Clinical Pharmacist

Job summary

The post holder is a clinical pharmacist who acts within their professional boundaries, working alongside a clinical MDT in general practice.

They will improve patients health outcomes and the efficiency of the primary care team by providing direct, accessible and timely medicines and expertise including face to face contact with patients.

The post holder will be an integral part of the general practice team, as well as part of a wider pharmacist network and multi-disciplinary team. This includes being a conduit of patient medicines information into and out of hospitals. They will work to optimise medication issues to improve patient care and safety, and support clinical staff in the management of patients.

Main duties of the job

The clinical pharmacist in a general practice organisation has the following key responsibilities in relation to delivering health services.

These key responsibilities are based on those outlined in Annex B1 of the Network Contract Directed Enhanced Service 2023-24 specification

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels.

About us

CumberlandHouse Surgery islooking to recruit an enthusiastic, highly motivated, experienced Clinical Pharmacist.

We arerecruiting to expand and support our existing clinical team and offer this roleon a permanent contract.

We are a well-established,forward-thinking GMS practice in Southport.We are a friendly, supportive practice that values staff commitment andteamwork. We actively encourage stafflearning and development that is conducive to practice roles and services weprovide.

GMSpractice with approximately 12,000 patients

EmisWeb

Veryhigh QoF achievement

GPtraining practice

5 x GP partners and 1 x Salaried GP

2 x ANP

2 x HCA

1 xGPA

1x Pharmacy Technician

Excellentadministration support from the practice team

The Surgery isopen from Monday to Friday.

The rightcandidate will be capable of working independently on all practice matters andtake responsibility for general practice issues on a day-to-day basis. Thecandidate will be able to provide excellent care to all our patients, workindependently and manage own workload. Goodcommunication and organisational skills are imperative to be able to fulfilthis job role.

Job description

Job responsibilities

The clinical pharmacist in a general practice organisation has the following key responsibilities in relation to delivering health services.

These key responsibilities are based on those outlined in Annex B1 of the Network Contract Directed Enhanced Service 2023-24 specification

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels.

a. Work as part of a multi-disciplinary team in a patient-facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas

b. Be a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team

c. Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme)

d. Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the organisation and to help in tackling inequalities

e. Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the Quality and Outcomes Framework and enhanced

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services

f. Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care

g. Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload

h. Develop relationships and work closely with other pharmacy professionals across the wider health and social care system

i. Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists, and anticoagulation

j. Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means:

i. Each clinical pharmacist must receive a minimum of one supervision session per month by a senior clinical pharmacist

ii. The senior clinical pharmacist must receive a minimum of one supervision session every three months by a GP clinical supervisor

iii. Each clinical pharmacist will have access to an assigned GP clinical supervisor for support and development

iv. A ratio of one senior clinical pharmacist to no more than five junior clinical pharmacists, with appropriate peer support and supervision in place

k. To act as the point of contact for all medicine related matters, establishing positive working relationships

l. To consult patients within defined levels of competence and independently prescribe acute and repeat medication

m. To receive referrals and directed patients from triage services and other clinicians

n. To receive and resolve medicines queries from patients and other staff

o. To provide medication review services for patients in the practice and during domiciliary visits to the local nursing home

p. To manage a caseload of complex patients

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q. To manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, , anticoagulants, anticonvulsants and DMARDs, etc.

r. To deliver long term condition clinics and home visits, particularly for patients with complicated medication regimes, and prescribe accordingly

s. To provide pharmaceutical consultations to patients with long term conditions as an integral part of the multidisciplinary team

t. To review medications for newly registered patients

u. To improve patient and carer understanding of confidence in and compliance with their medication

v. To maintain accurate clinical records in conjunction with extant legislation

w. To encourage cost-effective prescribing throughout the organisation

x. To implement and embed a robust repeat prescribing system

y. To provide advice and answer medication related queries from patients and staff

z. To organise and oversee the organisations medicines optimisation systems, including the repeat prescribing and medication review systems

aa. To improve the quality and effectiveness of prescribing through clinical audit and education, to improve performance against NICE standards and clinical and prescribing guidance.

bb. To develop yourself and the role through participation in clinical supervision, training and service redesign activities

cc. To ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. To apply infection-control measures within the practice according to local and national guidelines

dd. To provide subject matter expertise on medication monitoring, implementing and embedding a system

ee. To support clinicians with the management of patients suffering from drug and alcohol dependencies

ff. To actively signpost patients to the correct healthcare professional

gg. To manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care

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hh. To review the latest guidance, ensuring the organisation conforms to NICE, CQC etc.

ii. To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

jj. To handle prescription queries and requests directly

kk. To provide proactive leadership on medicines and prescribing systems to the organisation, patients and their carers

ll. To support in the delivery of enhanced services and other service requirements on behalf of the organisation

mm. To participate in the management of patient complaints when requested to do so, and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events

nn. To undertake all mandatory training and induction programmes

oo. To contribute to and embrace the spectrum of clinical governance

pp. To attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

qq. To contribute to public health campaigns (, COVID-19 or flu clinics) through advice or direct care

rr. To maintain a clean, tidy, effective working area at all times.

Secondary responsibilities

In addition to the primary responsibilities, the clinical pharmacist may be requested to:

a. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives

b. Agree and review prescribing formularies and protocols, and monitor compliance levels

c. Improve the data quality of medicines records and linking to conditions

d. Deliver training, mentoring and guidance to other clinicians and staff on medicine issues

e. Working in partnership with pharmacists and clinicians in the local ICB & PCN, improve the safety and quality of prescribing after discharge from hospital admissions and attendance

Person Specification

Qualifications

Essential

Good communication and organisational skills are essential to be able to fulfil this job role. Practice autonomously and demonstrate evidence based clinical decision making Registered with the General Practice Pharmaceutical (GPhC) Minimum 2 years UK experience Experience working in Primary Care desirable Capable of working independently Able to provide excellent care Able to manage own workload

Experience

Desirable

Experience working in Primary Care

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