Clinical Pharmacist - New Malden & Worcester Park PCN

The New Malden & Worcester Park PCN have a exciting opportunity for a Clinical Pharmacist to join our dynamic multidisciplinary team. This patient-facing role is to enhance the quality of care for our patients.

The successful candidate will be provided with excellent clinical support and an opportunity to develop their primary care skills.

We are looking for motivated, team-orientated individual who shares our enthusiasm for improving patient care. Previous primary care experience is preferred as well as excellent verbal communication skills, a proactive approach and a desire to learn.

As the role develops, you will take responsibilities for areas of chronic disease management and undertake clinical medication reviews to proactively manage patients with complex poly-pharmacy. You will also provide primary support to general practice staff with regards to prescription and medication queries.

We are welcoming applications from qualified Clinical Pharmacists to join our innovative Primary Care Network (PCN).

Main duties of the job The post holder will work as part of a multidisciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing as well as manage repeat prescription authorisation and reauthorisations.

• Patient facing long term conditional clinics
• Patient facing Clinical and Care Home medication reviews
• Management of medications
• Unplanned Hospital Admissions
• Repeat Prescribing
• Service Development
• Information Management
• Provide education and training to Primary Healthcare

About us Kingston GP Chambers is a Federation of all NHS General Practices within the Royal Borough of Kingston upon Thames. It was founded in 2008 as a limited company whose shareholders are all 20 GP Practices within Kingston. The company is led by a Board of Directors who are also GP Partners in their own Practices within Kingston.

Kingston GP Chambers has worked collaboratively with both secondary care and the private sector. At present we provide community clinics for Dermatology, Urology, Neurology, Dementia and Diabetes.

In addition, Kingston GP Chambers are at the forefront of improving patient access to primary care. We deliver a comprehensive extended hours service offering GP appointments across three hubs in the evenings Monday to Friday, over the weekend and on Bank Holidays. Kingston GP Chambers has the ability to respond rapidly, and we have continued to demonstrate the capability to provide high-quality, innovative and timely solutions to improving patient care and experience.

We work closely alongside the other GP Federations in Southwest London to continue the government's five-year forward plan and deliver patient services in the community.

We aim to continue to grow as we are increasingly recognised as the provider of choice for extended, enhanced and urgent GP services. We also expect an increasing role as we support, reinforce and develop the position of general practice as the core building block for an increasing range of jointly-provided services.

Job responsibilities Patient facing long term condition clinics

• Carry out consultations with patients with single or multiple medical conditions where medicine optimisation is preferred
• Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine-taking ensuring they get the best use of their medicines.
• Make appropriate recommendations to GPs for medicines improvement.

Patient facing clinical medication review

• Undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing/monitoring.

Patient facing Care Home Medication Review

• Undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing and monitoring.
• Work with care home staff to improve safety and appropriate medication ordering (medication waste)

Patient facing domiciliary clinical medication review

• Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses and GPs on prescribing and monitoring.
• Attend and refer patients to multidisciplinary case conference

Management of common/minor/self-limiting ailments

• Managing caseload of patients with common/minor/self-limiting ailments while working within scope of practice and limits of competence.
• Sign posting to community pharmacy and referring to appropriate healthcare professional i.e., GP/Practice Nurse/Advanced Nurse Practitioner
• Telephone medication support provide telephone support for patients with queries or concerns about their medication
• Management of medications at discharge from hospital to reconcile medications upon discharge from hospitals, immediate 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 medication supplies to high-risk groups of patients.

Medicines information to practice staff and patients

• Answer relevant medication queries from GPs, other network staff, other healthcare teams (e.g., community pharmacy) and patients with queries about medications.
• Suggest and recommend solutions. Provide follow up with 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.
• 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 review etc.

Repeat Prescribing

• Adhere and work within each networks repeat prescribing policy. Manage the repeat prescribing and re-authorisation process by reviewing patient requests for repeat medications and review medication review dates and arranging a review for these patients.
• Ensure patients have the 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.

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.
• Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.
• Implement changes to medicines that result from MHRA drug safety alerts.
• Implementation of local and national guidelines and formulary recommendations - monitor practice prescribing against the local and national formulary.
• Make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care.
• To work with local medicines management team to ensure practice compliance to local formulary.

Education and Training

• Provide education and training to primary healthcare team on therapeutic and medicines optimisation

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 arrangements
• Participate in the PCN MDT meetings.

Person Specification Qualifications

• Mandatory registration with General Pharmaceutical Council (GPhC).
• Independent prescriber and completion of CPPE.
• Independent prescriber or working towards/intent of gaining an independent prescribing qualification;
• Member of the Royal Pharmaceutical Society; Hospital or Primary Care experience; In-depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare.

Experience

• Minimum of 2 years experience as a pharmacist.
• Have some experience and an awareness of common acute and long-term conditions that are likely to be seen in general practice.
• Recognises priorities when problem-solving and identifies deviations from normal pattern and can refer to seniors or GPs when appropriate.
• Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.
• Good IT Skills.
• Work under pressure;
• Desirable - experience with using EMIS Good written and oral communication skills.
• Understanding of the nature of GP and General Practice.

Knowledge and Skills

• Understands and demonstrates the characteristics of a role model to members in the team and/or service.
• Demonstrates self-development through continuous professional development activity.
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