements
Participates in the PCN MDT.
Liaises with ICB colleagues including ICB pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Liaises with colleagues including ICB, STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit
Liaises with colleagues including ICB, STP/ICS Pharmacists, Pharmacy Technicians and Heads of Medicines Management/Optimisation to benefit from peer support.
Foster and maintain strong links with all services across the PCN and neighbouring networks.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:
Patients and their representatives
GP, nurses and other practice staff
Social Prescribers, First Contact Physiotherapists, Physician Associates and Paramedics.
Community pharmacists and support staff
Other members of the medicines management (MM) team including Pharmacists, Pharmacy Technicians and Dieticians
Locality / GP prescribing lead
Locality managers
Community nurses and other allied health professionals
Hospital staff with responsibilities for prescribing and medicines optimisation
To be responsible for implementing an effective medicine management system within the practices, including cost-effective prescribing, working as an independent prescriber or willing to work towards independent prescribing status, providing advice and support for both patients and colleagues. In addition, the post-holder will also support the multi- disciplinary team, in line with the strategic objectives of the PCN.
The post holder will be employed by Huntingdon PCN on behalf of Huntingdon Primary Care Network.
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(s) that make up the PCN.
The post holder will perform face to face medication reviews of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit as 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.
The post holder will be supported to develop their role to become a non-medical prescriber, if that qualification is not already held.
Duties will be allocated and varied according to practice need.
1.
Patient facing Long-term condition Clinics
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the on-going 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 Pharmacists or GPs for medicine improvement.
2.
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.
3.
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. Manage therapeutic drug monitoring system and recall of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and DMARDs etc.
4.
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.
5.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
6.
Telephone medicines support
Provide a telephone help line for patients with questions, queries and concerns about their medicines.
7.
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).
8.
Medicine information to practice staff and patients
Answer relevant medicine-related enquiries from GPs, other network 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.
9.
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.
10.
Repeat prescribing
Produce and implement a repeat prescribing policy within each PCN practice. 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.
11.
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).
12.
Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
13.
Medicines quality improvement
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.
14.
Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
15.
Implementation of local and national guidelines and formulary recommendations
Monitor practice prescribing against the local health economy's 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 practices in seeing and maintaining a practice formulary that is hosted on each practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
16.
Education and Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
17.
Care Quality Commission
Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.
18.
Public health
To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.
19.
Collaborative working arrangements
Participates in the PCN MDT.
Liaises with ICB colleagues including ICB pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Liaises with colleagues including ICB, STP/ICS Pharmacists and Pharmacy Technicians on prescribing related matters to ensure consistency of patient care and benefit
Liaises with colleagues including ICB, STP/ICS Pharmacists, Pharmacy Technicians and Heads of Medicines Management/Optimisation to benefit from peer support.
Foster and maintain strong links with all services across the PCN and neighbouring networks.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:
Patients and their representatives
GP, nurses and other practice staff
Social Prescribers, First Contact Physiotherapists, Physician Associates and Paramedics.
Community pharmacists and support staff
Other members of the medicines management (MM) team including Pharmacists, Pharmacy Technicians and Dieticians
Locality / GP prescribing lead
Locality managers
Community nurses and other allied health professionals
Hospital staff with responsibilities for prescribing and medicines optimisation
To be responsible for implementing an effective medicine management system within the practices, including cost-effective prescribing, working as an independent prescriber or willing to work towards independent prescribing status, providing advice and support for both patients and colleagues. In addition, the post-holder will also support the multi- disciplinary team, in line with the strategic objectives of the PCN.
The post holder will be employed by Huntingdon PCN on behalf of Huntingdon Primary Care Network.
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(s) that make up the PCN.
The post holder will perform face to face medication reviews of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit as 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.
The post holder will be supported to develop their role to become a non-medical prescriber, if that qualification is not already held.
Duties will be allocated and varied according to practice need.
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