Clinical Pharmacist - London, United Kingdom - Healthcare Central London

Description

Job Title: Clinical Pharmacist

Salary: £51,488- £57,800 (based on experience)

Hours: 37.5 hours per week

Responsible to: Deputy Head of PCN Pharmacy/ Head of PCN Pharmacy

Key Relationships: General Practice team, HCL team, Healthshare LTD, One Westminster, Central and North West London NHS Foundation Trust (CNWL), Central London Community Healthcare NHS Trust (CLCH).

BACKGROUND

Healthcare Central London is the GP Federation covering the Central London borough area. The organisation supports 33 General Practices and 4 Primary Care Networks (PCNs). We operate a number of NHS contracts including a Care Navigation Service, a Clinical Pharmacy Service, a Community Dermatology Service, and Partnership in Practice (PiP) - an out-of-hospitals provision which is sub-contracted to its 33 General Practice members.

Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population. We will achieve this by working with patients and partners to ensure that general practice remains sustainable and independent.

Our approach is to deliver exceptional assistance to our 33 General Practice members and to operate our NHS contracts in a manner that supports our Practices and their patients by providing services economically, locally, promptly, and in a familiar environment.

Now in our 16th year we look forward to our continued growth and to contributing a voice for General Practice in the planned Integrated Care System (ICS).

JOB ROLE

The post holder acts within their professional boundaries.

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy, especially for older people, people in residential care homes and those with multiple co-morbidities.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescriptions system, deal with acute prescription requests, medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice (s).

The post holder will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.

The post holder will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.

KEY TASKS AND RESPONSIBILITIES

 Patient facing long-term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).

 Delivering pharmacy related aspects of the Network DES such as conducting structured medication reviews (SMRs).

 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 review. Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

 Patient facing care home medication reviews. Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, 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 review. Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.

 Management of common/minor/self-limiting ailments manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

 Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate.

 Patient facing medicines support.

 Provide patient facing clinics for those with medicines queries.

 Telephone medicines support.

 Answer 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.

 Provide follow up for patients to monitor the effect of any changes.

 Identify medications associated with harm or unplanned hospital admissions through audits or reviewing discharge summaries, and be able to proactively optimise their therapy and prevent harm

 Recommend changes to the prescribing of high risk medications, especially to high risk patient groups

 Management of medicines at discharge from hospital.

 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. Ensure continuity of medicines supply post discharge

 Signposting - ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

 Assist with the development of a repeat prescribing process at the practice

 Assist in managing 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.

 Identify 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.

 Service development: contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

 Information management: Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

 Medicines quality improvement: Undertake clinical audits of prescribing as directed by the GPs, practice manager or Senior Clinical Pharmacist and feedback results and implement changes in conjunction with the practice team.

 Medicines safety: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

 Implementation of local and national guidelines and the local formulary.

 Monitor practice prescribing against the local health economies. Make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care.

 Assist the practices with keeping them up to date on how to access the local formulary. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.

 Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

 Care Quality Commission (CQC) work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

 Provide knowledge on all public health programmes available where applicable.

 Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships within them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients.

 Recognises personal limitations and refer to more appropriate colleagues when necessary.

 Demonstrates ability to work collaboratively with community and hospital pharmacy teams.

 Liaises with ICB Pharmacists and Medicines Management team on prescribing related matters and to benefit from peer support.

 Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

 Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role.

 Demonstrates ability to improve quality within limitations of service.

 Reviews yearly progress and develops clear plans to achieve results within priorities set by others.

 Promotes diversity and equality in people management techniques and leads by example.

 Management: Demonstrates understanding of effective resource utilisation and the implications of national priorities for the team and service.

 Demonstrates understanding of, and conforms to, relevant standards of practice.

 Demonstrates ability to identify and resolve risk management issues according to policy/protocol.

 Follows professional and organisational policies/procedures relating to performance management.

 Demonstrates ability to extend boundaries of service delivery within the team.

 Service development: contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

 Information management: Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

 Medicines quality improvement: Undertake clinical audits of prescribing as directed by the GPs, practice manager or Senior Clinical Pharmacist and feedback results and implement changes in conjunction with the practice team.

 Medicines safety: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

 Implementation of local and national guidelines and the local formulary.

 Monitor practice prescribing against the local health economies. Make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care.

 Assist the practices with keeping them up to date on how to access the local formulary. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.

 Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

 Care Quality Commission (CQC) work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

 Provide knowledge on all public health programmes available where applicable.

 Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships within them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients.

 Recognises personal limitations and refer to more appropriate colleagues when necessary.

 Demonstrates ability to work collaboratively with community and hospital pharmacy teams.

 Liaises with ICB Pharmacists and Medicines Management team on prescribing related matters and to benefit from peer support.

 Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

 Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role.

 Demonstrates ability to improve quality within limitations of service.

 Reviews yearly progress and develops clear plans to achieve results within priorities set by others.

 Promotes diversity and equality in people management techniques and leads by example.

 Management: Demonstrates understanding of effective resource utilisation and the implications of national priorities for the team and service.

 Demonstrates understanding of, and conforms to, relevant standards of practice.

 Demonstrates ability to identify and resolve risk management issues according to policy/protocol.

 Follows professional and organisational policies/procedures relating to performance management.

 Demonstrates ability to extend boundaries of service delivery within the team.

KEY WORKING RELATIONSHIPS

The post holder will be required to:

 Maintain constructive relationships with a broad range of internal and external stakeholders, including:

 General Practice

 North West London ICB

 Participate in relevant internal and external working groups/projects, services, and initiatives which develop the role and the service within Central London.

Requirements

Registration

Mandatory registration with General Pharmaceutical Council (GPhC)

Education / Training / Qualifications

 Masters degree in pharmacy (MPharm) (or equivalent)

 Has completed 18 month CPPE pathway (or equivalent) or actively working towards

 Independent prescriber (or actively working towards)

Knowledge and Experience

 Prior GP/clinical pharmacy experience

 Competent with specialist in-depth knowledge for multiple chronic disease areas, with ability to consult and independently prescribe

Skills / Abilities

 Able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients across core areas, including disease states/long term conditions.

 Accountable for delivering professional expertise and direct service provision

 Uses skills in a range of routine situations requiring analysis or comparison of a range of options.

 Recognises priorities when problem-solving and identifies deviations from normal pattern and is able to refer to seniors or GPs when appropriate.

 Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

 Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.