Clinical Pharmacist
Posted 4 days ago by NHS
£80,000 - £100,000 Annual
Permanent
Full Time
Other
Essex, Southend-on-sea, United Kingdom, SS1 1
Job Description
To optimisemedicines management processes and achieve highly effective, safe,patient-centred prescribing within a defined locality across a number ofsurgeries. The Practice Pharmacist will be expected to work autonomously, butwith the support of the multi-professional primary care team.
Within theteam the Practice Pharmacist will focus on developing medicines optimisationservices across the locality. This involves running processes for repeatprescription reauthorisation, management of medicines on transfer of care anddeveloping systems for safer prescribing. The Practice Pharmacist will carryout medication reviews for patients with polypharmacy - especially for olderpeople, people resident in care homes and those with multipleco-morbidities/long-term conditions.
The PracticePharmacist will provide leadership on quality improvement and clinical audit,as well as managing some aspects of the Quality and Outcomes Framework. Byworking across surgeries, there is the opportunity to share ideas and examplesof good practice. Time will be split proportionately, depending on thesurgerys list size, and work will vary depending on the needs of the practice.
Main duties of the job Main Responsibilities
-To maintainregistration as a pharmacist and comply with appropriate professional codes
-To plan andorganise own workload, including audit, project work, and provide trainingsessions for other members of the multi-disciplinary team.
-Maintain anddevelop professional competence and expertise, keep up to date withmedical/therapeutic evidence and opinion, and local and national service,legislation and policy developments
-To develop andfacilitate good working relationships with community pharmacists and otherstakeholders
-Attend local,regional and national meetings of relevance
-Undertake anyother duties commensurate with the post holders grade as agreed with thelocality and/or practice lead GPs
-All employeesshould understand that it is their personal responsibility to comply with allorganisational and statutory requirements (e.g. health and safety, equaltreatment and diversity, confidentiality and clinical governance).
About us Southend East PCN is based in Shoeburyness, Essex. The PCN has its own building - Norton Place, which it works out of independently from the surgeries. The PCN is made up of 4 surgeries - Central Surgery (Dr Irlam), Southend Coastal Surgeries, Dr Palacin and Drs Kumar&Sinha which covers around 37,000 patients.
The PCN employs about 40 staff, fully utilising ARRS and other funding streams to deliver the PCN DES. At the PCN, you will be working with a wide range of Professionals, making up a Multi-disciplinary team as well as working in the surgeries to support with Medicines Optimisation and Medication Reviews.
Job responsibilities Main Responsibilities
To maintainregistration as a pharmacist and comply with appropriate professional codes
To plan andorganise own workload, including audit, project work, and provide trainingsessions for other members of the multi-disciplinary team.
Maintain anddevelop professional competence and expertise, keep up to date withmedical/therapeutic evidence and opinion, and local and national service,legislation and policy developments
To develop andfacilitate good working relationships with community pharmacists and otherstakeholders
Attend local,regional and national meetings of relevance
Undertake anyother duties commensurate with the post holders grade as agreed with thelocality and/or practice lead GPs
All employeesshould understand that it is their personal responsibility to comply with allorganisational and statutory requirements (e.g. health and safety, equaltreatment and diversity, confidentiality and clinical governance).
Key Duties
Management of medicinesafter discharge from hospital
To reconcilemedicines following discharge from hospitals, intermediate care and into carehomes; identify and rectify unexplained changes; manage these changes withoutreferral to the GP; perform a clinical medication review; produce apost-discharge medicines care plan including dose titration and booking offollow-up tests. Work with patients and community pharmacists to ensurepatients receive the medicines they need post discharge. Set up and managesystems to ensure continuity of medicines supply to high-risk groups ofpatients (e.g. those with medicine compliance aids or those in care homes).Work in partnership with hospital colleagues (e.g. care of the elderly doctorsand clinical pharmacists) to proactively manage patients at high risk ofmedicine-related problems before they are discharged to ensure continuity ofcare
Design, develop and implementsearches to identify cohorts of patients at high risk of harm from medicines.Work with patients and the primary care team to minimise risks throughmedicines optimisation. Implement local and national guidelines and formularyrecommendations. Monitor practice prescribing against the local healtheconomys Red/Amber/Green/Grey lists for medicines that should be prescribed byhospital doctors or subject to shared care. Liaise directly with hospitalcolleagues where prescribing needs to be returned to specialists. Suggest anddevelop computer decision support tools to help remind prescribers about theagreed formulary choice and local recommendations. Audit practices compliancewith NICE guidance. Proactively provide practice communications on importantprescribing messages to improve prescribers knowledge and work with the teamto develop and implement other techniques known to influence implementation ofevidence.
Unplanned hospitaladmissions
Devise and implement practicesearches to identify cohorts of patients most likely to be at risk of anunplanned admission and readmissions from medicines. Work withmulti-professional colleagues to manage medicines-related risk for readmissionand patient harm. Put in place changes to reduce the prescribing of thesemedicines to high-risk patient groups
Repeat prescribing
Review,update and implement a practice repeat prescribing policy. Manage the repeatprescribing reauthorisation process by reviewing patient requests for repeatprescriptions and reviewing medicines reaching review dates.
Provide a telephone help linefor patients with questions, queries and concerns about their medicines. Holdclinics for patients requiring face-toface clinical medication reviews (CMRs)i.e. a review of the ongoing need for each medicine, a review of monitoringneeds and an opportunity to support patients with their medicine taking.Identify people at risk of hospital admission and harm from poor use ofmedicines. Attend and refer patients to multidisciplinary team meetings.
Care home medication reviews
Manage caseload of care homeresidents (if required by the practice). Undertake clinical medication reviewswith patients with multimorbidity and polypharmacy. Work with care home staffto improve safety of medicines ordering and administration.
Long term condition clinics
See patients inmulti-morbidity clinics and in partnership with primary healthcare colleaguesand implement improvements to patients medicines, including de-prescribing.
Develop and manage new servicesthat are built around new medicines or NICE guidance, where newmedicine/recommendations allow the development of a new care pathway (e.g. neworal anticoagulants for stroke prevention in atrial fibrillation)
Care Quality Commission (CQC)
Provideleadership to the practice manager and GPs to ensure the practice is compliantwith CQC standards where medicines are involved
Cost saving programmes
Make recommendations for,support and supervise practice prescribing clerks. Make changes to medicinesdesigned to save on medicine costs where a medicine or product with loweracquisition cost is now available
Medicine information topractice staff and patients
Answer all medicine relatedenquiries from GPs, practice staff and patients. Provide follow ups forpatients to monitor the effect of any changes
Identify and provide leadershipon areas of prescribing requiring improvement. Either conduct own audits andimprovement projects or work with colleagues such as GP registrars. Presentresults and provide leadership on suggested change. Contribute to national andlocal research initiatives
Training & SharedLearning
Provideeducation and training to primary healthcare team on therapeutics and medicinesoptimisation. Provide training to visiting medical students. Facilitate sharedlearning across the practices on medication related issues, offeringprofessional support and leadership.
Professionalresponsibilities
Work autonomouslyand be accountable for his/her professional actions.
Be responsiblefor remaining up-to-date with CPD requirements to maintain professionalregistration
To ensure owneducational commitment is at least sufficient to maintain CPD requirements andto ensure own mandatory training certificates are current, in line withorganisational policy.
To offer clinicalleadership, support and training to colleagues and students.
To demonstrate aclear understanding of the accountability and legal implications of the role.
To participate ina regular performance review with Clinical Pharmacist Manager, using agreedcompetency framework appropriate to the individuals scope of practice.
ClinicalResponsibilities
Highlightany gaps in knowledge/training needs to the Clinical Pharmacist Manager toallow them the opportunity to offer support in order to fulfil the duties ofthis post.
. click apply for full job details
Within theteam the Practice Pharmacist will focus on developing medicines optimisationservices across the locality. This involves running processes for repeatprescription reauthorisation, management of medicines on transfer of care anddeveloping systems for safer prescribing. The Practice Pharmacist will carryout medication reviews for patients with polypharmacy - especially for olderpeople, people resident in care homes and those with multipleco-morbidities/long-term conditions.
The PracticePharmacist will provide leadership on quality improvement and clinical audit,as well as managing some aspects of the Quality and Outcomes Framework. Byworking across surgeries, there is the opportunity to share ideas and examplesof good practice. Time will be split proportionately, depending on thesurgerys list size, and work will vary depending on the needs of the practice.
Main duties of the job Main Responsibilities
-To maintainregistration as a pharmacist and comply with appropriate professional codes
-To plan andorganise own workload, including audit, project work, and provide trainingsessions for other members of the multi-disciplinary team.
-Maintain anddevelop professional competence and expertise, keep up to date withmedical/therapeutic evidence and opinion, and local and national service,legislation and policy developments
-To develop andfacilitate good working relationships with community pharmacists and otherstakeholders
-Attend local,regional and national meetings of relevance
-Undertake anyother duties commensurate with the post holders grade as agreed with thelocality and/or practice lead GPs
-All employeesshould understand that it is their personal responsibility to comply with allorganisational and statutory requirements (e.g. health and safety, equaltreatment and diversity, confidentiality and clinical governance).
About us Southend East PCN is based in Shoeburyness, Essex. The PCN has its own building - Norton Place, which it works out of independently from the surgeries. The PCN is made up of 4 surgeries - Central Surgery (Dr Irlam), Southend Coastal Surgeries, Dr Palacin and Drs Kumar&Sinha which covers around 37,000 patients.
The PCN employs about 40 staff, fully utilising ARRS and other funding streams to deliver the PCN DES. At the PCN, you will be working with a wide range of Professionals, making up a Multi-disciplinary team as well as working in the surgeries to support with Medicines Optimisation and Medication Reviews.
Job responsibilities Main Responsibilities
To maintainregistration as a pharmacist and comply with appropriate professional codes
To plan andorganise own workload, including audit, project work, and provide trainingsessions for other members of the multi-disciplinary team.
Maintain anddevelop professional competence and expertise, keep up to date withmedical/therapeutic evidence and opinion, and local and national service,legislation and policy developments
To develop andfacilitate good working relationships with community pharmacists and otherstakeholders
Attend local,regional and national meetings of relevance
Undertake anyother duties commensurate with the post holders grade as agreed with thelocality and/or practice lead GPs
All employeesshould understand that it is their personal responsibility to comply with allorganisational and statutory requirements (e.g. health and safety, equaltreatment and diversity, confidentiality and clinical governance).
Key Duties
Management of medicinesafter discharge from hospital
To reconcilemedicines following discharge from hospitals, intermediate care and into carehomes; identify and rectify unexplained changes; manage these changes withoutreferral to the GP; perform a clinical medication review; produce apost-discharge medicines care plan including dose titration and booking offollow-up tests. Work with patients and community pharmacists to ensurepatients receive the medicines they need post discharge. Set up and managesystems to ensure continuity of medicines supply to high-risk groups ofpatients (e.g. those with medicine compliance aids or those in care homes).Work in partnership with hospital colleagues (e.g. care of the elderly doctorsand clinical pharmacists) to proactively manage patients at high risk ofmedicine-related problems before they are discharged to ensure continuity ofcare
Design, develop and implementsearches to identify cohorts of patients at high risk of harm from medicines.Work with patients and the primary care team to minimise risks throughmedicines optimisation. Implement local and national guidelines and formularyrecommendations. Monitor practice prescribing against the local healtheconomys Red/Amber/Green/Grey lists for medicines that should be prescribed byhospital doctors or subject to shared care. Liaise directly with hospitalcolleagues where prescribing needs to be returned to specialists. Suggest anddevelop computer decision support tools to help remind prescribers about theagreed formulary choice and local recommendations. Audit practices compliancewith NICE guidance. Proactively provide practice communications on importantprescribing messages to improve prescribers knowledge and work with the teamto develop and implement other techniques known to influence implementation ofevidence.
Unplanned hospitaladmissions
Devise and implement practicesearches to identify cohorts of patients most likely to be at risk of anunplanned admission and readmissions from medicines. Work withmulti-professional colleagues to manage medicines-related risk for readmissionand patient harm. Put in place changes to reduce the prescribing of thesemedicines to high-risk patient groups
Repeat prescribing
Review,update and implement a practice repeat prescribing policy. Manage the repeatprescribing reauthorisation process by reviewing patient requests for repeatprescriptions and reviewing medicines reaching review dates.
Provide a telephone help linefor patients with questions, queries and concerns about their medicines. Holdclinics for patients requiring face-toface clinical medication reviews (CMRs)i.e. a review of the ongoing need for each medicine, a review of monitoringneeds and an opportunity to support patients with their medicine taking.Identify people at risk of hospital admission and harm from poor use ofmedicines. Attend and refer patients to multidisciplinary team meetings.
Care home medication reviews
Manage caseload of care homeresidents (if required by the practice). Undertake clinical medication reviewswith patients with multimorbidity and polypharmacy. Work with care home staffto improve safety of medicines ordering and administration.
Long term condition clinics
See patients inmulti-morbidity clinics and in partnership with primary healthcare colleaguesand implement improvements to patients medicines, including de-prescribing.
Develop and manage new servicesthat are built around new medicines or NICE guidance, where newmedicine/recommendations allow the development of a new care pathway (e.g. neworal anticoagulants for stroke prevention in atrial fibrillation)
Care Quality Commission (CQC)
Provideleadership to the practice manager and GPs to ensure the practice is compliantwith CQC standards where medicines are involved
Cost saving programmes
Make recommendations for,support and supervise practice prescribing clerks. Make changes to medicinesdesigned to save on medicine costs where a medicine or product with loweracquisition cost is now available
Medicine information topractice staff and patients
Answer all medicine relatedenquiries from GPs, practice staff and patients. Provide follow ups forpatients to monitor the effect of any changes
Identify and provide leadershipon areas of prescribing requiring improvement. Either conduct own audits andimprovement projects or work with colleagues such as GP registrars. Presentresults and provide leadership on suggested change. Contribute to national andlocal research initiatives
Training & SharedLearning
Provideeducation and training to primary healthcare team on therapeutics and medicinesoptimisation. Provide training to visiting medical students. Facilitate sharedlearning across the practices on medication related issues, offeringprofessional support and leadership.
Professionalresponsibilities
Work autonomouslyand be accountable for his/her professional actions.
Be responsiblefor remaining up-to-date with CPD requirements to maintain professionalregistration
To ensure owneducational commitment is at least sufficient to maintain CPD requirements andto ensure own mandatory training certificates are current, in line withorganisational policy.
To offer clinicalleadership, support and training to colleagues and students.
To demonstrate aclear understanding of the accountability and legal implications of the role.
To participate ina regular performance review with Clinical Pharmacist Manager, using agreedcompetency framework appropriate to the individuals scope of practice.
ClinicalResponsibilities
Highlightany gaps in knowledge/training needs to the Clinical Pharmacist Manager toallow them the opportunity to offer support in order to fulfil the duties ofthis post.
. click apply for full job details