NHS

PCN Clinical Pharmacist


PayCompetitive
LocationHigh Wycombe/England
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: A5268-25-0004?language=en&page=1124&sort=publicationDateDesc

      Job summary

      Cygnet PCN is seeking an enthusiastic and forward-thinking Clinical Pharmacist to join our GP practice network in High Wycombe.

      The PCN is made up of four GP practices (Desborough and Hazelmere Surgery, Kingswood Surgery, Priory Surgery and Tower House Surgery), providing services for approximately 48,000 patients. The practices have a strong history of working together and have been making significant strides towards integrated working.

      We are looking for an individual to develop and manage all aspects of medication management, supporting the GPs at the Practices.

      The successful candidates will be part of a supportive network of Clinicians, Social Prescribers, Practice Managers and excellent administrative staff across all the Practices that make up the Cygnet PCN. This is an evolving role with huge scope for development.

      Full details can be found in the Job Description and Person Specification.

      Working arrangements can be flexible for the successful individuals. Full and part time hours would be considered. The post is currently a fixed term contract of 12 months working at Tower House Surgery and Priory Surgery, however, there is a possibility that this could be extended.

      Informal enquiries and visits are welcome. Please apply via the NHS website. Previous applicants need not apply.

      Main duties of the job

      The Clinical Pharmacist (CP) works as part of a multi-disciplinary team within General Practice in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.

      The post holder will be an integral part of the team, as well as part of a wider community groups and their multidisciplinary teams.

      They will be prescribers, or training to become prescribers. They take responsibility for the care management of patients with chronic disease and undertake clinical medication reviews.

      They will provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients and help tackle inequalities.

      Clinical Pharmacists will provide leadership on person centred medicines optimisation and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services. Through structured medication reviews, clinical pharmacists will support patients with their medicines, reduce waste and promote self-care.

      Clinical Pharmacists will have a leadership role in supporting further integration with the wider healthcare teams, to help improve patient outcomes, ensure better access to healthcare and to help manage General Practice workload. The role has the potential to significantly improve quality of care and safety for patients.

      All clinical pharmacists will be part of a professional network and will have access to appropriate clinical supervision.

      About us

      The Cygnet Primary Care Network is an established Network serving 48,000 patients across 4 GP Practices in High Wycombe, a large, diverse town in Buckinghamshire.

      You will become a key part of the team, already consisting of experienced GPs, supported by organised Nurses/Health Care Assistants, management and administrative teams as well as Paramedics, Social Prescribers, Pharmacy Technicians and other Clinical Pharmacists.

      There is a friendly atmosphere established at all sites, a long with a 'can do' work ethic. There is a loyal and well established team in place, with a low staff turnover rate.

      All staff are invited to have an input into the development and smooth running of the PCN.

      Date posted

      28 March 2025

      Pay scheme

      Other

      Salary

      Depending on experience Band 7

      Contract

      Fixed term

      Duration

      12 months

      Working pattern

      Full-time, Part-time

      Reference number

      A5268-25-0004

      Job locations

      Tower House Surgery

      169 West Wycombe Road

      High Wycombe

      Buckinghamshire

      HP12 3AF


      Priory Surgery

      Priory Avenue

      High Wycombe

      Buckinghamshire

      HP13 6SH


      Job description

      Job responsibilities

      The following are the core responsibilities of the PCN clinical pharmacist. There may be on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

      Patient facing long-term condition clinics

      See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).

      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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

      Patient facing clinical medication review

      Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

      Patient facing care home medication reviews

      Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

      Patient facing domiciliary clinical medication review

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

      Management of common/minor/self-limiting ailments

      Manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

      Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate

      Patient facing medicines support

      Provide patient facing clinics for those with medicines queries

      Telephone medicines support

      Provide a telephone help line for patients with questions, queries and concerns about their medicines.

      Medicine information to practice staff and patients

      Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions.

      Provide follow up for 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 highrisk patient groups.

      Management of medicines at discharge from hospital

      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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients.

      Signposting

      Ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

      Repeat prescribing

      Produce and implement a practice repeat prescribing policy.

      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 pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

      Service development

      Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

      Information management

      Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

      Medicines quality improvement

      Undertake clinical audits of prescribing in areas directed by the Accountable Clinical Director (ACD) for the network, feedback results and implement changes in conjunction with the ACD.

      Medicines safety

      Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

      Implementation of local and national guidelines and formulary recommendations

      Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).

      Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.

      Education and Training

      Provide education and training to primary healthcare team on therapeutics 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

      Support public health campaigns. Provide specialist knowledge

      General within the practice

      a. To work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities

      b. To work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present

      c. To undertake all mandatory training and induction programmes

      d. To contribute to and embrace the spectrum of clinical governance

      e. To attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

      f. To contribute to public health campaigns (e.g. flu clinics) through advice or direct care.

      g. To maintain a clean, tidy, effective working area at all times

      Secondary Responsibilities

      In addition to the primary responsibilities, the clinical pharmacist may be requested to:

      a. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.

      b. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

      c. Duties may vary from time to time without changing the general character of the post or the level of responsibility.

      Job description

      Job responsibilities

      The following are the core responsibilities of the PCN clinical pharmacist. There may be on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

      Patient facing long-term condition clinics

      See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).

      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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

      Patient facing clinical medication review

      Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

      Patient facing care home medication reviews

      Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

      Patient facing domiciliary clinical medication review

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

      Management of common/minor/self-limiting ailments

      Manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

      Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate

      Patient facing medicines support

      Provide patient facing clinics for those with medicines queries

      Telephone medicines support

      Provide a telephone help line for patients with questions, queries and concerns about their medicines.

      Medicine information to practice staff and patients

      Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions.

      Provide follow up for 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 highrisk patient groups.

      Management of medicines at discharge from hospital

      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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients.

      Signposting

      Ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

      Repeat prescribing

      Produce and implement a practice repeat prescribing policy.

      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 pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

      Service development

      Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

      Information management

      Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

      Medicines quality improvement

      Undertake clinical audits of prescribing in areas directed by the Accountable Clinical Director (ACD) for the network, feedback results and implement changes in conjunction with the ACD.

      Medicines safety

      Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

      Implementation of local and national guidelines and formulary recommendations

      Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).

      Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.

      Education and Training

      Provide education and training to primary healthcare team on therapeutics 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

      Support public health campaigns. Provide specialist knowledge

      General within the practice

      a. To work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities

      b. To work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present

      c. To undertake all mandatory training and induction programmes

      d. To contribute to and embrace the spectrum of clinical governance

      e. To attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

      f. To contribute to public health campaigns (e.g. flu clinics) through advice or direct care.

      g. To maintain a clean, tidy, effective working area at all times

      Secondary Responsibilities

      In addition to the primary responsibilities, the clinical pharmacist may be requested to:

      a. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.

      b. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

      c. Duties may vary from time to time without changing the general character of the post or the level of responsibility.

      Person Specification

      Qualifications

      Essential

      • Masters Degree in Pharmacy or equivalent.
      • Registered with GPhC.
      • Specialist knowledge through a Postgraduate Diploma & Qualification.
      • Evidence of recent CPD.
      • Independant Prescriber status or a commitment to undertake the course.

      Experience

      Essential

      • At least 2 years post registration experience in a hospital, community or general practice setting.
      • Experience of undertaking medication or medicine use reviews, and patient counselling.
      • Experience of working with clinicians and multidisciplinary/multi-agency work.
      • Experience in undertaking clinical audit.

      Desirable

      • Experience of facilitating change to improve clinical practice.
      • Experience of delivering training sessions to varied groups.

      Knowledge and Skills

      Essential

      • Effective interpersonal, communication (both written and oral) presentation and influencing skills.
      • Ability to work with a range of clinical and non-clinical personnel as part of a team.
      • Ability to communicate medicines and service related information to decision makers at all levels and have advice challenged.
      • Ability to work independently and effectively with a high degree of motivation for long periods.
      • Ability to prioritise and work to deadlines, often with frequent interruptions and urgent requests.
      • Ability to define, collate, analyse and interpret data.
      • Ability to communicate information to patients and careers in an appropriate manner, using well developed empathy skills.
      • Ability to deal with occasionally distressing or emotional circumstances, including contact with terminally ill patients and their carers or relatives.
      • Knowledge of issues regarding the protection of vulnerable adults and children, frail elderly and those with dementia.
      • Knowledge of medicines management issues across primary, acute and domiciliary care settings including strategies for the improvement of prescribing.
      • Understanding and appreciation of National and local policies which impinge on primary care prescribing.
      • Understanding of the principles of clinical governance and how these apply in the broader arena.
      • Understanding of personal health and safety responsibilities.

      Desirable

      • Capacity to be innovative and develop the role of a practice pharmacist.
      • Ability to motivate people and facilitate change.
      • Able to utilise databases and information technology, including word processing, spreadsheets and presentation packages effectively.
      • Accepts responsibility for own work with freedom to take action based on own interpretation of broad clinical/professional policies.
      • Understanding of the current issues facing primary care teams.
      • An understanding of prescribing budgets and financial information.

      Personal Attributes

      Essential

      • Professional approach to work demonstrating excellent interactive patient skills. Guided by professional code, accountable and responsible for own professional actions.
      • Able to work under pressure and prioritise task to ensure urgent work is completed on time.
      • Able to engage rapidly with existing stakeholder and networks.
      • Builds credibility ( personal and organisational) and rapport quickly.
      • Able to communicate effectively and engage with individuals from other agencies, including patients and the public.

      Other Requirements

      Essential

      • Disclosure Barring Service (DBS) check.
      • Ability to travel between sites in a timely manner if required.

      Desirable

      • Willingness to work flexible hours when required to meet work demands.
      Person Specification

      Qualifications

      Essential

      • Masters Degree in Pharmacy or equivalent.
      • Registered with GPhC.
      • Specialist knowledge through a Postgraduate Diploma & Qualification.
      • Evidence of recent CPD.
      • Independant Prescriber status or a commitment to undertake the course.

      Experience

      Essential

      • At least 2 years post registration experience in a hospital, community or general practice setting.
      • Experience of undertaking medication or medicine use reviews, and patient counselling.
      • Experience of working with clinicians and multidisciplinary/multi-agency work.
      • Experience in undertaking clinical audit.

      Desirable

      • Experience of facilitating change to improve clinical practice.
      • Experience of delivering training sessions to varied groups.

      Knowledge and Skills

      Essential

      • Effective interpersonal, communication (both written and oral) presentation and influencing skills.
      • Ability to work with a range of clinical and non-clinical personnel as part of a team.
      • Ability to communicate medicines and service related information to decision makers at all levels and have advice challenged.
      • Ability to work independently and effectively with a high degree of motivation for long periods.
      • Ability to prioritise and work to deadlines, often with frequent interruptions and urgent requests.
      • Ability to define, collate, analyse and interpret data.
      • Ability to communicate information to patients and careers in an appropriate manner, using well developed empathy skills.
      • Ability to deal with occasionally distressing or emotional circumstances, including contact with terminally ill patients and their carers or relatives.
      • Knowledge of issues regarding the protection of vulnerable adults and children, frail elderly and those with dementia.
      • Knowledge of medicines management issues across primary, acute and domiciliary care settings including strategies for the improvement of prescribing.
      • Understanding and appreciation of National and local policies which impinge on primary care prescribing.
      • Understanding of the principles of clinical governance and how these apply in the broader arena.
      • Understanding of personal health and safety responsibilities.

      Desirable

      • Capacity to be innovative and develop the role of a practice pharmacist.
      • Ability to motivate people and facilitate change.
      • Able to utilise databases and information technology, including word processing, spreadsheets and presentation packages effectively.
      • Accepts responsibility for own work with freedom to take action based on own interpretation of broad clinical/professional policies.
      • Understanding of the current issues facing primary care teams.
      • An understanding of prescribing budgets and financial information.

      Personal Attributes

      Essential

      • Professional approach to work demonstrating excellent interactive patient skills. Guided by professional code, accountable and responsible for own professional actions.
      • Able to work under pressure and prioritise task to ensure urgent work is completed on time.
      • Able to engage rapidly with existing stakeholder and networks.
      • Builds credibility ( personal and organisational) and rapport quickly.
      • Able to communicate effectively and engage with individuals from other agencies, including patients and the public.

      Other Requirements

      Essential

      • Disclosure Barring Service (DBS) check.
      • Ability to travel between sites in a timely manner if required.

      Desirable

      • Willingness to work flexible hours when required to meet work demands.

      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).

      Additional information

      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

      Desborough Surgery

      Address

      Tower House Surgery

      169 West Wycombe Road

      High Wycombe

      Buckinghamshire

      HP12 3AF


      Employer's website

      http://desborough.gpsurgery.net/ (Opens in a new tab)

      Employer details

      Employer name

      Desborough Surgery

      Address

      Tower House Surgery

      169 West Wycombe Road

      High Wycombe

      Buckinghamshire

      HP12 3AF


      Employer's website

      http://desborough.gpsurgery.net/ (Opens in a new tab)

  • About the company

      National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.