Job Description

Accountable to: Moss Healthcare Harrogate - Partners & Management team

Reporting to: Senior Clinical Pharmacist

Base: On-site: 28-30 Kings Road, Harrogate, HG1 5JP

Salary: From c36,000 p.a. FTE (pro-rated for part-time working) dependent on skills, qualifications and experience

Job Type: Permanent

Hours: Part time (0.6 FTE), working full days on

Wednesday, Thursday & Friday

About Moss Healthcare:

Moss Healthcare Harrogate are the largest and longest established GP Practice in Harrogate. We operate across 2 sites: our largest in the town centre on Kings Road, and at Jennyfield Health Centre. We are a dynamic, friendly practice who strive to provide quality healthcare services to our 20,000+ registered patients.

We positively welcome applications from all sections of the community. The Practice is committed to safeguarding the welfare of children, young adults and vulnerable adults and the successful applicant will need to undertake enhanced DBS clearance for the Practice.

About the role:

You will be part of our growing team of Practice clinical pharmacists and pharmacy technicians. You will develop through team clinical supervision sessions and benefit from direct mentoring with an experienced GP/ Lead Pharmacist.

We welcome applications from those

experienced in primary care, or

those wishing to move into the primary care sphere, where you will have the opportunity to access and complete NHS England's accredited training pathway that equips you to practice and prescribe safely and effectively in a primary care setting (CPPE.)

Job Summary:

To work as part of our practice clinical pharmacy team, led by our senior clinical pharmacist, to:

improve patient safety, health outcomes and efficiency by providing direct, accessible and timely Clinical Medicines expertise by working as part of a multidisciplinary practice team.

support proactive transfer of medicines optimisation workload from GPs and ANPs to the in-house clinical pharmacy team

promote safe, evidence based, cost effective prescribing in line with ICB and NHS requirements

provide expert pharmaceutical and medicines optimisation advice to practice staff and patients

provide prescribing support in areas such as:

o interim and annual telephone and face to face medication reviews and follow ups, including review of medication-related monitoring results

o medicines reconciliations (hospital outpatient and discharge letters; new patient registrations; amber drug requests)

o Implementation of prescribing guidelines

o Medication monitoring and safety

o quality improvement initiatives in prescribing and medicines usage

support medicines-related training and education within the practice

This role is pivotal to improving the quality of care and operational efficiencies so requires good attention to detail and practice procedures, as well as motivation and passion to deliver an excellent service within a General Practice environment.

Primary Duties and Areas of Responsibility

Patient facing long-term condition and medication review clinics:

See patients with single or multiple medical problems where medicine optimisation is required (e.g. diabetes, hypertension, heart failure), or where patients are prescribed large numbers of medicines or combinations with identifiable risks. Review the ongoing medicine plan for these patients, ensuring they get the best use of their medicines and action and/or make appropriate recommendations to clinicians for medicine improvement

Medicines support and advice in person or by telephone

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

Medicine information to practice staff and patients

Respond to medicine related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients/carers with queries about medicines.

Suggesting and recommending solutions.

Providing follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions

Provide targeted support and proactive review for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

Management of medicines at discharge from hospital

To reconcile medicines following discharge from hospitals, intermediate care and into care homes, working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.

Signposting

Ensure that patients are referred in a timely manner to the appropriate healthcare professional for the appropriate level of care (e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.)

Repeat prescribing

Support safe and timely repeat prescribing, repeat dispensing, electronic prescribing and medication review systems. 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).

Develop specialist area(s) of interest.

Information management:

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

Medicines quality improvement:

Undertake audits of prescribing in areas directed by the lead practice pharmacist, 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/national guidelines and formulary recommendations

Support the development and implementation of medicines-related procedures within the practice, including appropriate acceptance of amber (shared care) drugs, medicines monitoring and recalls.

Support the agreement and review of Prescribing Formularies and Protocols and monitor & address compliance/adherence levels.

Cost Effectiveness:

Support the delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.

Education and Training:

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

Care Quality Commission

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 (including vaccination) campaigns. To provide specialist knowledge on all public health programmes available to the general public.

About you:

You should:

Be proficient in communicating with relevant stakeholders (including patients, senior and peer colleagues, and other professionals, including other NHS/private organisations)

Have or be willing to work towards the CPPE pathway and independent prescribing qualification

Recognise personal limitations and refer to more appropriate colleague(s) when necessary

Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality

Foster and maintain strong links with all services across locality, working collaboratively and sustainably across General Practice, with ICB Colleagues, Medicines Management Team and with Community and Hospital Teams to benefit from Peer Support and ensure best Patient Care

Have a good working knowledge of current NHS policies, processes and structures

Understanding of the data protection act, GDPR and patient confidentiality, clinical governance, information governance and Caldicott requirements

Ability to use GP systems - Moss use SystmOne and AccuRx

Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace, as well as understanding and contributing to the workplace vision

Promote diversity and equality in patient care and communication with colleagues, leading by example

Act as a role model to members in the team and/or service and be able to provide mentorship where applicable

Maintain competence in medicines optimisation and relevant therapeutic areas as agreed with the lead practice pharmacist

Apply self-development through continuous professional development activity; working alongside senior colleagues to identify areas to develop

Participate in the delivery of formal education programmes for trainee pharmacists, pre-registration pharmacy technicians, and colleagues undertaking CPPE or other medicines training (including reception and admin teams)

Engage in appropriate clinical supervision to support own professional development

If you would like an informal discussion or to visit the practice, please email the Operations team at nyy.b82013@nhs.net with your request and we'll be pleased to speak with you.

Job Types: Part-time, Permanent

Pay: 21,500.00-24,000.00 per year

Expected hours: 27 per week

Benefits:

Additional leave Company pension Employee discount Health & wellbeing programme Private dental insurance Private medical insurance Sick pay Store discount
Work Location: In person