Job Summary As an experienced Pharmacist the post holder will work, within their professional boundaries, as part of a multidisci.....
Job Summary As an experienced Pharmacist the post holder will work, within their professional boundaries, as part of a multidisciplinary team, across practices within the network. They will provide leadership, mentorship and supervision for other members of the Pharmacy team, which will include Pharmacists and Pharmacy Technicians. The post holder will support the Pharmacy team to work across the practices to support medicine reconciliation post discharge, structured medication reviews, cardiovascular disease interventions and clinical governance work, They will be a Prescriber and maintain their own clinical competence through managing their own case load, in conducting clinical medication review, to proactively manage patients with complex polypharmacy, including frail elderly and vulnerable adults as identified by the practices, and other members of the integrated neighbourhood teams. They will ensure that they consider; medicine optimisation, medicine safety, antibiotic stewardship and de-prescribing agendas as part of any structured medication review. They will integrate with the wider healthcare teams, including Community and Hospital Pharmacy and Intermediate Care colleagues, communicating and implementing medication changes as appropriate. Key Working Relationships Works collaboratively with the PCN Clinical Directors and the Lead Pharmacist in delivering the Pharmacy Service for the networks Works with Pharmacists and Pharmacy Technicians within the PCN workforce to ensure there is optimal use of skills in delivering the Pharmacy service to the Practices. Works as, part of the Neighbourhood Multi-disciplinary team, to provide Pharmacy Professional expertise. This involves working with Social care, GPs, nursing professionals, housing representatives, therapists, social prescribers, paramedics etc. Works with Community Pharmacy colleagues to ensure consistency of patient care. Liaises with ICB colleagues including Medicine Optimisation Pharmacists and Technicians on prescribing related matters to ensure consistency of patient care. Liaises with Hospital staff with responsibilities for prescribing and medicine optimisation, on prescribing related matters to ensure consistency of patient care.. Liaises with other PCN Pharmacists in neighbouring networks as needed for the collective benefit of patients, and to provide continuity of service. Liaises with Practice Pharmacists to ensure complementary working and to avoid duplication of effort. Liaise with Hospital Staff and Intermediate Care staff to ensure smooth transfer of care. Engages with Local Professional Networks to benefit from Peer support and enhance collaborative working relationships. Key Responsibilities Medication review Deliver a programme of structured medication review for the practices, to include: patients with multi-morbidity and polypharmacy or complex health needs. This may include vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement prescribing changes, within own prescribing competences, liaising with other prescribers as appropriate. Care home review Undertake clinical medication review for patients residing in care homes, working with the Pharmacy Technician and care home staff to improve safety of medicines ordering and administration, and ensure safe transfer of care. Risk stratification Identify cohorts of patients at high risk of harm from medicines. Risks may be patient related, medicine related or both. Identify patients at risk of unplanned admission and readmission from medicines known to cause harm, through audit and individual patient reviews. Put systems in place to reduce the prescribing of these medicines to high risk patient groups. Medicine Reconciliation Support practices with medicine reconciliation following discharge from hospitals, through intermediate care and on admission to care homes, ensuring changes are actioned and implemented, and communicated in a timely manner. Advanced care planning Work with case managers, hospital colleagues, Practice teams and Community Pharmacy as part of the neighbourhood multidisciplinary health and social care team to manage medicine related risk for re-admission and patient harm. Long term conditions Support the management of long term conditions as specified in the Pharmacy Workplan. Ensure patients with long term conditions within SMR caseload are managed, monitored and treated appropriately and effectively according to the latest guidance. Make recommendations or changes to treatment regimen as appropriate within sphere of competence. Medicine Safety Advise practices in the network, regarding medicine safety alerts, such as MHRA alerts, product withdrawal and other local and National Guidance. Work alongside the medicines optimisation team to identify patient groups affected by such alerts and assist with implementation of changes where relevant to work plan. Quality Improvement Work with practices to demonstrate continuous Quality Improvement. Conduct audit and implement changes in collaboration with the Practice teams within the network. Demonstrate implementation of the de-prescribing agenda, antibiotic stewardship and medicines safety tool. Demonstrate Quality outcomes from SMR projects. Care Quality Commission Provide advice and support to practices in the network regarding compliance with CQC standards where medicines are involved. Demonstrate activity in support of these standards. Repeat Prescribing Record medication review, within patient electronic record and update prescription record as appropriate and in accordance with Repeat Prescribing policy. Provide advice to practices regarding Repeat Prescribing policy and consider standardisation across the network. Education and Training Provide education and training to patients and the primary healthcare team on therapeutics and medicine optimisation. Support Pharmacy Students and Trainee Pharmacists and Pharmacy Technicians as requested by the Lead Pharmacist. Public health Support the public health agenda, and provide specialist knowledge to patients and other members of the health care team. Miscellaneous It is anticipated that this will be a developing role and the job description will need to be reviewed periodically. There may be additional asks, in keeping with the role of the Pharmacist in General Practice. Leadership and Management As the Senior PCN Pharmacist the post holder will be expected to contribute to the leadership of medicines related issues for the allocated PCN, and to provide leadership and mentoring to any Clinical Pharmacist and Pharmacy Technician within the PCN Pharmacy team. Leadership Demonstrate an understanding of the Pharmacy role in governance and be able to implement this appropriately within the workplace. Demonstrate an understanding of, and contribute to, the workplace vision Demonstrate ability to improve quality within the limitations of service Demonstrate ability to lead a team and provide support to colleagues with differing abilities Understand and demonstrate the characteristics of a role model to members in the team/service Demonstrate ability to motivate self to achieve goals Demonstrate understanding of and conform to relevant standards of practice Management Provide direct line management for members of the team as delegated by the Lead Pharmacist Support the Lead Pharmacist to demonstrate ability to extend boundaries of service delivery within the team Follow professional and organisational policy relating to performance management Support the Lead Pharmacist to review progress and develop plans to achieve results within priorities set by others Understand resource allocation and support the lead pharmacist to utilise this accordingly Promote diversity and equality in people management techniques and lead by example Demonstrate an understanding of the implications of national priorities for the team and service and support the Lead Pharmacist in managing the team through these changes. Professional Conduct Pharmacists must comply with the Code of Professional conduct set by the General Pharmaceutical Council, and should dress appropriately in accordance with their role. Equality, Diversity & Inclusion We are committed to eliminating the unlawful discrimination and promoting equal opportunities. All staff have a personal responsibility to contribute towards an inclusive and supportive environment for patients, carers, visitors and other colleagues from all the equality strands (race, gender, age, sexual orientation, religion and disability). Staff have a personal responsibility to: ensure that their behaviour does not cause offence ensure their behaviour is not discriminatory challenge the inappropriate behaviour of others adhere to practice values, including respecting everyone comply with staff conduct policy and equal opportunities policy
