Clinical Pharmacist
| Posting date: | 17 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 08 May 2024 |
| Location: | Cheltenham, GL53 0LA |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A1910-24-0005 |
Summary
Management of medicines at discharge from hospital To reconcile medicines following discharge from hospitals, intermediate care and into care homes; identify and rectify unexplained changes; manage these changes without referral to the GP; perform a clinical medication review; produce a post-discharge medicines care plan including dose titration and booking of follow-up tests, 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 high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Risk stratification Design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Responsibility for management of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines optimisation. Unplanned hospital admissions Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to highrisk patient groups. Repeat prescribing Review, update 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required. Telephone and patient facing medicines support Provide a telephone help line for patients with questions, queries and concerns about their medicines. Hold clinics for patients requiring face to face clinical medication reviews (CMRs) i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Medication review Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (within competencies as an independent prescriber) and order relevant monitoring tests. Care home medication reviews Manage own caseload of care home residents or as part of multidisciplinary team. Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (within competencies as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Domiciliary clinical medication review Manage own caseload or as part of multidisciplinary team, of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (within competencies as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. Long term condition clinics See patients in multi-morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing. Run own long term condition clinics where responsible for diagnosis and prescribing within competencies as an independent prescriber and make dose adjustments to repeat prescriptions when required. Service development Develop and manage new services that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation). Care Quality Commission Provide leadership to the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved. Public health To devise and manage public health campaigns to run at the practice. To provide specialist knowledge on immunisation. Cost saving programmes Support and implement cost saving changes to medicines and appliances identified by CCG practice support teams designed to save on medicine costs where a medicine or product with lower acquisition cost is now available. These may be identified within the annual Prescribing Improvement Plan. Medicine information to practice staff and patients Answers all medicine related enquiries from GPs, other practice staff and patients with queries about medicines: Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. Information management Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Medicines quality improvement Identify and provide leadership on areas of prescribing requiring improvement. Either conduct own audits and improvement projects or work with colleagues. Present results and provide leadership on suggested change. Contribute to national and local research initiatives where indicated. Training & Shared Learning Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical students. Facilitate shared learning across clinicians within the practice on medication related issues. Offer professional support, leadership and share learning with other clinical pharmacists and those working in associated local practices, especially with those developing this role within a practice. Implementation of local and national guidelines and formulary recommendations To provide input into the development of a Primary Care Network Medicines Optimisation Plan (MOP). Monitor practice prescribing against the local health economys Red/Amber/Green and Do Not Prescribe lists for medicines that either should not be prescribed in primary care or should be prescribed by hospital doctors only or subject to shared care. Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Based on consideration of the content of the Gloucestershire Joint Formulary, assist practices in setting up and maintaining a practice formulary that is hosted on the practices computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICE technology assessment guidance. Proactively provide internal practice communications on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback. Medicines safety Horizon scan to identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners.