Job Description

Patient facing long-term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Delivering pharmacy related aspects of the Network DES such as conducting structured medication reviews (SMRs). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e.



medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement. Patient facing clinical medication review. Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.



Patient facing care home medication reviews where required. Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration. Patient facing domiciliary clinical medication review.



Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Management of common/minor/self-limiting ailments manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate.



Patient facing medicines support. Provide patient facing clinics for those with medicines queries. Telephone medicines support. Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g.



community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes. Identify medications associated with harm or unplanned hospital admissions through audits or reviewing discharge summaries, and be able to proactively optimise their therapy and prevent harm Recommend changes to the prescribing of high risk medications, especially to high risk patient groups Management of medicines at discharge from hospital.



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. Ensure continuity of medicines supply post discharge Signposting - ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time. Assist with the development of a repeat prescribing process at the practice Assist in managing 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. Ensure patients have appropriate monitoring tests in place when required.



Identify 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. Information management: Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

Medicines quality improvement:

Undertake clinical audits of prescribing as directed by the GPs, practice manager or Senior Clinical Pharmacist and feedback 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 and national guidelines and the local formulary. Monitor practice prescribing against the local health economies.



Make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care. Assist the practices with keeping them up to date on how to access the local formulary. Auditing practices compliance against NICE technology assessment guidance Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission (CQC) work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.



Provide knowledge on public health programmes available where applicable. Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships within them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients. Recognises personal limitations and refer to more appropriate colleagues when necessary.



Demonstrates ability to work collaboratively with community and hospital pharmacy teams. Liaises with ICB Pharmacists and Medicines Management team on prescribing related matters and to benefit from peer support. Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role.



Demonstrates ability to improve quality within limitations of service. Reviews yearly progress and develops clear plans to achieve results within priorities set by others. Promotes diversity and equality in people management techniques and leads by example. Demonstrate understanding of effective resource utilisation and the implications of national priorities for the team and service.



Demonstrate understanding of, and conforms to, relevant standards of practice. Demonstrate ability to identify and resolve risk management issues according to policy/protocol. Follow professional and organisational policies/procedures relating to performance management. Demonstrate ability to extend boundaries of service delivery within the team.