Job Summary To participate in the provision of a Clinical Pharmacy Service to our member GP Practices defined within the Primary.....
Job Summary To participate in the provision of a Clinical Pharmacy Service to our member GP Practices defined within the Primary Care Network geographical location; Provision of routine clinical medicines reviews whilst addressing the public health and social needs of patient population. To review and reduce were possible inappropriate poly-pharmacy and wasteful prescribing through timely and effective clinical medication reviews. Reconcile patients medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues. Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service. Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions and medicines reaching review dates. Manage patients and health care professionals medicine queries. Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles. Manage Primary Care Network practice formularies to improve the quality, safety and cost effectiveness of prescribing. Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety. Work with primary care professionals and patients to implement NICE and other evidence based guidelines. Run clinics where appropriate to meet the needs of the Primary Care Network e.g. anticoagulant monitoring clinics, diabetic reviews etc. Contribute to multi-morbidity reviews and multidisciplinary reviews. Provide medicines information and training to Primary Care Network healthcare professionals and admin staff. Review daily Pathology results for patients on known medicines. Act as a source of medicines information for all of the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives e.g. around out of stocks). Undertake minor ailments triage: dealing with minor ailments and triaging patients appropriately Key Responsibilities: 1. Working within the Primary Care Network team to undertake medication reviews particularly in high risk groups such as: - Frail elderly - Poly-pharmacy - Renal impairment - Hepatic impairment - Substance misuse - Patients on high risk medicines - STOPP/START identified patients - Revolving door Hospital admissions 2. Improve prescribing practice through educational support for all prescribers within the Primary Care Network. 3. Lead on where changes in evidence require changes in prescribing across patient population e.g. where a drug is withdrawn or indications change. 4. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR and NMS. 5. Support improvements in clinical care through practice based audit and implementing change. 6. Prescribing advice to prescribers in the Primary Care Network e.g. temporary non availability of drugs. 7. Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines. Previous Experience and Skills: Relevant experience of service delivery within the NHS. Working in, or closely with, general practice. Involving and empowering a range of clinical professionals to make healthcare services more cost effective and better quality. Excellent influencing and relationship skills with colleagues. Excellent communication and presentation skills with both small and larger groups in formal and informal settings. Ability to work as a part of a multi-disciplinary team environment. Ability to engage effectively, commanding respect from a wide range of stakeholders including clinicians, patients and the public and in particular, ensuring effective two way communication within the Primary Care Network member practices. Qualifications & Training For This Job: NB: it is anticipated that the level of qualification held may vary according to the level of position and the components of the role being carried out Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council. Minimum of 2 years post registration experience in pharmacy, as demonstrated within a practice portfolio. Member of the Royal Pharmaceutical Society (RPS). Member of or working towards (through foundation) RPS Faculty membership. Holds or may be working towards a prescribing qualification. May hold or be working towards a postgraduate pharmacy qualification. Has an awareness of the breadth of common acute and long term conditions that are likely to be seen in a general medical practice. Behavioural Competencies & Skills For This Job: Expert Professional Practice Demonstrates general pharmaceutical skills and knowledge in core areas. Is able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients in core areas, including disease states / long term conditions identified by local Pharmaceutical Needs Assessment. Demonstrates accountability for delivering professional expertise and direct service provision as an individuals. Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options. Recognises priorities when problem-solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate. Is able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct. Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance. Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data Health & Safety: The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Federations Health & Safety Policy and the Federations Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Federation procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.