Job Description

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). 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.



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. Produce and implement a 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 to the GP.



Monitor and manage patients with polypharmacy. Provide a telephone help line for patients with questions, queries and concerns about their medicines. Hold clinics for patients requiring face-to-face medicines use reviews i.e., advise about medicines and adherence support. Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.



Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. See patients with single medical problems where medicine optimisation is required (e.g., COPD, asthma). Make recommendations to GPs for medicine improvements.



Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g., advise on treatment pathways and patient information leaflets).