PCN Clinical Pharmacist

Job description Job responsibilities Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areasBe a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP the Stop Over Medication Programme) Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCNs practice(s) and to help in tackling inequalitiesProvide leadership on person-centred medicines optimisation (including ensuring prescribers in the organisation conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced servicesThrough structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-careHave a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care systemTake a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists and anticoagulation Be part of a professional clinical network and have access to appropriate clinical supervision. Appropriate clinical supervision means: Each clinical pharmacist must receive a minimum of one supervision session per month by a senior clinical pharmacistThe senior clinical pharmacist must receive a minimum of one supervision session every three months by a GP clinical supervisorEach clinical pharmacist will have access to an assigned GP clinical supervisor for support and development A ratio of one senior clinical pharmacist to no more than five junior clinical pharmacists, with appropriate peer support and supervision in place.To act as the PCN point of contact for all medicine related matters, establishing positive working relationshipsTo liaise with the practices and, where practicable, to standardise the medicines management process across the PCNTo consult patients within defined levels of competence and independently prescribe acute and repeat medicationTo receive referrals and directed patients from triage services and other cliniciansTo receive and resolve medicines queries from patients and other staffTo provide medication review services for patients in the practice and during domiciliary visits to the local nursing homeTo manage a caseload of complex patientsTo manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs etc. To deliver long term conditions clinics and home visits particularly for patients with complicated medication regimes and prescribe accordinglyTo provide pharmaceutical consultations to patients with long term conditions as an integral part of the multi-disciplinary teamTo review medications for newly registered patientsTo improve patient and carer understanding of confidence in and compliance with their medicationTo encourage cost-effective prescribing throughout the PCNTo liaise with practices and implement and embed a robust repeat prescribing system for use across all practicesTo provide advice and answer medication related queries from patients and staffTo organise and oversee the PCNs medicines optimisation systems including the repeat prescribing and medication review systemsTo improve the quality and effectiveness of prescribing through clinical audit and education to improve performance against NICE standards and clinical and prescribing guidanceTo develop yourself and the role through participation in clinical supervision, training and service redesign activitiesTo ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. To apply infection-control measures within the practice according to local and national guidelinesTo provide subject matter expertise on medication monitoring, implementing and embedding a systemTo support clinicians with the management of patients suffering from drug and alcohol dependenciesTo actively signpost patients to the correct healthcare professionalTo manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life careTo review the latest guidance ensuring the organisation conforms to NICE, CQC etc.To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care To handle prescription queries and requests directlyTo provide proactive leadership on medicines and prescribing systems to the PCN multidisciplinary team, patients and their carersTo support in the delivery of enhanced services and other service requirements on behalf of the PCNTo participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through clinical incidents and near-miss eventsTo undertake all mandatory training and induction programmesTo contribute to and embrace the spectrum of clinical governance To attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreedTo contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice or direct care To maintain a clean, tidy, effective working area at all times.In addition to the primary responsibilities, the Clinical Pharmacist may be requested to:Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiativesAgree and review prescribing formularies and protocols and monitor compliance levelsImprove the data quality of medicines records and linking to conditionsDeliver training, mentoring and guidance to other clinicians and staff on medicine issuesWorking in partnership with pharmacists and clinicians in hospital(s), improve the safety and quality of prescribing after discharge from hospital admissions and attendanceProvide leadership and support to prescription administrative/dispensary staffProduce pharmacy/prescribing newsletters or bulletins on a quarterly basisDevelop a specialist area of interestWork with community pharmacists, hospital pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage incidentsSupport virtual and remote models of consultation and support including e-consultations, remote medication review and telehealth and telemedicineUndertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective mannerDuties may vary from time to time without changing the general character of the post or the level of responsibility