PCN Clinical Pharmacist

Allscreens Nationwide Ltd; Redditch; On-site; GBP 46,000 - 60,000; Full time

Job summary

We are seeking an experienced pharmacist to work within a GP practice in Birmingham, delivering medicines optimisation and safe prescribing.

You will conduct medicines reviews, support NHS DSQS compliance, and collaborate with GPs, pharmacists, and discharge teams to reduce polypharmacy and hospital readmissions.

The post requires clinical expertise in NICE guidelines, paediatric and adult medicines, and the ability to train staff and provide medicines information across the Practice.

Responsibilities

• Provide expertise in clinical medicines, review and address public health and social needs of patients in the Practice.
• Reduce inappropriate polypharmacy and wasteful prescribing through clinical medication review.
• Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
• Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues.
• Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service.
• Oversee and support the dispensary function of the Practice.
• Oversee the repeat prescribing reauthorisation process, including reviewing requests for repeat prescriptions and medicines reaching review dates.
• Manage patients and health care professionals medicine queries.
• Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles.
• Manage practice formularies to improve the quality, safety, and cost effectiveness of prescribing.
• Implement drug withdrawals and alerts e.g., MHRA, aimed at improving medicines safety.
• Work with primary care professionals and patients to implement NICE and other evidence-based guidelines.
• Work with Commissioning organisations and Vertis Health to comply with local medicines optimisation schemes and projects.
• Support and hold clinics where medicines are the main interventions e.g., asthma clinics.
• Contribute to multi-morbidity reviews and multidisciplinary reviews.
• Provide medicines information and training to Practice healthcare professionals and admin staff.
• Review daily Pathology results for patients on known medicines.
• Act as a source of medicines information for all of the practice team and patients (e.g., around doses, side effects, adverse events, possible alternatives e.g., around out of stocks)
• Ultimately to undertake minor ailments triage, deal with minor ailments and triaging patients appropriately.

Job description

KEY DUTIES AND RESPONSIBILITIES Provide expertise in clinical medicines, review and address public health and social needs of patients in the Practice. Reduce inappropriate polypharmacy and wasteful prescribing through clinical medication review. Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues. Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service. Oversee and support the dispensary function of the Practice. Oversee the repeat prescribing reauthorisation process, including reviewing requests for repeat prescriptions and medicines reaching review dates. Manage patients and health care professionals medicine queries. Increase quality and safety of prescribing through mechanisms such as audit and PDSA (PLAN DO STUDY ACT) cycles. Manage practice formularies to improve the quality, safety, and cost effectiveness of prescribing. Implement drug withdrawals and alerts e.g., MHRA, aimed at improving medicines safety. Work with primary care professionals and patients to implement NICE and other evidence-based guidelines. Work with Commissioning organisations and Vertis Health to comply with local medicines optimisation schemes and projects. Support and hold clinics where medicines are the main interventions e.g., asthma clinics. Contribute to multi-morbidity reviews and multidisciplinary reviews. Provide medicines information and training to Practice healthcare professionals and admin staff. Review daily Pathology results for patients on known medicines. Act as a source of medicines information for all of the practice team and patients (e.g., around doses, side effects, adverse events, possible alternatives e.g., around out of stocks) Ultimately to undertake minor ailments triage, deal with minor ailments and triaging patients appropriately. Working within the practice-based team to undertake medication reviews particularly in high-risk groups such as:

• Frail elderly
• Polypharmacy
• Renal impairment
• Hepatic impairment
• Asthma, diabetes, hypertension and Rheumatoid and Dmard drug monitoring
• Substance misuse
• Patients on high-risk medicines
• STOPP/START identified patients

Revolving door Hospital admissions Management support for the dispensary including profitability and stock control; negotiations with drug company representatives and wholesalers; and organisational management including review of SOPS (Standard Operating Procedures) and compliance issues. Ensure the Practice continues to participate in, and meet the requirements of, the local DSQS (Dispensing Services Quality Scheme) Improve prescribing practice through educational support for all prescribers within the practice. Lead on where changes in evidence require changes in prescribing across the patient population, e.g., where a drug is withdrawn or indications change. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR (Medication Use Reviews) and NMS (New Medicine Service). Support improvements in clinical care through practice-based audit and implementing change. Prescribing advice to prescribers in practice e.g., temporary non-availability of drugs Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines. Lead for medicines optimisation scheme compliance, including care home support; discharge reviews; medication reviews; and QIPP. Please see attached for full job description

Birmingham Community Healthcare NHS foundation Trust

Birmingham Community Healthcare NHS foundation Trust