PCN Clinical Pharmacist

Job summary

This is an excellent opportunity to be part of a rapidly expanding PCN in North West London.

The successful applicant will be joining an established and experienced PCN Clinical Pharmacy team and includes trainee pharmacists and pharmacy technicians.

Whilst the post holder will be bringing their own experience to the role, they will receive support and training in their development as follows:

Receive a robust induction process and training and support along with having a clinical supervisor

Receive regular education and training sessions with the team provided internally and by external organisations

Receive appropriate regular supervision via line management

Continue to receive support whilst on the CPPE PCEP pathway and have the opportunity to be enrolled onto a university approved Independent Prescribing course

All shortlisted applications will involve a two-stage interview process:

Telephone interviews (8, 15, 22 and 25 January 2025) Face to face interviews (15 and 29 January 2025)

Main duties of the job

You will be supporting the Harness PCNs and its 20 GP practices to deliver quality improvement and practice deliverables. This will include population health management via long term condition reviews, SMRs and audits, medicines optimisation and reducing medicines waste.

You will provide expertise in clinical pharmacy as part of a multi disciplinary team supporting in the delivery of population health management for the PCN and clinical management of patients within General Practice and community sites, including care homes and patients' homes.

You will need to be self-motivated, work autonomously with minimal supervision and have excellent written and verbal communication skills.

Experience of a working in a PCN or GP practice setting is essential.

About us

The Harness vision is to "Create Healthier Communities".

Our mission

To transform primary care delivery in a sustainable way, by a commitment to excellence in everything we do and by working in partnership with our patients and our communities to make a positive impact on their health and wellbeing.

Our values

Working in collaboration and partnership Seeing continuous improvement Valuing people Professionalism in all we do Communicating at all levels Building positive relationships

Background

Harness Care Ltd provides general medical services to a population of 140,000 patients residing across Brent. Our 20 GP practices work across two Primary Care Networks (Harness North PCN and Harness South PCN).

Led by four PCN Clinical Directors, we work together with a range of local providers, including acute trusts, community services, social care, voluntary sector and patient participation groups, to offer more personalised, co-ordinated health and social care to our local population.

In addition to our Clinical Pharmacy team, we have developed an expanding multi-disciplinary team including:

Social Prescribing Link Workers Health and Wellbeing Coaches First Contact Physiotherapists Mental Health Practitioner Dieticians Care Co-ordinators Digital and Transformation Lead CVD and Diabetes Clinical Lead Management and administration support Job description

Job responsibilities

Clinical duties including but not limited to

Apply clinical expertise in Medication Reviews/ Structured Medication Reviews (SMR) face-to-face, remotely or within a patient's place of residence, to deliver high quality patient facing services that are centred on and tailored to each individual patient's needs

Manage and deliver clinics in long term conditions in collaboration with and support from allied healthcare professionals

Deliver clinics in specialist areas appropriate to clinical competence, which may include, minor ailments, frailty, elderly, renal/hepatic impairment, high-risk medications, frequent attenders in secondary care

Prescribe medication within the limits of the individual professional competence

Pro-actively and prospectively reduce inappropriate polypharmacy and over-diagnosis through systematic, evidence-based de-prescribing

Promote the principles of public health; educate and motivate patients to make healthy lifestyle choices and access services designed to assist health improvement (, smoking cessation, dietetics, rehabilitation)

Discuss patients with complex needs at local MDT meetings and refer to the ICPT in line with recommendations

Provide professional telephone/ email advice and support to patients and their carers

Reconcile the medications of patients whose care is transferred back to primary care in a timely and effective manner, liaising with patients and community pharmacies to ensure patients receive appropriate medication post-discharge

Interface between community, hospital and primary care pharmacy colleagues as patients move between care settings developing local effective communication, referral practices and procedures

Proactively engage with patients whose care has been transferred to reduce potential readmission

Maintain full and complete records of all patient contacts using appropriate clinical templates and SNOMED coding

Provide feedback and seek advice from the primary care team for patients where the post holder has clinical concerns around competence to safely manage their medications

Support the effective utilisation of the practice workforce

Medicine management and repeat prescribing

Review the ongoing need for medication and make suitable recommendations to the GPs and Clinical Pharmacists

Manage acute requests for medication in line with the NWL ICB formulary and local agreed standard operating procedures

Work with practices to ensure safe and effective systems for the repeat prescribing of medication making recommendations on the reduction of potential wastage

Set up systems to ensure the effective and continuous supply of medication to high-risk patients

Implement changes to medicines in line with MHRA alerts, and other local or national guidance

Support practices with the implementation of appropriate NICE guidance in line with local agreements

Support practices to comply with local medicine management guidelines

Assess and counsel patients on effective techniques required for the use of medication delivered by devices

Ensuring medication records are kept up to date with records of interventions from within and from outside the practice

Administer agreed immunisations/ vaccines in line with local and national guidelines

Take monitoring observations such as blood pressure, peak flow rate, urine dip stick and record in patient notes.Audit, research and risk stratification

Engage with the Brent Care/Harness risk stratification procedure to identify high risk patients and those at risk of non-elective admission to hospital

Participate in the effective care planning and management of high-risk patients as part of the multidisciplinary team

Participate in audit activities in practices and with groups of practices to optimise the use of prescribing resource. Feedback results of clinical audit activities in areas agreed with GPs, implement recommendations and complete full audit/PDSA cycle.

Engage with research activities being undertaken in the Harness Education and Research Hub

Proactively identify and recall patients due for medication review ensuring all appropriate monitoring tests are performed

Analyse, interpret and present prescribing information at practice and population level to support effective decision-making and change in evidence-based clinical practice

PCN and Practice deliverables include but is not exhaustive to:

IIF indicators MM indicators

Practice monitoring (MHRA alerts, Prescribing safety alerts, emergency drugs compliance, potential missed diagnosis)

Support practices with achievement of QOF and CQC compliance

Assist with review of pathology results, discharge communications, letters, scans, emails and other correspondence in a timely manner.

Person Specification

Experience

Essential

Experience working within a PCN or GP Practice setting

Desirable

Experience of working with GP clinical systems such as Emis

Qualifications

Essential

Pharmacy Degree Registration with the General Pharmaceutical Council (GPhC)

Desirable

Postgraduate diploma in Clinical Pharmacy or equivalent

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