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Independent Prescriber

3 months ago

North Acton, Greater London, United Kingdom K&W Healthcare Ltd Full time

_Job Summary:
_
The post holder will provide primary support to general practice staff with regards to prescription and medicines management.

They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice (s).

They will deliver an efficient, cost-effective, and high-quality clinical service by providing clinical and professional development to the clinical workforce within K&W Healthcare & member practices.

The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare, and help manage workload.

The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.

The post-holder will deliver a comprehensive range of high-quality pharmaceutical services, to include the assessment of patients at K&W sites, practices, care homes and as required attend housebound patients.

They will be able to consult on the telephone, via the internet and face to face.

_Clinical reviews/input_

  • Demonstrate a significant reduction in the amount of GP time spent (especially locum GP time) by seeing patients in appointment slots for clinical medication reviews, respond to urgent medication requests and queries. Complex patient or those with additional needs may require longer appointment slots.
  • Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines. Ensuring they get the best use of their medicines
  • Minor ailments triage: Managing caseload of patients with common /minor/selflimiting ailments requesting GP appointments and triaging patients appropriately.
  • Provide patient facing clinics for those patients with questions, queries and concerns about their medication in order to improve medication adherence.
  • Minor ailments appointment slots patient ages 270, weekday mornings, minute appointments for minor ailment consultations.
  • Contribute to multidisciplinary reviews about medication related issues
  • Reconcile medicines following hospital discharge
  • Review daily pathology results for selected patients on known medicines
  • Targeted medication reviews particularly in high risk patients (frail elderly, polypharmacy, renal and hepatic impairment, high risk medicines etc.)
  • Undertake clinical medication review with patients and produce recommendation for the nurses and GPs on prescribing.
  • Administer influenza and travel vaccines
  • Support practices with management of patients with drug dependence and alcohol related disorders.
  • Sign post patients to other services or sources of information in addition to medication information when necessary in order to improve the general health and wellbeing of patients.
  • Make appropriate recommendations to the senior clinical pharmacist or GPs for medicines improvement.
  • Unplanned Admissions and Discharge
  • 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.
  • 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).

_Medicines optimization_

  • Assist with QOF targets, especially with management of long term conditions: Asthma, COPD, diabetes, hypertension, heart failure
- seeing these patients where their long term condition needs to be reviewed or where dose optimizations and monitoring are required as per guidelines.

  • Undertake training/certification in health assessments, history taking and physical examination. Commit to starting an independent prescribing course within 6 months of probationary period ending
  • Reduce inappropriate polypharmacy
  • Address medicines adherence with patients and provide follow up phone call to check progress.

_Audits and Risk Stratification_

  • Increase quality and safety of prescribing through regular K&W audits and practicespecific audits
  • Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety
  • Implementing medication related NICE guidelines
  • Identification of cohorts of patients at high risk of harm from medicines through practice computer searches.

_Repeat prescribing process_