clinical pharmacist King's Lynn, England
Job description
KEY RESPONSIBILITIES Being responsible within their allocated GP Practices, this role will require the post holder to provide expertise in clinical medicines review and address public health and social needs of patients. More specifically this will include, but will not be limited to, the following duties: Undertake clinical medication reviews and run poly-pharmacy clinics with patients with multi-morbidities, particularly in high risk groups such as: The frail elderly Renal impairment Hepatic impairment Substance misuse Patients on high risk medicines Multiple co-morbidities Management of medicines of patients discharged from hospital, reconciling and identifying unexplained changes and managing these without referral to a GP. Risk Stratification design, develop and implement SystmOne searches to identify cohorts of patients at high risk of harm from medicines, and work with patients and the primary care team to minimise risks through medicines optimisation. Improve prescribing practice through educational support for all prescribers within the practice Lead on where changes in evidence require changes in prescribing across patient population e.g.
where a drug is withdrawn or indications change Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS Support, develop and manage service improvement changes to enhance clinical care through practice based audits and appropriate guidance e.g. NICE. Prescribing advice to prescribers in practice Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines Undertake any other duties related to medicines and patient care as decided by the GP Practice. ANALYTICAL Review patients within specialist clinics, optimising their medication in line with their symptoms, preferences, monitoring results and other indicators of control.
Review medications in order to optimise these for patients with medication queries and those with multiple medications. Run searches to identify and explore ways in which patients with long term conditions could be better supported. Run searches to identify and explore ways in which the practice might improve the cost-effectiveness of its prescribing. PLANNING & ORGANISATIONAL Co-ordinate and plan the care of patients with specific diseases to ensure that this is optimised and that the practice achieves QOF targets.
Coordinate efforts to ensure that the practice improves its cost-effective prescribing, remains within budget and achieves CCG Prescribing Incentive Scheme targets. Review the best deployment of own skills and the best division of own time to best support the interests of patients and the organization and work with the practice management team and clinicians to allow this new role to evolve. Ability to work flexibly alongside practice in-house dispensaries, if applicable to the practice, to support them with for example SOPs, as required. PATIENT CARE When appropriate: See patients with specific diseases in clinics, reviewing their conditions holistically, optimising medications and performing the required diagnostics and other investigations as appropriate.
Review patient medication queries remotely or by telephone. Review patients with multiple medications in order to optimise these for patients. Use advanced critical thinking and decision-making skills in a clinical context. Participate in group reviews together with GPs of all non-urgent referrals.
Ensure that own clinical knowledge and skills are developed and remain up to date POLICY Review new prescribing initiatives and medication policy changes both at a CCG level and nationally and ensure that the practice responds to these appropriately. Propose, implement, manage and evaluate initiatives to improve cost-effective, safe and appropriate prescribing within the practice. Be responsible for identifying risks within the working environment and either resolve these or report them within the practice. FINANCIAL AND PHYSICAL REASOURCES Help to coordinate and deploy practice resources in a cost-effective and sustainable way.
Maintain a personal duty of care in relation to equipment and resources. PHYSICAL SKILLS Maintain computer skills to a high level, navigating patient notes and running searches as required. Use Microsoft Word, Excel and PowerPoint to a high level. Deploy clinical skills with confidence to perform required diagnostics and potentially to give Influenza Vaccines.
KEY RELATIONSHIPS The Clinical Pharmacist will have the following key relationships: Internal External Patients CCG Medicines Management Team All clinical staff Other Clinical Pharmacists All dispensary staff NHS England Pilot Representatives Fen and Brecks Clinical Director Local Acute Trusts All administrative staff involved in the call of Chronic disease patients & QoF Achievement GENERAL RESPONSIBILITIES To follow company policies and procedures at all times. Equal Opportunities: To promote and develop the equality of opportunity in accordance with Practice Equal Opportunities Policy. Confidentiality: To protect the confidentiality of information relating to Patient and Staff or other agencies. Quality: To provide a quality service to internal and external agencies and participate in/develop clinical governance within sphere of responsibility.
Health and Safety: To share responsibility for abiding by Health and Safety policies and regulations and acting in accordance with the Risk Management Policy. You are expected to make yourself aware of and comply with Practices Health and Safety policies. Contravention of this policy will normally be regarded as a disciplinary matter. Appraisal & Development: To participate in all mandatory training requirements.
To attend department training sessions as required for personal and service development. To participate in the Practices appraisal process and set personal development plans. Safeguarding Children & Vulnerable Adults: The Fens and Brecks Primary Care Network practices are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All employees have a duty of care and a responsibility to safeguard and promote the welfare of children and vulnerable adults.
Professional Registration/Codes of Conduct: Where your role requires you to maintain a statutory professional registration, it is your responsibility to ensure that this is maintained. The continuation of your employment is conditional upon you continuing to be registered with the appropriate professional body. The Fens and Brecks Primary Care Network will require evidence of current registration. Failure to comply may result in your suspension from duty and could result in disciplinary action.
Where you are a member of a professional body you are required to adhere to the relevant codes of conduct. All managers are required to adhere to the NHS Code of Conduct for Managers.
