TLCP PCN Clinical Pharmacist One Year Fixed Term

Primary care clinical pharmacy is developing, and we are looking for a motivated individual who is flexible to respond to the developing nature of the role and the needs and priorities of individuals requiring support. This role involves supporting the Care First/PCN, to manage and achieve the clinical contractual requirement.

Under the direction of the Care first/PCN, we expect that you will be able to work independently and manage your own workload. You will need excellent communication skills to be able to liaise with patients, primary care staff, community pharmacists and other partners.

As part of their employment, the post holder will achieve qualifications from an accredited training pathway, including independent prescribing, equipping the clinical pharmacist to be able to practice and prescribe safely and effectively in a primary care setting.

Main duties of the job

• Work as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas.
• Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme);
• Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the PCN and to help in tackling inequalities;
• Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services;
• Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care;
• Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload;

About us All staff at TLCP have a duty to conform to the following:

Equality, Diversity & Inclusion (ED&I)

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Job responsibilities Additional Responsibilities

• Senior Clinical Pharmacist has the following additional key responsibilities to those outlined above in delivering health services:
• Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
• Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.
• Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.
• Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person.

Secondary Responsibilities

• In addition to the primary and additional key responsibilities, the Senior Clinical Pharmacist may be requested to:
• Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.
• Agree and review prescribing formularies and protocols and monitor compliance levels.
• Improve the data quality of medicines records and linking to conditions.
• Deliver training, mentoring and guidance to other clinicians and staff on medicine issues.
• Working in partnership with pharmacists and clinicians hospitals, improve the safety and quality of prescribing after discharge from hospital admissions and attendance.
• Provide leadership and support to prescription administrative or dispensary staff.
• Produce pharmacy or prescribing newsletters or bulletins on a quarterly basis.
• Develop a specialist area of interest Work with community pharmacists, hospital pharmacists and other stakeholders in the medicines supply chain to improve patient experience and manage incidents.
• Support virtual and remote models of consultation and support including e-consultations, remote medication review and telehealth and telemedicine.
• Undertake any 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.

Develop relationships and work closely with other pharmacy professionals across PCNs and the wider health and social care system;

• Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists and anticoagulation; and
• Be part of a professional clinical network and have access to appropriate clinical supervision.
• High risk drug monitoring, and Get involved in audits, set by CCG or towards borough wide aims and targets. Run searches for local and national medication alerts/shortages.

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).
• 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.
• Support the pharmacist team to provide clinical medication review in care home/domiciliary.

Management of common/minor/self-limiting ailments

• Managing caseload of 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 support

• Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice.

Medicine information to practice staff and patients

• Answers relevant 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.
• Do appropriate database searches, in keeping MHRA and NICE alerts/ guidance to support safe patient care.

Unplanned hospital admissions

• Review 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 hospital.
• To 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.

Signposting

• Ensure 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 prescribing . click apply for full job details