Practice Pharmacist & Clinical Governance Lead

Job description Job responsibilities Clinical Governance Lead1. Oversight of quality assurance activities within the Practice:a. Quality Outcomes Framework (QOF) working with the Clinical & HR Manager to ensure targets are reached and the highest possible points attained each year. This is to be achieved by encouraging a whole-practice approach.b. Delegating work to individuals and to other teams, e.g. sending tasks to GP/team for coding changes. Teaching other members of the team always to consider QOF when coding.c. End of year QOF lists January to March, ensuring maximum profit.d. General Practice Outcomes Programme (GPOP)/Quality Improvement Scheme (QIS)/any current iteration.e. Investment and Impact Fund (IIF).2. Lead on quality improvement activitiesa. Using information supplied by others and produced by in-practice searches, suggest and implement ways of improving practice and protocol.b. Work with the Management Team to identify and target areas of practice that could be improved.3. Audit worka. Carry out or have oversight of audits prescribed as part of contractual/enhanced service requirements.b. Identify audits that would be useful to the practice and/or that would improve patient care/safety.c. Train GPs in how to do QOF and LTC audits.4. Policy approvala. Approval of policies created/updated by the Business Manager or another member of the Leadership Team.b. Production of protocols when a specific issue has been identified.5. Oversight of NICE guidelinesa. Ensuring that the clinical team has been updated on new NICE guidelines.b. GPs take it in turns to do this at Clinical Governance Meetings, so offering support where necessary.6. Oversight of clinical risk and incident management. Working with the Senior Management Team to identify risks and to manage response to significant incidents and learning events.Practice Clinical Pharmacist1. Patient facing Clinical Medication ReviewUndertake clinical medication reviews with patients and work within your scope of practice as a non-medical prescriber to implement any necessary changes (or produce recommendations for/refer to other prescribing pharmacists, nurses and/or GPs to implement if outside your scope).2. Medicines quality improvementUndertake clinical audits of prescribing in areas identified by yourself and agreed by the Practice or as directed by the Practice, feedback the results and implement changes in conjunction with the relevant members of the practice team. Identify cohorts of patients at high risk of harm from medicines through computer searches. This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups3. Medicines safetyImplement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. 4. Leadership and managementAs the Practice Clinical Pharmacist you will be expected to contribute to the leadership of medicines-related issues for the Practice. Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace. Demonstrate understanding of, and contribute to, the workplace vision Demonstrate ability to improve quality within limitations of service Demonstrate ability to motivate self to achieve goals Provide line management for the Practice Pharmacy Technician Demonstrate understanding of the implications of national priorities for the service Demonstrate understanding of the process for effective resource utilisation Demonstrate understanding of, and conforms to, relevant standards of practice Demonstrate ability to identify and resolve risk management issues according to policy/protocol Follow professional and organisational policies/procedures relating to performance management Demonstrate ability to extend boundaries of service delivery within the team 5. Patient medicines supportProvide advice for patients with questions, queries and concerns about theirmedicines.6. Management of medicines at change of care settingReconcile medicines following discharge from hospital or admission to intermediate care or care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in Care Homes). 7. Medicine information to practice staff and patientsAnswer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes. 8. Drug monitoringEnsure robust systems are in place for drug monitoring at the practice, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Leeds Health Economy.9. SignpostingEnsure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc. 10. Repeat prescribingEnsure the practice has a robust repeat prescribing policy, and streamline this where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required. 11. Service developmentContribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). 12. Information managementAnalyse, interpret and present medicines data to highlight issues and risks to support decision making. 13. Education and Training Understand and demonstrate the characteristics of a role model to members in the service Demonstrate understanding of the mentorship process Demonstrate self-development through continuous professional development activity Demonstrate an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice14. Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. 15. Public health Support public health campaigns. Provide specialist knowledge on all public health programmes available to the general public. 16. Collaborative working arrangements Participate in the Practice MDT. Liaise with ICB, Primary Care Network and Leeds GP Confederation colleagues on prescribing-related matters to ensure consistency of patient care and benefit from peer support.Engage with the Leeds Practice Pharmacist and Technician Network and with the other SEL GP-employed pharmacists for peer support.Foster and maintain strong links with all services across the Primary Care Network and neighbouring networks. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to : Patients and their representatives GP, nurses and other practice staff Social prescribers, first contact physiotherapists, physicians associates and paramedics. Community pharmacists and support staff PCN / GP prescribing lead PCN Managers Community nurses and other allied health professionals Hospital staff with responsibilities for prescribing and medicines optimisation 17. Professional developmentWork with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety. Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present. Review yearly progress and develop clear plans to achieve results within priorities set by others. Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.