Clinical Pharmacist

Job description Job responsibilities Key Duties and Responsibilities1. Risk stratificationDesign, develop and implement computer searches to identify cohorts of patients with chronic disease who need review and medicines optimisation.2. Plan ClinicsManage own case load. Do the necessary checks for QOF and Ealing Standard entering the data correctly on the computer system. Implement improvements to the patients medication and prescribing independently where necessary.3. Manage patients holisticallyWhere patients have more than one condition; reviewing co-morbidities in the same appointment and updating QOF and Ealing Standard as appropriate. Referring to other members of the Primary Health Care team and Secondary Care as necessary.4. Medication reviewsUndertake structured medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Provide a telephone support for patients with questions, queries and concerns about their medicines and deliver medicines reconciliation from secondary care recommendations.5. PathologyRequest and manage the results for the cohort of patients under your care in a safe and timely way.6. Medicines safety and quality improvementIdentify and provide leadership on areas of prescribing requiring improvement. Conduct own audits and improvement projects and work with colleagues. Present results and provide leadership on suggested change. Demonstrate continuous QI activity focused upon prescribing safety as specified in the QOF guidance. This work for example might include deliver against the prescribing indicators in the Impact Investment Fund (IIF). Contribute to national and local research initiatives.7. Service developmentDevelop and manage new services that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway.8. Care Quality CommissionProvide leadership to the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved as part of the regulatory role of this position.9. MeetingsAttend MDT, Network, Practice, ICB and Federation meetings as required. Being prepared to contribute to Network pharmacy issues as appropriate.10. Oversight Network Pharmacy issuesIn addition to a clinical specialism this role involves oversight of prescribing across the two network practices and requires the ability to prepare and present reports as required.11. RelationshipsTo foster and maintain good relationships between, within and outside the Practices involved in the network.12. Population and Public HealthTo devise and manage population and public health campaigns to run within the network if required.13. Medicine information to practice staff and patientsAnswer all medicine related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.14. FlexibilityTo understand that this is a new and evolving role which may change with the needs of the Network. To be willing to change and the facilitate change in others and the system to promote quality care.15. TrainingProvide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing and other healthcare students where appropriate.16. Implementation of local and national guidelines and formulary recommendationsMonitor practice prescribing against the local health economies RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system.Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICEs technology assessment guidance. Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback.