PCN Clinical Pharmacist
Posted 21 hours 56 minutes ago by NHS
£80,000 - £100,000 Annual
Permanent
Full Time
Other
Essex, Southend-on-sea, United Kingdom, SS1 1
Job Description
To optimise medicines management processes and achievehighly effective, safe, patient-centred prescribing within a number of surgeries. The Practice Pharmacist will be expected to workautonomously, but with the support of the multi-professional primary care team.
Within the team the Practice Pharmacist will focus ondeveloping medicines optimisation services across the locality. This involvesrunning processes for repeat prescription reauthorisation, management ofmedicines on transfer of care and developing systems for safer prescribing. ThePractice Pharmacist will carry out medication reviews for patients withpolypharmacy - especially for older people, people resident in care homes andthose with multiple co-morbidities/long-term conditions.
The Practice Pharmacist will provide leadership on qualityimprovement and clinical audit, as well as managing some aspects of the Qualityand Outcomes Framework. By working across surgeries, there is the opportunityto share ideas and examples of good practice. Time will be splitproportionately, depending on the surgerys list size, and work will varydepending on the needs of the practice.
Main duties of the job
When developed, PCNs will include:
We share a vision that surgeries will become the focal point for community services. They will deliver the best care for our population in purpose-built premises. We aim to achieve this by having teams that work well together. They know and respect each others roles, providing a happy and healthy workplace.
Values
Our values will drive the creation of the type of organisation that will allow us to provide great care to our patients.
Internal Values:
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-to-face 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
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.
Person Specification Other
Within the team the Practice Pharmacist will focus ondeveloping medicines optimisation services across the locality. This involvesrunning processes for repeat prescription reauthorisation, management ofmedicines on transfer of care and developing systems for safer prescribing. ThePractice Pharmacist will carry out medication reviews for patients withpolypharmacy - especially for older people, people resident in care homes andthose with multiple co-morbidities/long-term conditions.
The Practice Pharmacist will provide leadership on qualityimprovement and clinical audit, as well as managing some aspects of the Qualityand Outcomes Framework. By working across surgeries, there is the opportunityto share ideas and examples of good practice. Time will be splitproportionately, depending on the surgerys list size, and work will varydepending on the needs of the practice.
Main duties of the job
- -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).
When developed, PCNs will include:
- GP services
- Community health services
- Mental health services
- Voluntary organisations
We share a vision that surgeries will become the focal point for community services. They will deliver the best care for our population in purpose-built premises. We aim to achieve this by having teams that work well together. They know and respect each others roles, providing a happy and healthy workplace.
Values
Our values will drive the creation of the type of organisation that will allow us to provide great care to our patients.
Internal Values:
- Respect and Dignity
- Compassion
- Communication
- Patients will always come first.
- Choice
- Privacy and Confidentiality of information.
- Individuality and Identity.
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-to-face 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
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.
Person Specification Other
- Self-motivation & Initiative
- Adaptable
- Full driving licence & access to car to travel
- Mandatory registration with General Pharmaceutical Council
- Membership of the Royal Pharmaceutical Society
- A member of or working towards Faculty membership of the Royal Pharmaceutical Society
- Clinical assessment skills
- Independent prescriber
- In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
- An appreciation of the nature of GPs and general practices
- An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
- Excellent interpersonal, influencing and negotiating skills
- Excellent written and verbal communication skills
- Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences e.g. patients
- Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
- Able to obtain and analyse complex technical
- Recognises priorities when problem solving and identifies deviations from the seniors or GPs when appropriate
- Able to work under pressure and to meet deadlines . click apply for full job details