Ageing Well Clinical Pharmacist

Job description Job responsibilities PURPOSE OF THE ROLEThe post holder will work within their clinical competence as part of a multi-disciplinary team to: Provide expertise in clinical medicines management Provide person-centred structured medication reviews with and for patients living with frailty, with focus on complex or problematic polypharmacy, recent falls or hospital admissions, those who are housebound, and those at increased risk of medicines-related harm. This will include identifying opportunities for appropriate deprescribing, taking account of treatment burden, individual goals and preferences, clinical circumstances, and the likely benefits and risks of treatment. Work collaboratively with the Ageing Well multidisciplinary team to contribute medicines expertise to personalised care planning and the ongoing management of patients living with frailty Support patients in the management of their long-term conditions Oversee/support the management of medicines on transfer of care and implement systems for safer prescribing Manage repeat prescription authorisations and acute prescription requests. Addressing the public health needs of the registered population.The post holder will perform medication reviews for patients with polypharmacy, especially older people, people in residential care homes and those with multiple co-morbidities; this may be in a practice or home setting or via phone or video consultation as agreed with the practice and the Lead Clinical Pharmacist.The post holder will be involved in quality improvement and clinical audit as well as liaising with practices to manage some aspects of Quality and Outcomes Framework (QOF) and Investment and Impact Fund (IIF) work.This role is pivotal to improving the quality of patient care and to developing operational efficiencies; it requires motivation and passion to deliver an excellent service within general practice. JOB RESPONSIBILITIES Manage a medicines management plan and deliver patient services as determined by and with the Lead Clinical Pharmacist, practice / PCN policy and local and national guidance. Work as part of the medicines management team within the PCN/practices and with medicines management colleagues within the ICB to acquire and share expertise and best practice to maximise cost-effective prescribing and improve the quality of patient care.Engagement Engage with PCN Clinical Pharmacist colleagues and the Clinical Director responsible for Clinical Pharmacy to contribute to the development of the PCN medicines management approach and team. Engage and work collaboratively with the Ageing Well multidisciplinary team and relevant health, social care and community services, contributing medicines expertise to MDT discussions and coordinated care planning for people living with frailty.

Perform clinical audits around key areas of responsibility

Patient services

Provide medication review services to patients via clinics in member practices, domiciliary visits and in residential and nursing homes, either face-to face or via remote consultation technology and to deliver pharmaceutical care plans that maximise cost-effective prescribing and improve the quality of patient care

As part of medicines optimisation for people living with frailty, identify and address medicines-related factors that may contribute to adverse outcomes, including falls, postural hypotension, adverse drug effects and treatment burden, and ensure that appropriate monitoring and follow-up of medicines is undertaken in accordance with clinical need and relevant guidance.

Liaise with the PCN Education and Environment Lead (EEL) to arrange presentations at practice and patient group meetings or other events to give advice on the appropriate use of medicines.

Produce patient information leaflets and posters and run medicine awareness projects throughout the year.

Use evidence-based resources to support rational, cost-effective prescribing across the PCN to assist network practices with monitoring and management of their prescribing budgets

Help plan, develop and support the introduction of new working processes within network practices to optimise the quality of prescribingAdministration To provide regular support and feedback to practices and, if appropriate, the network, on prescribing action plans To produce quarterly reports on practice performance on relevant medicines management measures for review by network member practices To update and maintain accurate patient records on the practices clinical record systems, including advice given and action taken

To advise practices, and PCN colleagues if appropriate, on the safe and secure handling of medicines, ensuring compliance with medicines legislation