Job Title: Senior Clinical Pharmacist Band 8a
Employing Organisation: Haringey GP Federation
Hours of work (WTE): Full time (37.5 hours per week)
Contract: Permanent
Remuneration: Dependent on experience
Accountable to: Band 8b Lead Clinical Pharmacist
Responsible to: Director of Operations, Haringey GP Federation
Interview date: TBC
Main duties of the job
The post holder is an experienced prescribing pharmacist who acts within their professional boundaries. They will work as part of a multidisciplinary team in a patient-facing role and lead on various workstreams for their practice and PCN, which include:
- Chronic disease management
- Structured medication reviews for target groups
- Improve prescribing safety through a proactive approach on high-risk drugs, safety alerts, and CQC compliance
The post holder will provide 7 sessions of clinical pharmacy time to a local primary care network in Haringey and 3 management sessions at the Haringey GP Federation headquarters.
About us
We are the Haringey GP Federation, a young and growing organization working with 34 member practices in the diverse and vibrant borough of Haringey in north London.
Our vision is to support the people of Haringey to be healthier and happier. We do this by strengthening, innovating, and advocating for strong and sustainable General Practice in Haringey.
Our friendly, collaborative team has earned a strong reputation for providing best practice Primary Care services at scale. We are proud that our achievements have been recognized externally, including at the recent HSJ awards for demonstrating professionally diverse clinical leadership in primary care.
We encourage innovative ways of working to respond to the changing needs of the population in Haringey. We are building a sustainable workforce that is fully equipped and motivated for the work we undertake and constantly seek to expand opportunities for staff and practices alike.
Job responsibilities
Long-term conditions
- Review patients in multimorbidity clinics and in partnership with primary healthcare colleagues, implementing improvements to patients' medicines, including deprescribing.
- Manage own case load and run long-term condition clinics. Prescribe independently for conditions where medicines have a large component (e.g., medicine optimisation in respiratory disease, cardiometabolic, renal disease, and other long-term conditions).
- Review ongoing need for each medicine, monitoring needs, and supporting patients with their medication management to ensure optimal use.
Structured Medication Reviews
- Undertake structured medication reviews with specific patient groups, such as those with multimorbidity, polypharmacy, frailty, on addictive medications, care home residents, and medicines associated with harm. These groups will be revisited annually to meet local/national requirements.
- Resolve issues autonomously during SMRs, including deprescribing where appropriate, and order relevant monitoring tests.
Care home/residential clinical medication reviews
- Conduct structured medication reviews for care home residents, collaborating with local PCN care home leads. Develop mechanisms to improve MDT calls with care homes.
- Perform clinical medication reviews with patients with multimorbidity and polypharmacy, implementing prescribing changes as an independent prescriber, and ordering monitoring tests.
- Work with care home staff and community pharmacies to enhance the safety of medicines ordering and usage.
- Further develop pharmacy support for care homes, utilizing clinical and community pharmacists' skills.
Management of medicines at discharge from hospital
- Reconcile medicines after hospital discharge, intermediate care, and into care homes, identifying and rectifying unexplained changes, working with patients and community pharmacists to ensure continuity of care.
- Manage these changes independently without GP referral where appropriate.
- Collaborate with hospital colleagues to proactively manage high-risk patients before discharge.
- Train clinical pharmacists and pharmacy technicians in medicines reconciliation and support their development.
Clinical advice and expertise
- Respond to medicine-related enquiries from GPs, practice staff, PCN pharmacy colleagues, and patients.
- Signpost to community pharmacy services and refer to GPs or other professionals when needed.
- Implement changes from MHRA alerts, product withdrawals, and guidance.
- Ensure adherence to SOPs and promote reporting of medicines safety issues.
- Conduct audits and quality improvement initiatives in prescribing.
Antibiotic Stewardship
- Promote evidence-based practice and adherence to antimicrobial prescribing policies.
- Identify areas for reducing inappropriate antimicrobial prescribing in collaboration with relevant leads.
Repeat Prescribing
- Support management of repeat prescriptions, review requests, and make necessary changes as an independent prescriber, including ordering blood tests.
Quality Improvement projects
- Lead clinical quality improvement projects aligned with service needs and clinical areas of interest.
- Identify and lead audits and projects that can be scaled up.
Training & supervision
- Support the RPS Faculty development for clinical pharmacists.
- Provide education and supervision to PCN pharmacists, technicians, and trainees.
- Develop training in line with workforce priorities and national policies.
- Support PCN pharmacy staff development through various training activities.
Person Specification
Experience
- Minimum of 3 years post-qualification experience, with some experience in general practice.
- Familiarity with GP systems.
- Accountability for professional expertise and service delivery.
- Experience in motivational interviewing and staff training.
Qualifications
- Masters in pharmacy (MPharm) or equivalent.
- Registered with the General Pharmaceutical Council.
- Post-graduate clinical diploma or equivalent training/experience.
- Membership or progress towards advanced or faculty membership of the Royal Pharmaceutical Society.
Disclosure and Barring Service Check
This role requires a DBS check due to the Rehabilitation of Offenders Act (Exceptions Order) 1975, with necessary disclosures made accordingly.