Clinical Pharmacist

Job Purpose To work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using your expert knowledge of medicines for specific disease areas. Job Summary Working within your clinical competencies alongside general practice teams you will prescribe, be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy. Key Areas of Responsibility To proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with co-morbidities (in particularly frailty, COPD, and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme). Deliver patient facing/remote clinical medical reviews, including long-term conditions clinics and ensure medicines optimisation. Make appropriate recommendations to Senior Pharmacists, GPs or nurses for medicine improvement and monitoring. Work with care home staff improving the safety of medicines ordering and administration. Attend and/or refer patients to multidisciplinary care conferences. Provide specialist expertise in the use of medicines whilst helping to address both the public and social care needs of patients at our PCNs Practices. Help tackle health inequalities. Provide training/development to primary healthcare teams on therapeutics and medicines optimisation. Work with general practice teams to ensure compliance with CQC standards. Operational Management Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care. Manage common/minor/self-limiting ailments within the scope of your competence and practice. Provide patient facing, remote, or telephone clinics for those with questions, queries, and concerns. Manage medicines at discharge from hospital, including identifying and rectifying unexplained changes working closely with the patient and community pharmacists so patients receive the medications they need post discharge. Signpost patients to the appropriate healthcare professional for their care within an appropriate period e.g., pathology results, common or minor ailments, acute conditions, long term condition reviews etc. Produce and implement a repeat prescribing policy within each PCN practice. Manage the repeat prescribing reauthorisation process by reviewing patient requests and reviewing medicines at review dates. Ensure patients have appropriate monitoring tests in place as required. Implement local and national guidelines and formulary recommendations, monitoring practice prescribing against the local health economies RAG list, making recommendations for GPs. Assist practices in seeing and maintaining a practice formulary on their computer system and audit practice against the NICE technology assessment guidance. Work collaboratively with all partners, including PCN MDTs, CCG Pharmacists and Technicians to ensure consistent patient care, benefits and medicine optimisation. Financial Management and Planning Contribute pharmaceutical advice for the development and implementation of new relevant services. Analyse, interpret, and present medicines data to highlight issues and risks to support and influence decision making. Building capacity through effective leadership Provide leadership on person-centre medicines optimisation including ensuring prescribers in the practices conserve antibiotics in line with local antimicrobial stewardship guidance and quality improvement. Support further integration of general practice with wider healthcare teams to improve patients outcomes, ensure better access and help manage general practice workload. Management of Communication Develop relationships and work closely with other pharmacy professionals across the PCNs and wider health care system. Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams and patients. Suggest and recommend appropriate solutions and provide follow up for patients to monitor the effect of any changes. Provide newsletters or bulletins on important prescribing messages. Support public health campaigns. Risk Management and Quality Assurance Contribute to the Quality and Outcomes Framework and Investment and Impact Fund criteria. Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists including mental health and reduction of antipsychotic use in people with learning disabilities, liaison with community pharmacists and anticoagulation. Be part of a professional clinical network and have access to appropriate clinical supervision to include one supervision session per month by a Senior Clinical Pharmacist and an assigned GP Clinical Supervisor for support and development. Identify cohorts of patients at high risk of harm from medicines through pre-prepared practice searches (patient related, medicine related or both). Review medicines connected to unplanned hospital admissions and readmissions via audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients. Undertake clinical audits of prescribing in areas as directed by the GPs, feedback, and implement changes collaboratively. Implement changes to medicines that result from MHRA alerts, product withdrawal and other national guidance. Management of workload and personal development Act on own initiative in prioritising and managing workload, delegating tasks appropriately and referring to designated Board Members in respect of clinical, managerial, and administrative areas, as necessary. Maintain own personal and professional development as agreed at your annual review. Work with your line manager to access regular clinical supervision. Participate in the delivery of formal education programmes. Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.

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