South Durham Health CICrGHBqQvi
Additionally, the Clinical Pharmacist will have a significant role in collaborating with stakeholders, conducting clinical audits, ensuring compliance with CQC standards, and participating in public health campaigns. The position emphasises continuous professional development, with opportunities for training in line with individual and team goals. Overall, the role aims to improve patient outcomes through effective medicine management and contributing to the financial stability of practice through optimized medication use.
An exciting opportunity has arisen for a Clinical Pharmacist to join our growing multi-disciplinary team.
Teamwork, flexibility, enthusiasm and the ability to prioritise tasks effectively are essential skills.
Please note, for this role, we require the successful candidate to have either completed, be enrolled on or intend to complete the CPPE pathway.
We are committed to the ongoing development of our team, which includes mandatory and developmental training for all our staff. Team members are encouraged to highlight any training they feel would benefit them in the achievement of their role.
Working within your clinical and professional boundaries in a patient facing role as part of a multidisciplinary team to manage medicines on transfer of care and systems for safer prescribing. Perform face-to-face structured medication reviews of patients with polypharmacy; especially for those with frailty and/or with multiple co-morbidities as well as undertaking reviews of patients with specific long-term conditions that fall within your competency.
Work in partnership with stake holder organisations to improve the safety and quality of care for patients and manage medicines on transfer of care. Deliver medicines optimisation initiatives within GP practices including the provision of specialist professional pharmaceutical advice and services to ensure the safe and cost-effective use of medicines. This will involve work to deliver key medicines optimisation outcomes against a set work plan. Contribute to quality improvement and clinical audit, as well as supporting aspects of the Quality and Outcomes Framework, medicines safety and antibiotic stewardship. You will also be required to contribute towards practice financial stability through medicines optimisation and related targets in QOF.
About us
Patient facing - long-term condition clinics
Working within the practice-based team to undertake medication reviews particularly in high-risk groups such as:
- Frail elderly
- Polypharmacy
- Renal impairment
- Hepatic impairment
- Substance misuse
- Patients on high-risk medicines
- STOPP/START identified patients
- Revolving door Hospital admissions
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 GPs for medicine improvement.
Patient facing Structured Medication Review
Undertake structured medication reviews with patients and produce recommendations for nurses and/or GPs on prescribing and monitoring.
This would be a level 3 clinical medication review looking at the patients full clinical condition, blood monitoring, interface care arrangements, social isolation etc. including reducing inappropriate polypharmacy and wasteful prescribing.
Care Home Medication Reviews
Undertake structured medication reviews and produce recommendations for nurses or GPs on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Management of common/minor/self-limiting ailments
Managing caseload of 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 or other healthcare professionals where appropriate.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.
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 relevant 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 and effect of any changes.
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.
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).
Medicines Optimisation
Deliver medicines optimisation outcomes against a set workplan dealing with cost saving initiatives, QIPP and medication safety work streams.
Interface
Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service
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.
Repeat Prescribing
Participate in 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.
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.
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).
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.
Increase safe and effective prescribing through mechanisms such as audit. Improve quality in prescribing using Quality Improvement methodology including the use of Plan Do Study Act (PDSA) cycles.
Implementation of local and national guidelines and formulary recommendations
Monitor practice prescribing and make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care.
Auditing practices compliance against NICE guidelines.
Education and training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with general 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 the general public.
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