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PCN Care Home Pharmacist
3 months ago
Job summary
PCN Care Home Pharmacist
Responsible to PCN Lead Manager - Accountable to Clinical Directors
Location: Main base will be PCN Hub, Ellesmere, but successful candidate will work across all network practices, and care homes.
Salary: Dependent upon experience
Closing Date: 23rd August 2024
Interview Date: 5th August 2024
This is an exciting opportunity to join our growing team at North ShropshirePrimary Care Network (PCN). The network is comprised of 6 GP practice across NorthShropshire providing services for 87,000 patients.
We are looking to recruit an enthusiastic Clinical Pharmacist with a special interest in care homes to join our PCN Care Home team.
Acting as the Care Home Clinical Lead you will work across all sites within North Shropshire PCN to develop relationships with Care homes and practices, be the first point of contact for complex medicines enquiries, assist with the planning and introduction of systems and procedures to improve the health of patients in our care homes.
(Please see attached Job Description and person specification for more details )
Main duties of the job
Main Duties & Responsibilities
To assist the PCN care homes team and wider MDT with care home-related medication queries
Work to introduce systems across providers in both primary and secondary care to ensure accurate medicines reconciliation for care home patients when moving across the interface
Work with community pharmacy on the development of robust systems for the delivery of repeat and acute medication needs to care homes including appropriate use of repeat dispensing services
Keep records of reviews and issues arising to identify trends. Feedback identified prescribing issues to support the care homes team in developing quality initiatives and action plans.
Liaise as required with the Care Quality Commission (CQC) to keep up to date with current guidance concerning medicines use in care homes. Identify any issues that may ensue and work to address them.
Liaise with care home staff as necessary to ensure accurate exchange of information and clarification of queries regarding medicines to facilitate safe handling, storage, administration and destruction of medicines
(Continued on attached JD and PS)
About us
North Shropshire Primary Care Network (PCN) is comprised of 6 GP practice across North Shropshire providing services for 87,000 patients, please see our website for more information about our team.
Job description
Job responsibilities
Purpose of the role
Act as the Care Home Clinical Lead and take responsibility for the implementation of the EHCH framework for the agreed care homes, and to provide continuity of care.
To lead and support the work of the Primary Care Network to ensure that all care home residents receive a Structured Medication Review (SMR) on admission to the care home and a subsequent annual review.
To be the first point of contact for complex medicines related queries for care homes across North Shropshire Primary Care Network.
To improve medicines management in Nursing and Residential care homes, working in partnership with all appropriate agencies and staff
To work with general practice and community pharmacy to develop efficient repeat prescribing / dispensing systems to support care home prescribing across the whole sector
To support the development of quality initiatives that address identified prescribing and medicines management issues, including those that cross interfaces
To support the implementation of medicines related elements of national policy declarations relating to care homes
To work with colleagues to establish and develop good medicines management systems across the care homes sector.
Main Duties & Responsibilities
To assist the PCN care homes team and wider MDT with care home-related medication queries
Work to introduce systems across providers in both primary and secondary care to ensure accurate medicines reconciliation for care home patients when moving across the interface
Work with community pharmacy on the development of robust systems for the delivery of repeat and acute medication needs to care homes including appropriate use of repeat dispensing services
Keep records of reviews and issues arising to identify trends. Feedback identified prescribing issues to support the care homes team in developing quality initiatives and action plans.
Liaise as required with the Care Quality Commission (CQC) to keep up to date with current guidance concerning medicines use in care homes. Identify any issues that may ensue and work to address them.
Liaise with care home staff as necessary to ensure accurate exchange of information and clarification of queries regarding medicines to facilitate safe handling, storage, administration and destruction of medicines
Respond efficiently to the unpredictable demands of the care home sector environment with regard to requests for assistance from staff and patients
Liaise with personnel from SaTH regarding admission and discharge of patients from and to their care home.
Keep up to date with weekly news pertaining to prescribing and medicines issues and extract key information for dissemination to the primary healthcare team across the provider arm
Work effectively and flexibly as part of the Care Homes Team
Work effectively with the PCN pharmacy team across all practices within the PCN.
Work on individual projects relating to prescribing as required, for example: development and delivery of training packages and development of Medicines Policy protocols, procedures and policies.
To implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.
To ensure delivery of best practice in clinical practice, caseload management, education, research, and audit, to achieve corporate PCN and local population objectives
The post holder is responsible for ensuring that the residents and care home managers within North Shropshire receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care
To participate in the weekly care home rounds and the MDT as appropriate
Make recommendations regarding patient management in accordance with Local and National guidelines relating to the management of the older population.
To assist in developing an evidence base for health needs led service planning, delivery and commissioning.
Work with the GP Practice Care Home Clinicians in developing the strategic and operational management of the Enhanced Health in Care Homes Service.
To lead the development and delivery of the Enhanced Health in Care Homes service across North Shropshire
To establish and improve professional standards of care in the management of residents within care homes by developing partnerships with key stakeholders
Demonstrate a good understanding of clinical governance and risk management and apply to work effectively alerting any risks and benefits when developing services and practice in new areas.
To undertake research and service development.
Utilising and interpreting data, to support service improvement for care homes and primary care, as well as understanding the demands on urgent and emergency services to reduce avoidable activity where possible. Data and local intelligence will be utilised to develop and influence new ways of working to improve patient care, the resilience of primary care and system partners.
The post holder will promote new ways of working promoting the use of digital technology, for example remote consultations and MS Teams MDTs
The post holder will be required to evidence the impacts of the post and provide data monitoring to further shape the role and delivery of the Care Home DES within North Shropshire
To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
To adhere to the individual Professional code of conduct and practice at all times.
To reflect on own practice individually and/or through regular clinical supervision.
Professional & Clinical Responsibilities
To make amendments to patient records, written and/or computer, as appropriate to ensure agreed changes to therapy are actioned in a precise and systematic fashion
Develop appropriate systems for the assessment of improved medicines management including evaluation of cost savings, reduction of medication errors and reduction of hospital admissions
Carry out clinical medication review for patients in care homes, other relevant facilities, and for other patients as appropriate. Assist staff in identifying those patients who would benefit from pharmaceutical intervention.
Liaise and communicate sensitively and effectively with patients and/or carers, who on occasions may be resistant to change, on subjects which are often of a very sensitive nature, on all aspects of good medicines management with the objective of optimising patient outcomes
Liaise with PCN, community and ICB pharmacists, community nurses, hospital pharmacists other healthcare staff and Social Care as required to ensure changes are implemented smoothly. Work with appropriate team members to facilitate seamless admission and discharge in respect of medicines
Provide highly specialised medicines management support including prescribing information, advice and guidance to ensure effective, appropriate, cost-effective and safe prescribing to all prescribers, other healthcare professionals and support staff in the care homes sector including residential homes, nursing homes and Housing with Care facilities
Assist prescribers in managing the implementation of NICE guidance and other local or national guidance and the introduction of new therapies
Identify specific patient, or patient group, related prescribing problems or issues and to provide highly specialised advice, guidance and support on the appropriate course of action
Formulate solutions to complex prescribing issues where conflicting opinions may exist
Collaborative Working Relationships
Recognises the roles of other colleagues within the organisation and their role to patient care
Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations ICBs)
Demonstrates ability to lead a team
Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
Foster and maintain strong links with all services across locality
Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships
Demonstrates ability to integrate general practice with community and hospital pharmacy teams
Liaises with ICB colleagues including ICB Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
Liaises with ICB pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, nurses and other practice staff
Person Specification
Qualifications
Essential
Please see attached Job description and person Specification
Desirable
Please see attached Job description and person Specification