The Clinical Pharmacist is an integral part of the team, using and sharing pharmacy expertise to support the Practice in effective medicines management and optimal patient care.
The Clinical Pharmacist will work across Granta sites and the work undertaken at those sites will be determined according to their existing and developing systems and will include some or all of the responsibilities noted below.
Job Responsibilities
Medication Review and Optimisation
Respond to medication queries to include clarifying doses and/or products and give appropriate alternatives when availability issues occur.
Discuss specific patient and prescribing issues (e.g. complicated regimes/polypharmacy, compliance difficulties, multiple adverse effects, medication reduction regimes) with other clinicians as necessary.
Telephone clinics:
To discuss medication issues with patients as needed and appropriate, e.g. adverse effects/interactions, overdose/inadvertent ingestion. OTC remedies, queries from care homes
To carry out medication reviews as agreed with Prescribing Lead GP.
To review and continue repeat medications for new patients who have just registered with the Practice, and suggest GP medication review where appropriate.
Face to face clinics:
To discuss medication issues with patients as needed and appropriate.
To carry out medication reviews as agreed with Prescribing Lead GP.
To review and continue repeat medications for new patients who have just registered with the Practice, and suggest GP medication review where appropriate.
Medicines Reconciliation
Review secondary care requests for new medication (as communicated by discharge summaries, outpatient letters, etc.), 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 or routine monitoring for DOACs.
Deal with high risk disease modifying drugs and contact patients who have defaulted routine blood monitoring.
Long Term Medical Conditions
According to experience and training undertake chronic disease reviews and medicine optimisation according to Practice guidelines:
Hypertension (lifestyle advice and medication optimisation).
Diabetes (medicines optimisation, reduction of polypharmacy, with referral to GP where necessary).
CHD (medicines optimisation, with referral to GP where necessary).
Respiratory (medicines optimisation, with referral to GP where necessary).
Chronic pain management (responding to patient or GP requests for review).
Medicines Information / Education
Monitor and inform colleagues as relevant about ongoing prescribing issues, e.g. 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 in collaboration with the Senior Clinical Pharmacist.
Support innovation for patient education.
Prescribing Systems and Policies
Work with the Senior Clinical Pharmacist/GPs to develop and implement safe and efficient prescribing policies and strategies for the whole Practice to maximise efficiency and reduce wastage.
Support and assist in audits in relation to prescribing targets, implementation of locality policies and the Quality Outcomes Framework (QOF).
Work with the Senior Clinical Pharmacist/Lead Prescribing GP on delivering targets for the local Prescribing Quality Schemes.
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 the Practice within community and hospital pharmacies and proactively manage patients at risk of medicine related problems on discharge, to provide continuity of care.
Unplanned Admission Prevention
Devise and implement Practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from polypharmacy.
Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines.
Work with Practice team to put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
Job Type: Part-time
Benefits:
Company pension
Free parking
On-site parking
Sick pay
Work Location: In person
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