PCN Clinical Pharmacist

NHS Jobs; Bracknell; On-site; GBP 40,000 - 55,000; Full time

Job summary

NHS Jobs in the United Kingdom is seeking a clinical pharmacist to deliver medicines optimisation in primary care settings and to lead patient-facing reviews across multiple care settings.

You will run long-term condition clinics, perform structured medication reviews, and collaborate with GP colleagues, nurses and care staff to ensure safe and effective medicines use for diverse patient groups.

Responsibilities

• Patient-facing long-term condition clinics reviewing medicines and monitoring needs, with recommendations to GPs for improvement
• Conduct patient-facing clinical medication reviews and provide prescribing/monitoring recommendations to senior pharmacists, nurses or GPs
• Perform patient-facing care home medication reviews and advise care home staff to improve medicine safety in ordering and administration
• Carry out domiciliary clinical medication reviews and refer patients to multidisciplinary teams as appropriate
• Manage common/minor/self-limiting ailments within scope of practice and refer to GPs or other professionals when needed
• Provide patient-facing and telephone medicines support, answer enquiries, and monitor outcomes of changes
• Review medicines related to unplanned hospital admissions and implement changes to reduce high-risk prescribing
• Reconcile medicines on hospital discharge and ensure continuity of supply to high-risk groups
• Signpost patients to appropriate healthcare professionals for timely care
• Produce and manage repeat prescribing policies and monitoring of reauthorisation processes
• Identify high-risk patient cohorts through targeted reviews and audits
• Support medicines quality improvement, respond to MHRA alerts and ensure NICE/CQC alignment in prescribing
• Educate and train the primary care team on therapeutics and medicines optimisation and support public health campaigns

Job description

Main Duties and Responsibilities

• Patient-facing long-term condition clinics See (where appropriate) patients with single or multiple medical problems requiring medicine optimisation (e.g. hypertension, asthma) Review the ongoing need for each medicine and monitoring needs, support patients with their medicines taking, and make appropriate recommendations to GPs for medicine improvement
• Patient-facing clinical medication review Undertake clinical medication reviews and produce recommendations for senior clinical pharmacist, nurses and/or GPs on prescribing and monitoring
• Patient-facing care home medication reviews Undertake structured medication reviews and produce recommendations for the senior clinical pharmacist, nurses or GPs Work with care home staff to improve safety of medicines ordering and administration
• Patient-facing domiciliary clinical medication review Undertake structured medication reviews and produce recommendations for nurses and GPs on prescribing and monitoring Attend and refer patients to multidisciplinary case conferences
• Management of common/minor/self-limiting ailments Manage a caseload of patients with common/minor/self-limiting ailments, working within your scope of practice and limits of competence Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate
• Medicines support (patient-facing and telephone) Provide patient-facing and telephone clinics for those with questions, queries and concerns about their medicines Medicine information to practice staff and patients Answer medicine-related enquiries from GPs, other practice staff, other healthcare teams and patients, suggesting and recommending solutions Provide follow-up for patients to monitor the effect of any changes
• Unplanned hospital admissions Review use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews Put in place changes to reduce prescribing of these medicines to high-risk patient groups
• Management of medicines at discharge from hospital Reconcile medicines following discharge from hospitals, intermediate care and into care homes, identifying and rectifying unexplained changes Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients
• Signposting Ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate timeframe
• Repeat prescribing Produce and implement a practice repeat prescribing policy Manage the repeat prescribing reauthorisation process, ensuring appropriate monitoring tests are in place
• Risk stratification Identify cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches
• Medicines quality improvement and safety Undertake clinical audits of prescribing, feedback results and implement changes in conjunction with the practice team Implement changes to medicines resulting from MHRA alerts, product withdrawals and other local and national guidance Guidelines, formulary and CQC Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs Assist practices in maintaining a practice formulary and audit compliance against NICE technology assessment guidance Work with the practice team to ensure compliance with CQC standards where medicines are involved
• Education, training and public health Provide education and training to the primary healthcare team on therapeutics and medicines optimisation Support public health campaigns and provide specialist knowledge on public health programmes