Clinical Primary Care Pharmacist - LIMOS

Job description Job responsibilities Job Purpose: Lewisham and Greenwich NHS Trust, along with Lewisham ICT and Lewisham Borough have developed an integrated approach to medicines optimisation across the interface, community and care home settings as part of improved community management of chronic diseases and long term conditions. This role will be to support the medicines management aspects of this initiative through working within the LIMOS service across the interface and community setting to visit patients at home. This role will work provide specialist advice to patients, and undertake full patient centred medication reviews to proactively manage people with complex polypharmacy and adherence concerns, with focus on older people, frail housebound, and those with multiple conditions including physical or mental health issues and learning disabilities. The role will also involve partnership working across health and social care interfaces in line with the current and further developing pathways for medicines support in Lewisham as part of the Neighbourhood approach to care. This is a specialised post, which involves analysing and interpreting complex clinical situations to develop, provide and communicate effective medicines management solutions and provide expert advice in this area. Key Result Areas & Performance: 1. To provide medicine management reviews for identified and targeted patients including those who have medication issues or adherence related problems, or are on multiple or high risk medications, in the interface and community settings. 2. To deliver quality improvement, while contributing to the delivery of the general practice quality and outcomes framework, other enhanced services and prescribing workstreams in the primary care setting. 3. To participate in clinical audit and collect appropriate outcome data. 4. To work with general practice colleagues and community pharmacy colleagues to support implementation of safe systems for repeat prescribing and reduction of waste within primary care. 5. To work with primary care healthcare professionals to ensure agreed changes in medication are implemented and sustained. 6. To provide expertise and clinical leadership on medicines optimisation as part of a team member within the community setting. 7.To provide support to improve adherence and help patients get the best from their medicines, reducing medicines related admissions (including falls), and promoting appropriate evidence-based and cost effective prescribing. This will involve advice on de-prescribing where appropriate. 8. To provide medicines management support to, and training for patients, carers and members of the multi-disciplinary community and general practice team. 9. To contribute to the development of protocols to support improvement in systems around medication ordering and supply in the community setting in the context of improving safety and reducing waste. Service Development 1. To work with community staff to promote and embed the role pharmacists in the community setting and raise awareness of services available to patient 2. To provide recommendations and plan actions to proactively improve the quality of systems and processes to improve medicines optimisation across the primary care setting. 3. To provide training regarding medication related issues and policies/guidelines to staff in primary or secondary care in order to promote medicines optimisation and high quality and cost-effective prescribing as appropriate. 4