PCN Clinical Pharmacist

at  E4 Network

PRIMARY DUTIES AND RESPONSBILITES To develop and facilitate a good working relationship with community pharmacists and other local providers of healthcare. To plan and organise own workload, including audit, project work and training sessions for members of the practice team, patients, and carers. To maintain registration as a pharmacist and comply with appropriate professional codes. As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation, and policy developments, agree objectives and a personal development plan and participate in the appraisal process.
To attend local, regional, and national meetings of relevance as agreed with the Clinical Director. All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance). COLLABRATIVE WORKING Recognises the roles of other colleagues within the organisation and their role to patient care.
Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs) Demonstrates ability to work as a member of a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary. Actively work toward developing and maintaining effective working relationships both within and outside the practice and network. Foster and maintain strong links with all services across the borough.
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships. Demonstrates ability to integrate general practice with community and hospital pharmacy teams. Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit. Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support.
Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses, other practice staff, CCG pharmacists, pharmacy technicians, optometrists, dentists, health & social care teams, dieticians, Locality / GP prescribing lead, practice managers, Community nurses and other allied health professionals, community and hospital pharmacy teams. CLINICAL RESPONSIBILTIES Hold clinics for patients requiring face-to-face structured medication reviews i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Provide a telephone support for patients with questions, queries, and concerns about their medicines.
Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring test. See patients in long term condition clinics and implement improvements to patient’s medicines, including de-prescribing. Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long-term anticoagulants).
Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking. Manage patients at risk of hospital admissions and harm from poor use of medicines. Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration.
Attend and refer patients to multidisciplinary case meetings. 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; make necessary changes as an independent prescriber. Ensure patients are booked in for necessary monitoring tests where required.
Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups Management of medicines at discharge from hospital To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes manage these changes without referral to a GP. Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests 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). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care.
Working with patients, the network and primary care teams to minimise risks through medicines optimisation. Review national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Develop and put into place protocols for managing patients on high-risk medications and train admin/reception staff in these to optimise safe management of these patients.
Design, develop and implement of clinical system searches to identify cohorts of patients at high risk of hard from medicines, Responsibility for management of risk stratification tools on behalf of the practice. Answers all medicine-related enquiries from GPs and other practice staff with queries about medicines. Suggesting and recommending solutions. Provide telephone advice for patients with questions, queries and concerns about their medicines.
Providing follow up for patients to monitor the effect of any changes. To support public health campaigns to run within the network. To provide specialist knowledge on immunisation

Please refer the Job description for details