PRIMARY CARE CLINICAL PHARMACIST

Job responsibilities

Patient facing/telephone long-term condition clinics.

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g., COPD, asthma). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients to ensure they get the best use of their medicines (i.e., medicines optimisation). Make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement.

Patient facing/telephone clinical medication review (including SMR)

Undertake clinical medication reviews with patients and make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement. SMRs will be conducted against the Lombard Medical Centre plan and in accordance with each practice(s) specific local implementation of that plan.

Patient facing/telephone care home medication review (including SMR)

Undertake clinical medication reviews with patients and produce recommendations to GPs/other clinical colleagues on prescribing and monitoring or prescribe autonomously where appropriate. Work with care home staff to improve safety of medicines ordering and administration. SMRs will be conducted against the Lombard Medical Centre plan and in accordance with each practice(s) specific local implementation of that plan.

Patient facing domiciliary clinical medication review (including SMR)

Undertake clinical medication reviews with patients and make appropriate recommendations to GPs/other clinical colleagues or prescribe autonomously where appropriate for medicine improvement. SMRs will be conducted against the Lombard Medical Centre plan and in accordance with each practice(s) specific local implementation of that plan. Attend and refer patients to multidisciplinary case conferences.

Structured Medication Reviews

Lead on the development of the Lombard Medical Centre SMR plan working collaboratively with the other Senior Clinical Pharmacists, Clinical Pharmacists, key Lombard Medical Centre colleagues such as Care Home Matrons and Dieticians and the CCG Medicines Management Team. Contribute to collating progress reports from each practice to feedback to the Lombard Medical Centre.

Management of common/minor/self-limiting aliments

Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.

Patient facing medicines support.

Provide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice.

Telephone medicines support.

Provide a telephone help line for patients with questions, queries, and concerns about their medicines.

Online questionnaire reviews

Complete medication reviews using the bespoke online prescribing questionnaires.

Medicine information to practice staff and patients

Answers all medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g., community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions

Lead on coordinating at Lombard Medical Centre level (where appropriate) and contribute at practice level to 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.

Management of medicines following discharge from hospital

To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes 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).

Signposting

Ensure that patients are referred to the appropriate Healthcare Professional for the appropriate level of care within an appropriate period of time e.g., pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

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 and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required.

Risk stratification.

Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both. These patients will be prioritised for a SMR as per the Lombard Medical Centre SMR plan and each practices local implementation of the plan.

Service development.

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g., advice on treatment pathways and patient information leaflets). Also contribute to further development of and recruitment to the Lombard Medical Centre Clinical Pharmacy team including liaison with the Lombard Medical Centre Practice Director, Lead GP, Pharmacy Technician, Prescribing admin staff and Lead Clinical Pharmacist.

Information management

Analyse, interpret, and present medicines data to highlight issues and risks to support decision making.

Medicine quality improvement

Lead on coordinating at Lombard Medical Centre level (where appropriate) and contribute at practice level to the undertaking of simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team. with the practice team. Attend weekly meetings on a variety of subject.

Medicine safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

Implementation of local and national ...