PCN Clinical Pharmacist - Atherton, United Kingdom - Health First ALW CIC

Description

Job summary

This is an exciting new opportunity to join an established, well supported Clinical Pharmacy Team in Primary Care. The role is pivotal to improving the quality of care and operational efficiency within general practice and PCNs. You will work aspart of a multi-disciplinary team in a patient-facing role takingresponsibility for undertaking structured medication reviews to proactively manage patients with complex polypharmacy and ensure medicine optimisation. You will provide primary prescription and medication support to general practice staff, help support the repeat prescription system, deal with acute prescription requests and support medicines reconciliation on transfer of care. The post holder will also implement systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practices.

Main duties of the job

Primary Duties and Areas of Responsibility. Structured Medication Reviews: Consult patients with single or multiple medical problems/long-term conditions to ensure medicine optimisation.Implement safe systems with regards to Shared Care protocols. Advise patients and staff re: common/minor/self-limiting ailments. Provide telephone advice for patients with concerns about theirmedicines.Review medicines usage commonly associated with unplanned / highintensity hospital attendance .Review medicines at discharge from hospital. Support the production and implementation of a repeatprescribing protocol. Identify cohorts of patients at high risk of harm from medicines.Provide advice on treatment pathways and patient informationleaflets.Undertake and implement changes resulting from clinical audits. Medicines safety - You will support the implementation of changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

About us

About TABA+ PCNTABA+ PCN is a group of 11 GP practices providing healthcare in Tyldesley, Atherton, Boothstown and Astley serving apatient population of 55,000 patients. We work closely with the Healthier Wigan Partnership, an Integrated Care Organisation that brings together the ICB locality, Council, hospital, community and mental health services and GP practices. Together, we all work to improve services by better connecting them with each other and our local communities. About Health FirstHealth First ALW CIC is Social Enterprise Community InterestCompany limited by guarantee. Operating as a Social Enterprise, we have no shareholders and we invest all monies back into patient services. We provide high quality local services within communities. We pride ourselves on innovation and flexibility of locations and methods to deliver high-quality, accessible healthcare.

Job responsibilities

Clinical Pharmacist

The post holder will be anexperienced pharmacist acting within professional boundaries, workingalongside a team of pharmacists in a group of general practices. They will workas part of a multi-disciplinary team in a patient-facing role, undertakingclinical medication reviews to proactively manage patients with long term conditions, complexpolypharmacy ensuring medicine optimisation.

The post holder will provideprimary prescription and medication support to staff, support the repeat prescription system, deal with acute prescription requestsand support medicines reconciliation on transfer of care. The post holder willalso implement systems for safer prescribing, providing expertise in clinicalmedicines advice.

The post holder will provideclinical leadership on medicines optimisation and quality improvement andmanage some aspects of the quality and outcomes framework and enhancedservices.

The post holder will ensure thatthe practice integrates with community and hospital pharmacy to improve patient outcomes, ensure better access to healthcare andhelp manage practices workload. The role is pivotal to improving the qualityof care and operational efficiencies within the PCN.

Primary Duties and Key Areas ofResponsibility:

Work closelywith other pharmacy professionals across PCNs and the wider health and socialcare system

Undertakestructured medication reviews ensuring medicineoptimisation and improved patient outcomes. Patient groups include: frequenthospital attenders, unplanned hospital admissions, care home residents, and thoseon multiple medicines etc.

Be a prescriber, or be willing toundertake training to become a prescriber, and work alongside the generalpractice team

Advise patients re:common/minor/self-limiting ailments -while working within your scope of practice, directing patients to self-care in line with nationalguidance. You will signpost patients to the community pharmacy and refer to GPsor other healthcare professionals when appropriate.

Medicines information - Provide advicefor patients with questions, queries and concerns about their medicines.

Medicines reconciliation - You will reconcilemedicines following discharge from hospitals and intermediate care, and intocare homes. This includes identifying and rectifying unexplained changes, andworking with patients and community pharmacists to ensure that patients receivethe medicines they need post-discharge.

Repeat prescribing - You will supportthe production and implementation of a repeat prescribing policy and undertakethe repeat-prescribing reauthorisation process through reviews on patientsrepeat prescription requests, medicines reaching review dates, and throughflagging those needing a review. You will also ensure patients have appropriatemonitoring tests in place when required.

Risk stratification - You will identifycohorts of patients at high risk of harm from medicines through pre-preparedpractice computer searches. These may include patient, and medicine relatedrisks.

Service development - You willcontribute pharmaceutical advice for the development and implementation of newservices that have medicinal components (eg: advice on treatment pathways andpatient information leaflets).

Information management - Analyse,interpret and present medicines data to highlight issues and risks to supportdecision making in General Practices.

Medicines quality improvement - Youwill undertake clinical audits of prescribing in areas directed by GPs. Youwill feedback the results and implement changes in conjunction with thepractice team and the Senior Clinical Pharmacist.

Medicines safety - You will support theimplementation of changes to medicines that result from MHRA alerts, productwithdrawal and other local and national guidance.

Shared Care - Provide support in theclinical aspects of shared care protocols, clinical research with medicines,liaison with specialist pharmacists (including mental health and reduction ofinappropriate antipsychotic use in people with learning difficulties), liaisonwith community pharmacists and anticoagulation.

Care Quality Commission - You will workwith the general practice team to ensure compliance with CQC standards wheremedicines are involved.

Public Health - You will support publichealth campaigns, provide specialist knowledge on the public health programmesavailable to the general public.

Professional Clinical Network - Be partof a professional clinical network and have access to appropriate clinicalsupervision.

Person Specification - Knowledge,Skills and Experience Required

Qualifications

Essential:

Mandatoryregistration with the General Pharmaceutical Council

VocationalMasters Degree in Pharmacy (MPharm) or equivalent

Commitmentto become an independent prescriber

Desirable:

MembershipPrimary Care Pharmacy Association (PCPA)

Membershipof the Royal Pharmaceutical Society Specialist knowledge through a postgraduatediploma or equivalent Independent prescribing qualification

Experience

Essential:

Atleast 2 years post-registration experience in a hospital, community or generalpractice setting

Capacityto be innovative and to develop the role In depth therapeutic and clinicalknowledge and understanding of principles of evidence based healthcare

Abilityto maintain effective working relationships and promote collaborative working

Excellentinterpersonal, influencing and negotiating skills

Excellentcommunication (written and oral), and presentation skills

Abilityto plan, manage, monitor, advice and review general medicine optimisationissues in core areas for long term conditions.

Recognisespriorities when problem-solving and identifies deviations from normal patternand is able to refer to seniors or GPs when appropriate.

Ableto follow legal, ethical, professional and organisational policies/proceduresand codes of conduct.

Involvespatients in decisions about prescribed medicines and supporting adherence asper NICE guidelines.

Competentuser of Microsoft Office programmes, including Outlook, Excel and Word tocreate simple plans and reports

Demonstrateunderstanding of the implications of national priorities for the team and/orservice.

Demonstrateunderstanding of the process for effective resource utilisation.

Demonstrateunderstanding of, and conforms to, relevant standards of practice.

Demonstratesability to identify and resolve risk management issues according topolicy/protocol.

Followsprofessional and organisational policies/procedures relating to performancemanagement.

Demonstratesself-development through continuous professional development activity.

Understandsand demonstrates the characteristics of a role model to members in the teamand/or service.

Demonstratesability to critically evaluate and review literature.

Demonstratesability to identify where there is a gap in the evidence base to supportpractice.

Demonstratesability to generate evidence suitable for presentations at practice and local level.

Demonstratesability to apply research evidence base into working place.

Demonstratesunderstanding of principles of research governance.

Desirable:

Understandingof the nature of GP workload and general practice

Understandingof the nature of primary care prescribing, concepts of rational prescribing andstrategies for improving prescribing

Personal &Professional Attributes - Essential

Self-motivated

Abilityto work on own initiative and as part of a team

Flexibleand adaptable to work environment

Abilityto work under pressure and meet deadlines

Activelywork toward developing and maintaining effective working relationships bothwithin and outside the practice and locality.

Fosterand maintain strong links with all services across the locality.

Exploresthe potential for collaborative working and takes opportunities to initiate andsustain such relationships.

Goodtimekeeping

Professionalappearance

Fulldriving licence and access to transport

Health and Safety/RiskManagement.

The post-holder must comply atall times with the Practices Health and Safety policies, in particular byfollowing agreed safe working procedures and reporting incidents using theorganisations Incident Reporting System.

The post-holder will comply withthe Data Protection Act and the Access to Health Records Act

Equality and Diversity

The post-holder must cooperatewith all policies and procedures designed to ensure equality of employment.Co-workers, patients and visitors must be treated equally irrespective ofgender, ethnic origin, age, disability, sexual orientation, religion etc.

Respect for PatientConfidentiality

The post-holder should respectpatient confidentiality at all times and not divulge patient information unlesssanctioned by the requirements of the role.

Special WorkingConditions

The post-holder is required totravel independently between practice sites (where applicable), and to attendmeetings etc. hosted by other agencies.

The post-holder will have contactwith body fluids , wound exudates; urine etc. while in clinical practice.

Job DescriptionAgreement

This job description is intendedto provide an outline of the key tasks and responsibilities only. There may be other duties required of thepost-holder commensurate with the position.

This description will be open toregular review and may be amended to take into account development within thePractice.

All members of staff should beprepared to take on additional duties or relinquish existing duties in order tomaintain the efficient running of the Practice.

This job description is intendedas a basic guide to the scope and responsibilities of the post and is notexhaustive.

Experience

Essential

Desirable

Qualifications

Essential

Desirable

Knowledge and Skills

Essential

Desirable

Professional and Personal attributes

Essential