Clinical Pharmacist

Job summary

The post holderwill work within their clinical competencies as part of a multi-disciplinaryteam to provide expertise in clinical medicines management, provide face toface/telephone call structured medication reviews, manage long term conditions,management of medicines on transfer of care and systems for safer prescribing,manage repeat prescription authorisations and reauthorisation, acuteprescription request, while addressing both the public health and social careneeds of patients in the GP practice.

The post holderwill perform medication review of patients with polypharmacy especially forolder people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement andclinical audit and well as managing some aspects of the Quality and OutcomesFramework.

This role ispivotal to improving the quality of care and operational efficiencies sorequires motivation and passion to deliver an excellent service within generalpractice. The post holder will be supported to develop their role to become anon-medical prescriber, if that qualification is not already held.

Main duties of the job

Job Role Summary

Improve patients health outcomes and efficiency of the practice team by providing direct, accessible and timely medicines expertise, including identifying areas for improvement and initiating change.

The primary contact within the practice for queries relating to medicines management, in particular around individual patient care.

Focus on individual patient care by addressing immediate and future needs to personalise care planning.

Proactively to transfer, from other clinical staff, workload relating to medicines optimisation to improve patient care and safety.

To demonstrate the effectiveness of the practice and the role through audit and data analysis.

To follow-up patients and investigations, particularly blood tests.

About us

SHP are a Solihull based partnership looking after over 56,000 patients and operating out of 7 sites. This

role provides an opportunity to join a large forward thinking organisation whose vision is to be the most

respected Primary Care provider in the West Midlands.

Through our centralised back-office functions, our systems are organised so we can concentrate on

healthcare and not administration. Our practices place great value on teaching, training and mentorship

within the Vision Statement: To provide person-centred care at the heart of the community.

Mission Statement:

Solihull Healthcare Partnership aims to be the provider of choice in delivering holistic care to our neighbourhood.

Honest - We practice and encourage open and honest communication, acting with integrity in all that we do.

Excellence - We strive to achieve the highest standards in the care we deliver

and enable our team to create an environment that encourages excellence.

Accountable - We take personal and collective responsibility for our actions and the way we deliver care.

Respectful - We engage with our team, our patients and our community with respect, providing kind and compassionate person-centred care.

Transformational - We are committed to continually improving our standards, working with the community, being responsive and adapting to the changing needs of the neighbourhood

Job description

Job responsibilities

Repeat prescribing

Develop and quality-assured improved, safe and efficient repeat prescribing and medication review processes within the practice, and then to evolve and implement changes as required.

Focused and structured reviews of repeat prescriptions on an individual basis to improve quality and safety and maximise effectiveness and reduce wastage.

Medication review services via clinics in the practice, domiciliary visit and in residential and nursing homes. These may be face-to-face or notes-based reviews.

Long-Term Conditions / Chronic Disease Management

Undertake disease focused medication reviews, particularly of high-risk groups (elderly, renal/hepatic impairment, and to ensure appropriate compliance with national and local guidelines. This will be via pharmacist lead clinics, telephone and office-based notes reviews.

Ensure the care for patients taking high risk drugs DMARDs, anticoagulation, are safe and appropriate

Telephone advice to patients with LTCs on specific medicines management issues

Be familiar with, contribute to the development off and work alongside practice CCG long-term conditions pathways to ensure consistency and efficiency of systems

Provide health promotion where appropriate, including flu vaccinations.

Acute illness and pharmacist led clinics(within clinical scope and area of competence)

The initial assessment of common general practice presentations

Working through differential diagnosis and identifying serious disease and referring appropriately

Seeing patients with minor illnesses, independently diagnosing and managing the conditions

Following patients up with GP mentor support and within boundaries of safety and competency

Telephone advice to patients with acute illness queries

Minor ailment triage, with signposting and educating patients in the use of non-GP services, such as pharmacy lead minor ailments schemes minor eye complaints service, dental services, etc.

Hospital Discharge and Outpatient Letters

Review and reconcile medicines changes from secondary care organisations, in particular discharge papers and TTOs, to ensure concordance with national and local policies and to ensure optimisation of treatment and reduce inappropriate or wasteful prescribing.

Reconcile patients computer records with discharge medication and discuss discrepancies or concerns with hospital doctor/pharmacist

Ensure suggested /appropriate actions from hospital discharge/outpatients letters are followed through in practice follow-up blood tests, up-titration / down titration of medications etc.

Ensure patients are informed and aware of any changes to their medication

Practice Formulary

Manage practice formularies and IT systems to ensure appropriate selection of medication is easy and maximise by prescribers in the practice

IMT and Electronic Prescribing

Facilitate the development of electronic prescribing and increase its usage

To update and maintain accurate patient medication records on the patients clinical computer systems, including advice given and action taken in pharmacist clinics/reviews.

Safety, Risk and Governance

Ensure appropriate governance is in place regarding medicines, including leading on the response to any drug safety alerts or changes in clinical guidance.

Assist with the development of relevant medicines management guidance and/or policies.

Meet regularly with the practice prescribing lead to discuss medication issues.

To advise the primary healthcare team on the safe and secure handling of controlled drugs and other medicines, ensuring compliance with medicines legislation.

Identify and flag up risks with regard to management of medicines including clinical and financial risks.

To offer advice and guidance on adverse significant events that involve medication to ensure lessons are learned and appropriate changes made to prevent re-occurrence.

To offer advice and guidance on patient complaints that relate to medication/prescribing.

Audit and Monitoring

To plan and undertake clinical/prescribing audits to identify areas where improvement is needed, development action plans and implement appropriate changes.

To provide regular support and feedback on prescribing action plans.

Report regularly to the GP partners on the practice prescribing figures with benchmarking against other local and national data.

Analyse practice complex prescribing data to inform GPs and non-medical prescribers on their collective and individual performance.

Lead on the identification, implementation and monitoring of medicines management targets and initiatives including QOF, QIPP and CCG prescribing target.

Support the implementation of actions resulting from audit findings when necessary.

To agree all auditing and monitoring priorities in discussion with the practice.

Relationships

To provide training in medicines related issues to other members of the practice as appropriate.

To consider the skills of the reception team and develop plans for training as necessary to ensure safe and efficient prescribing processes.

Medicines Information and Awareness

Analyse and critically appraise complex information to prepare concise evidence-based summaries/advice to clinicians and nonclinical staff and patients.

Prepare evidence-based resources and information to support the health professionals in the implementation of rational cost-effective prescribing.

Present add patient group meetings or other appropriate events to give advice on the appropriate use of medicines.

Produce patient information leaflets and posters, and run medicine is aware of his projects throughout the year.

Raise awareness of out of practice schemes, such as minor ailments and schemes that promote self-care.

Person Specification

Qualifications

Essential

Mandatory registration with General Pharmaceutical Council (GPhC) Masters degree in pharmacy (MPharm) (or equivalent) CPPE Primary Care Pharmacy Education Pathway

Desirable

MembersSpecialist knowledge acquired through post-graduate diploma levels or equivalent training/experiencehip of the Royal Pharmace Independent prescribing qualification utical Society

other

Essential

Flexibility to meet the needs of the business Able to travel to all SHP sites DBS required Immunisation status

Desirable

Full driving licence

Experience

Essential

Minimum 3 years post qualification experience In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare An appreciation of the nature of GPs and general practices An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing

Desirable

Worked within a primary care or general practice Management of patients with long term conditions

Skills and Knowledge

Essential

Excellent written and verbal communication skills Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome difficult levels of understanding, cultural background and preferred ways of communicating, whilst ensuring the patient is fully informed Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences ( patients) Excellent interpersonal, influencing and negotiating skills Is able to effectively plan, manage, monitor, advise and review general medicine optimisations issues in cored areas for long term conditions Recognise priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate Able to obtain and analyse complex technical information Knowledge of health promotion strategies Knowledge of clinical governance issues in primary care Effective decision making and negotiation skills Ability to problem solve and meet deadlines whilst working under pressure Excellent organisational skills Work effectively independently and as a team member Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers Demonstrate accountability for delivering professional expertise and direct service provision

Desirable

IT skills (MS Office, EMIS and DOCMAN)

---