PCN Clinical Pharmacist
Posted 11 days 12 hours ago by NHS
£80,000 - £100,000 Annual
Permanent
Full Time
Other
Lancashire, Rochdale, United Kingdom, OL111
Job Description
Main duties of the job The following list of duties encompasses a range of areas the networks may require the Clinical Pharmacist to deliver. The list may not be exhaustive.
Long Term Conditions
Management of common/minor/self-limiting ailments
Patient facing medicines support
Telephone medicines support
Management of medicines at discharge from hospital
Medicine Information to practice staff and patients
Signposting
Repeat prescribing
Information Management
About us GP practices across the Rochdale borough, who have historically worked independently, have come together to work in a federated model to improve healthcare across the Heywood, Middleton and Rochdale (HMR) neighbourhoods.
Rochdale Health Alliance (RHA) was established in 2016, by GP practices from across the Rochdale Borough, to streamline the way in which services are delivered and to contribute to the development of the wider health and social care provision across the Borough.
Retaining their own identity and autonomy, general practitioner (GP) practices will work together and support community and hospital services, including the public and voluntary sector, to ensure healthcare is coordinated for the residents of the Rochdale borough.
Each of the four localities of HMR, which include Rochdale, Heywood, Middleton and the Pennines elected GPs to represent their locality and become directors on the Board.
The Board is supported by a management team who ensure the day to day functioning of the organisation.
In a time of change for health and social care and in order to meet the needs of the public, health, social and voluntary sector providers are coming together to provide more efficient, cost effective healthcare system and to encourage and engage the public in managing their own care wherever possible. In HMR this is via the Local Care Organisation. RHA represents primary care on the board of the LCO.
Job responsibilities The following list of duties encompasses a range of areas the networks may require the Clinical Pharmacist to deliver. The list may not be exhaustive.
Long-term conditions
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the ongoing 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 senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Patient facing Care Home Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, 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 Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
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.
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 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.
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).
Medicine information to practice staff and patients Answers relevant medicine related enquiries from GPs, other network 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.
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 repeat prescribing policy within each PCN practice. 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.
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 relevant 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 economy 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 each practice's 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.
Care Quality Commission Work with the general practice teams to ensure the practices are 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 arrangements Participate in the PCN MDT. Liaises with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Work as part of the RHA team and attend meetings/forums and supervision.
Foster and maintain strong links with all services across the PCN and neighbouring networks.
Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
Liaise with other stakeholders as needed for the collective benefit of patients including but not limited to:
1. Patients and their representatives
2. GP, nurses and other practice staff
3. Social prescribers, first contact physiotherapists, physicians associates and paramedics.
4. Community pharmacists and support staff
5. Other members of the medicines management (MM) team including pharmacists, Pharmacy Technicians and Dieticians
6. Locality / GP prescribing lead
7. Locality managers
8. Community nurses and other allied health professionals
9. Hospital staff with responsibilities for prescribing and medicines optimisation
This obligation will continue after the termination of this work unless and until any such information enters the public domain.
Person Specification Qualifications
Long Term Conditions
- Clinical Medication Review
- Home Medication Review
- Domiciliary Clinical Medication Review
Management of common/minor/self-limiting ailments
Patient facing medicines support
Telephone medicines support
Management of medicines at discharge from hospital
Medicine Information to practice staff and patients
Signposting
Repeat prescribing
Information Management
About us GP practices across the Rochdale borough, who have historically worked independently, have come together to work in a federated model to improve healthcare across the Heywood, Middleton and Rochdale (HMR) neighbourhoods.
Rochdale Health Alliance (RHA) was established in 2016, by GP practices from across the Rochdale Borough, to streamline the way in which services are delivered and to contribute to the development of the wider health and social care provision across the Borough.
Retaining their own identity and autonomy, general practitioner (GP) practices will work together and support community and hospital services, including the public and voluntary sector, to ensure healthcare is coordinated for the residents of the Rochdale borough.
Each of the four localities of HMR, which include Rochdale, Heywood, Middleton and the Pennines elected GPs to represent their locality and become directors on the Board.
The Board is supported by a management team who ensure the day to day functioning of the organisation.
In a time of change for health and social care and in order to meet the needs of the public, health, social and voluntary sector providers are coming together to provide more efficient, cost effective healthcare system and to encourage and engage the public in managing their own care wherever possible. In HMR this is via the Local Care Organisation. RHA represents primary care on the board of the LCO.
Job responsibilities The following list of duties encompasses a range of areas the networks may require the Clinical Pharmacist to deliver. The list may not be exhaustive.
Long-term conditions
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the ongoing 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 senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
Patient facing Care Home Medication Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, 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 Reviews Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
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.
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 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.
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).
Medicine information to practice staff and patients Answers relevant medicine related enquiries from GPs, other network 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.
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 repeat prescribing policy within each PCN practice. 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.
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 relevant 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 economy 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 each practice's 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.
Care Quality Commission Work with the general practice teams to ensure the practices are 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 arrangements Participate in the PCN MDT. Liaises with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and benefit.
Work as part of the RHA team and attend meetings/forums and supervision.
Foster and maintain strong links with all services across the PCN and neighbouring networks.
Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships.
Liaise with other stakeholders as needed for the collective benefit of patients including but not limited to:
1. Patients and their representatives
2. GP, nurses and other practice staff
3. Social prescribers, first contact physiotherapists, physicians associates and paramedics.
4. Community pharmacists and support staff
5. Other members of the medicines management (MM) team including pharmacists, Pharmacy Technicians and Dieticians
6. Locality / GP prescribing lead
7. Locality managers
8. Community nurses and other allied health professionals
9. Hospital staff with responsibilities for prescribing and medicines optimisation
This obligation will continue after the termination of this work unless and until any such information enters the public domain.
Person Specification Qualifications
- Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council.
- Have completed the CPPE Pathway
- On or have completed the Independent Prescribing Course
- Clinical Diploma
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities . click apply for full job details