Clinical Pharmacist - Independent Prescriber

NHS Jobs; Greater London; On-site; GBP 45,000 - 65,000; Full time

Job summary

NHS Jobs in Greater London is seeking a Clinical Pharmacist who will conduct clinical medication reviews, respond to urgent medication requests, and support patients in using their medicines effectively.

The role involves triage, reviewing hospital discharges, reconciling medicines, and contributing to multidisciplinary reviews. An independent prescribing course is expected to start within six months of probation, with vaccine administration duties and involvement in QOF targets.

Responsibilities

• Conduct clinical medication reviews and provide recommendations to nurses and GPs.
• Review medicines post-discharge and reconcile medicines after hospital discharge.
• Triaging minor ailments and managing caseload to reduce unnecessary GP appointments.
• Deliver patient-facing clinics to address questions and improve medication adherence.

Job description

Clinical Pharmacist - Independent Prescriber

Clinical reviews/input Demonstrate a significant reduction in the amount of GP time spent (especially locum GP time) by seeing patients in appointment slots for clinical medication reviews, and responding to urgent medication requests and queries. Complex patients or those with additional needs may require longer appointment slots. Review the ongoing need for each medicine, a review of monitoring needs, and an opportunity to support patients with their medicines. Ensuring they get the best use of their medicines Minor ailments triage: Managing caseload of patients with common /minor/self-limiting ailments requesting GP appointments and triaging patients appropriately. Provide patient-facing clinics for those patients with questions, queries, and concerns about their medication in order to improve medication adherence. Minor ailments appointment slots as appropriate Contribute to multidisciplinary reviews about medication-related issues Reconcile medicinesfollowing hospital discharge Review daily pathology results for selected patients on known medicines Targeted medication reviews particularly in high-risk patients (frail elderly, poly-pharmacy, renaland hepatic impairment, high-risk medicines, etc.) Undertake clinical medication reviews with patients and produce recommendations for the nurses and GPs on prescribing. Administer influenza and travel vaccines Support practices with the management of patients with drug dependence and alcohol-related disorders. Signpost patients to other services or sources of information in addition to medication information when necessary in order to improve the general health and well-being of patients. Make appropriate recommendations to the senior clinical pharmacist or GPs for medical improvement. Unplanned Admissions andDischarge Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audits and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. 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 medicine supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes). Medicines optimisation Assist with QOF targets, especially with the management of long-term conditions: Asthma, COPD, diabetes, hypertension, and heart failure- seeing these patients where their long-term condition needs to be reviewed or where dose optimizations and monitoring are required as per guidelines. Undertake training/certification in health assessments, history taking, and physical examination. Commit to starting an independent prescribing course within 6 months of the probationary period ending Reduce inappropriate poly-pharmacy. Address medicines adherence with patients and provide follow-up phone calls to check progress.