Clinical Pharmacist

Job summary

This is an excellent opportunity for a qualified Pharmacist wishing tojoin part of the Primary Care Team, under the Additional Roles ReimbursementScheme.

We have a rapidly expanding team of healthcare professionals within thePractice, including GPs, Nurses, Health Care Assistants, Care-Coordinators andClinical Pharmacists. We are also a training practice for GP Registrars andregularly have medical students with us from both the University of Oxford andUniversity of Buckingham.

The PCN Clinical Pharmacist is an integral part of the clinical team,using and sharing pharmacy expertise to support the GPs and the whole practicein providing optimal patient care.

Main duties of the job

Please refer to the comprehensive Job description contained within this advert for the main duties of this role

About us

TheWindrush Medical Practice sits at the edge of the Cotswolds with a practicepopulation of over 21,000 patients.

Weare a well respected, patient centred, dispensing GP practice with anoutstanding CQC rating.

Ourclinical team comprises of 17 GP's, Nurse Prescribers, Nurses, Health CareAssistants and Clinical Pharmacists and we are looking for an additional Clinical Pharmacist to join our forward thinking team.

ThePractice participates in medical research projects which are vital in helpingto improve clinical care and knowledge. We are also a Postgraduate GP Trainingpractice.

Thepractice prioritises staff wellbeing and has a dynamic, proactive wellbeingteam along with an Employee Assistance Programm

Job description

Job responsibilities

Job Description

Job Title: ClinicalPharmacist

Responsible To: Clinical Pharmacist Manager

Accountable To: Primary CareNetwork Clinical Director

Relationships: Eynsham andWitney PCN, but based at the Windrush Medical Practice

Hours: up to Fulltime

Job Purpose

The key aims for the clinical pharmacist are:

Increase safety and quality of prescribedmedicines

Provide support on medicines related issues tothe whole practice team

Be a point of contact for patients regardingmedicines queries

Theyshould support the following clinical work:

Clinical Medication Review

Theyshould also support the following practice development work:

Focusing on QoF, IIF and PQS Domains

Prescribing Safety, Clinical audit, LocalEnhanced Services support

Keyworking relationships

Patients

Windrush Medical Practice Staff,including GPs, PCN clinical pharmacists, nurses and other practice staffmembers

GP Clinical Lead(s)

PCN Clinical Director(s)

Community nurses and other alliedhealth professionals

Secondary care clinicians.

Responsibilities underpinningthe role

The following are the coreresponsibilities of the Clinical Pharmacist. On occasion there may be arequirement to carry out other tasks: this will be dependent on factors such asworkload and staffing levels:

Todiscuss medication issues with patients as needed and appropriate by telephone, adverse effects/interactions, overdose/inadvertentingestion, OTC remedies, queries from dispensary, queries from care homes.

Torespond to dispensary queries to include, re-authorise repeats where there arequeries, clarify doses, clarify products, give appropriate alternatives when availabilityissues.

Todiscuss specific patient and prescribing issues ( complicatedregimes/polypharmacy, compliance difficulties, multiple adverse effects,medication reduction regimes) with other clinicians as necessary.

Tosupport the completion of pink (medication administration) forms for districtnurses for GPs to sign.

Tovisit nursing homes to carry out reviews of MAR sheets/patients medications.

Medicines Reconciliation :

To review secondary care requests for newmedication (as communicated by discharge summaries, outpatient letters, etc.) andraise any queries with relevant GP, and discuss how to respond wheninappropriate prescribing requests arise.

To deal with anticoagulant start/stop requestsfrom secondary care and contact patients who have defaulted on INRs.

MedicinesInformation/Education:

To monitor and inform colleagues as relevantabout ongoing prescribing issues, new guidelines (national and local), newproducts being asked for by secondary care, manufacturing and supply problems,new prescribing restrictions or contraindications, and individual andsystematic errors made by colleagues.

Toadvise on cost effective prescribing and prescribing budget issues.

Tokeep the prescribing folder on the practice intranet up to date, with adminsupport.

Totrain nursing home staff in medicines management.

Prescribing Systems andPolicies:

To identify patients in need of medication reviewand develop the system of patient invitation with the admin team.

To liaise with dispensary, admin and clinicalstaff in discussing, developing, and implementing medicines management systemsin the practice.

To work with the GPs (especially the prescribinglead), Senior Clinical PCN Pharmacist, practice manager, dispensary manager anddispensary team to review, develop and implement prescribing policies andstrategies for the whole practice.

To suggest and design audits in relation toprescribing targets, implementation of locality policies and the QualityOutcomes Framework (QOF).

To work with the GPs, Senior Clinical PCNPharmacist, practice manager, and dispensary manager on choosing and deliveringtargets for the local Prescribing Incentive Scheme (PIS).

To monitor the practices prescribing performance(via the CCG prescribing dashboard, progress on the PIS, ePACT, etc.), andsuggest changes to practice prescribing as appropriate.

To support the delivery of electronicprescribing.

To work with the dispensary team, Senior ClinicalPCN Pharmacist and lead dispensing GP to maximize profitability and to performaudits.

Liaison with communityand hospital pharmacies:

To support and advise dispensary when needed.

To make best use of community pharmacy medicineuse reviews (MURs) for medication reviews.

To rationalise requests for dossette medications.Dispensary will still be responsible for ringing round re availability of products,taking initial calls, requesting new dosettes etc.

This job description isintended as a guide to the duties and responsibilities of the post and shouldnot be regarded as a complete list of those required to be fulfilled under thewritten statement of the main terms and conditions of employment.

This role profile isintended to provide a broad outline of the main responsibilities only. The postholder will need to be flexible in developing the role and in initial andongoing discussions with their line manager.

Personal/ProfessionalDevelopment:

Thepost-holder will participate in any training programme implemented by thePractice as part of this employment, such training to include:

Participation in an annual individualperformance review, including taking responsibility for maintaining a record ofown personal and/or professional development

Taking responsibility for own development,learning and performance and demonstrating skills and activities to others whoare undertaking similar work

Undertake and complete all statutory and mandatory training.

Participate in an appraisal and regular performance reviews.

Promote a learning environment for patients, colleagues and other healthprofessionals.

Contribute to the planning and implementation of the teaching of andsupport for new and existing staff in the Practice, including GP registrars,medical students and newly-recruited Clinical Pharmacists

Opportunity to participate in clinical trials and support the Research Team. Training will be provided.

Quality

Thepost-holder will strive to maintain quality within the Practice and will:

Alert other team members to issues of qualityand risk

Assess own performance and take accountabilityfor own actions, either directly or under supervision

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance

Work effectively with individuals in otheragencies to meet patients needs

Effectively manage own time, workload andresources

Communication:

The post-holder should recognise the importance ofeffective communication within the team and will strive to:

Communicate effectively with other teammembers

Communicate effectively with patients andcarers

Recognise peoples needs for alternative methodsof communication and respond accordingly

Contributionto the Implementation of Services:

Thepost-holder will:

Apply Practice policies, standards andguidance

Discuss with other members of the team how thepolicies, standards and guidelines will affect own work

Safeguarding

Anyone who works indirect contact with patients has a duty to protect the welfare of patients.Having regular contact with patients, means that you are well placed toidentify and recognise when there is a potential issue and understand theprocesses in place to manage potential concerns.

Person Specification

Qualifications

Essential

BSc/Grad Dip in Pharmacy Practice. A minimum of one years post qualification experience. Membership as practising pharmacist with The General Pharmaceutical Council. Commitment towards continuing professional development in accordance with requirements of The General Pharmaceutical Council. Pharmacist independent prescriber registered with The General Pharmaceutical Council. Relevant post registration experience of community, hospital and / or primary care pharmacy practice.

Desirable

Independent Prescriber

Skills

Essential

Good interpersonal skills with the ability to communicate effectively with a diverse range of people. Ability to work as part of a team and autonomously. Knowledge of IT systems email / word / Microsoft teams. Excellent written and verbal communication. Good time management skills, able to prioritise and organise workload for best effect. Ability to promote best practice regarding prescribing issues. Ability to maintain a high level of confidentiality and discretion at all times. Problem solving & analytical skills. Ability to follow policy and procedure.

Desirable

Knowledge of EMIS used in clinical practice. Knowledge of audit and research.

Experience

Essential

Expert clinical reasoning skills. Proven multi-disciplinary working.

Desirable

Evidence of clinical leadership. Evidence of research activity or skills. Experience of computer based clinical systems such as EMIS Web.

Personal Qualities

Essential

Sensitive and empathetic in distressing situations. Ability to work under pressure. Flexibility to work outide of core office hours if required. Clear vision of role and commitment to working in Primary Care. Disclosure Barring Service (DBS) check.

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