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Clinical Pharmacist

2 months ago

Wigan, United Kingdom Garswood Surgery Full time

Job summary

St Helens North Primary CareNetwork are looking to recruit a Clinical Pharmacist. This is a fixed term role to cover maternity leave. We are aiming for a September start date. You will work withinour Primary Care Network multidisciplinary healthcare team. You will be joininga team of two Senior Clinical Pharmacists and two Pharmacy Technicians and willbe working together and in partnership with the six practices that make up thePrimary Care Network.

We are looking for someone who isenthusiastic and highly motivated with good interpersonal and communicationskills and an understanding of primary care. You will be based predominantly inGP surgeries providing invaluable practical support and guidance to practicestaff and other members of the healthcare team.

Please note we areunable to sponsor overseas applications.

If enoughapplications are received prior to the closing date, this advert may closeearly.

No agencies please.

Main duties of the job

You will work across practiceswithin the Network, undertaking a range of predominantly patient-facing roles.This will include structured medication reviews with emphasis on particularpatient groups; polypharmacy, care home patients, and frailty. Day to day tasksinclude working towards QOF objectives, medicines audits and practice basedwork, which will take place via face to face clinics and telephoneconsultations.

As well as being an integralmember of the GP Network undertaking duties that specifically support GPpractice work and the Networks agendas, these Network funded posts will beclosely linked to the CCG Medicines Management Team which will continue to workwithin your Network and provide ongoing liaison, advice and support.

The successful applicant will beregistered with the GPhC, and will undertake the CPPE pathway. They should bean independent prescriber or working towards, with strong written and verbalcommunication skills, an ability to work effectively under pressure and a goodunderstanding of the DES.

About us

The post holderwill be working as part of the St Helens North Primary Care Network. We are ateam of 6 Practices, Garswood Surgery, Windermere MC, Bethany MC, KennethMacrae MC, Rainford HC & Billinge MC - with a combined list size of approx30,000 patients. It is a friendly and close knit team and our work ethic isthat of motivation, productivity, respect and innovation.

This is an excitingopportunity to be a part of an expanding and diverse Primary Care Network team,improving patient care and all whilst developing your knowledge and skills.

Our mission is toprovide pro-active care to patients to improve their health and wellbeing andto make a positive impact to their lives, with respect and compassion. Workingin partnership with local people, health and social care, voluntary sectors,community groups and colleagues to bring communities together and helping toreduce health inequalities.

You can find moreinformation about PCN's in St Helens at

Job description

Job responsibilities

The Clinical Pharmacist will workwithin general practices providing practical and clinical support to improvethe management of medicines.

To undertake structuredmedication reviews to meet the PCN service requirements. Provide professionaladvice to health professionals about Medicines Management. They will beinvolved in educating patients and health professionals about medicines.

The post holder will work withintheir clinical competencies as part of a multidisciplinary team in a patientfacing role. The post holder will take responsibility for areas of chronicdisease management within the practice and undertake clinical medicationreviews to proactively manage patients with complex polypharmacy

The post holder will provideclinical leadership on medicines optimisation and quality improvement andmanage some aspects of the quality and outcomes framework and enhanced services

Principal Responsibilities:

Act as a pharmaceutical resourcefor patients, general practitioners, community pharmacists, nurses and otherICB staff

Review practice repeatprescribing policies and support the management of the repeat prescriptionre-authorisation process, by reviewing patient requests for repeatprescriptions and adherence of practice staff to the policy. Ensure patientshave appropriate monitoring tests in place when required.

Undertake face to face patientmedication review clinics in partnership with general practitioners and primarycare health professionals

Undertake computer based and overthe telephone patient medication review clinics in partnership with generalpractitioners and primary care health professionals

Improve prescribing and MedicinesManagement in the General Practices

Contribute to the improvement ofmanagement of medicines across the primary and secondary care interface

Work with and support localcommunity pharmacists

The post holder will be supportedto develop their role to become a non-medical prescriber

Managerial

Provide advice to generalpractitioners and their practices to ensure financial risks are managed

Manage own workload

Leadership

Manage and organise own workloadand patient caseload within allocated GP practices

Review allocated GP practicesprescribing and develop prescribing action plans in partnership with thepractice, and Senior Clinical Pharmacist. Assist in action plan implementation

Liaise with local communitypharmacists to ensure they are aware of ICB and Network Medicines Managementactivities and plans

Influence key personnel (generalpractitioners, nurses, Practice staff) about Medicines Management issuesincluding the safe and secure handling of medicines in line with currentlegislation

Liaise with other local MedicinesManagement Teams to share ideas and ensure consistency in best practice withregard to primary care pharmacy

Supervise, teach, assesses juniormedicines management staff, technicians or students, if requested

Professional supervision ofmedicines management technicians, students, if requested

Clinical

Plan, organise and undertakeunsupervised medication review clinics with patients in GP practices,particularly for vulnerable patients ( Those who are housebound, those whohave fallen, those in care home settings and those recently discharged fromhospital, those with long term conditions and polypharmacy)

Undertake medication review workin the most appropriate settings, which may include GP practices, care homes orintermediate care.

Provide general practitionerswith appropriate recommendations and actions plans following medication reviewclinics with patients to optimise the patients treatment with medicines, andensure appropriate follow up with patients

Record medication review plans,recommendations and outcomes on GP computer clinical systems and own clinicalnotes

Obtaining agreement with GPpractices to implement clinical review programs with the overall aim offollowing national prescribing guidance, improving the quality of prescribingand enhancing expenditure on medicines. Undertake changes to prescribing whereappropriate and agreement has been obtained

Analyse complex prescribing data(ePACT2) for practices to highlight areas where there is scope for improvingthe clinical effectiveness of prescribing

Promote good qualityevidence-based prescribing to meet national guidelines and targets NICEclinical guidelines and technology appraisals, antimicrobial stewardship

Identify cohorts of patients athigh risk of harm from medicines, through pre-prepared practice computersearches. This might include risks that are patient related, medicine related,or both.

Contribute to the development andreview of clinical guidelines and drug formularies

Contribute to the development ofservices that have medical components

Facilitate patient focusedmedication management programs to improve compliance and concordance

Liaise with local hospitals andcommunity pharmacists to ensure effective Medicines Management across theprimary/secondary care interface

Contribute to the effectiveimplementation of NICE guidance and implement changes to medicines that resultfrom MHRA alerts, product withdrawal and any other local and national guidance

Answer medicine related queriesfrom GPs and other health care professionals by interpretation of complexmedicines information and evaluating a number of options before communicatingan evidence based response to the enquirer

Reconciliation of medicines postdischarge

As a prescriber, to implement ownprescribing changes and tests as required

Work with the practice team toensure the practice is compliant with CQC standards where medicines areinvolved

Training and Education

Maintain and plan ownprofessional accreditation and demonstrate self-development and CPD as requiredby General Pharmaceutical Council

Attend local education andresearch meetings concerning prescribing and therapeutic updates

Interpret and present clinicalevidence to ensure that prescribing advice provided is accurate, up-to-date,relevant and within national guidance

Participate in the induction andtraining of new members of the practice and Network Teams

Involvement in the GeneralPractice half day protected learning time to update / train practice staff onissues related to Medicines Management

Use ePACT data to updateprescribers at practice meetings

Ensures appropriate clinicalsupervision is in place to support development

Research and Audit

Contribute to the development ofand undertake clinical audit activities to monitor prescribing practice andNICE guidance

Utilisation of GP computerclinical systems to undertake clinical audit, risk management and demonstrationof prescribing patterns

Communication

Discuss complex and sensitiveinformation in an empathetic manner with patients during medication reviewclinics including medical histories, lifestyles and personal circumstances andprovide re-assurance where necessary. The advice must be tailored to the levelof understanding of the patient.

Signpost and refer patients toother services (health, social care, etc) as appropriate

Maintain appropriate records ofactions and interventions with patients during medication review clinics, whileacknowledging Caldicott issues

Develop an effective network andworking relationship with individual practice GPs, practice staff, otherprofessionals within the Primary Health Care Team, community pharmacists and atthe interface with secondary care

Manage hostile and obstructivebehaviour from contractors and ICB staff to the implementation of prescribingactivities and strategy

Manage hostile and emotionallydifficult situations with patients

Accept referrals for MedicinesManagement support for patients from multi-agency staff such as home carers,social workers and care home staff

Personal Development

All staff are required to beappraised by their line managers at least once a year at a personal developmentreview meeting where progress made over the last year is discussed and agreed.

Participate in appropriatetraining and development activities

Participate in team, professionaland personal development activities and promote commitment to continuousdevelopment and improvement

Responsible for maintaining ownprofessional education, development and expertise in order to ensure aneffective service to the Organisation

Planning and OrganisationalResponsibilities

Organise own work effectively andwork on own initiative to identify areas of improvement across the project,team and organisation

Prepare work plans to ensure allallocated tasks are managed and delivered

Demonstrate a methodical approachto work, with clear attention to detail

Work with sometimes limitedinformation and resources

Please refer to the attached JobDescription for the full document.

Person Specification

Qualifications

Essential

Vocational Masters Degree in Pharmacy One year pre-registration training Registered with the General Pharmaceutical Council Maintain professional accreditation and CPD as required by the pharmacy profession

Desirable

Diploma or higher (MSc or Doctorate) in Clinical Pharmacy / Pharmacy Practice or equivalent Members of associated pharmacy organisations ( FCPP) Independent prescriber or working towards/intent of gaining independent prescriber qualification

Skills

Essential

Willingness to travel to/ base at various locations as needed Good time management skills Ability to work on own initiative, plan work and prioritise tasks Ability to work within a team Ability to motivate self and others Ability to effect change and influence others Commitment to work positively to achieve key results within the Network

Desirable

Staff management Project management Supervision of students and junior pharmacists and technicians Negotiating skills

Experience

Essential

Experience in primary or secondary care Good communication and presentation skills Proven written skills Sound therapeutic and clinical knowledge Ability to travel Willing to travel to all GP practices and community pharmacies within the Network Strong IT skills including use of Outlook and Excel Critical appraisal skills of clinical literature An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Demonstrates accountability for delivering professional expertise and direct service provision

Desirable

Familiarity with prescribing data (ePACT2, Open) Experience with working in interdisciplinary settings Experience in teaching health professionals Working with community groups or the public An understanding of NHS modernisation and policy An understanding of clinical governance frameworks