Job description

Job responsibilities

Key Responsibilities:

Patient facing clinics:

• Undertake clinical medication reviews to review the on-going 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).
• Through structured medication reviews, proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities.
• Communicate to a prescriber any recommendations for changes identified in the reviews to ensure patients get the best use of their medicines. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.
• Manage clinics for long term disease management within scope of practice e.g. hypertension, diabetes or asthma etc.

Medicines Information:

• Answers relevant medicine-related enquiries 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

Repeat Prescribing:

• Work with the reception and admin team to 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.

Risk Stratification:

• Identify cohorts of patients at high risk of harm from medicines through practice computer searches.

Medicines Safety:

• Undertake clinical audits of prescribing, making suggestions for improvement.
• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
• Communicate to a prescriber any recommendations for changes identified in audits/drug alerts. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.

Medicines Optimisation:

• Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services.
• 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.
• Report back to CCG/secondary care pharmacy teams queries around requests for inappropriate shared care prescribing requests or non-formulary items.

Supporting the implementation of national prescribing policies and guidance within GP practices:

• Be a prescriber, or completing training to become prescribers, and work with and alongside the general practice team.
• Work to improve Quality and Outcomes Framework (QOF) either though reviewing clinical coding to improve disease registers or individual indicators, flag to prescribers (if not already one) appropriate medications to initiate or arranging appropriate monitoring.
• Work with practices to help with Care Quality Commission (CQC) requirements around medication related issues.
• Work with the practice and CCG to reduce the number of items prescribed that appear on the national list of items that should not routinely be prescribed in primary care either directly if the medication can be purchased over the counter or as an independent prescriber by initiating alternatives or to appropriately refer patients to a prescriber.
• Work with the practices to improve the indicators of the Investment and Impact Fund (IIF), either directly as an independent prescriber or to appropriately refer patients to a prescriber.

Working within a multidisciplinary team:

• Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.
• Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system, including those in primary care, secondary care, community pharmacy, mental and social care teams.

Job responsibilities

Key Responsibilities:

Patient facing clinics:

• Undertake clinical medication reviews to review the on-going 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).
• Through structured medication reviews, proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities.
• Communicate to a prescriber any recommendations for changes identified in the reviews to ensure patients get the best use of their medicines. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.
• Manage clinics for long term disease management within scope of practice e.g. hypertension, diabetes or asthma etc.

Medicines Information:

• Answers relevant medicine-related enquiries 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

Repeat Prescribing:

• Work with the reception and admin team to 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.

Risk Stratification:

• Identify cohorts of patients at high risk of harm from medicines through practice computer searches.

Medicines Safety:

• Undertake clinical audits of prescribing, making suggestions for improvement.
• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
• Communicate to a prescriber any recommendations for changes identified in audits/drug alerts. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.

Medicines Optimisation:

• Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services.
• 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.
• Report back to CCG/secondary care pharmacy teams queries around requests for inappropriate shared care prescribing requests or non-formulary items.

Supporting the implementation of national prescribing policies and guidance within GP practices:

• Be a prescriber, or completing training to become prescribers, and work with and alongside the general practice team.
• Work to improve Quality and Outcomes Framework (QOF) either though reviewing clinical coding to improve disease registers or individual indicators, flag to prescribers (if not already one) appropriate medications to initiate or arranging appropriate monitoring.
• Work with practices to help with Care Quality Commission (CQC) requirements around medication related issues.
• Work with the practice and CCG to reduce the number of items prescribed that appear on the national list of items that should not routinely be prescribed in primary care either directly if the medication can be purchased over the counter or as an independent prescriber by initiating alternatives or to appropriately refer patients to a prescriber.
• Work with the practices to improve the indicators of the Investment and Impact Fund (IIF), either directly as an independent prescriber or to appropriately refer patients to a prescriber.

Working within a multidisciplinary team:

• Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.
• Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system, including those in primary care, secondary care, community pharmacy, mental and social care teams.

Person Specification

Qualifications

Essential

• Registration with the General Pharmaceutical Council (GPhC) accredited Master of Pharmacy degree

Desirable

• Clinical Pharmacy Diploma or Completed primary care pharmacy education pathway

Qualifications

Essential

• Registration with the General Pharmaceutical Council (GPhC) accredited Master of Pharmacy degree

Desirable

• Clinical Pharmacy Diploma or Completed primary care pharmacy education pathway

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Millstream Medical Centre

Address

Avon Approach

Salisbury

SP1 3SL

Employer's website

https://sarumhealthgroup.co.uk/ (Opens in a new tab)