Clinical Pharmacist- 18 Month Contract

NHS; Enfield; On-site; GBP 48,000 - 56,000; Full time

Job summary

A leading healthcare provider seeks enthusiastic Clinical Pharmacists to enhance patient-centered care across their network. The role involves conducting clinical reviews, optimizing medications, and providing support in general practice. With 30 days of annual leave and professional indemnity cover, successful candidates will join a collaborative team focused on delivering quality healthcare to the Enfield community.

Benefits

30 days annual leave plus 8 bank holidays

Professional Indemnity cover

Clinical supervision and support

Training opportunities in primary care

Qualifications

• Minimum of 2 years post-qualification experience.
• Experience in primary care with in-depth therapeutic knowledge.
• Work towards independent prescribing qualification if not held.

Responsibilities

• Conduct clinical medicine reviews and optimize prescribing.
• Manage repeat prescribing and ensure patient safety.
• Provide medicine information to practice staff and patients.

Skills

Interpersonal skills

Analytical skills

Negotiation skills

Education

Post-graduate diploma

Independent prescribing qualification

Job description

Enfield Unity Primary Care Network is a large PCN representing over 158,000 patients across 17 GP Practice sites. Our aim is to improve services and outcomes for patients and staff by increasing access to healthcare, supporting multidisciplinary team working for our most unwell patients and by championing Clinical Pharmacists in the General Practice sector.

30 days annual leave plus 8 bank holidays

Professional Indemnity cover

Robust clinical supervision and support

Primary Care specific training via CPPE primary care pathway, including Independent prescribing if not already held

Peer support and team network

Support to develop clinical skills as appropriate for the role

Main duties of the job

This is an exciting opportunity for enthusiastic and forward thinking LOCAL Pharmacists to join our established and growing team in providing meaningful, patient centred support in general practice to deliver:

Clinical Medicine review and long term condition clinics

Prescription requests, queries and prescribing efficiencies

Safe prescribing practice and audits

The post holder will need to demonstrate;

Good IT skills with the ability to obtain and analyse complex technical information

Recognise priorities when problem solving and identify deviations from normal patterns

Work effectively independently and as a team member

Demonstrate accountability for delivering professional expertise and direct service provision.

About us

The successful applicant will be based over one or two of Enfield Unity PCN's 17 sites.

You will have a named Clinical Supervisor, and a named Senior Clinical Pharmacist for support and guidance.

Medicus Health Partners (MHP) is the lead practice for Unity PCN and will be the employing organisation. MHP is a super-partnership made up of 9 of the 17 PCN practices.

The successful applicants will have access to the training, support and governance systems in place at MHP.

The successful applicants will have the unique opportunity to help shape the development of pharmacy in general practice working closely with the PCN clinical directors and senior pharmacist colleagues.

Applications are welcome from those with existing primary care or GP practice experience, or applicants that have a keen interest to develop clinical experience in primary care.

Job responsibilities

See patients with single or multiple medical problems where medicine optimization is required (e.g. Respiratory, cardiovascular, Diabetes.)

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 optimization). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Clinical Medication Review

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

Work with care home staff to improve safety of medicines ordering and administration.

Attend and refer patients to multidisciplinary case conferences.

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

Medicine information to practice staff and patients

Answers relevant medicinerelated 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 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 highrisk 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 highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes).

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

Implement the practice repeat prescribing policy within each PCN practice where required

Manage the repeat prescribing re-authorization 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.

Identification 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. The clinical pharmacists will be responsible for ensuring that all drugs that require regular monitoring are prescribed in a safe manner and that all necessary tests and procedures are carried out according to guidance. Examples of such drugs include NOACs, azathioprine, lithium, warfarin, methotrexate

Contribute 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 management

Analyze, interpret and present medicines data to highlight issues and risks to support decision- making. This will include areas practices are contracted to improve. E.g. NSAID prescribing

Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

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

Implementation of local and national guidelines and formulary recommendations

Monitor practice prescribing against the local health economys 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).

Monitor adherence to North Central Londons Medication Optimization Network

Auditing the practices compliance against NICE technology assessment guidance (TAG)

Assist practices in seeing and maintaining a 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 Training

Provide education and training to primary healthcare team on therapeutics and medicines optimization. This will include local community pharmacists

Person Specification

Qualifications

• Specialist knowledge acquired through post- graduate diploma level or equivalent training/experience Independent prescriber or working towards/intent of gaining independent prescribing qualification

Experience

• Minimum of 2 years post- qualification experience. An appreciation of the nature of GPs and general practices An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing Excellent interpersonal, influencing and negotiating skills Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
• Experience of working in primary care.
• In depth therapeutic and clinical knowledge and understanding of the principles of evidence- based healthcare. Is able to plan, manage, monitor, advise and review general medicine optimization issues in core areas for long term conditions

Other

• Local to Enfield

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£48,000 to £55,300 a year55,300 for independent prescribers & CPPE