Senior Clinical Pharmacist
| Posting date: | 19 June 2024 |
|---|---|
| Salary: | £56,388 per year |
| Additional salary information: | £56388 a year |
| Hours: | Full time |
| Closing date: | 03 July 2024 |
| Location: | London, E4 9HH |
| Company: | NHS Jobs |
| Job type: | Contract |
| Job reference: | B0116-24-0022 |
Summary
The post holder will perform face-to-face medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple comorbidities. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and outcomes framework. The post holder will work as part of a multi-disciplinary team to manage repeat prescription authorisations and reauthorisation, acute prescription request, management of medicines on transfer of care and systems for safer prescribing, providing expertise in clinical medicines management while addressing both the public health and social care needs of patients in the GP practices. This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice. Core Duties: Job roles could include the following, in line with the priorities of each practice you will be working with: Patient facing medicines support Hold clinics for patients requiring face-to-face structured medication reviews 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. Provide a telephone support for patients with questions, queries and concerns about their medicines. Medication review Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests 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. Long-term condition clinics See patients in multi-morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patient's medicines, including de-prescribing. Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long-term anticoagulants). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking 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 high-risk patient groups. 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required. Triage Ensure that patients are referred to the appropriate clinician for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term conditions. Medicines safety and quality improvement Identify and provide leadership on areas of prescribing requiring improvement. Conduct own audits and improvement projects and work with colleagues. Present results and provide leadership on suggested change. Demonstrate continuous QI activity focused upon prescribing safety as specified in the QOF guidance. This work for example might include the PINCER tool. Contribute to national and local research initiatives. Care home medication reviews Manage own caseload of care home residents, undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (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 of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. 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. Population and Public Health To devise and manage population and public health campaigns to run within the network. To provide specialist knowledge on immunisation. Cost saving programmes Make recommendations for, and manage pharmacy technicians to, make changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available. 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. Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing and other healthcare students where appropriate. 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 manage these changes without referral to a 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 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. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economy's RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practice's computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practice's compliance against NICE technology assessment guidance. Provide newsletters 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. Collaborative working arrangements Works collaboratively with their PCN clinical director. Recognises the roles of other colleagues within the network and their role to patient care Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs) Demonstrates ability to lead a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary