Clinical Pharmacist

Job summary

Tramways Medical Centrewould like you to join our team as aClinical Pharmacist(20 hours per week) to provide safe, quality, pharmacy services in primary care, working with a wide range of colleagues within the Practice. You will have the opportunity to develop and deliver safe, effective, and efficient systems for repeat prescribing, medicines optimisation, reducing medicines waste and maximising patient outcomes. In this role you have the potential to help manage general practice workload and significantly improve quality of care and safety for patients

Main duties of the job

Provideexpertise in clinical medicines review and address public health and socialneeds of patients in Hillsborough Primary Care Network.

The post holder will work as part of amulti-disciplinary team in a patient facing role. The post holder will takeresponsibility for areas of chronic disease management within the practice andundertake clinical medication reviews to proactively manage patients withcomplex polypharmacy.

The post holder will provide primarysupport to general practice staff with regards to prescription and medicationqueries. They will help support the repeat prescriptions system, deal withacute prescription requests, and medicines reconciliation on transfer of careand systems for safer prescribing, providing expertise in clinical medicinesadvice while addressing both public and social care needs of patient in the GP practice(s).

The post holder will provide clinicalleadership on medicines optimisation and quality improvement and manage someaspects of the quality and outcomes framework and enhanced services.

The post holder will ensure that thepractice integrates with community and hospital pharmacy to help utilise skillmix, improve patient outcomes, ensure better access to healthcare and helpmanage workload. The role is pivotal to improving the quality of care andoperational efficiencies so requires motivation and passion to deliverexcellent service within general practice.

About us

Tramways Medical Centre is a forward thinking Practice Covering approx. 9,000 patients in the S6 areas of Sheffield. Our aim is to create a diverse team that support one another, you will work closely with the existing clinical teams to deliver excellent patient care working innovatively and collaboratively with colleagues.

Job description

Job responsibilities

Primary Duties and Areas of Responsibility

Patient facing Long- term condition clinics

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required ( COPD, asthma). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines ( medicines optimisation). Make appropriate recommendations to GPs for medicine improvement

Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for the nurses and/or GP on prescribing and monitoring

Patient facing care home medication reviews

Undertake clinical medication reviews with patients and produce recommendations for the community nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration

Patient facing domiciliary clinical medication review

Undertake clinical medication reviews with patients and produce recommendations for community nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences

Management of common/minor/self-limiting ailments

Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate

Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice

Telephone medicines support

Provide a telephone help line for patients with questions, queries and concerns about their medicines

Medicine information to practice staff and patients

Answers relevant medicine related enquiries from GPs, other practice staff, other healthcare teams ( community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes

Unplanned hospital admissions

Review the use of medicines most commonly associated with unplanned hospital admissions and re-admissions through audit and individual patient reviews. 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 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 ( those with medicine compliance aids or those in care homes)

Signposting

Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

Repeat prescribing

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 and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required

Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components ( advice on treatment pathways and patient information leaflets)

Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making

Medicines quality improvement

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team

Medicines safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance

Implementation of local and national guidelines and formulary recommendations

Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages

Education and Training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation

Care Quality Commission

Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved

Public health

To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public

Person Specification

Qualifications

Essential

PERSON SPECIFICATION CRITERIA ESSENTIAL DESIRABLE Qualifications Degree in Pharmacy, and registration with the General Pharmaceutical Council. Member of the Royal Pharmaceutical Society (RPS). Member of or working towards (through foundation) RPS Faculty membership Hold or be working towards a prescribing qualification. ExperienceMinimum of 2 years post graduate experience in pharmacy, as demonstrated within a practice portfolio.Specialist knowledge of medicines management systems and processes. Proficient with SystmOne Skills Ability to use own initiative. Ability to work in team or on own. Be able to demonstrate tact and diplomacy when working with others. Accurate and communications skills. Able to cope with stressful situations. Knowledge Has an awareness of the breadth of common acute and long term conditions that are likely to be seen in a general medical practice. Specialist knowledge of medicines management systems and processes.Demonstrate specialist knowledge in more than one field. OtherMust be able to observe code of confidentiality Car driver. Flexible ability to work additional hours at short notice occasionally and across all four Hillsborough sites within the West of Sheffield.

Experience

Essential

As Above

Desirable

Experience of working in primary care Experience of working in a GP practice

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