Clinical Pharmacist - Dryland Surgery

Qualified (MPharm) Independent Prescriber, registered with the General Pharmaceutical Council.

Work within a multi-disciplinary team, taking a holistic view of patients needs, providing expert medicines advice and clinical pharmacy medicines provision, identifying and implementing prescribing changes, and referring and signposting to other services and/or health and social care professionals.

Provide patient facing medicine support and review.

Identify high risk patient cohorts and undertake risk stratification using a variety of computer based tools.

Manage your own case-load, and run multi-morbidity and long-term condition clinics, undertaking medicine optimisation; care home residents with multi-morbidity and polypharmacy; domiciliary vulnerable housebound patients at risk of hospital admission; common/minor/self-limiting ailments.

Develop and implement prescribing, medicines safety and quality improvement policies and procedures.

Undertake telephone triage and refer patients to appropriate clinicians.

Provide out of hours/on call/extended services for patients including patient facing and telephone consultations.

Analyse, interpret and present medicines data to highlight risk and support decision making.

Provide information, education, guidance and training to colleagues and other practice staff on therapeutics and medicines.

Facing Medicines Support

Hold clinics for patients requiring face-to-face

structured medication reviews. Provide telephone support for patients with

questions, queries and concerns about their medicines.

Undertake structured, face to face clinical medication

reviews with patients with multi-morbidity and polypharmacy, especially for

older people, people in residential care homes and those with multiple

co-morbidities, and implement own prescribing changes (as an independent

prescriber) and order relevant monitoring tests.

Design, develop and implement methods of computer

search to identify cohorts of patients at high risk of harm from medicines. Manage risk stratification tools on behalf of

the practice. Work with patients and the primary care team to minimise risk

through medicines optimisation.

See patients in multi-morbidity clinics and in

partnership with primary healthcare colleagues and implement improvements to

patients medicines, including de-prescribing.

Manage own case load, and oversee the case loads of team

members, and run long-term condition clinics, independently prescribing for

conditions where medicines have a large component.

Review the on-going need for each medicine, the monitoring

needs and support patients with their medicines taking, ensuring they get the

best use of their medicines (i.e. medicines optimisation).

Devise and implement searches to identify cohorts of

patients most likely to be at risk of an unplanned hospital admission and

readmission from medicines.

Work with case managers, multidisciplinary (health and

social care) review teams, and hospital colleagues to manage medicines-related

risk for readmission and patient harm.

Put in place systems to reduce the prescribing of

these medicines to high-risk patient groups.

Manage the repeat prescribing reauthorisation process by reviewing

patient requests for repeat prescriptions and reviewing medicines reaching

review dates. Make necessary changes as an independent prescriber, and ensure

patients are booked in for necessary monitoring tests where required.

Ensure that patients are referred to the appropriate

clinician and/or other service provision, for the appropriate level of care

within an appropriate period of time, e.g. pathology results, common/minor

ailments, acute conditions, long term conditions, social factors.

Identify and provide leadership on areas of

prescribing and medicines optimisation.

Conduct clinical audits and improvement projects,

involving and collaborating with colleagues. Present results and provide leadership on

suggested change.

Identify national and local policy and guidance that

affects patient safety through the use of medicines, including MHRA alerts,

product withdrawals and emerging evidence from clinical trials.

Manage the process of implementing changes to

medicines and guidance for practitioners.

Demonstrate continuous QI activity focused upon

prescribing safety as specified in the QOF guidance. This work might include

the PINCER tool, for example.

Manage own caseload (and that of the team) of care

home residents. Undertake clinical medication reviews with patients with

multi-morbidity and polypharmacy and implement prescribing changes (as an

independent prescriber) and order relevant monitoring tests.

Work with care home staff to improve safety of medicines

ordering and administration.

Manage own and team caseload of vulnerable housebound

patients at risk of hospital admission and harm from poor use of medicines. Implement

own prescribing changes (as an independent prescriber) and ordering of

monitoring tests. Attend and refer patients to multidisciplinary case

conferences, identifying key areas of need for vulnerable patients and formulating

care plans.

11. Management of Medicines at Discharge from Hospital

To reconcile medicines following discharge from

hospitals, intermediate care and into care homes, including identifying and

rectifying unexplained changes and manage these changes without referral to a

GP.

Perform a clinical medication review, produce a post

discharge medicines care plan including dose titration and booking of follow-up

tests and working with patients and community pharmacists to ensure patients

receive the medicines they need post discharge 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 high-risk groups of patients (e.g. those with medicine

compliance aids or those in care homes).

Work in partnership with local hospital colleagues

(e.g. care of the elderly doctors and clinical pharmacists) to proactively

manage patients at high risk of medicine related problems before they are

discharged to ensure continuity of care.

12.

Manage a caseload for 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.

13.

Manage own and team caseload for patients and diagnose

people with long term and/or acute/common conditions/ailments. Refer to a GP or

other healthcare professionals where appropriate.

Signpost to other services and/or healthcare

professionals where appropriate.

Answer relevant medicine-related enquiries from GPs,

other practice staff and patients with queries about medicines. Suggest and

recommend solutions. Provide follow-up for patients to monitor the effect of

any changes.

15.

Information Management

Analyse, interpret and present medicines data to

highlight issues and risks to support decision making.

Information, Education, Guidance and Training

Provide information, education, guidance and training

to colleagues and other practice staff on therapeutics and medicines

optimisation.

Provide leadership to the general practice footprint to ensure they are compliant with CQC standards where

medicines are involved. Undertake risk assessment and management and ensure

compliance with medicines legislation.

18. Population

and Public Health

Contribute to and support public health campaigns. Provide

specialist knowledge on public health programmes (e.g.

immunisation).

Assist the ICB Pharmacy Team where appropriate, by making

recommendations for changes to medicines designed to save on medicine costs

where a medicine or product with lower acquisition cost is now available.

Develop and manage new services that are built around

new medicines or NICE guidance, where new medicine/recommendations allow the

development of a new care pathway (e.g. new oral anticoagulants for stroke

prevention in atrial fibrillation).

of Local and National Guidelines and Formulary Recommendations

Monitor practice prescribing against the local health

economy's RAG list for medicines that should be prescribed by hospital doctors

(red drugs) or subject to shared care (amber drugs).

Liaise directly with hospital colleagues where

prescribing needs to be returned to specialists. Assist in setting and maintaining a practice formulary that is hosted on the

practices computer systems.

Suggest and develop computer decision support tools to

help remind prescribers about formulary choice and local recommendations.

Audit the practices compliance against NICE

technology assessment guidance. Provide newsletters on important prescribing

messages to improve prescribers knowledge and work with the team to develop

and implement other techniques known to influence implementation of evidence

such as audit and feedback.

Dryland Surgery is a General Practice in the heart of Kettering, providing primary care for 12000 service users. We offer the opportunity to work within a close working, dynamic team and the scope to provide a service that is personalised, co-ordinated and integrated with other services.

We are committed to providing excellent patient services, presenting different opportunities to make an impact and develop new ways of working in an exciting, fast paced work environment.

Experience

Personal Qualities, Abilities and Attributes

Qualifications

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