PCN Clinical Pharmacist

The post holder is an experienced pharmacist, who acts within theirprofessional boundaries, to develop, manage & mentor a team of pharmacists.The post holder will work aspart of a multi-disciplinary team in a patient-facing role. The post holderwill take responsibility for areas of chronic disease management within thepractice & undertake clinical medication reviews to proactively manage patientswith complex polypharmacy, especially for older people, people in residentialcare homes & those with multiple co-morbidities.

The post holder will provide primary support to general practice staffwith regards to prescription & medication queries. They . help support their repeat prescriptions system, deal with acute prescription requests, medicinesreconciliation on transfer of care & systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public & socialcare needs of patient in the GP practice.The post holder will provide clinical leadership on medicinesoptimisation & quality improvement & manage some aspects of the quality andoutcomes framework & enhanced services.

The post holder will ensure that the practiceintegrates with community & hospital pharmacy to help utilise skill mix,improve patient outcomes, ensure better access to healthcare technologyeffectively manage workload. The role is pivotal to improving the quality of care & operationalefficiencies so requires motivation & passion to deliver excellent servicewithin general practice.

Main duties of the job See patients in multimorbidityclinics & in partnership with primary healthcare colleagues and implementimprovements to patients medicines, including deprescribing.

Manage own case load & runlong-term condition clinics where responsible for prescribing as an independentprescriber for conditions where medicines have a large component (e.g. medicineoptimisation for stable angina symptom control, warfarin monitoring and doseadjustment for patients requiring longterm anticoagulants).

Review the on-going need for eachmedicine, a review of monitoring needs and علم opportunity to support patientswith their medicines taking ensuring they get the best use of their medicines(i.e. medicines optimisation).

Undertake clinical medicationreviews with patients with multimorbidity & polypharmacy & implement ownprescribing changes (as an independent prescriber) and order relevantmonitoring tests

Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anind Palldis prescriber) and order relevant monitoring tests.

Work with care home staff into improve safety of medicines ordering and administration

Manage own caseload for patientsand diagnosis people with long term and/or acute/commonregistered conditions while remaining within scope of practice and limits of competence

Provide patient facing clinics forthose with questions, queries, concerns about their medicines

About us Greenwich PCN Alliance is formed of 4 PCNs across Greenwich, Blackheath and Charlton PCN, Eltham PCN, Heritage PCN and Unity PCN. A successful candidate will be allocated to one PCN and will work across that PCN only. At Greenwich PCN Alliance we are committed to the development of ARRS roles.

Job responsibilities Job Summary

The post holder is an experienced pharmacist, who_'acts within theirprofessional boundaries, to develop, manage and mentor a team of pharmacists.

The post holder will work aspart of a multi-disciplinary team in a patient-facing role. The post holderwill take responsibility for areas of chronic disease management within thepractice andundertake clinical medication reviews to proactively manage patientswith complex polypharmacy, especially for older people, people in residentialcare homes and those with multiple co-morbidities.

The post holder will provide primary support to general practiceničwiwiw with regards to prescription and medication queries. They will help support therepeat prescriptions system , deal with acute prescription requests, medicinesreconciliation on transfer of care and systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public and socialcare needs of patient in the GP practice (s).

The post eaten( ?)Primary Responsibilities

Patient facing long term conditions clinics

• See patients in multimorbidityclinics and in partnership with primary healthcare colleagues and implementimprovements to patients medicines, including deprescribing. Coffee bean deleted-member
• Manage own case load and runlong-term condition clinics where responsible for prescribing as an independentprescriber for conditions where medicines have a large component (e.g. medicineoptimisation for stable angina symptom control, warfarin monitoring and doseadjustment for patients requiring longterm anticoagul.out.
• Review the on-going need for eachmedicine, a review of monitoring needs and an opportunity to support patientswith their medicines taking ensuring they get the best use of their medicines(i.e. medicines optimisation).

Patient facing clinical medication review

• Undertake clinical medicationreviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevantmonitoring tests

Patient facing care home/residential clinical medication reviews

• Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests.
Work with care home staff to improve safety of medicines ordering and administration

Patient facing domiciliary/home visits

• Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests.
• Work with care home staff to improve safety of medicines ordering and administration.

Management of common/minor/self-limiting ailments

• Managing caseload for patientswith common/minor/self-limiting ailments while working within a scope ofpractice and limits of competence.
• Signposting to community pharmacyand referring to GPs or other healthcare professionals where appropriate.
• Manage own caseload for patientsand diagnosis people with long term and/or acute/common conditions/ailmentswhile remaining within scope of practice and limits of competence
• Referring to GP and/or other healthcare professionals where appropriate

Patient facing medicines support

• Provide patient facing clinics forthose with questions, queries and concerns about their medicines in thepractice

Telehphone medicines support

• Provide a telephone help line forpatients with questions, queries and concerns about their medicines.

Extended Hours/Out of Hours/On call service

• Provide out of hours/oncall/extended services for the practice and the patients. These can includepatient facing and telephone consultations
• Signposts to other services and/orhealthcare professionals where appropriate, while working within a scope ofpractice and limits ट प्पण per व ढ.

Medicine Information to practice staff and patients

• Answers all medicinerelatedenquiries from GPs, other practice 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.

Unplanned hospital admissions

• Devise and implement practicesearches to identify cohorts of patients most likely to be at risk of anunplanned admission and readmissions from medicines.
• Work with case managers,multidisciplinary (health and social care) review teams, hospital colleaguesand virtual ward teams to manage medicines-related risk for readmission andpatient harm.
• Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

Management of medicines at discharge from hospital

• To reconcile medicines followingdischarge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes manage these changes withoutreferral to a GP.
• Perform a clinical medicationreview, produce a post discharge medicines care plan including dose titrationand booking of follow up tests and working with patients and communitypharmacists to ensure patients receive the medicines they need post dischargeand working with patients and community pharmacists to ensure patients receivethe medicines they need post discharge.
• Set up and manage systems toensure continuity of medicines supply to high- risk groups of patients (e.g.those with medicine compliance aids or those in care homes).
• Work in partnership with hospitalcolleagues (e.g. care of the elderly doctors and clinical pharmacists) toproactively manage patients at high risk of medicine related problems beforethey are discharged to ensure continuity of care.

Telephone triage

• Ensure that patients are referredto the appropriate healthcare professional for the appropriate level of carewithin an appropriate period of time e.g. pathology test results, common/minorailments, acute conditions, long term condition reviews etc.

Repeat prescribing

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