Clinical Pharmacist

Clinical Pharmacist - Frailty Integrated Neighbourhood TeamAn exciting new opportunity hasarisen for us to recruit a Part Time Clinical Pharmacist working 22.5 hours per week (with potential toincrease to full time) to join our rapidly expanding primary care team, workingacross Richmondshire Primary Care Network (PCN). The Network comprises of 8 practices coveringRichmond, Leyburn, Hawes, Catterick, Scorton and Aldbrough St John. We support almost44,000 patients across the area.We are looking for an experienced and motivatedclinical pharmacist to join our existing team to support our GPs and the widerprimary care workforce. Working within your professional boundaries, you willbe responsible for working collaboratively with the multi-disciplinary primarycare teams across all practices within the PCN.If you are committed andenthusiastic & looking for an exciting role within an evolving andinnovative primary care setting; and if you are interested in progressing yourdevelopment and contributing to the development of innovative models of primaryhealthcare in North Yorkshire, then we would be delighted to hear from you.Main duties of the jobWealready have a well embedded Frailty Integrated Neighbourhood Team who areintegral in improving the quality of planned care in Care Homes and Supported Livingsettings. They are a specialisedvisiting team who coordinate the provision of tailored and multi-disciplinarycare to residents, in line with the requirements of the national EnhancedHealth in Care Homes Service Specification. This role is influential in thecontinued development of this service provision. It is part of the pioneering integration ofRichmondshire Primary Care and Community Teams with Older Persons service developmentat the local Friarage Hospital in Northallerton.YouWill add a unique and valuable contribution to the skill mix of the primarycare team and multi-disciplinary team working within Care Homes and Supported LivingAccommodation. Older people often have multiple medications for a range ofillnesses, may benefit less from them and are at higher risk of side effectsand interactions, causing additional problems. The Pharmacist will deliver StructuredMedication Reviews and contribute to MDTs. By sharing your expert knowledge onmedication with the wider clinical team, leading to overall improvements incare related to medicines and interprofessional learning.About usYou will be employed by ourlocal GP Federation, Heartbeat Primary Care CIC. It represents sixteen practices across thelocalities of Hambleton and Richmondshire. It was formed in 2014 to facilitateand encourage joint working between practices and with other partners. It has forged close working relationshipswith all member practices across the locality and continues to support thedevelopment of relationships across primary care. It has an outstanding track record of collaborationand innovation and currently hosts several PCN Additional Roles (ARRS) posts onbehalf of Richmondshire PCN.Job responsibilitiesIntegration and working as a team is seen as essential part of our PCN and as such you will work alongside our practice-based pharmacists. This allows for the provision of essential support from your professional peersYou will significantly contribute to patient safety, by bringing medicines and prescribing expertise to support patients and carers with the management of their long term conditions including concordance and support for healthy lifestyles.We have long planned to provide the INTs services to patients in their own homes, a vision supported by the 10 year plan. The successful applicant will be able to contribute to both the planning and provision of this service.Acting within your professional boundaries and supporting and working alongside a team of pharmacists in primary care you will work as part of a multi-disciplinary team in a patient facing role.The post holder will work with the wider PCN team to ensure that all aspects of the Primary Care Network Contract Directed Enhanced Service and its associated service specifications, relevant to this post, are realised.The post holder will take responsibility for areas of chronic disease management within practices and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.The post holder will provide primary support to general practice staff with regards to prescription and medication queries and help support the repeat prescription system. They will deal with acute prescription requests and medicines reconciliation on transfer of care for patients. They will support the development and delivery of systems for safer prescribing, providing expertise in clinical medicines whilst addressing both public and social care needs of patients in primary care.The post holder will provide clinical leadership on medicines optimisation and quality improvement as well as contributing to some aspects of Quality and Outcomes Framework and Investment and Impact Fund work where appropriate.The role is pivotal to improving quality of care for patients and operational efficiencies within primary care and therefore requires motivation and passion to deliver excellent service within general practice.The post holder will be supported to develop their role to become a non-medical prescriber if not already a prescriber.Key responsibilitiesResponsibilities may include but not be limited to the following:See patients with LTC(s) where medicines optimisation is required and review the on-going need for each medicineUndertake structured medication reviews with patients, including arranging appropriate monitoringWork with care home staff to improve safety of medicines ordering and administrationAttend and refer patients to multidisciplinary team meetingsWhere appropriate and required, provide patient facing clinics and or phone consultations for those with questions and concerns about their medicinesReconcile medicines following discharge from hospitals and outpatient appointmentsManaging a caseload of patients with specific ailments while working within a scope of practice and limits of competence signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriateSet up and manage systems to ensure continuity of medicines supply to high-risk groups of patients identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searchesContribute pharmaceutical advice for the development and implementation of new services that have medicinal components advice on treatment pathways and patient information leafletsAnalyse, present and interpret medicines data to highlight issue and risks to support decision makingImplement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidanceMonitor practice prescribing against national guidelines and formulary recommendationsWork to ensure the practice is compliant with CQC standards where medicines are involvedReview the use of medicines most commonly associated with unplanned hospital admissions and readmission through audit and individual patient reviewsConfidentialityIn 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 appropriatelyIn 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 local practices and Heartbeat Primary Care CIC as business organisations. All such information from any source is to be regarded as strictly confidentialInformation relating to patients, carers, colleagues, other healthcare workers or the business of Heartbeat and practices may only be divulged to authorised persons in accordance with Heartbeat and practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.Health & SafetyThe post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Heartbeat Health & Safety Policy, to include:Using personal security systems within the workplace according to practice guidelinesInfection Control all clinical and non-clinical staff groupsResponsible for, in respect of your area of work, for ensuring so far as is reasonably practicable and in accordance with policies, that you are aware of your individual responsibilities in regard to infection prevention and control, this requires you to:Maintain safe infection prevention and control the environment for yourself and othersBe familiar with and comply with current infection prevention and control guidelines, policies and proceduresRaise matters of non-compliance with your managerAttend infection prevention and control mandatory training as directed by your managerBe appraised in relation to infection prevention and controlEquality and DiversityThe 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 Heartbeat procedures and policies, and current legislation and also that of any practices you may be working inRespecting the privacy, dignity, needs and beliefs of patients, carers and colleaguesBehaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.Personal/Professional DevelopmentThe post-holder will participate in any learning programme implemented by Heartbeat as part of this employment, such training to include:Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional developmentTaking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.QualityThe post-holder will strive to maintain quality within Heartbeat and member practices, and will:Alert other team members to issues of quality and riskAssess own performance and take accountability for own actions, either directly or under supervisionContribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performanceWork effectively with individuals in other agencies to meet patients needsEffectively manage own time, workload and resources.CommunicationThe post-holder should recognise the importance of effective communication within the team and will strive to:Communicate effectively with other team membersCommunicate effectively with patients and carersRecognise peoples needs for alternative methods of communication and respond accordingly.Keep accurate and contemporaneous entries in patients records using practice clinical systems (currently all practices using TPP SystmOne).Contribution to the Implementation of ServicesThe post-holder will:Apply Heartbeat policies, standards and guidance and those of general practice where appropriateDiscuss with other members of the team how the policies, standards and guidelines will affect own workParticipate in audit where appropriate.Special Working ConditionsThe post-holder is required to travel independently between practice sites (where applicable) and to attend meetings etc. hosted by other agenciesThe post-holder will be part of Richmondshire PCN and will be expected to support the work of the PCN and its constituent practices as required.ANY OTHER DELEGATED DUTIES CONSIDERED APPROPRIATE TO THE POST.This job description covers the main duties that the post holder will be expected to undertake. These duties may be revised from time-to-time following consultation with the post holder.Richmondshire PCN continues to work closely with Northumberland University and their Enhanced Care for Older People (EnCOP) programme. The aim of EnCOP is to recognise older peoples care as a specialism, provide best practice guidance, support inter-professional and inter-organisational care and consistency across the system. There will be an opportunity to be involved in the framework. Applicants who do not hold knowledge and skills specific to meeting the needs of older people and SMRs should be willing to develop these in line with our planned workforce developments [including in being supported to complete the EnCOP programme].Person SpecificationExperienceMinimum of 2 years post qualification experience, demonstrated within a practice portfolioExperience of working within general practice and ability to use GP clinical systems Systm1OtherFull driving licence and ability to travel around the federation/PCN localitySelf-motivatedAdaptableIn-date DBSLevel 3 - Safeguarding adult and childrenImmunisation status up to dateBasic life support trainingInformation governance completionQualificationsAppropriate specialist knowledge acquired through postgraduate diploma level or equivalent training/experienceIndependent prescriber or working towards/intent of gaining independent prescribing qualificationHave completed the CPPE Primary Care Pharmacy Pathway (or be willing to complete this if not done already)Have completed the EnCOP Programme (or be willing to complete this if not done already)Professional RegistrationMandatory registration with General Pharmaceutical CouncilMembership of the Royal Pharmaceutical SocietyA member of or working towards Faculty membership of the Royal Pharmaceutical SocietyKnowledge and SkillsAn appreciation of the nature of GPs and general practiceAn appreciation of the nature of primary care prescribing concepts of rational prescribing and strategies for improving prescribingExcellent interpersonal, influencing and negotiating skillsExcellent written and verbal communication skillsDemonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditionsAble to obtain and analyse complex technical informationRecognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriateAble to work under pressure and to meet deadlinesProduce timely and informative reports. Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action when there may be significant barriersWork effectively independently and as a team memberDemonstrate accountability for delivering professional expertise and direct service provisionIn depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcareDisclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. #J-18808-Ljbffr