Greenwich Health Ltd reiZBE61
Candidates should possess experience in primary care and preferably hold independent prescribing credentials. Responsibilities include conducting clinical medication reviews, managing long-term conditions clinics, providing telephone and in-person support for patients, and monitoring patients post-discharge. Effective communication with various healthcare professionals and adherence to safety and quality standards are essential. The position requires a commitment to continuous professional development and involvement in the PCN’s initiatives to enhance healthcare delivery and patient outcomes.
The post holder will be employed by Greenwich Health, the GP Federation in Greenwich. Greenwich has 7 primary care networks (PCNS) with list sizes of between 30-80,000 patients. The Post holder will work for Valentine Health Partnership, part of Valentine Primary Care Network.
Your normal hours of work will be between 8.00 a.m. to 8.00 p.m. Monday to Saturday.
The post holder will work as part of a multi-disciplinary team in a patient-facing role
Proactively manage patients with co-morbidities
Provide support to general practice staff with regards to prescription and medication queries. 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 practices
Provide leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.
The post holder will preferably be an independent prescriber (not essential) and has experience of working in primary care. Will need to be able to:
- Hold patient facing reviews and provide medicine support
- Manage medicines in discharges from hospital
- Hold long-term conditions clinics
- Provide patient telephone support
- Be a centre of medicines information for practice staff
- support and adhere to repeat prescribing processes
- Support medicines safety and local/national guidelines
About us
Job Summary
The post holder will work as part of a multi-disciplinary team in a patient-facing role.
Proactively manage patients with co-morbidities in the area of chronic disease management within the practice.
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 practices.
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 role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.
Your normal hours of work will be between 8.00 a.m. to 8.00 p.m. Monday to Saturday.
Individual Responsibilities
The post holder is expected to:
Adhere to organisation policies and procedures and relevant legislation including the requirements of any professional bodies.
Maintain satisfactory personal performances and professional standards and to achieve agreed objectives for their role.
Attend mandatory training as identified by the organisation.
Participate in a Performance Appraisal Scheme and to contribute to their own development and the development of any staff they are responsible for appraising.
Responsible to have professional indemnity suitable for the range of work undertaking.
Responsible to have authorisation for making changes to prescribing records within the practice. This may be by written agreement or GP signature for specific audits.
Working Relationships:
Patients and carers where appropriate
GPs, nurses and other practice staff including practice pharmacists
GP prescribing leads
CCG pharmacists and medicines management team
Secondary Care and interface Pharmacists
Community Nurses and other allied health professionals
Community Pharmacists and support staff
The post holder is expected to work as a flexible member of the PCN providing support to other team members when necessary and to take an active role in the development and embedding of the PCNs culture, values and reputation as providers of high quality services.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, to include:
Using personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Reporting potential risks identified
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feeling priorities and rights.
Personal/Professional Development:
The post-holder will participate in any training programme implemented by the PCN as part of this employment, such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skill and activities to others who are undertaking similar work
Training may need to be undertaken outside of normal practice hours, and off site.
The PCN have invested in support from an organisation called Soar Beyond. Soar Beyond specialise in supporting the creation of teams of pharmacists across a network of practices. It is supported by a web platform called SMART which assesses pharmacist competency levels in a range of different disease areas and is backed up by training programmes to develop the individual where there might be gaps that the individual and the PCN would like to be filled. Currently the team is working towards competency in Diabetes management and the PCN is implementing a pharmacist led Diabetes pathway to be used across practices.
Quality and Governance:
The post-holder will strive to maintain quality within the PCN, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision.
Work effectively with individuals in other agencies
Effectively manage own time, workload and resources
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy, act appropriately and in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients with multimorbidity and poly-pharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
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 manage these changes without referral to a GP.
Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care.
Patient facing Long term condition
Manage own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber (if suitably qualified)
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).
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 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
Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines.
Telephone triage
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 test 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required.
Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Medicines safety
Identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials.
Manage the process of implementing changes to medicines and guidance for practitioners.
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