Clinical Pharmacist

Job description Job responsibilities Job SummaryThe post holder will work, within their professional boundaries, as part of a multidisciplinary team, across practices within the network.They will conduct clinical medication review, to proactively manage patients with complex polypharmacy, including frail elderly and vulnerable adults as identified by the practices, and other members of the integrated neighbourhood teams. They will ensure that they consider; medicine optimisation, medicine safety, antibiotic stewardship and de-prescribing agendas as part of any structured medication review. They will integrate with the wider healthcare teams, including Community and Hospital Pharmacy and Intermediate Care colleagues, communicating and implementing medication changes as appropriate.Key Working Relationships Works collaboratively with the Senior Pharmacist and GP Practice leads within the Primary Care network. Works as part of the Neighbourhood Multi-disciplinary team, to provide Pharmacy Professional expertise. This involves working with social care, GPs, nursing professionals, housing representatives, therapists, social prescribers, paramedics etc. Works with Pharmacists and Pharmacy Technicians within the Pharmacy team to deliver the workplan. Works with Community Pharmacy colleagues to ensure consistency of patient care. Liaises with sub ICB colleagues including Medicine Optimisation Pharmacists and Technicians on prescribing related matters to ensure consistency of patient care. Liaise with Hospital Staff including Pharmacists and Intermediate Care staff to ensure smooth transfer of care. Liaises with Hospital staff with responsibilities for prescribing and medicine optimisation, on prescribing related matters to ensure consistency of patient care. Liaises with other PCN Pharmacists in neighbouring networks as needed for the collective benefit of patients, and to provide continuity of service. Liaises with Practice Pharmacists to ensure complementary working and to avoid duplication of effort. Engages with Local Professional Networks to benefit from Peer support and enhance collaborative working relationshipsKey Responsibilities

Medication review

Undertake structured medication review with patients with multi-morbidity and polypharmacy or complex health needs.

This may include vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines.

Implement prescribing changes, within own prescribing competences, liaising with other prescribers as appropriate.

Care home review

Undertake clinical medication review for patients residing in care homes, working with the Pharmacy Technicians and care home staff to improve safety of medicines ordering and administration, and ensure safe transfer of care.

Risk stratification

Identify cohorts of patients at high risk of harm from medicines. Risks may be patient related, medicine related or both.

Identify patients at risk of unplanned admission and readmission from medicines known to cause harm, through audit and individual patient reviews.

Put systems in place to reduce the prescribing of these medicines to high-risk patient groups.

Medicine Reconciliation

Support practices with medicine reconciliation following discharge from hospitals, through intermediate care and on admission to care homes, ensuring changes are actioned and implemented, and communicated in a timely manner.

Advanced care planning

Work with case managers, hospital colleagues, Practice teams and Community Pharmacy as part of the neighbourhood multidisciplinary health and social care team to manage medicine related risk for re-admission and patient harm.

Long term conditions

Support the management of long-term conditions as specified in the Pharmacy Workplan.

Ensure patients with long term conditions within SMR caseload are managed, monitored and treated appropriately and effectively according to the latest guidance.

Make recommendations or changes to treatment regimen as appropriate within sphere of competence.

Medicine Safety

Advise practices in the network, regarding medicine safety alerts, such as MHRA alerts, product withdrawal and other local and National Guidance.

Work alongside the medicines optimisation team to identify patient groups affected by such alerts and assist with implementation of changes where relevant to work plan.

Quality Improvement

Work with practices to demonstrate continuous Quality Improvement.

Conduct audit and implement changes in collaboration with the Practice teams within the network.

Demonstrate implementation of the de-prescribing agenda, antibiotic stewardship and medicines safety tool.

Demonstrate Quality outcomes from SMR projects.

Care Quality Commission

Provide advice and support to practices in the network regarding compliance with CQC standards where medicines are involved. Demonstrate activity in support of these standards.

Repeat Prescribing

Record medication review, within patient electronic record and update prescription record as appropriate and in accordance with Repeat Prescribing policy.

Provide advice to practices regarding Repeat Prescribing policy and consider standardisation across the network.

Education and Training

Provide education and training to patients and the primary healthcare team on therapeutics and medicine optimisation.

Support Pharmacy Students and Trainee Pharmacists and Pharmacy Technicians as requested by the Lead Pharmacist.

Public health

Support the public health agenda and provide specialist knowledge to patients and other members of the health care team.

Miscellaneous

It is anticipated that this will be a developing role and the job description will need to be reviewed periodically. There may be additional asks, in keeping with the role of the Pharmacist in General Practice.

Leadership

Demonstrate an understanding of the Pharmacy role in governance and be able to implement this appropriately within the workplace.

Demonstrate an understanding of, and contribute to, the workplace vision

Demonstrate ability to improve quality within the limitations of service

Demonstrate ability to lead a team and provide support to colleagues with differing abilities

Understand and demonstrate the characteristics of a role model to members in the team/service

Demonstrate ability to motivate self to achieve goals

Demonstrate understanding of and conform to relevant standards of practiceManagement Provide direct line management for members of the team as delegated by the Lead Pharmacist Support the Lead Pharmacist to demonstrate ability to extend boundaries of service delivery within the teamFollow professional and organisational policy relating to performance management Support the Lead Pharmacist to review progress and develop plans to achieve results within priorities set by others Understand resource allocation and support the lead pharmacist to utilise this accordingly Promote diversity and equality in people management techniques and lead by example

Demonstrate an understanding of the implications of national priorities for the team and service and support the Lead Pharmacist in managing the team through these changes.