Primary Care Network Clinical Pharmacy

Primary Care Network Clinical Pharmacy - Independent Prescriber Job Summary: Islington GP Federation is looking to recruit clinical pharmacists to support patient care in Primary Care Networks in line with the new Network Contract Directed Enhanced Service (DES) Specification. We are seeking a PCN pharmacist with previous experience of working in primary care to develop and manage Medicines Optimisation services within general practice. The post holder will work as part of a multi‑disciplinary team in a patient‑facing role, taking responsibility for areas of chronic disease management within practices and undertaking clinical medication reviews to proactively manage patients with complex polypharmacy. 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. Responsibilities Patient facing activities: Structured Medication reviews Frail elderly patient with problematic Polypharmacy, renal and/or hepatic impairment Patients on high risk medicines STOPP/START identified patients Revolving door Hospital admissions LTC: Diabetes, Hypertension, Asthma, COPD Contraception Learning Disability reviews Rheumatoid arthritis reviews / Musculoskeletal pain management, e.g. osteoarthritis Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome (IBS) Contribute to multimorbidity reviews and multidisciplinary reviews Repeat prescribing: Produce and implement robust systems for repeat prescribing Support the management of repeat prescribing reauthorisation process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review Coordinate with patients and community pharmacies as appropriate Management of medicines at discharge from hospital Reconcile medicines following discharge from hospitals, intermediate care and into care homes 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 Risk Management and Patient Safety: Responsible for high‑risk drug monitoring Responsible for design, development, and implementation of system searches to identify cohorts of patients at high risk of harm from medicines. Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety Medicine information to practice staff and patients: Deal with all medication queries from patients, community pharmacy, secondary care, admin staff, clinicians Act as a source of medicines information for the practice team and patients e.g. around doses, side effects, adverse events, possible alternatives for out of stocks Care Quality Commission: Provide leadership to the general practice teams to ensure practices are compliant with CQC standards where medicines are involved. Undertake risk assessment and management and ensure compliance with medicines legislation. Public Health: Contribute to public health campaigns, including vaccinations, and adult immunisation programmes Cost saving programs: Promote evidence based, cost effective prescribing Lead on compliance with medicines formulary Training and education to primary healthcare team on procedures around medicines Medicines quality improvement Identify medicine‑related areas of care using software tools to improve patient safety and use of medicines. Conduct medicine‑related audits, significant event audits and complaint reviews. Lead on use of TARGET toolkit for antimicrobial stewardship. Lead on stopping over‑medication of people with a learning disability, autism, or both STOMP and people with dementia. Medicines safety: Identify national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Qualifications & Experience Mandatory registration with General Pharmaceutical Council (GPhC) Membership of the Royal Pharmaceutical Society Faculty membership of the Royal Pharmaceutical Society Masters degree in pharmacy (MPharm) (or equivalent) Specialist knowledge acquired through post‑graduate diploma level or equivalent training/experience Independent prescriber or working towards/intent of gaining an independent prescribing qualification Minimum of 2 years post‑qualification experience In‑depth therapeutic and clinical knowledge and understanding of the principles of evidence‑based healthcare Basic understanding of General Practice, primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Excellent interpersonal, influencing and negotiating skills Ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients) Excellent written and verbal communication skills Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long‑term conditions Good IT skills Analysing complex technical information Recognises priorities when problem solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate Able to work under pressure and to meet deadlines Work effectively independently and as a team member Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and a submission for Disclosure to the Disclosure and Barring Service (formerly CRB) is required to check for any previous criminal convictions. Employer Details Islington GP Federation Unit 16-18, The Studios, Hornsey Street, Holloway, London, N7 8EG Website: https://www.islingtongpfederation.org/ #J-18808-Ljbffr