Lead Practice Pharmacist
| Posting date: | 23 January 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 20 February 2026 |
| Location: | Nottingham, NG9 4ET |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A5668-26-0001 |
Summary
2. Key Responsibilities A. Leadership & Line Management (Practice Workforce) Line-manage all practice-employed pharmacists and pharmacy technicians, including appraisals, PDPs, competency frameworks, and supervision. Lead induction and orientation for new pharmacy staff. Support with induction for new GPs and GP registrars. Overseerotaplanning, capacity, safe staffing, and allocation of work. Support recruitment, workforce planning, and development of the pharmacy service. B. Oversight of PCN Pharmacists (Within CVAMP Only) Provide daily direction, clinical supervision, andprioritisationof PCN pharmacist activity while on-site. Ensure their work aligns with practice priorities such as QOF, LTC reviews, medication reconciliation, shared care, and highrisk drugs. Offer feedback, escalation, and clinical guidance tomaintainsafety and consistency. Liaise with the PCN pharmacy lead asrequired, ensuring smooth coordination. C. Medicines Management & Clinical Duties Conduct advanced medication reviews for frailty, polypharmacy, longterm conditions, and complex patients. Lead medication reconciliation from hospital letters and discharges. Oversee shared care and monitoring of highrisk medications (DOACs, DMARDs, lithium, amiodarone, etc.). Initiate patients on DOACs. Ensure safe policies and practices of warfarin management and carry out necessary audits for enhanced payment schemes. Support safe repeat prescribing, reviewing monitoring parameters and medication appropriateness. Lead on deprescribing initiatives (opioids,gabapentinoids, benzodiazepines, high anticholinergic burden). Provideclinical advice to GPs, nurses, ANPs, paramedics, and administrative staff. Ensure all new patients have medication reviews, recalls added, and repeat prescriptionsset upappropriately. Reconcile medications and handle hospital tasks and requests on selected clinic and discharge letters. Carry out medication reviews on complex or frail patients via telephone or facetoface. Daytoday Patient Tasks Deal with ontheday pharmacy and patient queries from reception and clinicians. Medication Deprescribing Deprescribe highrisk or addictive medicines appropriately with support from theprescribinglead. Monitor patients discharged from hospital on opioids. D. QOF, LTC Management & Practice Performance Lead medicinesrelated QOF domains including AF anticoagulation, diabetesoptimisation, hypertension, CKD, asthma/SABA overuse, frailty medication reviews. Support the practice in achieving LES/DES prescribing requirements. Identifyatrisk cohorts using data tools and undertake targeted reviews. Undertake and present regular audits to improve prescribing quality and safety. Support with sourcing suitable audit projects forGP Registrars and Medical students. E. Medicines Safety & Governance Lead on MHRA, ICB and national medication safety alerts, ensuringtimelyimplementation. Investigate medication-relatedsignificant eventsand ensure learning isdisseminated. Maintain and update medicinesrelated SOPs and protocols. Support CQC compliance by ensuring safe,monitoredand wellgoverned prescribing systems. Contribute to learning fromsignificant eventsrelated to medicines. Audit areas of potential concern andleadimprovements. Keep the practice updated on safety and prescribing issues, includingpresentationat monthly management meetings. F. Education, Training, Research & Development Provideteaching toGPs, GP registrars, students, nurses, and prescribers. Mentor and support pharmacists (practice and PCN) with professional development and prescribing competence. Promote a culture of learning, qualityimprovementand reflective practice. Ensure all nurse prescribers have annual prescribing audits; Contribute to andparticipatein research studies within the practice.