Clinical Pharmacist

Patient facing clinics Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care; including those within a care home setting. Communicate to a prescriber any recommendations for changes identified in the reviews to ensure patients get the best use of their medicines. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed. Risk stratification Identify cohorts of patients at high risk of harm from medicines through practice computer searches Medicines safety Undertake clinical audits of prescribing in areas directed by the practice, making suggestions for improvement. Work with the PCN pharmacy technicians and practices to identify patients affected by appropriate MHRA drug alerts. Communicate to a prescriber any recommendations for changes identified in audits/drug alerts. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed. 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 inappropriate antipsychotic use in people with learning difficulties). Medicines optimisation Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services. Provide support to the practice to ensure medicines reconciliation from clinical letters e.g. hospital discharges and out-patient clinic letters are completed accurately and in a timely manner. Report back to ICB/secondary care pharmacy teams queries around requests for inappropriate shared care prescribing requests or non-formulary items. Work with PCN practice to action ICB medicines management incentive schemes under the advice of a prescriber (unless already one). Supporting the implementation of national prescribing policies and guidance within GP practices Work to improve Quality and Outcomes Framework (QOF) either though reviewing clinical coding to improve disease registers or individual indicators, flag to prescribers (if not already one) appropriate medications to initiate or arranging appropriate monitoring. Work with practices to help with Care Quality Commission (CQC) requirements around medication related issues. Work with the practice and ICB to reduce the number of items prescribed that appear on the national list of items that should not routinely be prescribed in primary care either directly if the medication can be purchased over the counter or as an independent prescriber by initiating alternatives or to appropriately refer patients to a prescriber. Working within a multidisciplinary team Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas. Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload. Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system, including those in primary care, secondary care, community pharmacy, mental and social care teams. Be part of a professional clinical network and have access to appropriate clinical supervision with the support of the PCN. Act as a mentor to PCN pharmacy technicians.

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