Pharmacist Independent Prescriber

The post holder will provide

primary support to general practice staff with regards to prescriptions and

medication queries. They will help support the repeat prescribing system, medicines

reconciliation, and support systems for safer prescribing. They will be

expected to provide expertise in clinical medicines advice while addressing

both public and social care needs of patients.

The post holder will provide

clinical leadership on Medicines Optimisation and manage some aspects of the Quality

and Outcomes Framework and Enhanced Services. They will ensure that practices

integrate with community and hospital pharmacy to facilitate effective

communication across different healthcare settings.

The role is pivotal to improving

the quality of care and operational efficiencies so requires motivation and

passion to deliver excellent service within general practice.

Structured

Medication reviews

elderly patient with problematic Polypharmacy, renal and/ or hepatic impairment

on high-risk medicines

identified patients

door Hospital admission

Disability reviews

arthritis reviews

pain management, e.g. osteoarthritis

care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome

(IBS)

to multimorbidity reviews and multidisciplinary reviews

Management of common/minor/self-

limiting ailments

caseload for patients with common/minor/self-limiting ailments while working

within a scope of practice and limits of competence.

or other healthcare professionals where appropriate

Management of medicines at discharge from hospital

reconcile medicines following discharge from hospitals, intermediate care and

into care homes

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

for high risk drug monitoring

development, and implementation of system searches

to identify cohorts of patients at high risk of harm from medicines.

quality and safety of prescribing through mechanisms such as audit and PDSA

cycles

drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety

Medicine information to practice

sta and patients

Deal will all

medication queries from

patients, community pharmacy, secondary care

admin staff

clinicians

Act

as a source of medicines information for the practice team and patients (e.g.

around doses, side effects, adverse events, possible alternatives for out of

stocks).

leadership to the general practice teams to ensure practices are compliant with

CQC standards where medicines are involved.

compliance with medicines

legislation.

Public

health

contribute to public health campaigns, including u vaccinations, and adult

immunisation programmes

quality improvement

to improve patient

safety and use of

medicines

medicine-related audits, significant event audit and complaint review.

to medicine-related complaint response letters as appropriate

on use of TARGET toolkit for antimicrobial stewardship.

on stopping over-medication of people with a learning disability, autism, or

both (STOMP) and people with dementia.

safety

national and local policy and guidance that affects patient safety using

medicines, including MHRA alerts, product withdrawals and emerging evidence

form clinical trials.

the process of implementing changes to medicines and guidance for practitioners.

Islington GP Federation (IGPF) is a growing organisation representing 31 practices; we have established ourselves as a leader in new ways of working, including running Islingtons extended access primary care services (I: HUB) as well as supporting the Islington Primary Care Networks (PCNs).Our current range of services include the Extended Access Service, I: HUB, Community Ear, Nose and Throat (ENT), Integrated Community Gynaecology, practice-based pharmacists, and a range of practice support mechanisms.

IGPF works very closely with a range of partners including the regional commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals such as UCLH, Whittington Health and the London Borough of Islington.

IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub and has been working for over two years to create training and development programmes that meet the needs of staff working in primary and community care settings.IGPF runs four Islington GP practices. City Road Medical Centre is a GMS practice; two are APMS contracts and one caretaking contract.

Knowledge and skills

Qualifications

Desirable: - Membership of the Royal Pharmaceutical Society.; - Faculty membership of the Royal Pharmaceutical Society.

Experience

Essential: - Minimum of 2 years post-qualification experience.