Prescribing Clinical Pharmacist

Patient facing Long-term condition clinics - Review the ongoing need

for each medicine, a review of monitoring needs and an opportunity to support

patients with their medicines.

clinical medication reviews with patients and produce recommendations.

Work with care home staff to improve safety of

medicines ordering and administration.

Management of common/minor/self-limiting

ailments

patient facing clinics for those with questions, queries and concerns about

their medicines in the practice.

Medicine information to practice staff and

patients.

Unplanned hospital admissions - Review the use

of medicines most commonly associated with unplanned hospital admissions

Management of medicines at discharge from

hospital.

Repeat prescribing

Service development

Information management

Medicines quality improvement - Undertake

clinical audits of prescribing in areas directed.

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.

As part of their employment, the post holder will ideally have completed the CPPE pathway and must be an Independent Prescriber, equipping the prescribing clinical pharmacist to be able to practice and prescribe safely and effectively in a primary care setting.

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 ongoing 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.

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

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

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

Managing caseload for patients with common/minor/self limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate

Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice

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

Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing 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 high-risk patient groups.

Management of medicines at dischargefrom hospital

To 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 high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes).

Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

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

Identification of 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 (e.g. advice on treatment pathways and patient information leaflets).

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 GPs, feedback the results and implement changes in conjunction with the practice team.

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 economies 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.

Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public health

To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.

Lichfield and Burntwood GP Network Ltd was formed in 2018

and has evolved into two distinct but closely linked Primary Care Networks. The

practices work closely together enabling greater provision of proactive,

personalised, coordinated and more integrated health and social care for our

communities. They are meeting the ambitions in the NHS Long Term Plan. We cover

a patient population of over 78,000 and have a team of over 26 wte people

working across and in the PCN practices. A Pharmacy team meeting takes place

each month about pharmacy issues and developments along with a quarterly staff

meeting.

Qualifications

Essential: - Masters degree in pharmacy (MPharm) and registration with the General Pharmaceutical Council.; - Holds a GPhC Independent Prescribing qualification

Experience

Knowledge and Skills