Clinical Pharmacist

This is an exciting opportunity to work in General Practice whereyou will be part of our team of Clinical Pharmacists and PharmacyTechnicians. Working closely with ourGPs and wider clinical team, your goal will be to provide high-quality,integrated patient care. We are building our clinical pharmacy team andputting it at the heart of our plans for the future so if you share our valuesof collaboration, integrity, quality, respect and wellbeing and are looking fora new challenge, we would love to hear from you., Our successful candidate will be a pharmacist with a minimum of 2years post-qualification experience. Pescribing Qualification is desirable but not essential. Youwill be a team player and keen to develop your skills in new ways. You will take responsibility for areas ofchronic disease management, undertake clinical medication reviews toproactively manage patients with complex polypharmacy, and provide support withregards to prescription and medication queries.You will deal with medication requests and medicines reconciliation ontransfer of care. A key part of yourrole will also be to provide clinical leadership on medicines optimisation andquality improvement. This is a patient-facing role so you will enjoy working directlywith patients to obtain the best clinical outcomes for their conditions. You will be supported by our Lead ClinicalPharmacist who will support your development and provide mentorship in therole., Primary Duties and Areas ofResponsibility Patient facing long term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required ( COPD, asthma). 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 ( 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 GPs on prescribing and monitoring. Patient facing care home medication reviews 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 Managing caseload of patients with common / minor / self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. Patient facing medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Telephone medicines support Provide a telephone help line for patients with questions, queries and concerns about their medicines. Medicine information to practice staff and patients Answers relevant medicinerelated enquiries from GPs, other practice staff, other healthcare teams ( community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. Unplanned hospital admissions Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to highrisk patient groups. Management of medicines at discharge from hospital To 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. Set up and manage systems to ensure continuity of medicines supply to highrisk groups of patients ( those with medicine compliance aids or those in care homes). Signposting Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time pathology results, common / minor ailments, acute conditions, long term condition reviews etc. Repeat prescribing Produce and implement a practice repeat prescribing policy. Manage 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. 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 ( advice on treatment pathways and patient information leaflets). 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 in areas directed by the GPs, 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 and national guidelines and formulary recommendations Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs) and ensuring that the appropriate monitoring is taking place. Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance.

Essential

• Minimum of 2 years post qualification experience.
• An appreciation of the nature of GPs and general practices.
• Excellent interpersonal, influencing and negotiating skills.
• Excellent written and verbal communication skills.
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences ( patients).
• Good IT skills.
• Able to obtain and analyse complex technical information.
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate.
• Able to work under pressure and to meet deadlines.
• Produce timely and informative reports.
• Work effectively independently and as a team member.
• Demonstrates accountability for delivering professional expertise and direct service provision.
Desirable
• In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action where there may be significant barriers.
Professional Registration Essential
• Mandatory registration with General Pharmaceutical Council.
Desirable
• Membership of the Royal Pharmaceutical Society.
• A member of or working towards Faculty membership of the Royal Pharmaceutical Society.
Other Essential
• Self-Motivated.
• Adaptable.
Desirable
• Full Driving Licence.
• Safeguarding adult and children level three.
• Information Governance toolkit completion., Masters degree in pharmacy (MPharm) or equivalent.
• Independent prescriber or working towards / intent of gaining independent prescribing qualification.
Desirable
• Specialist knowledge acquired through postgraduate diploma level or equivalent training / experience.
• Independent prescriber or working towards / intent of gaining independent prescribing qualification
  
  We are a large rural practice with over 35,000 patients. As a single-practice Primary Care Network, we have a wonderful opportunity to transform care for our patients. We operate from 7 locations across Holderness and you must also be willing to travel between sites as necessary. Our hard-working and dedicated team includes 23 GPs, an extensive multi-disciplinary team of healthcare professionals and a great patient services and administration team.
  
  We offer a welcoming practice environment, 25 days annual leave plus bank holidays and access to the NHS pension scheme