PCN Clinical Pharmacist- De Beauvoir Surgery

The post holder will work as part of a passionate

multi-disciplinary team in a patient-facing role. The PCN Clinical Pharmacist

will take responsibility for areas of chronic disease management and work

proactively with other healthcare professionals as part of a multidisciplinary

team across the PCN. The successful

candidate will join a core Pharmacy Team and will be supported by a Senior

Clinical Pharmacist supervisor, GP and other support staff. Regular development sessions, teaching,

training and opportunities to upskill will be provided. You will work against a

strong personalised development pathway. The PCN supports Pharmacists

interested in becoming independent prescribers.

Clinical pharmacists have a key role in supporting delivery

of the network contract Direct Enhanced Service (DES) specifications.

The PCN Clinical Pharmacist will need to be committed to

improving health and putting patients first.

Key qualities will be the ability to build effective relationships with

patients, GPs, nurses, community pharmacists, hospital and practice staff, and

to work effectively as part of a team. Demonstrable general pharmaceutical

skills and knowledge in core areas, including long term conditions, together

with a good understanding of general practice are essential.

The PCN Clinical Pharmacist will

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;

be a prescriber, or completing training to

become a prescriber, and work with and alongside the general practice team;

be responsible for the care management of

patients with chronic diseases and undertake clinical medication reviews to

proactively manage people with complex polypharmacy, especially the elderly,

people in care homes, those with multiple co-morbidities (in particular

frailty, COPD and asthma) and people with learning disabilities or autism

(through STOMP Stop Over Medication Programme);

provide specialist expertise in the use of

medicines whilst helping to address both the public health and social care

needs of patients at the PCNs practice(s) and to help in tackling

inequalities;

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;

through structured medication reviews, support

patients to take their medications to get the best from them, reduce waste and

promote selfcare;

have a leadership role in supporting further

integration of general practice with the wider healthcare teams (including

community and hospital pharmacy) to help improve patient outcomes, ensure

better access to healthcare and help manage general practice workload;

develop relationships and work closely with

other pharmacy professionals across PCNs and the wider health and social care

system;

take a central role in the clinical aspects of

shared care protocols, clinical research with medicines, liaison with

specialist pharmacists (including mental health and reduction of inappropriate

antipsychotic use in people with learning difficulties), liaison with community

pharmacists and anticoagulation.

Key aspects of PCN

pharmacist role

Patient facing role undertaking face to face

Medications reviews for

patients on complex polypharmacy with long term

conditions

housebound patients

specific disease areas identified as a priority area

within the PCN

Review patients with single or multiple medical

problems where medicine optimisation is required.

Review on-going need for each medicine, assess monitoring

requirements and support patients to ensure treatment is safe, appropriate

and optimised for maximum clinical benefit.

Discuss recommendations and outcomes with relevant

members of the PCN team and provide appropriate and timely follow up.

Support patients to optimise medicines by providing additional

written patient information leaflets, and liaise with community pharmacists

about the need for special requirements to aid adherence.

Management of Common/Minor/Self-Limiting Ailments

Support practices in improving patient access for minor

ailments and acute presentations.

Promote the importance of self-care and signpost patients

to community pharmacies in line with national guidance on over the counter

medicines.

Medicines Information to Practice Staff and Patients

Support relevant medicine-related enquiries from the

practice team, PCN team, community pharmacists and patients.

Update practice teams at weekly meetings on current

medicines related information and issues with a view to educating and

improving prescribing within the practice.

Analyse, interpret and present medicines data to practice

staff regularly to highlight prescribing issues.

Communicate

recommended actions relating to medication and medical device safety alerts.

Medicines Reconciliation

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.

Commissioned improvements for QIPP and medicines

optimisation

Support

the practice and the PCN in delivering the outcomes as required in the medicines section of the Clinical

Commissioning Contract

Signposting

Ensure that patients are

referred to the appropriate healthcare professional for specialist referral,

monitoring and/or referred to the social prescriber for further support

services where required.

Groups of GP Practices in City and Hackney have recently come

together to form 8 Primary Care Networks (PCNS) each covering a total

population of between 30,000-56,000. The

purpose of these PCNs is to enable GP practices to work together in a

collaborative way to develop and deliver network-based services that respond to

the needs of the local population.

Experience

Qualifications