Practice based Clinical Pharmacist inWarminster inWarminster PUBLISHED 16 OCT 2024

The Avenue Surgery is seeking an enthusiastic and forward-thinking clinical pharmacist to join our like minded team. The successful individual will play an important role in working with the current pharmacy team to ensure excellent standards of repeat prescribing, medication reviews, medicine optimisation and contributing to improving the quality of care to our practice patient population. the pharmacist will be in a patient facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas.

The individual will be required to enrol and complete the PCCE pathway and will be supported to develop thier role to become a non-medical prescriber(if not already qualified).

Primary duties include:

* Patient facing clinics dealing with LTC, clinical medication review, care home medication and domiciliary medication reviews.

* Management of common/minor/self limiting ailments and patient medicines support.

* Management of medication at discharge for hospital, review of unplanned hospital admissions.

* Repeat prescribing, risk stratification and service development and medicines safety.

* Ensuring that all local and national guidelines are implemented and formulary recommendations are followed.

About us

Clinical Practice Based Pharmacist

Role Details

Job Title

Clinical Practice based Pharmacist

Salary / Grade

Dependant on experience and subject to ARRS funding per annum

Hours per week

Part time hours

21 - 30 hours per week

Reports to

GP Partner prescribing lead

Primary Location/ Base

The Avenue Surgery

Job Summary

The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside the pharmacy team within the practice. In this role they will be supported by the senior GP partner prescribing lead.

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 prescription 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 address in both public and social care needs of patients in the practice.

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 the 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.

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, making appropriate recommendations to GPs for medicine improvement including IIF/ QOF requirements.

Patient facing clinical medication review

Undertake clinical medication reviews with patients and produce recommendations for nurses and/or GP on prescribing and monitoring including IIF/ QOF requirements.

Patient facing care home medication

Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring including IIF/QOF requirements.

Work with he 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 GP on prescribing and monitoring including IIF/QOF requirements.

Attend and refer patients to multidisciplinary meetings.

Management of common/ minor/self-limiting ailments.

Managing caseload of patients with common/ minor/self-limiting ailments while working within the scope of practice and limits of competence.

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Patient medicines support

Provide patient facing clinics/ telephone support for those with questions, queries or concerns about their medicines in the practice.

Medicine information to practice staff and patients

Answer relevant medicine related enquiries from practice staff, other healthcare teams (community pharmacy).

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 admission and readmission through audit and individual patient reviews.

Put in place 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 hospital, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure the patient receive the medicines they need post discharge.

Set up and manage systems to ensure continuity of medicines supply to high risk groups of patients.

Signposting

Ensure that patients are referred to appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

Repeat prescribing

Produce and implement a practice repeat prescribing policy.

Manage the repeat prescribing reauthorisation process by reviewing patient requests 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.

Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

Undertake clinical 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 GP.

Assist practice in seeing and maintaining a practice formulary that is hosted on the practice computer system.

Auditing practices compliance against NICE guidance.

Education and training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

CQC

Work with 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 practice patients.

HEALTH & SAFETY

• The post-holder will manage their own and others health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures.
• Comply with Practice health and safety policies by following agreed safe working procedures.
• Awareness and compliance with national standards of infection control, hygiene, regulatory / contractual / professional requirements, and good practice guidelines.
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Reporting incidents using the organisations Incident Reporting System.

CONFIDENTIALITY

• Maintain confidentiality of information, always acting within the terms of the Data Protection Act and Caldicott guidance on patient confidentiality.
• Maintain an awareness of the Freedom of Information Act.

EQUALITY AND DIVERSITY

• The post-holder will support, promote, and maintain the Practices Equality & Diversity Policy.
• No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.
• The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families.

JOB DESCRIPTION AGREEMENT

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.