PCN Clinical Pharmacist

The post holder is an experienced pharmacist, who acts within theirprofessional boundaries, to develop, manage & mentor a team of post holder will work aspart of a multi-disciplinary team in a patient-facing role. The post holderwill take responsibility for areas of chronic disease management within thepractice & undertake clinical medication reviews to proactively manage patientswith complex polypharmacy, especially for older people, people in residentialcare homes & those with multiple co-morbidities. The post holder will provide primary support to general practice staffwith regards to prescription & medication queries. They will help support therepeat prescriptions system, deal with acute prescription requests, medicinesreconciliation on transfer of care & systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public & socialcare needs of patient in the GP post holder will provide clinical leadership on medicinesoptimisation & quality improvement & manage some aspects of the quality andoutcomes framework & enhanced services. The post holder will ensure that the practiceintegrates with community & hospital pharmacy to help utilise skill mix,improve patient outcomes, ensure better access to healthcare & help manageworkload. The role is pivotal to improving the quality of care & operationalefficiencies so requires motivation & passion to deliver excellent servicewithin general practice. Main duties of the job See patients in multimorbidityclinics & in partnership with primary healthcare colleagues and implementimprovements to patients medicines, including deprescribing. Manage own case load & runlong-term condition clinics where responsible for prescribing as an independentprescriber for conditions where medicines have a large component ( medicineoptimisation for stable angina symptom control, warfarin monitoring and doseadjustment for patients requiring longterm anticoagulants). Review the on-going need for eachmedicine, a review of monitoring needs and an opportunity to support patientswith their medicines taking ensuring they get the best use of their medicines( medicines optimisation). Undertake clinical medicationreviews with patients with multimorbidity & polypharmacy & implement ownprescribing changes (as an independent prescriber) and order relevantmonitoring tests Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests. Work with care home staff toimprove safety of medicines ordering and administration Manage own caseload for patientsand diagnosis people with long term and / or acute / common conditions / ailmentswhile remaining within scope of practice and limits of competence Provide patient facing clinics forthose with questions, queries, concerns about their medicines, The post holder is an experienced pharmacist, who acts within theirprofessional boundaries, to develop, manage and mentor a team of pharmacists. The post holder will work aspart of a multi-disciplinary team in a patient-facing role. The post holderwill take responsibility for areas of chronic disease management within thepractice and undertake clinical medication reviews to proactively manage patientswith complex polypharmacy, especially for older people, people in residentialcare homes and those with multiple co-morbidities. The post holder will provide primary support to general practice staffwith regards to prescription and medication queries. They will help support therepeat prescriptions system, deal with acute prescription requests, medicinesreconciliation on transfer of care and systems for safer prescribing, providingexpertise in clinical medicines advice while addressing both public and socialcare needs of patient in the GP practice (s). The post holder will provide clinical leadership on medicinesoptimisation and quality improvement and manage some aspects of the quality andoutcomes framework and enhanced services. The post holder will ensure that the practiceintegrates with community and hospital pharmacy to help utilise skill mix,improve patient outcomes, ensure better access to healthcare and help manageworkload. The role is pivotal to improving the quality of care and operationalefficiencies so requires motivation and passion to deliver excellent servicewithin general practice. Primary Responsibilities Patient facing long term conditions clinics

• See patients in multimorbidityclinics and in partnership with primary healthcare colleagues and implementimprovements to patients medicines, including deprescribing.
• Manage own case load and runlong-term condition clinics where responsible for prescribing as an independentprescriber for conditions where medicines have a large component ( medicineoptimisation for stable angina symptom control, warfarin monitoring and doseadjustment for patients requiring longterm anticoagulants).
• Review the on-going need for eachmedicine, a review of monitoring needs and an opportunity to support patientswith their medicines taking ensuring they get the best use of their medicines( medicines optimisation).
Patient facing clinical medication review Undertake clinical medicationreviews with patients with multimorbidity and polypharmacy and implement ownprescribing changes (as an independent prescriber) and order relevantmonitoring tests Patient facing care home / residential clinical medication reviews
• Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests.
• Work with care home staff toimprove safety of medicines ordering and administration
Patient facing domicillary / home visits
• Manage own caseload of care homeresidents. Undertake clinical medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests.
• Work with care home staff toimprove safety of medicines ordering and administration.
Management of common / minor / self-limiting ailments
• Managing caseload for patientswith common / minor / self-limiting ailments while working within a scope ofpractice and limits of competence.
• Signposting to community pharmacyand referring to GPs or other healthcare professionals where appropriate.
Differential / Undifferential diagnosis
• Manage own caseload for patientsand diagnosis people with long term and / or acute / common conditions / ailmentswhile remaining within scope of practice and limits of competence
• Referring to GP and / or otherhealthcare professionals where appropriate
Patient facing medicines support Provide patient facing clinics forthose with questions, queries and concerns about their medicines in thepractice Telehphone medicines support Provide a telephone help line forpatients with questions, queries and concerns about their medicines. Extended Hours / Out of Hours / On call service
• Provide out of hours / oncall / extended services for the practice and the patients. These can includepatient facing and telephone consultations
• Signposts to other services and / orhealthcare professionals where appropriate, while working within a scope ofpractice and limits of competency.
Medicine Information to practice staff and patients
• Answers all medicinerelatedenquiries from GPs, other practice staff, other healthcare teams (community pharmacy) and patients with queries about medicines
• Suggesting and recommendingsolutions
• Providing follow up for patientsto monitor the effect of any changes.
Unplanned hospital admissions
• Devise and implement practicesearches to identify cohorts of patients most likely to be at risk of anunplanned admission and readmissions from medicines.
• Work with case managers,multidisciplinary (health and social care) review teams, hospital colleaguesand virtual ward teams to manage medicines-related risk for readmission andpatient harm.
• Put in place changes to reduce theprescribing of these medicines to high-risk patient groups.
Management of medicines at discharge from hospital
• To reconcile medicines followingdischarge from hospitals, intermediate care and into care homes, includingidentifying and rectifying unexplained changes manage these changes withoutreferral to a GP.
• Perform a clinical medicationreview, produce a post discharge medicines care plan including dose titrationand booking of follow up tests and working with patients and communitypharmacists to ensure patients receive the medicines they need post dischargeand working with patients and community pharmacists to ensure patients receivethe medicines they need post discharge.
• Set up and manage systems toensure continuity of medicines supply to high- risk groups of patients (those with medicine compliance aids or those in care homes).
• Work in partnership with hospitalcolleagues ( care of the elderly doctors and clinical pharmacists) toproactively manage patients at high risk of medicine related problems beforethey are discharged to ensure continuity of care.
Telephone triage Ensure that patients are referredto the appropriate healthcare professional for the appropriate level of carewithin an appropriate period of time pathology test results, common / minorailments, acute conditions, long term condition reviews etc. Repeat prescribing Produce and implement a practicerepeat prescribing policy. Manage the repeat prescribing reauthorisationprocess by reviewing patient requests for repeat prescriptions and reviewingmedicines reaching review dates; make necessary changes as an independentprescriber, and ensure patients are booked in for necessary monitoring testswhere required. Risk stratification
• Design, development andimplementation of computer searches to identify cohorts of patients at highrisk of harm from medicines.
• Responsibility for management ofrisk stratification tools on behalf of the practice.
• Working with patients and theprimary care team to minimise risks through medicines optimisation.
Service development Develop and manage new servicesthat are built around new medicines or NICE guidance, where a newmedicine / recommendations allow the development of a new care pathway ( neworal anticoagulants for stroke prevention in atrial fibrillation). Information management Analyse, interpret and presentmedicines data to highlight issues and risks to support decision-making. Medicines Quality Improvement programmes
• Identify and provide leadership onareas of prescribing and medicines optimisation.
• Conduct clinical audits andimprove projects or work with colleagues such as GP registrars, practicemanagers etc.
• Present results and provideleadership on suggested changes. Contribute to national and local researchinitiatives.
Medicines safety
• Identify national and local policyand guidance that affects patient safety through the use of medicines,including MHRA alerts, product withdrawals and emerging evidence form clinicaltrials.
• Manage the process of implementingchanges to medicines and guidance for practitioners.
Care Quality Commission
• Provide leadership to the generalpractice team to ensure the practice is compliant with CQC standards wheremedicines are involved.
• Undertake risk assessment andmanagement and ensure compliance with medicines legislation.
Implementation of local and national guidelines and formularyrecommedations
• Monitor practice prescribingagainst the local health economys RAG list for medicines that should beprescribed by hospital doctors (red drugs) or subject to shared care (amberdrugs).
• Liaise directly with hospitalcolleagues where prescribing needs to be returned to specialists. Assistpractices in setting and maintaining a practice formulary that is hosted on thepractices computer system.
• Suggest and develop computerdecision support tools to help remind prescribers about the agreed formularychoice and local recommendations.
• Auditing practices complianceagainst NICE technology assessment guidance. Provide newsletters on importantprescribing messages to improve prescribers knowledge and work with the teamto develop and implement other techniques known to influence implementation ofevidence such as audit and feedback.
  
  Understands and demonstrates the characteristics of a role model to members in the team and / or service
• Demonstrates understanding of the mentorship process
• Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague
• Demonstrates self-development through continuous professional development activity
• Participates in the delivery of formal education programmes; inspiring others to be positive in their support of continuous improvement
• Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.
• Ensure there is appropriate clinical supervision in place all pharmacists
• Ensures all pharmacists are engaged with the review and appraisal systems within the practice
Research and Evaluation Essential
• Demonstrates ability to critically evaluate and review literature
• Demonstrates ability to identify where there is a gap in the evidence base to support practice
• Demonstrates ability to generate evidence suitable for presentations at practice and local level
• Demonstrates ability to apply research evidence base into working place
• Demonstrates understanding of principles of research governance.
Qualifications Essential
• Mandatory registration with General Pharmaceutical Council (GPhC)
• Independent prescriber or working towards / intent of gaining an independent prescribing qualification
• Masters degree in pharmacy (MPharm) (or equivalent)
Desirable
• Membership of the Royal Pharmaceutical Society
• A member of or working towards Faculty membership of the Royal Pharmaceutical Society
• Specialist knowledge acquired through postgraduate diploma level or equivalent training / experience
Experience Essential
• Minimum of 5 years post - qualification experience.
• In depth therapeutic and clinical knowledge and understanding of the principles
• An appreciation of the nature of GPs and general practices
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• 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)
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• 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 inform ative reports
• Gain acceptance for Recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action whe re there may be significant barrier
• Work effectively independently and as a team member
• Demonstrates accountability for delivering professional expertise and direct service provision
• Able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients across core areas, including disease states / long term conditions
• Uses skills in a range of routine situations requiring analysis or comparison of a range of options
• Recognises priorities when problem-solving and identifies deviations from normal pattern and is able to refer to seniors or GPs when appropriate.
• Able to follow legal, ethical, professional and organisational policies / procedures and codes of conduct
Leadership Essential
• Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.
• Demonstrate understanding of, and contributes to, the workplace vision
• Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role and practices
• Demonstrates ability to improve quality within limitations of service
• Reviews yearly progress and develops clear plans to achieve results within priorities set by others.
• Demonstrate ability to motivate self to achieve goals
• Demonstrates ability to lead a team and provide support to other clinical pharmacists
• Provides a leadership style which is underpinned by strongly held values of the organisation and around equality, diversity and openness;
effectively builds and maintains relationships with direct reportee(s) and other key individuals across the organisation Promotes diversity and equality in people management techniques and leads by example.,
• Demonstrate understanding of the implications of national priorities for the team and / or service and manage the team through these changes
• Demonstrate understanding of the process for effective resource utilisation
• Demonstrate understanding of, and conforms to, relevant standards of practice
• Demonstrates ability to identify and resolve risk management issues according to policy / protocol
• Follows professional and organisational policies / procedures relating to performance management
• Demonstrate ability to extend boundaries of service delivery within the team
• Lead and mentor a team of differing abilities
Other Requirements Essential
• Excellent communication skills (written and oral)
• Competent in the use of Office and Outlook
• Effective time management (planning and organising)
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure
• Understanding of the audit process
• Understanding of clinical risk management
• Self Motivation
• In date CRB
• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilise resources
• Punctual and committed to supporting the team effort
• Safeguarding adult and children level three
• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health Clearance
Desirable
• Full Driving License
• EMIS / SystmOne / Vision user skills
  
  Greenwich PCN Alliance is formed of 4 PCNs across Greenwich, Blackheath and Charlton PCN, Eltham PCN, Heritage PCN and Unity PCN.
A successful candidate will be allocated to one PCN and will work across that PCN only. At Greenwich PCN Alliance we are committed to the development of ARRS roles.