We are seeking a dedicated and detail-oriented Clinical Pharmacist to join our healthcare team. The successful candidate will play a vital role in improving patient's health outcomes and the efficiency of the Primary Care team by providing direct, accessible and timely medicines expertise including face to face. To proactively transfer workload relating to medicines optimisation issues to improve patients care, safety and free up clinical staff to spend more time on clinical care. This part-time position offers an opportunity to work closely with medical professionals to optimise patient outcomes through precise medication administration and counselling. The ideal applicant will possess strong clinical knowledge, excellent communication skills, and a commitment to delivering high-quality healthcare services.
Duties
and Responsibilities
Provide proactive leadership on medicines and prescribing systems to the practice multidisciplinary team, patients and their carers.
Develop and deliver patient facing services and clinics which improve patients' outcomes, reflect the needs of the practice population and shift workload from other disciplines.
Deliver direct patient consultations and prescribing as part of the practice and cluster multidisciplinary team approaches acute illness.
Improve patient carer understanding of, confidence in and compliance with their medicines.
Provide pharmaceutical consultations and home visits to patients with long term conditions as an integral part of the multidisciplinary team.
Field medicines and prescribing queries from patients and staff.
Organise and oversee the practices' medicine optimisation system including the repeat prescribing and medication review systems.
Deliver high quality medication reviews and develop bespoke medicines treatment plans for patients (particularly the elderly, complex patients, and those at risk of admission)
Improve the safety and quality of prescribing following hospital admissions and attendance
Improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards, prescribing guidance, and other clinical standards.
Develop yourself and the role through participation in clinical supervision, training and service redesign activities
Provide a clear and active link with community pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage issues
Deliver training, monitoring and guidance to other clinicians and staff on medicines issues
Contribute to the achievement and maintenance of good to outstanding CQC registration status.
Core Competencies
1. Patient facing Clinical Care
Manage a caseload of complex patients and potential care institutions
Manage more complex patients or areas such as addictive behaviours, severe mental illness or end of life care
Be able to manage a great range of acute illness and provide resilience in acute periods of high demand
Develop a specialist area of interest
Conduct medication reviews and agree medicines care plan in agreement with patients and carers
Delivering long term condition clinics and home visits particularly for patients with complicated medication regimes and prescribe accordingly
Consult patients for acute illness within defined level of competence and independently prescribe medication
Prescribe acute and repeat medication for patient need within area of competency
Receive referrals and directed patients from triage services and other clinicians
Provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re admission to secondary care
Receive and resolve medications queries from patients and their carers
Promote self-management and develop patients support systems
Manage therapeutic drug monitoring system and recall of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and DMARDs etc.
Support virtual and remote models of consultation and support including e-consultations, remove medication review and telehealth and telemedicine
2. Medicines Optimisation Systems
Investigate and feedback on examples of best practice and formulate how to apply these to the pilot
Review overall efficiency of practice arrangements; reduce duplication and suggesting improvements in use of skills
Lead the practice in mapping of complex whole systems pathways and process
Organise and oversee repeat prescribing, repeat dispensing, electronic prescribing and medication review systems
Provide leadership and support to prescription administrative staff
Handle prescription queries and requests directly
Oversee systems for reconciliation of medicines from outpatient and discharge letters and support safe transfer of care through liaison with hospital and community colleagues
Liaise with other stakeholders in the supply chain such as community pharmacists and appliance contractors to handle queries and manage supply problems
Maintain and review a medicines Handling Policy for the practice to ensure safe processes for self-administered medicines and controlled drugs
Support delivery of QOF, incentive schemes, QIPP and other quality of cost effectiveness initiatives
Agree and review prescribing formularies and protocols and monitor compliance levels
Improve the data quality of medicines records and lining to conditions.
3. Safety
Report medicines related incidents, contribute to investigations and root cause analyses
Participate in serious incident investigations and multidisciplinary care reviews
Report Adverse Drug Reactions and promote reporting by MDT
Oversee use and monitoring of high-risk drugs and drugs of abuse
Action and respond to Drug Safety Alerts and other safety cascades
4. Training and Education Information
Participate in MDT learning activities
Participate in and contribute to MDT clinical supervision sessions and case reviews
Develop and deliver education sessions and training to clinical and non-clinical staff on medicines issues
Deliver education and support to individual patients and patients support groups on medicines
Monitor and support junior pharmacists and other clinicians
Provide ad-hoc medicines advice to doctors and other clinicians
Assess emergent clinical evidence and develop strategies for implementation in practice
Horizon scan for new drugs and provide information to the MDT on their introduction
Provide advice on cost effective prescribing and supply issues
Provide teaching and support to medical students, GP trainees and other trainee healthcare professionals
Actively participate in monthly PCNs pharmacist group clinical supervision and development sessions
5. Quality
Organise collection and review of KPI and performance monitoring data for meetings
Contribute to the achievement of KPS and objectives, monitor against overall objectives of the role
Inspire innovation amongst the team and stimulate improvement activities
Ensure compliance with CQC and other professional standards
Promote a culture of constant improvement and excellence
Conduct regular clinical audits and other improvement activities
Assess own performance regularly and make suggestions of how to improve personal and team performance
Lead and participate in PDS and other improvement activities
Understand a risk management approach and apply it to all activities
6. Financial and Physical Resources
Support staff management and performance reviews
Manage prescribing expenditure and monitor drug budget
Prescribe cost effectively
Reduce waste
Ensure safe storage and security of medicines
7. Governance
Agree and maintain Medication Review policies and procedures
Agree and maintain Repeat Prescribing policies and processes
Maintain prescribing policies within practice to manage risk including medicines storage preparation, administration and disposal to comply with Medicines Act 1968 and Misuse of Drugs Act 1971 and evolving legislation
Key Working Relationships and Communications
General Practitioners and other practice clinicians (Frequent/Daily)
Patients and carers (Frequent/Daily)
PCN Clinical Directors (Weekly)
Practice Manager
Senior Clinical Pharmacists support (Weekly/Monthly)
Local community pharmacies
Secondary care pharmacy departments
NHS England and its local offers
Patients & public stakeholders, including patient participation groups
Secondary care departments, including Doctors and Nurses
Relevant representative committees (e.g. LMC, LDC, LOC, LPC)s
Primary healthcare team e.g. community nurses
Care homes
Healthcare providers including NHS, third sector and voluntary providers
Review of role
A personal development plan will be agreed each year with the post holder to further develop the skills and knowledge required to carry out the responsibilities associated with this role.
Other
Undertake additional duties in agreement with the PCN Clinical Directors as consistent with the grade of the post
Code of Conduct
Pharmacist must comply with the code of professional conduct set by the General Pharmaceutical Council and to host practices code of conduct.
Equal Opportunities/Diversity
The pilot practices are committed to an Equality Policy which affirms that all staff should be afforded equality of treatment and opportunity in employment irrespective of sex, sexuality, age, material status, ethnic origin or disability.
Health and Safety
The post holder is required to take responsible care for the health and safety of themselves and other persons who may be affected by their omissions at work. The post holder is also required to co-operate with their employing body to ensure that statutory and departmental regulations are adhered to.
Confidentiality and Data Security
You are required to preserve the confidentiality of any information regarding patients, staff (in connection with their employment) and the practice and this obligation shall continue in perpetuity. You have a responsibility to comply with the Data Protection Act 1998, NHS Confidentiality guidance (e.g. Caldicott) and any code of practice on Confidentiality and Data Protection, as accepted by the PCN practices. All employees must adhere to practice policies on the protection and use of personal information, which provides guidance on the use and disclosure of information. The practice also has a range of policies for the use of computer equipment and computer-generated information. These policies detail the employee's legal obligations and include references to current legislation.
Person Specification
Essential
Evidence of post qualifying and continuing professional development
Extensive knowledge of medicines optimisation through post graduate diploma or equivalent experience or training
Member of GPHC
GPHC Independent Prescribing Qualification
Personal professional indemnity insurance
Must understand the background to and aims of General Practice
Has appreciation of new NHS architecture including the relationship between individual provider, PCN and commissioners
Understanding of the current national policies those impacting on medicines optimisation services
Evidence of experience in using independent prescribing
Ability to constructively challenge the views and practices of clinicians and managers
Proven verbal and non-verbal communication skills
Good interpersonal skills
Considers most effective way to promote equality of opportunity and good working relationships in employment and service delivery; can take actions which support and promote this agenda
Ability to travel round the PCN GP practices
Embrace change, viewing it as an opportunity to learn and develop
Demonstrates understanding of legal, governance and ethical frameworks within which pharmacists and primary/secondary
Evidence of planning and delivering of programmes and projects and services on time
Ability to summarise and present information in relevant concise and proactive way
Current and valid UK driving license with access to a car
Excellent clinical knowledge and ability to apply to practice
Experience of a patient focused role and consultation skills to apply knowledge in a format patients/carer can understand
Sound knowledge of medicines legislation and the vision for the development of clinical pharmacists within primary care
Understanding of the data protection act and patient confidentiality, clinical governance, information governance and Caldicott requirements
Ability to use informed persuasion to influence others
Able to understand a broad range of complex information quickly and make decisions
Working knowledge of Microsoft Office with intermediate keyboard skills
Ability to work without supervision, providing specialist advice to the PCN, working to tight and often challenging timescales. interpreting national policy for implementation
Desirable
Good understanding of primary care
Experience of undertaking evidence reviews
Developed communication skills to deliver key messages to a range of stakeholders
Able to facilitate change
Experience of clinical audit
Ability to critically analyse complex information and evidence and communicate the findings clearly in simple terms
Ability to identify risks, anticipate issues and create solutions and to resolve problems in relation to project or service delivery
CPPE fundamentals GP pathway course
Job Type: Part-time
Pay: Up to 73,334.00 per year
Expected hours: 13 per week
Work Location: In person
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