Job Description

Medication Review and Optimisation Respond to pharmacy queries to include clarifying doses and or products and give appropriate alternatives when availability issues occur Discuss medication issues with patients by telephone such as adverse effects interactions overdose inadvertent ingestion OTC remedies queries from practice dispensary and queries from care homes Discuss specific patient and prescribing issues such as complicated regimes polypharmacy compliance difficulties multiple adverse effects and medication reduction regimes with other clinicians as necessary Consultations with patients may include Discuss medication issues as needed and as appropriate Carry out medication review Review and continue repeat medications for new patients who have just registered with the practice and suggest GP medication review where appropriate Care Home Medication Reviews Support GPs with management of care home residents Undertake clinical medication reviews with patients with multi morbidity and poly pharmacy and implement own prescribing changes if an independent prescriber and order relevant monitoring tests Work with care home staff to improve safety of medicines ordering and administration Long Term Condition Clinics According to experience and training undertake chronic disease reviews and medicine optimization according to practice guidelines Medicines Reconciliation Review secondary care requests for new medication as communicated by discharge summaries and outpatient letters raise any queries with relevant GP and discuss how to respond when inappropriate prescribing requests arise Deal with anticoagulant start stop requests from secondary care and contact patients who have defaulted on INRs Medicines Information and Education Monitor and inform colleagues as relevant about ongoing prescribing issues such as new guidelines national and local new products being asked for by secondary care manufacturing and supply problems new prescribing restrictions or contraindications and individual and systematic errors made by colleagues Advise on cost effective prescribing and prescribing budget issues Prescribing Systems and Policies Assist in identifying patients in need of medication review and developing systems to meet this need Work with the GPs and the practice teams to develop and implement safe and efficient prescribing policies and strategies for cam medical primary care network to maximise efficiency and reduce wastage Suggest and design audits in relation to prescribing targets implementation of locality policies and the quality outcomes framework QOF Work with the GPs and practice managers on delivering targets for the local prescribing quality schemes Monitor cam medical primary care network's prescribing performance and advise on changes to practice prescribing as appropriate Oversight and audit of high risk drug monitoring Medicines Safety Identify national and local policy and guidance that affects patient safety through the use of medicines including MHRA alerts product withdrawals and emerging evidence from clinical trials Liaison with Community and Hospital Pharmacies Support integration of cam medical primary care network within community and hospital pharmacies and proactively manage patients at risk of medicine related problems on discharge to provide continuity of care Running Reports and Audits In the domain of medicines quality improvement conduct clinical audits of prescribing in designated areas as directed by the clinical lead and or GPs Provide feedback on the findings Collaborate with the practice team to implement necessary changes Any Other Duties as Reasonably Required Undertake any other appropriate duties as may reasonably be required from time to time Equality and Diversity The post holder will support the equality diversity and rights of patients carers and colleagues to include Acting in a way that recognises the importance of people's rights interpreting them in a way that is consistent with practice or consortium procedures and policies and current legislation Respecting the privacy dignity needs and beliefs of patients carers and colleagues Behaving in a manner which is welcoming to and of the individual is non judgmental and respects their circumstances feelings priorities and rights