Clinical Pharmacist - Independent Prescriber

• Conducting patient-facing clinics and structured medication reviews to optimise treatment and improve patient outcomes.
• Supporting the management of long-term conditions, including diabetes, hypertension, asthma and COPD.
• Reviewing repeat prescriptions, addressing medication queries and ensuring safe prescribing practices.
• Undertaking medicines reconciliation following hospital discharge and supporting patients with complex medication needs.
• Identifying and managing prescribing risks, particularly for vulnerable patients and those taking multiple medications.
• Working collaboratively with GPs, nurses and other healthcare professionals to deliver effective, patient-centred care.
• Supporting clinical audits, medicines optimisation initiatives and prescribing quality improvements.
• Providing medication advice and education to patients and practice teams.

• Job Type: Full-time, Self-Employed
• Salary: £25£28 per hour
• Hours: 8-hour shift, Monday to Friday
• Location : North West London(Onsite)

• Reduce GP workload, particularly locum GP time, by conducting patient appointments for clinical medication reviews and addressing urgent medication queries. Complex patients or those with additional needs may require extended consultation slots.
• Assess the ongoing need for each medicine, review monitoring requirements, and support patients in achieving optimal use of their medications.
• Manage minor ailments triage, reviewing patients requesting GP appointments and directing them appropriately.
• Provide patient-facing clinics to address medication questions, concerns, and adherence issues.
• Contribute to multidisciplinary discussions on medication-related matters.
• Reconcile medicines following hospital discharge and review daily pathology results for patients on known medications.
• Conduct targeted medication reviews for high-risk patients, including frail elderly individuals, those with polypharmacy, renal or hepatic impairment, and patients on high-risk medicines.
• Provide recommendations to nurses and GPs following clinical medication reviews.
• Administer influenza and travel vaccines.
• Support the management of patients with drug dependence and alcohol-related disorders.
• Signpost patients to additional services or information to improve overall health and wellbeing.
• Advise senior clinical pharmacists and GPs on opportunities for medical and prescribing improvements.

• Review medicines frequently associated with unplanned hospital admissions and readmissions, using audits and individual patient reviews.
• Implement changes to reduce prescribing risks for high-risk patient groups.
• Reconcile medicines after hospital, intermediate care, and care home discharges, identifying and rectifying unexplained changes.
• Collaborate with patients and community pharmacists to ensure continuity of care post-discharge, including management of high-risk patients using compliance aids or care home support.

• Assist with QOF targets and the management of long-term conditions including asthma, COPD, diabetes, hypertension, and heart failure, conducting dose optimisation and monitoring as per guidelines.
• Undertake training and certification in health assessments, history taking, and physical examinations.
• Commit to starting an independent prescribing course within six months of completing probation.
• Reduce inappropriate polypharmacy and provide follow-up support to improve patient adherence.

• Enhance prescribing quality and safety through regular K&W and practice-specific audits.
• Implement MHRA alerts, drug withdrawals, and NICE guideline recommendations.
• Identify high-risk patient cohorts via practice system searches and risk stratification.

• Implement and manage repeat dispensing processes.
• Review repeat prescription requests and ensure medicines are updated according to review dates.
• Synchronise patient medications to reduce wastage and manage DMD corrections to facilitate EPS.
• Support monitoring and prescribing of high-risk drugs, including warfarin and methotrexate.
• Ensure all practices maintain and adhere to repeat prescribing policies.

• Collaborate with GPs and non-medical prescribers to action medicines management recommendations.
• Provide medicines information for practice teams and patients, covering doses, side effects, adverse events, and alternatives.
• Support GPs in audits, prescribing recommendations, and achieving targets.
• Issue newsletters or bulletins highlighting important prescribing messages.
• Liaise with pharmacy teams and CCG medicines management for practice-specific data and guidance.
• Encourage adherence to NWL integrated formulary and local prescribing guidance.
• Mentor and empower practice staff to contribute to medicines management in practices and care homes.
• Ensure compliance with CQC standards in medicines management.
• Facilitate timely referrals to appropriate healthcare professionals.

• Mentor and support pharmacist trainees and other prescribing clinicians.
• Participate in MDT learning, supervision sessions, and case reviews.
• Develop and deliver educational sessions for clinical and non-clinical staff.
• Provide patient education and support for medicines management.
• Offer ad-hoc advice to clinicians and assess emerging clinical evidence for practice implementation.
• Advise on cost-effective prescribing and supply strategies.

• First degree or masters degree in pharmacy (4 years).
• Registered with the General Pharmaceutical Council (GPhC).
• Completion of pre-registration training.
• Completed or working towards CPPE pathway completion.
• Evidence of continuing professional development meeting GPhC standards.
• IT skills equivalent to ECDL or relevant experience.
• Mandatory enrolment on CPPE pathway if not already completed.

• Membership of the Royal Pharmaceutical Society or similar professional bodies.
• Independent prescribing qualification or commitment to achieve it.
• Significant post-registration experience.
• Experience in primary care, hospital, or community pharmacy settings.

• Significant relevant post-registration experience.
• Knowledge of pharmacy within primary care and community environments.
• Familiarity with NHS organisation operations.
• Experience in coaching, mentoring, and staff development.
• Ability to achieve demanding objectives under strict deadlines.
• Strong verbal and written communication skills.
• Self-motivated, with a drive to develop medicines management and clinical services.
• Analytical skills and ability to implement national strategies locally.
• Ability to consult via telephone, online, and face-to-face, and recognise personal limitations when necessary.

• Opportunity to work within established GP practices and multidisciplinary teams.
• Gain valuable experience in NHS primary care.
• Develop clinical expertise in medicines optimisation and long-term condition management.
• Work in a collaborative and patient-focused environment.
• Make a meaningful contribution to improving healthcare services across North West London.

Essential

• Essential Criteria
• Degree or Master's degree in Pharmacy (MPharm or equivalent).
• Current registration with the General Pharmaceutical Council (GPhC).
• Qualified Independent Prescriber (IP).
• Relevant post-registration experience as a pharmacist.
• Completed or willing to undertake the CPPE Primary Care Pharmacy Education Pathway, where required.
• Experience conducting clinical medication reviews and medicines optimisation.
• Knowledge of managing long-term conditions, including diabetes, hypertension, asthma and COPD.
• Knowledge of prescribing guidelines, medication safety and NICE guidance.
• Ability to conduct patient consultations and make clinical decisions independently within professional competence.
• Excellent communication, organisational and interpersonal skills.
• Ability to work effectively within a multidisciplinary healthcare team.
• Good IT skills and ability to maintain accurate clinical records.

Desirable

• Previous experience working in General Practice or Primary Care Networks (PCNs).
• Experience using EMIS Web or SystmOne.
• Experience conducting Structured Medication Reviews (SMRs).
• Experience managing patients with polypharmacy and high-risk medications.
• Experience with QOF targets, clinical audits and prescribing improvement initiatives.
• Knowledge of NHS primary care services and local prescribing formularies.
• Experience with medicines reconciliation following hospital discharge.
• Experience supporting or mentoring other healthcare professionals.
• Membership of the Royal Pharmaceutical Society (RPS).