Clinical Pharmacist

Job summary The role of Pharmacy within General Practice is part of an existing programme of transformation which is underpinned by the NHS Long Term Plan.
This innovative role offers the successful candidate the opportunity to support and work within the Lakeside Healthcare Pharmacy Team to ensure safe and effective use of medicines for our patients whilst working in line with evolving requirements of PCNs.
Our Pharmacist roles are supported by a strong Pharmacy Technician team to ensure that Pharmacists can continue to work at the highest is a fixed-term contract for a duration of 13 months.
Main duties of the job Quality and Safety Improvement working towards CQC requirements Structured Medication Reviews Repeat Re-authorisations Medication Queries Medicines Reconciliation Chronic Disease Management including medication monitoring About us LAKESIDE HEALTHCARE is changing the face of primary care provision in England.
We are bold, adventurous and ambitious and determined to thrive in uncertain times.
We are the largest true partnership in the NHS and operate from various sites across the East Midlands.
We serve the healthcare needs of over 170,000 patients across Northamptonshire, Lincolnshire & Cambridgeshire.Caring & Respect: Simply put we genuinely care about people: working together for our patients and our teams, our patients come first in everything we do.Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another to ensure we are always striving to improve, making the right and best decisions to provide the best service.About the Practice/Department/TeamLakeside Healthcare at Yaxley is a well-established surgery with a list size of over 20,000, which is growing.
We usually achieve full QOF points and have been awarded the RCGP Quality Practice Award twice.
The practice adopted a Doctor First access system in 2012 for all GP and Nurse Practitioner/Emergency Care Practitioner appointments.
Job description Job responsibilities The post holder will work within their clinical competence as part of a multi-disciplinary team to provide expertise in clinical medicines management.
This involves providing face to face structured medication reviews, managing long term conditions, ensuring safe prescribing at the transfer of care, implementing systems for safer prescribing, repeat prescription reauthorisation and dealing with acute prescription requests.The post holder will perform face to face medication review of patients with polypharmacy, especially for older people, people in residential care homes and those with multiple comorbidities.The post holder will provide leadership on quality improvement and clinical audit, and manage some aspects of the Quality and Outcomes Framework.This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice.Patient Facing Long-Term Conditions ClinicsSee where appropriate patients with single or multiple medical problems where medicine optimisation is required COPD, asthma.Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines medicines optimisation.
Make appropriate recommendations to GPs for medicine improvement.Patient facing Clinical Medication ReviewUndertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and or GP on prescribing and monitoring.Patient facing Care Home Medication ReviewUndertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring.Work with care home staff to improve safety of medicines ordering and administrationPatient facing domiciliary clinical medication reviewUndertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring.Attend and refer patients to multidisciplinary case conferences.Management of common minor self-limiting ailmentsManaging caseload of 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 appropriatePatient facing Medicines SupportProvide patient facing clinics for those with questions, queries and concerns about their medicines in the practiceMedicine Information to Practice Staff and PatientsAnswers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams community pharmacy and patients with queries about medicines.Suggesting and recommending solutions.Providing follow up for patients to monitor the effect of any changesUnplanned Hospital admissionsReview 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 groupsManagement of medicines at discharge from hospitalTo 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 those with medicine compliance aids or those in care homes.Service DevelopmentContribute pharmaceutical advice for the development and implementation of new services that have medicinal components advice on treatment pathways and patient information leaflets.Medicines quality improvementUndertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.Implementation of local and national guidelines and formulary recommendationsMonitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors red drugs or subject to shared care amber drugs.Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system.Auditing practices compliance against NICE technology assessment guidance.Operating arrangements:Responsibility for one or more sites dependent upon patient list sizeBased across one or more sites with the opportunity to work remotely from other sitesThis is an evolving role and the responsibilities may augment over time in consultation with the post-holderFrom time to time the post-holder may be required to work from other sitesOther TasksDuties may be varied from time to time under the direction of the line manager dependent on current and evolving practice workload and staffing levels.Other administration and professional responsibilities:Participate in the administrative and professional responsibilities of the practice teamEnsure appropriate items of service claims are made accurately, reporting any problems to the practice administratorEnsure collection and maintenance of any required statistical informationAttend and participate in practice meetings as requiredTraining and personal development:Maintain professional registration with the GPhC.If it is necessary to expand the role to include additional responsibilities, full training will be given.
Person Specification Qualifications Essential Masters degree in pharmacy MPharm or equivalent.
Independent prescriber (or nearing completion) with experience of managing chronic disease.
Postgraduate diploma in Clinical Pharmacy and/or Completion of the CPPE Pathway (or nearing completion).
Experience Essential Minimum of 2 years post-qualification experience and 1-2 years experience in General Practice.
An appreciation of the nature of Lakeside Healthcare as an organisation within the PCN framework.
Experience of working in general practice.
An appreciation of the nature of primary care prescribing, concepts of rational prescribing, and strategies for improving prescribing.
Experience of signing repeat prescriptions within sphere of own competence.
Experience of training and developing Pharmacists Excellent interpersonal skills.
Excellent written and verbal communication skills.
Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences ( patients, cares and practice staff).
Desirable Experience of working across multiple sectors of Pharmacy (Community Pharmacy, Hospital Pharmacy, ICBs, Industry).
Experience of using System One.
In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare.
Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
Gain acceptance for recommendations and influences/motivate/ persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers.
Influencing and negotiation skills.
Able to obtain and analyse complex prescribing information.