Warning
This job advert has expired and applications have closed.
Locum Clinical Pharmacist
| Posting date: | 13 March 2025 |
|---|---|
| Salary: | £35.00 per hour |
| Additional salary information: | £35.00 an hour |
| Hours: | Full time |
| Closing date: | 31 March 2025 |
| Location: | Sutton, SM1 4DP |
| Company: | NHS Jobs |
| Job type: | Temporary |
| Job reference: | A2700-25-0016 |
Summary
The post holder will be responsible for supporting the Sutton Primary Care Networks to provide expert medicine management and optimisation, vaccinating and drawing up vaccines, whilst working within their area of clinical competence and as part of a multi-disciplinary team. They will be supported by a Senior Clinical Pharmacist and others who will develop, manage and mentor them. The role will be patient-facing and pharmacists will be involved in structured medication reviews, including poly-pharmacy reviews, managing chronic long term conditions and managing medications after transfer of care. They will also have access to appropriate clinical supervision. The post holder will provide support and deliver patient services as determined by the Network Policy as well as local and national guidance. They will also provide leadership on quality improvement and clinical audit, manage some aspects of the Quality and Outcomes Framework and maximise cost-effective prescribing to improve the quality of patient care. [The post holder will be enrolled on to the 18-month Primary care pharmacy education pathway with the Centre for Pharmacy Postgraduate Education (CPPE). They will also be supported to develop their role to become a non-medical prescriber, if that qualification is not already held] Clinical Responsibilities Long-term condition clinics Undertake reviews for patients with single or multiple medical problems where medicine optimisation is required or an annual review is due (e.g. Respiratory, Cardiovascular or Diabetes). Review and advise on the need to continue each medication, review any monitoring requirements and support the patient to ensure they are getting the best use out of their medications. Manage own case load of patients, running own long-term condition clinics where appropriate See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients 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 hypertension, asthma, diabetes and COPD) and where trained to do so. Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking. Clinical Medication Review Undertake clinical medication reviews with patients (either patient facing or over the telephone). Reduce inappropriate poly-pharmacy and wasteful prescribing. Make appropriate recommendations on prescribing and monitoring of medications. Management of medicines post hospital discharge Reconcile medications following hospital discharge and outpatient clinics. Identify any discrepancies and unexplained medication changes and work with the patients and community pharmacists to ensure patients receive the medications they need post discharge. Ensure continuity of medicines supply to high-risk groups of patients is maintained (e.g. those with compliance aids or those in care homes). Risk stratification Use pre-prepared emis searches to identify cohorts of patients who are on high risk medications (e.g. immunosuppressants, anticonvulsants etc). Recall patients who are overdue their routine monitoring tests and inform them to have these tests done as soon as possible. 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 high-risk patient groups. Implement drug withdrawals and alerts Liaise with the GP surgeries to implement MHRA drug withdrawals and medication alerts to improve medicines safety. Implement local and national guidelines and formulary recommendations Monitor practice prescribing against local, national and formulary guidelines and make recommendations to GPs for medicines that should be prescribed only by the hospital or subject to shared care agreements. Work with GPs and patients to implement NICE and other evidence based guidelines to improve the quality, safety and cost effectiveness of prescribing. Medicine information to practice staff and patients Answer relevant medicine-related queries from GPs, other network staff, healthcare teams (e.g. Community pharmacy) and patients. Suggest and recommend solutions and/or possible alternatives e.g. around out of stock medications. Signposting Ensure patients are referred to the appropriate healthcare professional if you are not the correct person to deal with their query/condition. Medicines quality improvement Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team. Education and Training Provide education and training to the broader primary healthcare team on medicines optimisation. Care Quality Commission Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved. Public Health Support public health campaigns and provide specialist knowledge on all public health programmes available to the general public. Other Responsibilities: Participate in PCN MDT where appropriate. Liaise with CCG colleagues including CCG pharmacists on prescribing related matters to ensure consistency of patient care and to benefit from peer support. Maintain strong links with all services across the PCN and neighbouring networks. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to; Patients and their representatives GP, nurses and other practice staff Social prescribers, first contact physiotherapists, physicians associates and paramedics. Community pharmacists and support staff Other members of the medicines management (MM) team including pharmacists, Pharmacy Technicians and Dietitians GP prescribing leads PCN Clinical Directors and other PCN staff Practice managers Community nurses and other allied health professionals Hospital staff with responsibilities for prescribing and medicines optimisation Responsibility for administration Provide regular support and feedback to practices on prescribing action plans Update and maintain accurate patient medication records on the practices clinical computer systems, including advice given and action taken. Advise the primary health care team on the safe and secure handling of controlled drugs and other medicines, ensuring compliance with medicines legislation. Support practices to update and implement their prescribing policies eg repeat prescribing, safe prescribing, polypharmacy, over the counter medications, etc. This role may evolve to include Managing a caseload of patients with common, minor or self-limiting conditions Signposting to community pharmacy and referring GPs to other healthcare professionals Working on additional pharmacist projects as the PCN scheme matures eg anticoagulation services, diabetes management in the community National Service Specifications To assist PCNs in meeting these and any that are added at a later date Structured medication review and optimisation Enhanced health in care homes and implementation of the Vanguard model Anticipatory care for high need patients typically experiencing long term conditions, joined up with community services Supporting early cancer diagnosis Personalised care, implementation of the NHS comprehensive model Tackling neighbourhood inequalities Communication The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly. Link with other Pharmacists within the PCN, to discuss CPD, service development and effective medicine management for the PCN, while sharing best practice proposals and learning.