Job summary
The post holder is an independent prescribing Clinical Pharmacist, who acts within their professional boundaries, supporting and working alongside a team of Pharmacists in General Practice. In this role they will be supported by a GP who will develop, manage, support and mentor them.

Main duties of the job

• See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g., COPD, asthma). 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 Senior Pharmacists or GPs for medicine improvement.
• Undertake clinical medication reviews with patients and produce recommendations for Nurses and/or GP on prescribing and monitoring.
• Undertake clinical medication reviews with patients and produce recommendations for theNurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

About us
PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS

• NHS Pension 2015 Scheme (subject to eligibility)
• Alternative government-based scheme (subject to eligibility)
• Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
• Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
• Working in a multi-disciplinary team with support from a wide variety of professionals
• A flexible approach to a work-life balance
• Cycle to work scheme (subject to eligibility)
• Access to Blue Light Card scheme
• All staff events and conferences
• Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
• Free parking across many sites
• Personalised induction into the company and job role

Job responsibilities

• Patient facing long-term condition clinics
  See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g., COPD, asthma). 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 Senior Pharmacists or GPs for medicine improvement.
• Patient facing clinical medication review
  Undertake clinical medication reviews with patients and produce recommendations for Nurses and/or GP on prescribing and monitoring.
• Patient facing care home medication review
  Undertake clinical medication reviews with patients and produce recommendations for the Nurses or GPs on prescribing and monitoring. Work with 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 Nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
• Patient facing structured medication reviews
  Undertake structured medication reviews with patients in practice/home visits.
• 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 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.
• Medicine information to practice staff and patients
  Answers 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
  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).
• 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
  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 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.
• Extended access clinics
  Contribute to our extended access allocation which includes early morning/evening clinics (7am starts or 8pm finishes).
• 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 simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
• Debriefs
  Contribute to the debriefing of ARRS pharmacy team members within the practice and support their ongoing learning and professional development.
• CQC Safety Searches
  Contribute to the running of CQC searches in Systmone to help the practice identify clinical risks and manage the correctly.
• Drug monitoring
  Monitor patients prescribed high-risk medications, including DOACs, to ensure appropriate and timely safety monitoring is completed in line with clinical guidelines.
• Prescription clerks
  Collaborate closely with prescription clerks to ensure the accurate and appropriate ordering and prescribing of medications in line with clinical guidelines.
• 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 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 the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
• Education and training
  Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
• Practice Meetings
  Provide any updates/learning to the clinical team during our practice clinical meetings.
• Care Quality Commission
  Work with the 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.

Collaborative working relationships
The post holder will:

• Recognise the roles of other colleagues within the organisation and their role to patientcare
• Demonstrate use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g., CCGs)
• Demonstrate ability to work as a member of a team
• Recognise personal limitations and refer to more appropriate colleague(s)when necessary
• Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
• Foster and maintain strong links with all services across locality
• Explore the potential for collaborative working and takes opportunities to initiate and sustain such relationships
• Demonstrate ability to integrate general practice with community and hospital pharmacy teams
• Liaise with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
• Liaise with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
• Liaise with other GP Practices and staff as needed for the collective benefit of patients including but not limited to: Patients, GP, Nurses, and other practice staff, Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc, Locality / GP prescribing lead, Locality managers, Community nurses and other allied health professionals, Community and hospital pharmacy teams, Hospital staff with responsibilities for prescribing and medicines optimisation

Person Specification
Qualifications
Essential

• Please provide details of your CPD, using examples where necessary.
• Please provide your registration number of your GPhC professional registration.

Personal Qualities
Essential

• Please provide details for why you would be a great fit for this role and why you have decided to apply.

Experience
Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and Skills
Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Primary Integrated Community Services
Address: Whyburn Medical Practice, Curtis St, Hucknall, Nottingham, NG15 7JE, United Kingdom
Employer's website: http://picsnhs.org.uk/ (Opens in a new tab)

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applicants must have current UK professional registration.