Job Description

Main tasks To liaise with the Frailty Clinical Lead and carry-out comprehensive medication reviews for all frailty cohort patients on discharge this may include home visiting. To provide frailty patients / carers or care homes with a documented review of their medicines systems and processes. This will support implementation of an effective national and local initiatives surrounding medicines and medicines training. To work alongside pharmacists within the PCN team to support the INT Frailty Team SMR work by doing medicines reviews/ Pre-SMR as required.



Participate in Medicines Management team meetings where appropriate Main responsibilities Systems and Process Medication Management Reviews Work collaboratively with carers and where appropraite care home manager and senior staff. Undertake the systems and process review with patients or their carers engaging with them and recording your findings for each section. Give feedback and recommendations during the process and summarise at the end of the visit the actions you are going to take and timeframes. Email or provide a copy of the report and identified guides and templates that support improvement in practice.



Communicate with other relevant parties as appropriate Share the SMR through the DCCR To work collaboratively across the interface between care providers, care homes, community pharmacy and GP practice and maintain excellent communication to ensure accurate medicines supply and stock control systems. Follow up on recommendations made to ensure changes are made to achieve the desired outcomesCommunication and working relationships To engage with GP services, care homes or carers and Frailty MDT to establish your role within delivery of care for frailty cohort patients. To follow processes to access relevant patient information from GP practices and to effectively communicate clinical interventions to the different provider organisations and ensure these recommendations are addressed. This should be in agreement with the GP practices and colleagues as part of collaborative working.



To communicate sensitive information effectively, both written and oral, in order to: Provide guidance and information to care homes to provide clarity around their roles and responsibilities with regards to managing medication, and where to access appropriate support and training. Provide medicines advice to patients, carers and a variety of other healthcare professionals. Liaise across different healthcare settings with relevant clinicians to help improve and ensure effective patient medication reviews and at transfer of care across the interface. Work closely and collaboratively with health and social care teams across the INT frailty network to ensure patients receive the best care.

Colleagues will include:

-Patients, their proxy, and carers -Care Home staff -General Practitioners (GPs) and non-medical prescribers (NMPs) -INT Frailty MDT -GP Practice staff -Primary Care Network (PCN) Staff -Hospital clinical staff -Community Health Services staff -ICB Prescribing and Medicines Optimisation Team -Community pharmacy teams -Adult Social Care (ASC) staff -CQC staff -Liaise with the INT frailty lead about any concerns or queries regarding frailty or care homes and patient safety e.g. safeguarding. Medication reviews/ Pre-SMR To ensure patients medications are reviewed and optimised in regards to self-care treatments, where appropriate involving the patient and/or their carers or welfare proxy. To use a shared decision-making consultation model adapting to individual patient circumstance and ability e.g., dementia, learning disability, sensory impairment.



Recommend and implement prescribing-related interventions e.g., rationalise prescribing in line with local and national priorities. Provide information and advice to patients and their carers (e.g., care home manager) regarding their medicines, including promoting self-care, supporting, and reassuring patients when necessary. Reduce the likelihood and consequences of patient harm from their prescribed treatments. Ensure monitoring is in place as needed.



Refer patients to other clinical services, including those within relevant multidisciplinary teams including e.g., INT frailty team MDT, community pharmacy services. Produce written summary of outcomes of each clinical medication review including recommendations made and implemented. This summary to be shared with the patients GP and community pharmacy and patients / care homes or care home if applicable. Medicines Optimisation Education & Training To support care homes to access Adult Social Care or ICB training to ensure appropriate medicines optimisation training for care homes.



Deliver elements of education around key priorities areas agreed with the Frailty INT team service lead for example: self-care and medication advice for care home staff Leadership Support leadership within the INT frailty team MDT team as an expert on medicines. Provide expert pharmaceutical input into safeguarding incidents relating to medicines use in patient homes or care homes when required and where appropriate The post holder may have tasks or responsibilities delegated to them, appropriate to their level of competence. They may also be expected to delegate tasks or responsibilities to other staff, as appropriate. Flexibility This job description is intended to provide a broad outline of the role.



The post holder may be required to carry out other duties commensurate with their banding and competence. Policies and procedures The post holder is required to familiarise themselves with all relevant INT / PCN policies and procedures and to comply with these at all times. Confidentiality and data protection The post holder must maintain the confidentiality of information about patients, staff and other health service business and meet the requirements of the Data Protection Act (2018) and General Data Protection Regulation (2018) at all times. The post holder must comply with all INT and PCN information and data protection policies at all times.



The work of the INT is of a confidential nature and any information gained by the post holder in their role must not be communicated to other persons except where required in the recognised course of duty. Health, safety and wellbeing Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and must follow these in full at all times, including ensuring that they act in line with all agreed procedures at all times in order to maintain a safe environment for patients, visitors and colleagues. The INT / PCN is committed to support the health and wellbeing of all its employees. The post holder is required to familiarise themselves with the organisations range of health and wellbeing support, share with their team, and report stress and ill health as early as possible Equality, diversity and inclusion Our INT aims to grow inclusive teams in which you feel like you belong, we encourage a culture of learning from different points of view.



We want to support you to be courageous and to overcome bias and challenge prejudice. Use of technology The role will require extended use of technology including EMIS Clinical system, Eclipse Safety System, RIO and other patient clinical systems that support safety and contemporaneous treatment and clinical recording. No smoking policy We have a no-smoking policy, in line with government legislation. This applies to all staff, visitors and patients.



It is a condition of employment for staff that they do not smoke whilst on duty or in uniform or anywhere on Trust premises. This includes electronic cigarettes. Professional registration All employees who are required to be a member of a professional body are required to hold relevant registration and must comply with the standards and guidelines of their professional practice, education and conduct and must act at all times within the boundary of the code of conduct. Infection prevention and control Infection prevention and control is everybody's responsibility.



All staff, both clinical and non-clinical, are required to adhere to the standard PCN/INT Infection Prevention and Control Policies and make every effort to maintain high standards of infection prevention and control at all times thereby reducing the burden of healthcare-associated infections (HCAI). Safeguarding children, young people and vulnerable adults Our INT is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expects all staff and volunteers to share this commitment. Rigorous recruitment checks are carried out and successful applicants may be required to undertake an Enhanced Disclosure via the Disclosure and Barring Service (DBS). Quality Excellent care at the heart of the community is our INT vision.



To make sure our care meets this high standard all staff must ensure that the three themes of quality care are provided in every encounter they have with our patients. The three themes are safe care, effective care, and patient-centred care. All staff, clinical and non-clinical, are expected to ensure that quality is a key consideration in all we do. This includes reviewing practice and being open to feedback on our performance, being open and honest, and seeking to identify, resolve, and appropriately escalate issues and risks.