Job SummaryPioneers Integrated Partnership Primary Care Network is recruiting for a Senior Clinical Pharmacist to be part of the new Primary Care Network multidisciplinary team.
The successful candidate will be working to provide:
- Prescribing quality improvements and medicines optimisation.
- Holistic approach, personalised centred care to the patients within the PCN community.
- Support to the wide multidisciplinary team and proactive population health education.
The successful candidate will have completed their CPPE primary care pathway and will be an independent prescriber. They will perform face-to-face and telephone medication reviews of patients with polypharmacy especially for older people, people resident in care homes and those with multiple co-morbidities.
Also, the successful candidate will have a role in managing long-term conditions; working directly with patients to assess and treat conditions, as well as promote self-care. The successful applicant will work as part of a multidisciplinary team to develop and run processes for repeat prescription reauthorisation, management of medicines on transfer of care and systems for safer prescribing. The candidate will have excellent written and verbal communication skills, experience of influencing others and conducting clinical medication reviews. The successful candidate will provide leadership on quality improvement and clinical audit, as well as managing some aspects of the Quality and Outcomes Framework.
Main Duties of the JobTo support the General Practitioners, Specialist Nurses and the wider team by providing expertise, management in regards to medicines, prescribing, regulatory affairs, audit, compliance and best practice with regards to medicines and Medicines Optimisation.
The post holder will work within their clinical competencies as part of a multidisciplinary team to provide expertise in clinical medicines management, provide face to face and telephone structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations including signing off repeat prescriptions, reviewing and signing off acute prescription requests, while addressing both the public health and social care needs of patients in the GP practices that make up the PCN.
To work with patients, their carers/relatives, practice staff, primary care teams and secondary care teams to ensure patients receive a service around their medicines that is of high quality, efficiency, cost effectiveness and an overall good experience for the patient. This will also include ensuring patients have the correct access to medicines that meets their needs, their medication is optimised and they understand and are part of the decision making process around their medication prescribing.
Through working with Practice Managers, Partnership Leads and colleagues in Secondary Care, to ensure services are cost effective and any targets on cost reduction are met.
About UsPioneers Integrated Partnership Primary Network consists of three GP practices to deliver healthcare services to a population of over 39k. This is a unique opportunity to co-create the future of the Clinical Pharmacist workforce within the Primary Care Network.
The local community is rich blend of cultures and diverse backgrounds. There are practice-based Clinical Pharmacists in the Pioneers Integrated Partnership Primary Network to mentor and support.
Key Relationships (not exhaustive)- Patients, carers and relatives
- Partnership Prescribing Leads
- Partnership GPs and Nurses
- Other members of the Primary Care Team including Commissioners
- SWB Chief Pharmacist
- Other members of the Secondary Care Team
- Other relevant organisations/bodies from time to time as required e.g. CQC, MHRA, GPhC, etc.
Main Duties and ResponsibilitiesWork closely with GPs to resolve day to day medicines related issues. Provide expertise in practical therapeutics and clinical pharmacy input.
Work with patients to allow them to successfully self-manage their well-being and long term conditions. This will be through optimising their medicines and ensuring side effects and adverse events from their medication are identified and resolved in a timely and safe manner. This may also include titration of doses and de-prescribing as needed.
The post holder will perform face-to-face and telephone medication review 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 and well as managing some aspects of the Quality and outcomes framework.
To evaluate the prescribing and advice needs of individual patients with complex and multiple needs, agreeing treatment changes through face to face reviews and telephone consultations.
To implement, review and monitor the outcomes of the above, in a self-directed and managed manner. To develop bespoke integrated pharmaceutical care plans for both individual patients and for patient populations.
To act as an independent prescriber at a suitable level to ensure all aspects of the main duties and responsibilities are met. This may require being competent to prescribe with a wide enough scope of practice that in itself may need to change over time.
Manage patients with more complex long term conditions and act as a prescriber accordingly to manage those patients conditions.
Offer a holistic approach to the use and understanding of medicines by patients and their carers that includes step up and step down management required in Long Term Conditions or possibly End of Life.
Manage the repeat and acute prescribing authorization process including signing prescriptions by reviewing medication requests, medicines reaching review dates and medicine queries.
Increase the uptake of new medicines with a focus on overall value rather than focusing exclusively on drug cost.
To reconcile medicines at interfaces and transfer of care, including discharge from Secondary and Intermediary Care. To include, identifying any unexplained changes, completing clinical medication review and arranging follow up such as follow up tests, dose titration and medication supply where appropriate.
Contribute to reducing medicines related hospital admissions and readmissions by proactively targeting reviews at patients identified as being at greatest risk. This may include working with patients and staff in residential or care homes and those in Intermediary Care facilities and wards.
To provide prescribing support and guidelines for Practice GPs, working with them and Secondary Care colleagues to ensure patients receive seamless care across the interfaces.
Manage medicines shortages by suggesting suitable alternatives, managing the communication across the practices and ensuring any prescribing system changes to support this are actioned.
Interpret national and local commissioning decisions as they relate to medicines, making recommendations and developing and leading on action plans to meet those recommendations.
Facilitate communication and liaise across patients care pathway (including the wider primary care workforce, secondary care, social care and domiciliary environments).
Support the GPs and other practice staff to deliver QOF, PCCF and enhanced services.
To identify and lead on any statutory and regulatory requirements relating to medicines and prescribing for the Practices. To conduct regular audits, develop and lead on action plans deliver necessary changes to ensure compliance. This will also include any requirements relating to medicines and prescribing by the CQC, CCGs, etc.
Conduct clinical audit as part of the multidisciplinary team and ensure implementation of any agreed actions.
Develop and maintain robust risk management arrangements in relation to medicines and prescribing.
Monitor the services around medicines and prescribing in terms of activity, effectiveness, risk, safety and quality using a range of key performance indicators.
Contribute to clinical education of our healthcare professionals and patients/carers.
To assist in the provision of work experience and training of vocational students.
Implementation of drug alerts e.g. MHRA and drug withdrawal/supply issues affecting patients.
Identify opportunities for savings and efficiencies where that does not conflict with the interest of the individual patient. To develop and lead on action plans to ensure those savings are realised within the required timescales.
Support innovation and clinical research where appropriate and through working with partners external to the Practice(s) as needed.
Ensure own CPD and PDP are identified and maintained together with competence and any reaccreditation for registration(s) and acting as an Independent Prescriber.
To work across all areas of the organisations as needed.
Person SpecificationQualificationsEssential- Registration with General Pharmaceutical Council (GPhC)
- Completion of CPPE Primary Care Pathway
- Completion of Independent Prescribing Qualification
- Five years post registration
- Membership of College of Paramedic
- Evidence of CPD
Desirable- Long Term Conditions Qualifications
ExperienceEssential- Understanding of the Data Protection Act and patient confidentiality, clinical governance, information governance and Caldicott requirements
- Previous primary care experience
- Reauthorisation and signing off repeat and acute prescriptions
- Polypharmacy/structured medication reviews
- Long-term condition management
Desirable- Pain management reviews
- Audit
Disclosure and Barring Service CheckThis 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 RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
