General Practice Clinical Pharmacist - Brook Square Surgery

Job description Job responsibilities To improve patients health outcomes and the efficiency of the Primary Care team by providing direct, accessible and timely medicines expertise. To pro-actively transfer workload relating to medicines optimisation issues from other clinical staff to improve patient care, safety and free up scarce clinical staff to spend more time on clinical care: To provide relevant support to the primary care team as An Independent prescriber or clinical pharmacist To promote safe, evidence based, cost effective prescribing in line with CCG requirements. To support effective management of practice prescribing budgets To provide expert pharmaceutical advice to practices and the medicines optimisation team To provide prescribing support to designated practices and team members in areas such aso Medication review o Implementation of prescribing changeso Review of repeat prescribingo Audit

To act as a training resource for the primary care teamPractice Role Objectives Provide pro-active leadership on medicines and prescribing systems to the practice multidisciplinary team, patients and their carers Develop and deliver patient facing services and clinics which improve patient outcomes, reflect the needs of the practice population and shift workload from other disciplines Deliver direct patient consultations and prescribing as part of the practice and cluster multidisciplinary team approach for acute illness Improve patient and carer understanding of, confidence in and compliance with their medicines Provide pharmaceutical consultations and home visits to patients with long term conditions as an integral part of the multidisciplinary team Field medicines and prescribing queries from patients and staff Organize and oversee the practices medicines optimisation systems including the repeat prescribing and medication review systems Deliver high quality medication reviews and develop bespoke medicines treatment plans for patients (particularly the elderly, complex patients and those at high risk of admission)

Improve the safety and quality of prescribing following hospital admissions and attendance Improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards, prescribing guidance and other clinical standards

Develop yourself and the role through participation in clinical supervision, training and service redesign activities

Contribute to patient safety culture through reporting and investigation of medicines related incidents and through pro-active measures such as the Primary Care Trigger Tool or PINCER

Provide a clear and active link with community pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage issues

Deliver training, mentoring and guidance to other clinicians and staff on medicines issues

Contribute to the achievement and maintenance of good to outstanding CQC registration status.

Patient Facing Clinical Services and Care

Manage a caseload of complex patients as required by GP Practices

Develop specialist area(s) of interest

Conduct face to face and other modes of medication reviews and agree medicines care plans in agreement with patients and carers

Delivering long term conditions clinics and home visits particularly for patients with complicated medication regimes and prescribe accordingly within competency and agreed management plans

Consult with patients for acute & long-term illnesses within defined levels of competence and prescribe medication within agreed management plans

Prescribe appropriate medication for patient need within areas of competency and within agreed management plans

Provide targeted support and pro-active review for vulnerable, complex patients and those at risk of admission and re-admission to secondary care

Receive and resolve medicines queries from patients and other staff

Contribute to public health campaigns (e.g. flu clinics) through advice or direct care

Provide specific advice and support to patients in care homes and support staff

Provide help and advice on medicines use to patients and their carers

Promote self-management and develop patient support systems

Manage therapeutic drug monitoring system and recall of patients taking high risk drugs i.e. anticoagulants, anticonvulsants and DMARDs etc

Support virtual and remote models of consultation and support including e-consultations, remote medication review and telehealth and telemedicine.

Medicines Optimisation Systems

Investigate and feedback on examples of best practice within the field and formulate how to apply these to the practice

Organize and oversee repeat prescribing, repeat dispensing, electronic prescribing and medication review systems

Provide leadership and support to prescription administrative staff

Handle prescription queries and requests directly

Oversee system for reconciliation of medicines from outpatient and discharge letters and support safe transfer of care through liaison with hospital and community colleagues

Liaise with other stakeholders in the supply chain such as community pharmacists and appliance contractors to handle queries and manage supply problems

Maintain and review a Medicines Handling Policy for the practice to ensure safe processes for self-administered medicines and controlled drugs

Support the delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives

Agree and review Prescribing Formularies and Protocols and monitor compliance levels

Improve the data quality of medicines records and linking to conditions.Quality

Collection and review of KPI and performance monitoring data

Monitor progress against the overall objectives of the programme and escalate any issues

Ensure compliance with CQC and other professional standards

Promote a culture of constant improvement and excellence

Conduct regular clinical audits and other improvement activities

Assess own performance regularly and make suggestions of how to improve personal and team performance

Understand a risk management approach and apply it to all activities.

Communication and Relationships

Support the Lead Pharmacist to deliver the individual practice and locality action plans in line with CCG requirements

Provide high quality, evidence based, prescribing advice to individual GPs, nurse and patients, both individually and in meetings.

Communicate effectively within primary care teams to gain agreement and commitment from GPs and wider team members to implement change, overcoming barriers where necessary

Establish trusted and successful working relationships with GPs and practice staff to support delivery of objectives

Discussion and recommendation regarding CCG prescribing initiatives with individual practitioners

Act as point of contact with any specialist services as dictated by the action plan, e.g. care homes, community nursing services

Patient Care

Carry out computer record searches related to prescribing initiatives

Review patient medication records in general practice and/or care home setting

Develop protocols to enable agreed changes to be implemented

Deliver patient consultation to implement agreed changes where appropriate

Develop and disseminate information to patients to support medicines optimisation

Advise on appropriate drug choice

Planning and Organisation

Organise and plan own workload in practices and adjust as needed to meet CCG

requirements and deliver action plans

Prepare and present summary reports for each practice regarding progress against actions plans and / or audit

Support practices to implement and audit NICE and other evidence based guidance

Review and improve practice repeat prescribing systems and systems for medication review

Analytical and Judgement

Download and interpret practice level prescribing reports e.g. IPS, RAIDR

Identify poor prescribing issues and provide facts and options to support remedial action

Prepare and present summary reports for audits conducted as part of agreed action plans

Promotion and review of compliance against local CCG formularies and prescribing guidance.

Provision of advice around effective use of electronic transfer of prescriptions as agreed with the CCG

Collation of information from practices regarding patterns and trends of medicines usage obtained through prescription searches and audit

Policy and Service Development

Support development of tools and resources to implement agreed initiatives, e.g. SOPs, guidance

Support development of medicines optimisation policies or guidance within practices or

area, contributing to at scale activities

Provide support and feedback to practices on medicines related questions from patients and practices

Support delivery of the medicines optimisation strategy, once agreed

Financial and Physical Resources

Support effective management of practice prescribing budgets via delivery of practice and

CCG action plans

Human Resources

Fulfill mandatory CPD requirements

Support wider team of pharmacists and technicians to deliver practice and CCG action plans as required by Lead Pharmacist

Information Resources

Extract and manipulate clinical and financial prescribing data from relevant systems (EMIS, e-PACT, RAIDR), and present to GPs in an appropriate format

Provide appropriate high quality and cogent reports to demonstrate progress and practice

and CCG action plans

Communicate effectively via the use of electronic media such as e-mail, Power-point, Excel or Word

Research and Development

Develop and undertake audit in relevant therapeutic areas