Senior Clinical Pharmacist – CLICK PCN
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Job Description
Senior Clinical Pharmacist – Primary Care Network
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Job Title: Senior Clinical Pharmacist
Reporting to: CLICK PCN Manager & Clinical Director
Salary: £50,000 per annum
Working hours: 37.5 hours (Full time excluding lunchbreaks). Inclusion in Extended Hours provision.
Location: Chard, Ilminster and Langport – Somerset.
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Purpose of this role
This role will develop and manage a pharmacy team working across the CLICK Primary Care Network and provide a comprehensive pharmacy service to patients.
Job Summary
The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription request, while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN.
The post holder will perform face to face medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework and the development and implementation of the Network Service Specifications from 2020 and 2021.
The post holder will work as part of a multi-disciplinary team to manage repeat prescription authorisations and reauthorisation, acute prescription request, management of medicines on transfer of care and systems for safer prescribing, providing expertise in clinical medicines management while addressing both the public health and social care needs of patients in the GP practice(s).
This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice.
The post holder will be a prescriber or completing their training to become a prescriber and will work alongside the general practice teams.
Key relationships:
- The patients, Doctors, prescribers and practice teams within the Primary Care Network
- Somerset CCG Practice Support Pharmacists and Medicines Management Team
- Local Community Pharmacists
- Other professionals, other NHS/private organisations eg CCG and the general public
Key duties and responsibilities
- Patient facing medicines support
Hold clinics for patients requiring face?to?face structured medication reviews i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking. Provide telephone support for patients with questions, queries and concerns about their medicines.
- Medication Review
Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
- Risk Stratification
Design, develop and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Responsibility for management of risk stratification tools on behalf of the practice. Work with patients and the primary care team to minimise risks through medicines optimisation.
- Long-term condition clinics
See patients in multi?morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patient’s medicines, including de-prescribing. Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long?term anticoagulants). Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking.
- Unplanned Hospital Admissions
Devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines. Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.
- Repeat Prescribing
Produce 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; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required.
- Triage
Ensure that patients are referred to the appropriate clinician for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term conditions.
- Medicines Safety and Quality Improvement
Identify and provide leadership on areas of prescribing requiring improvement. Conduct own audits and improvement projects and work with colleagues. Present results and provide leadership on suggested change. Demonstrate continuous QI activity focused upon prescribing safety as specified in the QOF guidance. This work for example might include the PINCER tool. Contribute to national and local research initiatives.
- Care home medication reviews
Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multi?morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration.
- Domiciliary clinical medication reviews
Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences.
- Service development
Develop and manage new services that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation.)
- Care Quality Commission
Provide leadership to the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved.
- Population and Public Health
To devise and manage population and public health campaigns to run within the network. To provide specialist knowledge on immunisation programmes.
- Cost saving programmes
Make recommendations for, and manage pharmacy technicians to, make changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available.
- Medicine information to practice staff and patients
Answer all medicine?related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Provide follow up for patients to monitor the effect of any changes.
- Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
- Training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing and other healthcare students where appropriate.
- Management of medicines at discharge from hospital
To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes, manage these changes without referral to a GP, perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge 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).
Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care.
- Implementation of local and national guidelines and formulary recommendations
Provide appropriate advice to practices prescribing against the local health community’s RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Provide newsletters on important prescribing messages to improve prescribers’ knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence —such as audit and feedback.
- Medicines safety
Horizon scan to identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners.
- Development and Management of the Primary Care Network Pharmacy Team
In conjunction with the Clinical Director and PCN Manager, develop and recruit a PCN Pharmacy Team taking account of skill mix requirements and financial constraints. As Line Manager to the team, undertake supervision and management of the team including training and development needs, annual appraisals, rota and other issues as arise taking account of PCN and practice policies.
Collaborative working arrangements
- Works collaboratively with their PCN Clinical Director
- Recognises the roles of other colleagues within the network and their role to patient care
- Demonstrates 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)
- Demonstrates ability to lead a team
- Is able to recognise personal limitations and refer to more appropriate colleague(s)when necessary
- Liaises with colleagues including CCG and STP/ICS Pharmacists on prescribing related matters to ensure consistency of patient care and benefit
- Liaises with colleagues including CCG and STP/ICS Pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support
- Liaises with network GP Practices and neighbouring networks 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
- Other members of the medicines management (MM) team including pharmacists, Pharmacy Technicians and Dieticians
- Locality / GP prescribing lead
- Locality managers, Community nurses and other allied health professionals
- Hospital staff with responsibilities for prescribing and medicines optimisation
Knowledge, Skills and Experience Required
- Has an experience/awareness of the breadth of common acute and long-term conditions that are likely to be seen in a general medical practice.
- Minimum of 5 years post graduate experience in pharmacy, as demonstrated within a practice portfolio
- Holds an independent prescribing qualification
- 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
NB: it is anticipated that the level of qualification held may vary according to the level of position and the components of the role being carried out, see person specification
Leadership
- Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.
- Demonstrate understanding of, and contributes to, the workplace vision
- Demonstrates ability to improve quality within limitations of service
- Reviews yearly progress and develops clear plans to achieve results within priorities set by others.
- Demonstrate ability to motivate self to achieve goals
- Demonstrates ability to lead a team and provide support to other clinical pharmacists
Management
- Demonstrate understanding of the implications of national priorities for the team and/or service and manage the team through these changes
- Demonstrate understanding of the process for effective resource utilisation
- Demonstrate 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
- Demonstrate ability to extend boundaries of service delivery within the team
- Lead and mentor a team of differing abilities
Education Training and Development
- Understands and demonstrates the characteristics of a role model to members in the team and/or service
- Demonstrates understanding of the mentorship process
- Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experienced colleagues
- Demonstrates self-development through continuous professional development activity
- Participates in the delivery of formal education programmes
- Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice
Research and Evaluation
- Demonstrates ability to critically evaluate and review literature
- Demonstrates ability to identify where there is a gap in the evidence base to support practice
- Demonstrates ability to generate evidence suitable for presentations at practice and local level
- Demonstrates ability to apply research evidence base into working place
- Demonstrates understanding of principles of research governance.
Health and Safety/Risk Management
- The post-holder must comply at all times with the Practices’ Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
- The post-holder will comply with the Data Protection Act (2018) and the Access to Health Records Act (1990).
Equality and Diversity
- The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc
Respect for Patient Confidentiality
- The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
Special Working Conditions
- The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc hosted by other agencies.
- The post-holder will have contact with body fluids i.e., wound exudates; urine etc while in clinical practice.
Miscellaneous
- Work as part of the team to seek feedback, continually improve the service and contribute to business planning
- Undertake tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner
- Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Person Specification – Senior Clinical Pharmacist
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