Prescribing Clinical Pharmacist

Job description Job responsibilities KEY RESPONSIBILITIESPatient facing long-term condition clinicsSee (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g., COPD, asthma). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e., medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.Patient facing clinical medication reviewUndertake clinical medication reviews with patients and produce recommendations for Nurses and/or GP on prescribing and monitoring.Patient facing care home medication reviewUndertake clinical medication reviews with patients and produce recommendations for the Nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.Patient facing domiciliary clinical medication reviewUndertake clinical medication reviews with patients and produce recommendations for the Nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.Patient facing structured medication reviewsUndertake structured medication reviews with patients in practice/home visits.Management of common/minor/self-limiting alimentsManaging caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.Patient facing medicines supportProvide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice.Medicine information to practice staff and patientsAnswers all medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g., community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.Unplanned hospital admissionsReview the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.Management of medicines at discharge from hospitalTo reconcile medicines following discharge from hospitals, intermediate care and into 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).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.Repeat prescribingProduce and implement a practice repeat prescribing policy. Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required.Risk stratificationIdentification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.Extended access clinicsContribute to our extended access allocation which includes early morning/evening clinics (7am starts or 8pm finishes).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).Information managementAnalyse, interpret, and present medicines data to highlight issues and risks to support decision making.Medicines quality improvementUndertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.DebriefsContribute to the debriefing of ARRS pharmacy team members within the practice and support their ongoing learning and professional development.CQC Safety SearchesContribute to the running of CQC searches in Systmone to help the practice identify clinical risks and manage the correctly.Drug monitoringMonitor patients prescribed high-risk medications, including DOACs, to ensure appropriate and timely safety monitoring is completed in line with clinical guidelines.Prescription clerksCollaborate closely with prescription clerks to ensure the accurate and appropriate ordering and prescribing of medications in line with clinical guidelines.Medicines safetyImplement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.Implementation of local and national guidelines and formulary recommendationsMonitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).Assistpractices in seeing andmaintaininga practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.Education and trainingProvide education and training to primary healthcare team on therapeutics and medicines optimisation.Practice MeetingsProvide any updates/learning to the clinical team during our practice clinical meetings.Care Quality CommissionWork with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.Public healthTo support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.Collaborative working relationshipsThe post holder will:Recognise the roles of other colleagues within the organisation and their role to patientcareDemonstrate use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g., CCGs)Demonstrate ability to work as a member of a teamRecognise personal limitations and refer to more appropriate colleague(s)when necessaryActively work toward developing and maintaining effective working relationships both within and outside the practice and localityFoster and maintain strong links with all services across localityExplore the potential for collaborative working and takes opportunities to initiate and sustain such relationshipsDemonstrate ability to integrate general practice with community and hospital pharmacy teamsLiaise with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefitLiaise with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer supportLiaise with other GP Practices and staff as needed for the collective benefit of patients including but not limited to: Patients GP, Nurses, and other practice staff Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc Locality / GP prescribing lead Locality managers Community nurses and other allied health professionals Community and hospital pharmacy teams Hospital staff with responsibilities for prescribing and medicines optimisation