Principal Clinical Pharmacist Prescriber INTs

Interested in an exciting clinical leadership role working to deliver the new Integrated Neighbourhood model of care within Lewisham Borough as part of the Lewisham Integrated Medicines Optimisation Service (LIMOS)?

We are looking for an enthusiastic senior pharmacist with strong established clinical skills to lead the clinical delivery of the Lewisham INT programme and improve outcomes for patients with multiple long-term conditions in Lewisham.

INTs are a model of care designed to meet the holistic needs of the local population, working with professionals and as a local community to ensure people get the right care at the right time, from the right people, and to tackle health inequalities. This full time post will be key in ensuring delivery of this new model. As the programme will focus on patients with three or more long term conditions around CVD, diabetes, CKD and AF if the first instance, experience of management of patients in these areas would be beneficial.

Main duties of the job The Principal Clinical Pharmacist Prescriber will be responsible for the clinical leadership and management of the Lewisham Integrated Neighbourhood Team (INT). Key aims of the role will be to provide strategic support to set up, embed and evaluate this new model of care across the 4 Neighbourhoods / 6 PCNs in Lewisham with managerial oversight to ensure effective functioning of the core team.

The post holder will also provide clinical care to conduct patient facing multi-morbidity reviews and optimise medicines management for patients, across one PCN and/or Neighbourhood footprint. Close working and communication with members of the core INT and wider teams across both health and social, and primary and secondary care settings will be key.

About us Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Job responsibilities Job Description subject to AFC consistency checking process

Key Result Areas & Performance:1. Provide clinical and strategic leadership for the for the core INT team developing the service to meet the needs of the PCNs and wider Lewisham INT model of care.2. To deliver patient facing care and conduct multi-morbidity reviews to improve outcomes for patients with complex needs or provide support before needs become acute.3. To provide line management of and supervision to the core INT team, including clinical pharmacist prescribers and caseworkers to ensure effective teamwork and delivery of the programmes goals.4. To lead and participate in clinical audit to support evaluation of service delivery and inform improvement.5. To work in closely with other members of the core INT team including link workers, key workers, health equity team, GPs and community groups, linking with clinicians and staff within other community and secondary teams within both health and social care to ensure a holistic and multidisciplinary approach to care maintained.6. Provide medicines management expertise and support to patients, other clinical and none-clinical staff as part of the INT model of care.7. To promote appropriate evidence-based and cost-effective prescribing and advice on de-prescribing where appropriate.8. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary team caring for patients with multi-morbidity in all settings9. To lead on the development of protocols in collaboration with key stakeholders as necessary to support service delivery.

Service Development1. To lead on the development and refinement of service delivery models within the INT programme alongside relevant commissioning and programme leads, to support effective delivery of activity across all PCNs/ Neighbourhoods.2. To work closely with colleagues and leads to promote and embed the role of the INT into local pathways of care.3. To communicate with other service leads within the community setting to ensure the INT model works effectively with existing services within primary care to achieve better outcomes for patients.4. To plan actions to continuously improve the quality of services provided to ensure a quality improvement approach is taken to medication optimisation and any service development or re-design.5. To evaluate with the programme leads, outcome measures associated with the INT service and the resource requirements for any change or service development required.

Clinical Services & Patient Care1. To act as a clinical role model to and provide direct clinical supervision to clinical prescribing pharmacists in the INT team to ensure a high-quality service is developed which improves outcomes through the provision of a patient-centred approach to the safe and clinically cost-effective use of medicines.2. To provide clinical leadership on medicines optimisation in the context of multi-morbidity across the core and wider team setting.3. To conduct patient facing and telephone consultations to review patients with complex multi-morbidity focusing on optimisation of cardiovascular disease management and improving long-term outcomes. 4. To collaborate with multidisciplinary teams (MDTs) to develop and implement individualised care plans.5. To provide clinical advice and support to other members on the INT, including complex scenarios to ensure a high standard of patient care.6. To manage complex and non-routine medicines management problems identified in patients under the INT service, making onward referrals when needed.7. To demonstrate an intuitive grasp of situations based on knowledge, expertise and understanding and to make decisions about drug therapy with limited information.8. To work with colleagues to facilitate robust communication and onward referral pathways to support seamless care for patients managed by the INT service where complex medicines and/or other needs are identified.9. To ensure efficient transfer of information related to complex medicines management needs across care interfaces and reconcile information received to ensure the safe care for patients with complex medicines management needs.10. To work as an independent prescriber and review medication to ensure that patients medicines are optimised for safety, effectiveness and cost-efficiency. in line with competency and agreed scope of practice as approved by the relevant Trust governance process.

Information & Data Management1. To develop quantitative and qualitative performance measures, co-ordinate their use and be involved in disseminating, acting on and sharing learning from information gathered.2. To co-ordinate the design, collection and evaluation of clinical audit data and participate in research projects improve the quality of care and inform best practices.3. To utilise available information from audits, national guidelines, and benchmarking data to influence practice and implement improvement in service delivery 4. To work closely with PCNs ensuring seamless integration of patient data for improved care co-ordination.

Staff Management and Education and Training1. To line manage the Clinical Prescribers with overall management of all core team members within the INT, providing supervision, guidance and support to ensure effective teamwork and delivery of goals. This will include matrix working with PCN clinical leads and business managers to effectively manage and co-ordinate team members and support appraisals, objective setting, and management of sickness absence.2. To ensure the teams activities align with the wider objectives of the INT programme, fostering a culture of collaboration and excellence.3. To oversee the personal and professional development of team members and identify the training needs and develop strategies to meet those needs.4. To identify and lead the design and delivery of education and training around the INT service including medicines optimisation in multimorbidity and cost-effective prescribing, to colleagues and more widely across the system. Training delivery will range from small communications to formal presentations.5. To participate and contribute to clinical training programmes for trainee professionals across Lewisham where exposure to the INT model would aid learning and practice.6. To evaluate and ensure continuous development of own professional knowledge and competencies by attendance at in house/external training programmes, appropriate self- educationFinancial1. To support the service lead manage the delegated staff budget for relevant aspects of the INT service and ensure that pay expenditure is maintained within allocated targets.2. To support and advise relevant leads and GP / primary care prescribers on delivering relevant local QIPP, QoF and local targets in relation to medicines optimisation.3. To provide medicines advice regarding the use of cost-effective drugs across the primary and secondary care interface to the relevant stakeholders.4 . click apply for full job details