Primary Care Network (PCN) Pharmacist

Patient facing clinical medication review

Patient facing domiciliary clinical medication reviews

Enhanced Health in Care Homes support

Patient facing medicines support

Telephone medicines support,Medicine information to practice staff and patients

Anticipatory Care

Management of medicines at discharge from hospital and outpatient clinic medicines related recommendations

Repeat prescribing

Clinical areas

Information management

Improvement

programmes

Medicines safety

Implementation of local and national

guidelines and formulary

recommendations

Undertake clinical medication reviews with patients with multimorbidity and poly-pharmacy and implement own prescribing changes ,as an independent prescriber training provided through the CPPE Primary Care Education pathway if not already completed, and order relevant monitoring tests.

Work to tackle over medication, antimicrobial stewardship, wider medicines optimisation with a focus on ,but not limited to asthma,COPD, frail,elderly, reducing overprescribing in patients with learning difficulties and patients with complex needs.

Be involved in managing vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines.

Implement prescribing changes and ordering of monitoring tests.

Refer patients to the social prescribing service where appropriate and other services as required such as falls clinic, frailty service etc.

Be part of a multi-disciplinary team ,including GPs and nurses, providing care to patients in the care homes served by the member practices. E Review medications and provide medicines optimisation and rationalisation for care home patients to reduce risk and promote appropriate prescribing.

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

Provide telephone appointments for patients with questions, queries and concerns about their medicines.

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.

Work with practice teams to identify cohorts of patients most likely to be at risk of admission or adverse health outcomes, including palliative patients. Work with GPs, case managers, multidisciplinary (health and social care) review teams, hospital colleagues where appropriate to manage medicines related risk for readmission and patient harm.

Put in place changes to reduce the prescribing of these medicines to high risk patient groups.

Work as part of our Pharmacy Hub team to reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes. Actioning medication changes from outpatient clinics with direction from the patients GP.

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 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.

Help to 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 (training can be provided as state above), and ensure patients are booked in for necessary monitoring tests where required.

Hypertension Reviews and other chronic disease reviews according to competence and with agreement of the practice team.

Rheumatoid Arthritis annual face to face review(with appropriate training)

DOAC/Warfarin TTR reviews and liaison with specialist hospital teams

Contextual de-dprescribing where appropriate for polypharmacy in line with local guidance.

Working on the local Prescribing Incentive Scheme, QOF and quality improvement.

Where necessary deliver vaccinations (eg. Flu, covid) with appropriate training and support.

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

Identify and provide leadership on areas of prescribing and medicines optimisation.

Conduct clinical audits and improve projects or work with colleagues such as GP registrars, practice managers etc.

Present results and provide leadership on suggested changes. Contribute to national and local research initiatives.

Identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials.

Manage the process of implementing changes to medicines and guidance for practitioners and communicating changes to the practices through the PCN monthly prescribers meeting.

Monitor practice prescribing 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.

Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

Provide training to visiting medical, nursing, pharmacy and other healthcare students where appropriate.

The SEOxHA Network delivers health and wellbeing services to a population of 33,000. The local community is a rich blend of cultures and diverse backgrounds.

This is a unique opportunity to develop the role within the Primary Care Network (PCN) and work with other team members to develop the PCN as a whole.

There are clinical pharmacists and a pharmacy technician, social prescribing link workers, and learning disability & care home patient coordinators in the PCN.

Qualifications